Speech Therapy Activities for Aphasia
Updated: Aug 25
In this article we will discuss:
What do people with aphasia want?
Worrall et al. (2011) interviewed 50 participants with aphasia after stroke in 2011, from Worrall and colleagues’ study. What people with aphasia want the most is to regain the ability to communicate with friends and family. Other important things people with aphasia want are to be able to communicate their needs and wants, improve their understanding of other people, and engage in leisure activities.
Types of Aphasia
Broca’s aphasia
Broca’s aphasia is a language disorder in adults that results to having trouble speaking. People with broca’s aphasia may speak in short, choppy sentences, and often have difficulty finding the right words. Broca’s Aphasia is caused by damage to the Broca’s area, which is located in the frontal lobe of the brain. Broca's aphasia treatment looks at a person's ability to utilize expressive language.
Symptoms include:
Speaking in short, choppy sentences
Difficulty finding the right words
Difficulty with grammar
Slow speech
Difficulty producing words that are meaningful
Get professional help for adults with aphasia
Wernicke’s aphasia
Another language disorder in adults include Wernicke’s aphasia. People with Wernicke’s aphasia often speak fluently, but their speech is jumbled and hard to understand. They may not be aware that their speech is unclear. Wernicke’s aphasia is caused by damage to the Wernicke’s area, which is located in the temporal lobe of the brain.
Symptoms include:
Jumpled speech that is hard to understand
Speech that sounds fluent but makes no sense
Difficulty understanding spoken or written language
Unaware of errors in speech
Trouble naming objects
Global aphasia
Global aphasia is a language disorder in adults that have the most severe symptoms of all three types of aphasia. They often cannot speak at all, and if they can, their speech is very hard to understand. Global aphasia is caused by damage to large areas of the brain that are responsible for language.
Symptoms include:
Very difficult or impossible to speak
Cannot understand spoken or written language
May be able to say a few words
What kind of speech therapy treatments are available?
There are many different types of adult speech therapy treatments available for people with aphasia. Some common aphasia treatments include:
Constraint-Induced Language Therapy (CILT)
This adult aphasia speech therapy technique aims to inhibit the use of gestures and make the patients use their words by playing a game. The primary goal of CILT is not for the patient to learn or gain new knowledge of language! The main goal is to develop an intentional bias to use spoken language.
CILT is guided by three principles namely:
Massed practice
Inhibit the use of gestures in all context
Verbal communication
Melodic intonation therapy
This adult speech therapy treatment uses melody and rhythm to help people with aphasia produce speech sounds. MIT is a formal language technique that uses an aphasic’s preserved singing ability to sing to improve language expression. It targets the musical element of speech (rhythm and melody). This aids in communication, as it activates the areas of the undamaged right cerebral hemisphere for language processing that is meant for the left cerebral hemisphere.
Speech-generating devices
These adult speech therapy devices allow people with aphasia to communicate by pressing buttons that produce pre-recorded or computer-generated speech. This is an approach to both receptive and expressive aphasia treatment that includes a flexible system of strategies and devices designed to supplement or replace, either permanently or temporarily, insufficient of ineffective communication skills.
Speech-generating devices can:
Provides opportunities for persons with disabilities to meet their communication needs by participating in daily activities.
To compensate for language impairments and facilitate the restoration of language.
To support people with aphasia through adequate functional communication skills necessary for expressing their complex communication needs.
How can I find a speech therapist?
Seeking speech therapy after a stroke can be an important step to recovery. Speech-language pathologists are trained to treat aphasia. If you or a loved one has been diagnosed with aphasia, ask your doctor for a referral to a speech-language pathologist. You can contact us at Better Speech for more information about finding a speech therapist in your area.
Speech Therapy Activities for Aphasia
There are many different speech therapy activities that can help people with aphasia improve their communication skills at home. Such speech therapy can be particularly helpful for stroke patients or TBI patients. Here are a few examples:
1. Word games
One of the speech therapy activities for aphasia is word games. Word games can help improve vocabulary and word-finding skills! Word games work best if the game is played with a focus on a specific theme (e.g., animals, food, transportation, etc.). They can also be a fun way to practice communication!
