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Neurological Recovery - STROKE

Updated: Jan 4

STAT!!




“STROKE “requires Immediate action With an IV injection of recombinant tissue plasminogen activator (TPA) — also called alteplase (Activase) or tenecteplase (TNKase) — It is the gold standard treatment for ischemic stroke. An injection of TPA is usually given through a vein in the arm within the first three hours.


Because women generally live longer than men, more women have strokes over their lifetimes. Women also have unique risk factors for stroke, including: Having high blood pressure during pregnancy. Using certain types of birth control medicines, especially if they also smoke.


Speech Exercises – Re-learning


Your tongue is responsible for touching very specific places in your mouth at a high rate of speed to create clear speech. This can be difficult following a stroke or surgery.


This often results in unclear or mumbled sounding speech. Below are strategies and practice exercises to help improve the quality of your speech sounds. This will make it easier for you to be understood by others.


Studies have also determined sleep can improve learning and memory, though both of which play a role in stroke memory.


Memory and leaning go hand in hand, sleep promotes the processing and consolidation of memories, this allows an individual not only to remember their experience but also to supply those memories toward learning new skills.


Using the strategies below, practice the following 3-4 times a day.

Strategies for regaining Clear Speech:

  • Think SLOW. The slower you speak, the easier it is for others to understand you.bThis also allows time for your tongue, lips, and other articulators to get where they need to for certain speech sounds.

  • Open your mouth and OVER pronounce your words.

  • Make sure you are face to face with your listener and use gestures and eye contact to add to your message.

  • Reduce or eliminate background noise. Turn the TV or radio volume down when you are about to speak to someone.

  • Provide the listener with context. This helps prepare the listener to expect certain words.

  • Do not be afraid to repeat yourself if someone does not understand you the first time.

  • If you happen to be naturally a fast talker, slow down and you will be amazed at your delivery and clarity improvement.

  • PRACTICE saying Days of the Week

  • PRACTICE counting 1-20

  • PRACTICE saying favorite sports teams

  • PRACTICE saying “My name is _______”

  • PRACTICE saying Months of the Year

  • PRACTICE saying the alphabet “A, B, C, D, E, F….”

  • PRACTICE saying “My birthday is _____”

  • PRACTICE saying different holidays (Thanksgiving, Christmas)

  • PRACTICE saying names of family members

  • PRACTICE saying individual sounds with extra strength: “P”, “B”, “K”, “G”

  • PRACTICE saying common sentences and phrases you say frequently


Military Alphabet; Say out loud…PRACTICE with emphasis saying:


Alpha, Bravo, Charlie, Delta, Echo, Foxtrot, Golf, Hotel, India, Juliett, Kilo, Lima, Mike, November, Oscar, Papa, Quebec, Romeo, Sierra, Tango, Uniform, Victor, Whiskey, X-ray, Yankee, Zulu.


  • If you have had a stroke, you may be more vulnerable to the negative effects that alcohol can have. If you are sleeping badly, have poor balance or speech problems, alcohol could make these worse. Alcohol can also worsen mood swings and depression.

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