Many stroke survivors experience language impairments (aphasia) beyond 6 months to 1 year after the stroke. Language is a fundamental element in human interaction, and aphasia is independently associated with less participation in rehabilitation programmes, depression and worse quality of life.1–3 Nonetheless, aphasia is not an untreatable condition. Speech therapy can be greatly effective to improve verbal communication, even many years after the stroke.4 The problem resides in the fact that not all stroke survivors benefit equally from therapy; some achieve remarkable improvements, whereas others show no response. Moreover, effective treatment usually means several hours over many days of speech training, posing considerable practical demands on the patient and caregivers. So far, a standardised approach for the treatment of aphasia has not been established and there is suboptimal coverage from healthcare plans. As such, many stroke survivors whose communication skills could improve...
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