Aphasia

Physical Communication Cognitive Behavioural / Emotional

Aphasia results from damage to the parts of the brain that contain language (typically in the left half of the brain). Individuals who experience damage to the right side of the brain may have additional difficulties beyond speech and language issues. Aphasia may causes difficulties in speaking, listening, reading, and writing, but does not affect intelligence. Individuals with aphasia may also have other problems, such as dysarthria, apraxia, or swallowing problems.

People with aphasia may:

  • Experience difficulty coming up with the words they want to say
  • Substitute the intended word with another word
  • Switch sounds within words
  • Use made-up words
  • Have difficulty putting words together to form sentences
  • String together made-up words and real words fluently but without making sense
  • Misunderstand what others say, especially when they speak fast (e.g., radio or television news) or in long sentences
  • Find it hard to understand speech in background noise or in group situations
  • Misinterpret jokes and take the literal meaning of figurative speech (e.g., “it’s raining cats and dogs”)
  • Have difficulty reading forms, pamphlets, books, and other written material
  • Have problems spelling and putting words together to write sentences
  • Have difficulty understanding number concepts (e.g., telling time, counting money, adding/subtracting)

There are many types of treatment available for individuals with aphasia. The type of treatment depends on the needs and goals of the person with aphasia. Treatment may be provided in individual or group sessions.


"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
Deborah Andrews; New Zealand
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
Cerebra; United Kingdom
"Pediatric neuro-rehabilitation cannot be delivered in isolation. The needs of the child have to be looked at both holistically and within the context of the family unit. Parents need to be empowered to be parents in post-acute pediatric neuro-rehabilitation following brain injury"
The Children's Trust; United Kingdom
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Shari Wade; USA
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Professor Bryan Kolb; Canada
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Eric Hermans; Netherlands
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Cathy Jonson; Rehab without Walls; United Kingdom.
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Claire Willis; Australia
"NHS clinicians struggle with what intervention to prioritise in paediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
Recolo; United Kingdom

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