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Expressive aphasia (also known as Broca's aphasia) is a type of aphasia characterized by partial loss of the ability to produce language (spoken, manual, [1] or written), although comprehension generally remains intact. [2] A person with expressive aphasia will exhibit effortful speech.
The goal of speech and language therapy is to increase the person’s communication abilities to a level functional for daily life. Goals are chosen based on collaboration between speech language pathologists, patients, and their family/caregivers. [25] Goals should be individualized based on the person’s aphasia symptoms and communicative needs.
Non-fluent aphasia, also called expressive aphasia, is a neurological disorder that deprives patients of the ability to express language. It is usually caused by stroke or lesions in Broca's area , which is a language-dominant area that is responsible for speech production located in the left hemisphere of the brain.
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Survivors with global aphasia may have great difficulty understanding and forming words and sentences, and generally experience a great deal of difficulty when trying to communicate. [2] With considerable speech therapy rehabilitation, global aphasia may progress into expressive aphasia or receptive aphasia. [citation needed]
Examples include word retrieval therapy and script training, communication partner training and group therapy. [ 17 ] Rapid and sustained improvement in speech and dementia in a patient with primary progressive aphasia utilizing off-label perispinal etanercept , an anti- TNF treatment strategy also used for Alzheimer's , has been reported. [ 18 ]
In order to capitalize on neuroplasticity for treatment of all types of aphasia, timing, intensity, duration, and repetition of treatment should be taken into consideration. Research has found that aphasia treatment initiated during the earlier acute post-injury phase is more effective compared to treatment initiated in the chronic phase. [21]
Acquired disorders result from brain injury, stroke or atrophy, many of these issues are included under the Aphasia umbrella. Brain damage, for example, may result in various forms of aphasia if critical areas of the brain such as Broca's or Wernicke's area are damaged by lesions or atrophy as part of a dementia.