What would be the most appropriate AAC treatment strategy for a patient with Broca's aphasia and severe apraxia of speech?

Accessing stored messages is particularly appropriate for a patient with Broca's aphasia and severe apraxia of speech because it allows for effective communication with minimal demands on the patient's verbal production capabilities. Individuals with Broca's aphasia typically struggle with expressive language and forming grammatically correct sentences. Severe apraxia of speech further complicates their ability to articulate words and phrases fluently.

By using stored messages, the patient can select pre-recorded phrases or sentences that express their intended messages without the challenges of constructing speech in real-time. This strategy leverages technology to enhance communication efficiency, while also reducing frustration and increasing the likelihood of successful interactions.

Other options, like real-time communication board use, involve generating messages on the spot, which may still be difficult given the significant motor planning difficulties associated with apraxia. Using gestures may be less reliable, as it relies on interpretation and nonverbal communication, which can lead to misunderstandings. Relying solely on written communication might not be feasible for all patients due to their cognitive load or fine motor function, particularly in those with both Broca's aphasia and apraxia. Thus, accessing stored messages stands out as the most fitting strategy for facilitating effective communication for this particular patient profile.