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Alexia & Agraphia: Treating Reading and Writing Deficits After a Stroke

    Alexia and agraphia are disorders that affect reading and writing, respectively. They can occur after a stroke or other brain injury. They may accompany expressive or receptive aphasia, but sometimes they occur without other language deficits. A person may have both disorders, or they may develop alexia without agraphia. In this circumstance, reading is impaired despite intact spelling and writing abilities. 

    Alexia is a condition where a person has difficulty reading. They may struggle to recognize letters, words, or sentences. Agraphia is a condition where a person has difficulty writing. They may struggle to write letters, words, or sentences.  

    There are several approaches to treating alexia and agraphia. One approach is phonological treatment. This approach focuses on improving a person’s ability to recognize and manipulate sounds in words. Another approach is interactive treatment. This approach focuses on training a person to use both their phonological and orthographic knowledge to improve their reading and writing skills.  

    In addition to these approaches, there are other methods that can be used to treat alexia and agraphia. These may include instruction in letter grouping, using visual aids and devices to facilitate word recognition, and training in reading strategies that promote whole-word recognition instead of letter-by-letter reading. Oral re-reading is another technique that can be used to improve reading skills. This technique involves reading a passage out loud several times to improve accuracy and reading rate.   

    For agraphia, one technique involves increasing a person’s ability to access entire words in their orthographic lexicon through implicit tasks. Another technique involves phonological component analysis. This technique involves breaking down words into their component parts and then analyzing the meaning of each part.  

    It’s important to note that the best approach to treating alexia and agraphia will depend on the individual. A speech therapist can help determine the best approach for a person based on their specific needs.  

    In summary, there are several approaches to treating alexia and agraphia, including phonological treatment, interactive treatment, letter-by-letter reading, oral re-reading, increasing a person’s ability to access entire words in their orthographic lexicon through implicit tasks, and phonological component analysis. If you or a loved one has experienced a stroke or other brain injury and is struggling with reading or writing, it’s important to seek the help of a speech therapist. Call Speech Care at Home today, at (813) 344-3207. They can help determine the best approach for your specific needs.