{"id":458151,"date":"2025-12-26T20:48:07","date_gmt":"2025-12-26T19:48:07","guid":{"rendered":"https:\/\/www.dynseo.com\/aphasia-complete-speech-therapy-management\/"},"modified":"2025-12-29T14:56:45","modified_gmt":"2025-12-29T13:56:45","slug":"aphasia-complete-speech-therapy-management","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/aphasia-complete-speech-therapy-management\/","title":{"rendered":"Aphasia: Complete Speech Therapy Management"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_code admin_label=&#8221;HTML import\u00e9&#8221; 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margin-bottom: 25px; }\n.dbi-art-9f6084 .cta-button { display: inline-block; background: var(--jaune); color: var(--bleu-principal); padding: 18px 45px; border-radius: 50px; text-decoration: none; font-weight: 700; }\n.dbi-art-9f6084 .conclusion { background: linear-gradient(135deg, #f0feff, #e5f9fa); border-radius: 25px; padding: 50px; margin: 60px 0; border: 2px solid var(--vert); }\n.dbi-art-9f6084 .article-footer { background: linear-gradient(135deg, var(--bleu-principal), var(--bleu-secondaire)); color: var(--white); padding: 50px 25px; text-align: center; }\n.dbi-art-9f6084 .footer-links { display: flex; justify-content: center; gap: 30px; margin-top: 25px; flex-wrap: wrap; }\n.dbi-art-9f6084 .footer-links a { color: var(--jaune); text-decoration: none; }\n.dbi-art-9f6084 blockquote { background: linear-gradient(135deg, #f0f0ff, #e8e8ff); border-left: 4px solid var(--bleu-principal); border-radius: 0 15px 15px 0; padding: 30px 35px; margin: 40px 0; }\n.dbi-art-9f6084 blockquote p { font-style: italic; padding-left: 30px; }\n.dbi-art-9f6084 blockquote cite { display: block; font-weight: 600; color: var(--bleu-principal); padding-left: 30px; }<\/p>\n<\/style>\n<div class=\"dbi-art-9f6084\">\n<header class=\"article-header\">\n<div class=\"header-content\">\n<div class=\"header-badge\">\ud83e\udde0 Adult Neurology<\/div>\n<h1>Aphasia: Complete Speech Therapy Management<\/h1>\n<pee class=\"header-subtitle\">Aphasia affects more than 30,000 new people each year in France. Discover how to assess, rehabilitate, and support aphasic patients to optimize their language recovery.<\/pee>\n    <\/div>\n<\/header>\n<p><main><\/p>\n<div class=\"container\">\n<pee class=\"intro\">Aphasia is an acquired language disorder resulting from a brain injury, most often a stroke (CVA). It disrupts the life of the patient and their surroundings, profoundly affecting communication and social relationships. The speech therapist is at the heart of the management, from the acute phase to social reintegration. This comprehensive guide helps you in the assessment and rehabilitation of this complex and fascinating disorder.<\/pee>\n<nav class=\"toc\">\n<div class=\"toc-title\">\ud83d\udccb Table of Contents<\/div>\n<ol>\n<li><a href=\"#definition\">Understanding Aphasia<\/a><\/li>\n<li><a href=\"#types\">The Different Types of Aphasia<\/a><\/li>\n<li><a href=\"#evaluation\">Speech Therapy Assessment<\/a><\/li>\n<li><a href=\"#phases\">The Phases of Recovery<\/a><\/li>\n<li><a href=\"#reeducation\">Rehabilitative Approaches<\/a><\/li>\n<li><a href=\"#outils\">Tools and Techniques<\/a><\/li>\n<li><a href=\"#famille\">Supporting the Family<\/a><\/li>\n<li><a href=\"#reinsertion\">Reintegration and Quality of Life<\/a><\/li>\n<\/ol>\n<\/nav>\n<section id=\"definition\">\n<h2>\ud83e\udde0 Understanding Aphasia: Definition and Mechanisms<\/h2>\n<pee>Aphasia is an acquired language disorder resulting from damage to the brain areas involved in language processing. Unlike developmental disorders, aphasia occurs in a person who had normal language before the injury. It affects the ability to produce and\/or understand spoken and written language.<\/pee>\n<div class=\"stats-section\">\n<div class=\"stats-grid\">\n<div class=\"stat-item\">\n<div class=\"stat-number\">30,000<\/div>\n<div class=\"stat-label\">new cases per year in France<\/div>\n<\/p><\/div>\n<div class=\"stat-item\">\n<div class=\"stat-number\">30-40%<\/div>\n<div class=\"stat-label\">of strokes cause aphasia<\/div>\n<\/p><\/div>\n<div class=\"stat-item\">\n<div class=\"stat-number\">300,000<\/div>\n<div class=\"stat-label\">aphasic people in France<\/div>\n<\/p><\/div>\n<div class=\"stat-item\">\n<div class=\"stat-number\">85%<\/div>\n<div class=\"stat-label\">of aphasias due to a stroke<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<h3>The Causes of Aphasia<\/h3>\n<pee>Aphasia can result from various brain injuries. Understanding the etiology helps in understanding the prognosis and adapting management:<\/pee>\n<ul>\n<li><strong>Stroke (CVA):<\/strong> Most common cause (85%), whether ischemic or hemorrhagic<\/li>\n<li><strong>Traumatic brain injury:<\/strong> Often complex aphasias with significant associated disorders<\/li>\n<li><strong>Brain tumors:<\/strong> Gradual onset, variable evolution depending on treatment<\/li>\n<li><strong>Neurodegenerative diseases:<\/strong> Primary progressive aphasia, dementias<\/li>\n<li><strong>Brain infections:<\/strong> Encephalitis, brain abscesses<\/li>\n<\/ul>\n<div class=\"tip-box\">\n<h4>\ud83d\udca1 Brain Plasticity<\/h4>\n<pee>The brain has a remarkable capacity for reorganization after an injury. This brain plasticity is the foundation of speech therapy rehabilitation. It is maximal in the first months after the injury but persists, to a lesser extent, throughout life. This is why early and intensive rehabilitation is so important.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"types\">\n<h2>\ud83d\udcca The Different Types of Aphasia<\/h2>\n<pee>The classification of aphasias traditionally relies on the analysis of several dimensions of language: fluency, comprehension, repetition. Although &#8220;pure&#8221; profiles are rare in clinical practice, this classification remains useful for characterizing profiles and guiding rehabilitation.<\/pee>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udde3\ufe0f<\/div>\n<h4>Broca&#8217;s Aphasia<\/h4>\n<pee>Non-fluent, relatively preserved comprehension, agrammatism, severe word-finding difficulties, altered repetition<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udc42<\/div>\n<h4>Wernicke&#8217;s Aphasia<\/h4>\n<pee>Fluent, jargon, paraphasias, severely impaired comprehension, frequent anosognosia, impossible repetition<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udd04<\/div>\n<h4>Conduction Aphasia<\/h4>\n<pee>Fluent, preserved comprehension, severely altered repetition, conduction errors, awareness of the disorder<\/pee>\n                <\/div>\n<\/p><\/div>\n<h3>Transcortical Aphasias<\/h3>\n<pee>Transcortical aphasias are characterized by relatively preserved repetition despite other significant language deficits:<\/pee>\n<ul>\n<li><strong>Transcortical Motor:<\/strong> Significant reduction in spontaneous expression with good repetition<\/li>\n<li><strong>Transcortical Sensory:<\/strong> Major comprehension disorder with echolalia<\/li>\n<li><strong>Transcortical Mixed:<\/strong> Severe impairment of expression and comprehension, preserved repetition<\/li>\n<\/ul>\n<div class=\"highlight-box\">\n<h4>\u26a0\ufe0f Beyond Classifications<\/h4>\n<pee>In clinical practice, aphasia profiles are often mixed and evolving. Classification has a guiding value but should not confine the patient to a rigid category. A fine assessment of the different language components allows for a more precise characterization and better-targeted rehabilitation.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"evaluation\">\n<h2>\ud83d\udd0d Speech Therapy Assessment of Aphasia<\/h2>\n<pee>The aphasia assessment is a fundamental act that should be performed as soon as possible after the injury and then repeated regularly to monitor progress and adapt management. It explores all language modalities.<\/pee>\n<h3>The Components to Assess<\/h3>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udde3\ufe0f<\/div>\n<h4>Oral Expression<\/h4>\n<pee>Spontaneous speech, fluency, naming, repetition, reading aloud<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udc42<\/div>\n<h4>Oral Comprehension<\/h4>\n<pee>Words, sentences, texts, complex commands, open questions<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\u270d\ufe0f<\/div>\n<h4>Written Language<\/h4>\n<pee>Reading, written comprehension, spontaneous writing, dictation, copying<\/pee>\n                <\/div>\n<\/p><\/div>\n<h3>Assessment Tools<\/h3>\n<ul>\n<li><strong>BDAE (Boston Diagnostic Aphasia Examination):<\/strong> Complete battery, international reference<\/li>\n<li><strong>MT86:<\/strong> Detailed French protocol for language assessment<\/li>\n<li><strong>LAST:<\/strong> Quick screening test usable in the acute phase<\/li>\n<li><strong>Token Test:<\/strong> Fine assessment of syntactic comprehension<\/li>\n<li><strong>DO80, LEXIS:<\/strong> Specific naming tests<\/li>\n<\/ul>\n<div class=\"tip-box\">\n<h4>\ud83d\udca1 Ecological Assessment<\/h4>\n<pee>Beyond standardized tests, observing the patient&#8217;s functional communication is essential. How do they communicate in daily life? Do they use compensatory strategies? What is the impact on their social participation? This information guides rehabilitation towards concrete and meaningful goals for the patient.