CVA-09 · Post-Stroke Aphasia, Language Disorders, and Dysarthria

Post-Stroke Aphasia, Language Disorders, and Dysarthria. Part of the Cerebrovascular / Stroke series of the Reflex PM&R Board Review podcast. Audio correction: In the audio: The clinical evidence overwhelmingly shows that anything below that two hour per week threshold is essentially indistinguishable from the natural biological course of spontaneous recovery. So doing less is pointless. — Correct: There is no established weekly hour count below which speech and language therapy stops working. Therapy is beneficial, and what drives gain is sufficient, repeated, individualized practice toward a functional goal. Set the dose from the recovery phase, the goal, tolerance and measured progress, and count total practice, including group therapy, technology-assisted drill and structured family practice. Do not withhold or discount therapy because a schedule falls under two hours a week. The two-hour figure comes from an explicitly exploratory participant-level analysis, and the 2026 AHA/ASA stroke rehabilitation guideline still identifies optimal dosing as uncertain. The written chapter is correct. Full correction register: https://www.reflexpmr.com/errata. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/CVA-09.