The Current View of the Diagnostics and Therapy of Aphasias

Authors: doc. PaedDr. Zsolt Cséfalvay, PhD.
Authors‘ workplace: Katedra logopédie, Pedagogická fakulta ;  Univerzita Komenského, Bratislava
Published in: Cesk Slov Neurol N 2007; 70/103(2): 118-128
Category: Minimonography


Aphasia is an acquired disorder of language production and comprehension caused by focal cerebral lesions and often presents itself as the first sign of a brain damage. The aim of this article is to summarize a current view of aphasia as a complex and variable neurological deficit. Currently, the cognitive neuropsychological approach is prevailing in modern clinical aphasiology and, therefore, this approach is discussed in more details. Besides the traditional view in aphasiology, the cognitive neuropsychological approach has been more and more stressed among clinicians working with patients suffering from aphasia in the Czech Republic and Slovakia. A summary of different diagnostic methods used in the aphasia assessment is presented in this paper. A brief review of studies on efficacy of the aphasia therapy is followed by information on the treatment strategies employed for persons with aphasia. This review can be instrumental in improving the communication between different professionals participating in diagnosis and healthcare of individuals suffering from aphasia.

Key words:
aphasia – cognitive-neuropsychological model of language processing – assessment of aphasia – efficacy of aphasia treatment


1. Basso A. Aphasia and its therapy. Oxford: Oxford University Press 2003.

2. Cséfalvay Z, Traubner P. Afaziológia pre klinickú prax. Martin: Osveta 1996.

3. Bakheit AM, Gatehouse C. Therapy of aphasia. Aging Health 2006; 2(3): 489-496.

4. Tichý J. Kortikální funkce, syndromy mozkových laloku. In: Nevšímalová S, Růžička E, Tichý J. Neurologie (dotisk prvního vydání). Praha: Galén 2005.

5. Damasio H. Neural Basis of Language Disorders. In: Chapey R (ed). Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders. 4th ed. New York: Lippincot Wiliams and Wilkins 2001:18-36.

6. Kertesz A. Aphasia and Associated disorders: taxonomy, localization, and recovery. New York: Grune and Stratton 1979.

7. Dronkers NF, Larsen JL. Neuroanatomy of the classical syndromes of aphasia. In: Boller F, Grafman J (eds). Handbook of Neuropsychology. 2nd ed. New York: Elsevier Science 2001: 19-30.

8. Hillis AE. New techniques for identifying the neural substrates of language and language impairments. Aphasiology 2002; 16: 855-7.

9. Damasio AR, Damasio H, Rizzo M, Varney N, Gersh F. Aphasia with nonhemorrhagic lesions in the basal ganglia and internal capsule. Arch Neurol 1982; 39(1): 15-24.

10. McFarling D, Rothi LJ, Heilman KH. Transcortical aphasia from ischaemic infarcts of the thalamus: a report of two cases. J Neurol Neurosurg and Psychiatry 1982; 45: 107-112.

11. Marien P, Paghera B, De Deyn PP, Vignolo LA. Adult crossed aphasia in dextrals revisited. Cortex 2004; 40(1): 41-74.

12. Cséfalvay Z, Košťálová M, Klimešová M. Diagnostika a terapie afásie, alexie a agrafie. Praha: AKL 2003.

13. Ellis AW. Young AW. Human Cognitive Neuropsychology. Hove and London: Lea Publishers1988.

14. Cséfalvay Z. Diagnostika afázie. In: Lechta V (ed). Diagnostika narušenej komunikačnej schopnosti. Martin: Osveta 1995: 146-186.

15. Helm-Estabrooks N, Albert ML. Manual of Aphasia Therapy. Austin: Pro-Ed 1991.

16. Leischner A. Aphasien und Sprachentwicklungstörungen. Stuttgart-New York: Georg Thieme Verlag 1987.

17. Springer L, Huber W, Schlenck KJ, Schlenck C. Agrammatism: Deficit or Compensation? Consequences for Aphasia Therapy. Neuropsychological Rehabiliation 2000; 10:279-309.

18. Goodglas H, Kaplan E. Boston Diagnostic Examination for Aphasia. Philadelphia: Lea and Febiger 1983.

19. Kulišťák P, Benešová E. Afaziologické vyšetření "Western Aphasia Battery". Česká experimentální verze. Klinická logopedie v praxi 1996; 3: 4-9.

