IJCEMR
Aphasia Rehabilitation in China: A Review of Assessment, Intervention, and Workforce Challenges
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Abstract
Background: Aphasia, most commonly caused by stroke, is a communication disorder that profoundly impairs quality of life. In China, the incidence of post-stroke aphasia (PSA) is increasing, particularly in regions with limited access to speech-language pathology (SLP) services. Despite speech-language therapy (SLT) being the most evidence-based treatment, access and effectiveness are often constrained by systemic constraints and infrastructure barriers. Methods: The review analyzed 30 peer-reviewed studies published between 2000 and 2024, sourced from PubMed, CNKI, and Google Scholar. The selected papers focused on aphasia assessment tools, treatment approaches, and the distribution of the SLP workforce in China. Results: Widely used SLT techniques in China include Schuell's Stimulation Approach, Melodic Intonation Therapy, and Constraint-Induced Aphasia Therapy. However, their limited dissemination is hindered by disparities in healthcare infrastructure and a shortage of trained professionals, particularly in rural areas. Adjunct interventions such as transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), and acupuncture are also employed, though their evidence base varies. Most diagnostic tools are standardized for Mandarin speakers, limiting their applicability in China's linguistically diverse regions. Conclusion: Advancing aphasia rehabilitation in China requires a coordinated, multifaceted strategy. Priorities include expanding access to SLT training programs, developing culturally and linguistically adapted assessment tools, and integrating aphasia services into broader healthcare systems. While SLT remains central to effective treatment, this review highlights the need for policy reforms and infrastructure development to ensure equitable access to care nationwide.
Keywords
Aphasia rehabilitation; Assessment tools; Neuromodulation; Speech-language rehabilitation
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How to cite this paper
Aphasia Rehabilitation in China: A Review of Assessment, Intervention, and Workforce Challenges
How to cite this paper: Yuting Wu. (2025) Aphasia Rehabilitation in China: A Review of Assessment, Intervention, and Workforce Challenges. International Journal of Clinical and Experimental Medicine Research, 9(4), 397-403.
DOI: http://dx.doi.org/10.26855/ijcemr.2025.07.001
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