Which rehabilitation professional is primarily responsible for improving communication and language skills after stroke?

• A. Occupational therapist
• B. Physical therapist
• C. Speech therapist
• D. Case manager

Answer: (C)

After a stroke, difficulties with speaking, understanding, reading, or writing are common. The professional best suited to improve these communication skills is the speech-language pathologist. They specialize in assessing and treating language, speech, and related cognitive-communication disorders, designing therapy to enhance expressive language (talking, word finding), receptive language (understanding), reading, and writing. They also teach strategies to communicate effectively and may introduce augmentative and alternative communication tools if needed. Other professionals focus on different areas: occupational therapists work on daily living skills and fine motor tasks, physical therapists focus on movement and mobility, and case managers coordinate care and resources.