RESTORATION OF WRITTEN SPEECH IN PATIENTS WITH APHASIA USING ARTICULATION-KINETIC TRAINER WITHIN THE FRAMEWORK OF SOUND-ASSOCIATIVE METHOD

Abstract

The article considers the acute problem of restoring speech and language skills in patients with aphasia caused by stroke, traumatic brain injury and other factors. The study focuses on the violation of the phonemic-graphemic connection, which leads to violation of reading and writing, in particular with sensory and afferent motor aphasia. Based on Luria's neuropsychological classification, the specific characteristics of different types of aphasia are analyzed, with an emphasis on articulatory praxis, phonemic perception and sequential motor organization.

An original rehabilitation approach is proposed, which combines the sound-associative method using an articulatory-kinetic simulator. The approach is aimed at restoring the functional connection "Phoneme - articuleme - grapheme" through multimodal stimulation, which includes auditory, visual and motor analyzers. The training protocol includes structured exercises for isolated sound production, switching from one phoneme to another, syllable formation and word repetition, which are reinforced by synchronized motor actions. In addition, non-speech auditory stimuli (environmental sounds, sounds of objects and animals) are systematically associated with phonemes to improve phonemic perception and compensate for speech comprehension deficits. This is especially relevant in cases of damage to the left temporal lobe of the brain, where non-verbal auditory processing remains relatively preserved.

The proposed method fosters strengthening articulatory apraxia, perseveration and impaired anticipatory speech planning. It also supports the development of motor memory and the formation of new neural connections through multimodal training. The results show that the integration of articulatory-kinetic and associative methods significantly improves speech recovery outcomes and can be effectively applied by speech therapists, rehabilitation specialists and caregivers.