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Changes in pragmatic communication in a case of chronic severe non-fluent aphasia Takako Annaka 1,2 , Noriko Haruhara 3 1Development and Human Health Department, Saitama Prefectual Children's Medical Center 2COMPASS Visiting Nursing Service Kita-Omiya 3Department of Speech, Language and Therapy, Faculty of Health Sciences, Mejiro University Keyword: 失語症 , 認知機能 , 個人因子 , 代償手段 , 実用コミュニケーション , aphasia , cognitive function , personal factors , compensatory strategies , pragmatic communication pp.66-74
Published Date 2025/3/15
DOI https://doi.org/10.11477/mf.134958280220010066
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 As a result of 9 months of home-visiting speech-language therapy, a young patient with severe non-fluent aphasia approximately 3 years after onset showed improvement in language function and a significant change in pragmatic communication skills using compensatory strategies. Based on the “possible” communication ability which is derived from the evaluation of language function, cognitive function, and personal factors, we conducted language function training and conversation training. For the latter, we practiced compensatory strategies using a notebook to write letters and pictures when having a conversation, and a personalized communication file. With practice and the accumulation of successful experiences, the patient was able to demonstrate spontaneous and expanded use of compensatory strategies. Although the symptoms of spoken language were relatively severe, the use of writing, relatively preserved cognitive function, and active and sociable personal factors were thought to have contributed to the improvement of communication ability. These results suggest the effectiveness and importance of the involvement of speech-language-hearing therapists in cases of severe aphasia with long time post onset.


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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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