IMPLEMENTATION OF GAME-BASED TECHNOLOGIES FOR MILD FORMS OF APHASIA IN SECOND-STAGE NEUROREHABILITATION

The scientific rationale for incorporating game-based technologies into the speech therapy of patients with mild aphasia is based on the necessity of bridging the gap between “clinical” speech recovery and the functional use of language in everyday communication. A primary challenge for this population is the acute awareness of their own deficit, which often triggers “speech negativism” and social withdrawal. Traditional exercises are frequently perceived by intellectually intact patients as monotonous and devoid of communicative purpose, which diminishes rehabilitation potential and motivation. According to the activity theory of A.N. Leontiev and L.S. Vygotsky, gaming is a powerful stimulus for activating higher mental functions. The implementation of tabletop communicative games (e.g., Alias, Codenames, Crocodile) requires the patient to move beyond the simple reproduction of learned words toward the operational resolution of complex cognitive tasks: the activation of associative fields, the use of verbal search strategies (synonymy, antonymy), the inhibition of inadequate speech responses, and the retention of multi-component instructions.

Aim.To analyze the effectiveness of game-based technologies in group speech therapy sessions for patients with mild forms of aphasia and to justify their significance for improving speech function and social adaptation during the second stage of rehabilitation.

Materials and Methods. This study is a descriptive observation of the effectiveness of game-based technologies within the second stage of inpatient speech rehabilitation for patients with mild aphasia of cerebrovascular etiology. The program integrated gaming methods into the traditional correctional process using adapted board games and role-playing scenarios. Patients were divided into two groups: a control group (traditional methods, n = 10) and an experimental group (game-based technologies, n = 10). The observation period lasted 14 days of inpatient care. Qualitative and quantitative assessments were conducted preand post-treatment using the Wasserman Scale and the Hospital Anxiety and Depression Scale (HADS).

Results. Data analysis confirmed the positive impact of game-based technologies on both speech function and social adaptation. Quantitative assessment via the Wasserman Scale showed positive dynamics in both groups; however, HADS scores revealed significantly more pronounced improvement in the experimental group compared to the control.

Qualitative assessment demonstrated a significant reduction in the frequency of paraphasias and word-finding latencies in the experimental group. Patients exhibited increased speed and accuracy in lexical retrieval within specified categories, particularly during Alias and Codenames. Role-playing and spontaneous speech showed improvements in sentence construction and a decrease in mistakes, with patients utilizing more complex syntactic structures. The volume of utterances increased, and the coherence and logical flow of monologues improved. Role-playing also facilitated the ability to maintain prolonged dialogue and provide elaborated responses. Furthermore, gaming technologies significantly increased motivation, reduced the fear of errors, and helped patients feel more socially confident.

Conclusion. For successful speech rehabilitation of patients with mild motor aphasia, the use of game-based technologies is recommended as an integral part of the intervention to expand creative, motivational, and communicative potential. Results indicate the restoration of inner speech through the establishment of stable semantic anchors, the refinement of categorical apparatus, and the expansion of active.

1. Minzdrav RF. Klinicheskie rekomendatsii po ishemicheskomu insul’tu i tranzitornoy ishemicheskoy atake. Utverzhdeny Minzdravom RF; 2024. (In Russ.)

2. Luriya AR. Vysshie korkovye funktsii cheloveka i ikh narusheniya pri lokal’nykh porazheniyakh mozga. 3rd ed. Moscow: Akademicheskiy proekt; 2000. (In Russ.)

3. Klepatskaya LB. Vosstanovlenie rechi: uprazhneniya i teksty (srednyaya i legkaya forma afazii). Moscow: V.Sekachev, 2014. (In Russ.)

4. Tsvetkova LS. Afaziya i vosstanovitel’noe obuchenie. Moscow: MPSI; Voronezh: MODEK; 2001. (In Russ.)

5. Shklovskiy VM, Vizel’ TG. Vosstanovlenie rechevoy funktsii u bol’nykh s raznymi formami afazii. Moscow: Assotsiatsiya defektologov, 2000. (In Russ.)

6. Belova AN, Prokopenko SV. Reyroreabilitatsiya. 3rd ed. Moscow: MIA, 2024. (In Russ.)

7. Leont’ev A.N. Deyatel’nost’. Soznanie. Lichnost’. Moscow: Smysl, 2005. (In Russ.)

8. Mikadze YuV. Neyropsikhologiya klinicheskaya i reabilitatsionnaya. Moscow: Yurayt, 2025. (In Russ.)

9. Tsvetkova LS, Tsvetkov AV. Neyropsikhologicheskaya reabilitatsiya: igry i uprazhneniya. Moscow: V. Sekachev, 2023. (In Russ.)

10. Prikaz Ministerstva zdravookhraneniya RF «Ob utverzhdenii Poryadka organizatsii meditsinskoy reabilitatsii vzroslykh» (Prikaz № 788n ot 31 iyulya 2020 g.). (In Russ.)

11. Daminov VD, Novak EV, et al. Robot-assistirovannaya khirurgiya i reabilitatsiya v Pirogovskom tsentre. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov. 2025; 20(2): 4-10. (In Russ.) doi: 10/25881/20728255_2025_20_2_4.

12. Akhutina TV. Porozhdenie rechi. NeYrolingvisticheskiy analiz sintaksisa. Moscow: Yurayt; 2024. (In Russ.)

13. Larina OD, Kuznetsova SV. Sovremennye podkhody k reabilitatsii patsientov s narusheniyami rechi posle insul’ta. Fizicheskaya i reabilitatsionnaya meditsina, meditsinskaya reabilitatsiya. 2022; 4. (In Russ.)

14. Chernigovskaya T.V. Cheshirskaya ulybka kota Shryodingera: yazyk i soznanie. Moscow: Yazyki slavyanskoy kul’tury; 2023. (In Russ.)

15. Grigoryan SG, Berestovskaya AS. Ispol’zovanie igrovykh metodov v logopedicheskoy rabote s patsientami s afaziey. Bulletin of Rehabilitation Medicine. 2023; 22(2): 115-122. (In Russ.)

16. Vizel’ TG. Osnovy neyropsikhologii. 2nd ed. Moscow: V. Sekachev; 2021. (In Russ.)

17. Ishemicheskiy insul’t i tranzitornaya ishemicheskaya ataka u vzroslykh: Klinicheskie rekomendatsii. Moscow: Ministerstvo zdravookhraneniya RF; 2024. (In Russ.)

18. Vygotskiy L.S. Myshlenie i rech’. 5th ed. Moscow: Labirint; 1999. (In Russ.)

19. Zhinkin NI. Mekhanizmy rechi. Moscow: Izd-vo APN RSFSR; 1958. (In Russ.)