Editing Receptive aphasia (section)

=== Restorative therapy approach ===
Neuroplasticity is a central component to restorative therapy to compensate for brain damage. This approach is especially useful in Wernicke's aphasia patients that have had a stroke to the left brain hemisphere.<ref name="auto">Manasco, H. (2021). ''Introduction to neurogenic communication disorders''. Burlington, Massachusetts: Jones & Bartlett Learning.</ref>

''Schuell's stimulation approach'' is a main method in traditional aphasia therapy that follows principles to retrieve function in the auditory modality of language and influence surrounding regions through stimulation. The guidelines to have the most effective stimulation are as follows:
Auditory stimulation of language should be intensive and always present when other language modalities are stimulated.<ref name="auto"/>
* The stimulus should be presented at a difficulty level equal to or just below the patient's ability.
* Sensory stimulation must be present and repeated throughout the treatment.
* Each stimulus applied should produce a response; if there is no response more stimulation cues should be provided.
* Response to stimuli should be maximized to create more opportunities for success and feedback for the speech-language pathologist.
* The feedback of the speech-language pathologist should promote further success and patient and encouragement.
* Therapy should follow an intensive and systemic method to create success by progressing in difficulty.
* Therapies should be varied and build off of mastered therapy tasks.<ref name="auto"/>

Schuell's stimulation utilizes stimulation through therapy tasks beginning at a simplified task and progressing to become more difficult including:
* Point to tasks. During these tasks the patient is directed to point to an object or multiple objects. As the skill is learned the level of complexity increases by increasing the number of objects the patient must point to.<ref name="auto"/>
** Simple: "Point to the book."
** Complex: "Point to the book and then to the ceiling after touching your ear."
* Following directions with objects. During these tasks the patient is instructed to follow the instruction of manually following directions that increase in complexity as the skill is learned.<ref name="auto"/>
** Simple: "Pick up the book."
** Complex: "Pick up the book and put it down on the bench after I move the cup."
* Yes or no questions – This task requires the patient to respond to various yes or no questions that can range from simple to complex.<ref name="auto"/>
** Paraphrasing and retelling – This task requires the patient to read a paragraph and, afterwards, paraphrase it aloud. This is the most complex of Schuell's stimulation tasks because it requires comprehension, recall, and communication.<ref name="auto"/>