Try playing some of these word games with a loved one:
Scrabble
Word Ladder
Boggle
Crosswords
2. Reading passages for adult speech therapy
Reading passage is another speech therapy activity for aphasia. This activity can help improve reading comprehension and fluency. It is a great way to practice language skills.
Reading passages for adults speech therapy include:
Easy Reader Classics
The Aphasia Reading List
Any books
3. Communication boards
Communication boards are a great way to help people with aphasia communicate. They can be used to point to words or pictures to form sentences. They can be used to help with word-finding. Try making a communication board with a loved one. You can use pictures, words, or both.
4. Articulation exercises
Articulation exercises are speech therapy activity for aphasia. These exercises can help improve the clarity of speech.It is a great way to practice using different sounds.
Try doing some of these articulation exercises with a loved one:
Tongue twisters
Articulation cards
5. Life story activities
Life story activities are an important speech therapy activity for aphasia. They can help people with aphasia connect with their past and present. They can even help improve communication skills.
Try doing some of these life story activities with a loved one:
Memory books
Family tree
Timeline of life events
6. Conversation starters
Conversation starters are a great way to help people with aphasia practice communication. They can be used to help break the ice in social situations.
Try using some of these conversation starters with a loved one:
How was your day?
What did you do today?
What are your plans for tomorrow?
7. Social activities
Social activities are speech therapy activity for aphasia. They can help improve communication skills and social interaction. They can be a lot of fun for adults to recall.
Try doing some of these social activities with a loved one:
Going for walks
Playing games
Going out to eat
Speech therapy activities should be tailored to the individual needs of each person with aphasia. Some people may benefit from one or two activities, while others may need a more comprehensive approach that includes several different types of activities. At Better Speech, we offer online speech therapy services convenient for you and tailored to your child's individual needs. Our services are affordable and effective - get Better Speech now.
Frequently Asked Questions
What types of speech therapy activities help most with aphasia recovery?
The most effective activities target real-life communication, such as naming everyday objects, completing sentences, reading aloud short passages, and practicing scripted conversations. Repetition and consistency are key. Activities that connect to a person's interests, like discussing favorite shows or hobbies, tend to boost motivation and improve outcomes faster than generic drills.
Can aphasia improve with practice at home, or is professional therapy required?
Home practice absolutely supports recovery, but it works best alongside guidance from a licensed speech-language pathologist. A professional can assess the type and severity of aphasia and design a personalized plan. Daily home activities like word-finding games, reading, and conversation practice reinforce what is learned in formal sessions and help build lasting progress.
How often should someone with aphasia do speech therapy activities?
Research suggests that frequent, consistent practice, ideally 30 to 60 minutes of targeted activity most days of the week, produces the best results. Short, focused sessions are often more manageable than long ones. Working with a speech therapist helps establish a realistic schedule, and many exercises can be woven naturally into daily routines like mealtimes or morning conversations.
Are online speech therapy sessions effective for aphasia?
Yes, teletherapy has been shown to be highly effective for aphasia treatment. Sessions can be conducted comfortably from home, which reduces fatigue and travel stress that can affect people recovering from stroke or brain injury. Better Speech offers licensed speech-language pathologists who specialize in aphasia, accept most major insurance plans, and have no waitlists so care can begin quickly.
What is the difference between fluent and non-fluent aphasia, and does it change which activities to use?
Fluent aphasia involves speech that flows but may include errors or made-up words, while non-fluent aphasia results in slow, effortful speech with limited output. These differences do matter for activity choice. For example, someone with non-fluent aphasia may benefit more from word-retrieval drills and gesture-supported communication, while fluent aphasia therapy often focuses on self-monitoring and accuracy of word selection.
About the Author
Aycen Zambuto
I’m a seasoned educator in speech therapy with over six years of experience helping people navigate challenges in communication. Throughout this time, I’ve found joy in guiding individuals through a variety of therapeutic journeys, from toddlers with apraxia to seniors with dysphonia.
I’m passionate about demystifying this complex world of speech therapy and helping readers around the globe achieve clear and effective communication. When I’m not writing about speech, you’ll often find me reading, traveling or spending time with friends and family.
