Praćenje oporavka tokom rehabilitacije senzomotorne afazije - studija slučaja

Abstract

Introduction: Rehabilitation of aphasia depends on the localization, severity and extent of brain damage, length and intensity of rehabilitation, patient age, motivation, family support and environment, material conditions and other factors. Aim: Aim of the paper was to determine the outcomes of speech-language rehabilitation of patient N.N. with sensory aphasia resulting from brain injury caused by a fall down the stairs. The methodology was based on follow up of theoutcomes of speech rehabilitation for more than four months. We used the Boston Aphasia Diagnostic Test (BDAE). Case reaport: During patient's rehabilitation, we relied mainly on partially preserved reading ability, which is not specific to this type of aphasia. The first assessment of speech and language skills is not fully credible due to the poor general condition of the patient, the blurring of consciousness and other circumstances that cause the rehabilitation to be interrupted. After improving the general condition, the patient was readmitted, and the speech therapist performed an assessment and the patient was found to have sensory aphasia, with specificities in the form of partially preserved reading ability, which was used during rehabilitation. The assessment was performed four times over a 4-month period. After the patient's re-arrival, a speech therapy was performed at the hospital for a month, and after discharge from the institution, treatment continued in the family, occasionally following the instructions of the speech therapist. At the beginning of rehabilitation in the BDAE speech subtest, the patient achieved minimal results, while at the end of rehabilitation he achieved significantly more successful results in all segments of auditory comprehension. Conclusion: Good assessment of language status, planning of rehabilitation, follow-up of course of rehabilitation, encouragement, patient motivation, and family involvement in rehabilitation lead to good results in rehabilitation of aphasia.