20. Kroker K. Aphasie-Schnell-Test (3. Aufgabe). Idstein: Schulz-Kirchner Verlag 2006.

21. Kertesz A. Western Aphasia Battery. New York: Grune and Stratton 1982.

22. Swinburn K, Porter G, Howard D. Comprehensive Aphasia Test. Hove: Psychology Press 2004.

23. Lurija AR. Základy neuropsychológie. Bratislava: SPN: 1982.

24. Whithworth A, Webster J, Howard D. A Cognitive Neuropsychological Approach to Assesssment and Intervention in Aphasia. A Clinicians Guide. Hove, New York: Psychology Press 2005.

25. Kay J, Lesser R, Coltheart M. Psycholinguistic Assessment of Language Processing in Aphasia. Hove, East Sussex, UK: Psychology Press 1997.

26. Holland AL. Pragmatic Assessment and Treatment for Aphasia. In: Wallace GL (ed). Adult Aphasia Rehabilitation. Boston: Butterworth- Heinemann 1997: 161-174.

27. Holland AL, Frattali C, Fromm D. Communicative Activities in Daily Living (CADL-2). Austin, Texas: Pro-Ed 1999.

28. Withworth A, Perkins L, Lesser R. Conversation Analysis Profile for People with Aphasia. London: Whurr 1997.

29. Kaplan E, Goodglass H, Weintraub S. The Boston Naming Test. Philadelphia: Lea and Febiger 1983.

30. De Renzi E, Vignolo L. The token test: a sensitive test to detect receptive disturbances in aphasics. Cortex 1978; 14: 665-678.

31. Helm-Estebrooks N, Ramsberger G, Morgan AR, Nicholas AM. Boston Assessment of Severe Aphasia. Chicago: Riverside 1989.

32. Paradis M, Libben G. The Assessment of Bilingual Aphasia. Hinsdale NJ: Erlbaum 1987.

33. Duffy JR. Motor Speech Disorders. Substrates, Differential Diagnosis and Management. St. Louis: Mosby 1995.

34. Cappa S. Recovery from Aphasia: Why and How? Brain and Language 2000; 71:39-41.

35. Cappa, S. Neuroimaging of recovery from aphasia. Neuropsychological rehabilitation 2000; 10: 365-376.

36. Papathanasiou I, Whurr R. Recovery of function in aphasia. In: Papathanasiou I (ed): Acquired neurogenic communication disorders. A clinical perspecive. London, Philadelphia: Whurr 2000: 28-48.

37. Lincoln NB, McGuick E, Mullez GP, Lendrem W, Jones AC, Mischell JRA. Effectiveness of speech therapy for aphasic stroke patients: A randomized controlled study. Lancet 1984; 1: 1197-1200.

38. Bhogal SK, Teasell R, Speechley M. Intensity of aphasia therapy impact on Recovery. Stroke 2003; 34: 987-993.

39. Basso A. How intensive/prolonged should an intensive/prolonged treatment be? Aphasiology 2005; 19(10/11): 975-984.

40. Robey RR. A Meta-analysis of Clinical Outcomes in the Treament of Aphasia. J Speech, Language and Hearing Research 1998; 41: 172-187.

41. Davis AG, Wilcox MJ. Adult Aphasia Rehabiliation: Applied Pragmatics. San Diego: College Hill 1985.

42. Elman RJ. Group Treatment of Neurogenic Communication Disorders. The Expert Clinician´s Approach. Boston: Butterworth-Heinemann 1999.

43. Ashtary F, Janghorbani M, Chitsaz A, Reisi M, Bahrami A. A randomized, double-blind trail of bromocriptine efficacy in nonfluent aphasia after stroke. Neurology 2006; 66: 914-916.

44. Walker-Batson D, Curtis S, Natarjan R, Ford J, Dronkers N, Salmeron E et al. A Double-Blind, Placebo-Controled Study of the Use of Amphetamin in the Treatment of Aphasia. Stroke 2001; 32: 2093-8.

45. Kessler J, Thiel A, Karbe H, Heiss D. Piracetam improves activated blood flow and facilitates rehablitation of poststroke aphasic patiens. Stroke 2003; 31: 2112.

46. Bragoni M, Altieri M, Di Piero V, Padovani A, Mostardini C, Lenzi GL. Bromocriptine and speech therapy in non-fluent chronic aphasia. Neurol Sci 2000; 21(1): 19-22.

47. Košťálová M, Bednařík J, Mechl M, Voháňka S, Šnábl I. Multimediální výukový atlas poruch řeči a příbuzných kognitivních funkcí. Multimediální podpora klinických a zdravotnických oborů: portál Lékařské fakulty Masarykovy univerzity [online]. 2006 [cit. 2006-12-21]. Dostupný z

Paediatric neurology Neurosurgery Neurology

Article was published in

Czech and Slovak Neurology and Neurosurgery

Issue 2

2007 Issue 2

Most read in this issue
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account