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"phases\">\n<h2>\ud83d\udcc8 The Phases of Recovery<\/h2>\n<pee>Recovery after aphasia generally follows a temporal course in several phases, each with its characteristics and specific therapeutic goals.<\/pee>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83c\udfe5<\/div>\n<h4>Acute Phase (0-3 months)<\/h4>\n<pee>Maximum spontaneous recovery, intensive rehabilitation as soon as possible, immediate functional goals<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udcc8<\/div>\n<h4>Subacute Phase (3-12 months)<\/h4>\n<pee>Continuous active recovery, targeted intensive rehabilitation, work on compensatory strategies<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83c\udfaf<\/div>\n<h4>Chronic Phase (&gt;12 months)<\/h4>\n<pee>Slower but possible recovery, maintenance of gains, social reintegration, quality of life<\/pee>\n                <\/div>\n<\/p><\/div>\n<blockquote><pee>&#8220;Rehabilitation should never be abandoned on the pretext that the patient is in the chronic phase. Significant progress can occur even several years after the stroke, provided that rehabilitation is adapted and intensive.&#8221;<\/pee>\n                <cite>\u2014 Recommendations from the French Society of Neurology<\/cite>\n            <\/p><\/blockquote>\n<\/section>\n<div class=\"cta-box\">\n<h4>\ud83d\udee0\ufe0f Tools Adapted for Neurological Rehabilitation<\/h4>\n<pee>The EDITH application offers cognitive stimulation exercises specially designed for adults and seniors with neurological disorders.<\/pee>\n            Discover EDITH \u2192\n        <\/div>\n<section id=\"reeducation\">\n<h2>\ud83c\udfaf Rehabilitative Approaches to Aphasia<\/h2>\n<pee>The rehabilitation of aphasia relies on different theoretical and practical approaches. The choice of methods depends on the patient&#8217;s profile, the phase of recovery, and the set objectives.<\/pee>\n<h3>The Main Approaches<\/h3>\n<ul>\n<li><strong>Cognitive Approach:<\/strong> Based on language processing models, targets identified deficient processes<\/li>\n<li><strong>Pragmatic-Functional Approach:<\/strong> Focused on effective communication rather than linguistic form<\/li>\n<li><strong>Ecological Approach:<\/strong> Rehabilitation in situations close to daily life<\/li>\n<li><strong>Constraint-Induced Therapy:<\/strong> Intensive stimulation with constraint of preserved modalities<\/li>\n<li><strong>Alternative and Augmentative Communication (AAC):<\/strong> Compensatory tools for communication<\/li>\n<\/ul>\n<h3>Examples of Specific Techniques<\/h3>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83c\udfb5<\/div>\n<h4>Melodic and Rhythmic Therapy<\/h4>\n<pee>Use of melody and rhythm to facilitate verbal production in non-fluent aphasias<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udcd6<\/div>\n<h4>SFA (Semantic Feature Analysis)<\/h4>\n<pee>Working on semantic features to improve lexical access and reduce word-finding difficulties<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udd24<\/div>\n<h4>PACE<\/h4>\n<pee>Functional communication in an exchange situation, the speech therapist and the patient alternate roles<\/pee>\n                <\/div>\n<\/p><\/div>\n<div class=\"tip-box\">\n<h4>\ud83d\udca1 Intensity and Dosage<\/h4>\n<pee>Research shows that the intensity of rehabilitation is a key factor in recovery. Intensive rehabilitation (several hours per week) is more effective than spaced rehabilitation, particularly in the early phase. Ideally, at least 5 hours of rehabilitation per week should be offered.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"outils\">\n<h2>\ud83d\udee0\ufe0f Tools and Supports for Rehabilitation<\/h2>\n<pee>The speech therapist has a wide range of tools to diversify and enrich their rehabilitative practice with aphasic patients.<\/pee>\n<h3>Digital Tools<\/h3>\n<pee>Cognitive stimulation applications offer specific advantages for aphasia rehabilitation: varied exercises, level adaptation, immediate feedback, possibility of home training.<\/pee>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udc68<\/div>\n<h4>JOE<\/h4>\n<pee>Comprehensive program for adults with language, memory, and attention exercises adaptable to the patient&#8217;s level<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udc75<\/div>\n<h4>EDITH<\/h4>\n<pee>Simplified interface for seniors, exercises adapted to neurocognitive disorders, usable independently<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udcac<\/div>\n<h4>MY DICTIONARY<\/h4>\n<pee>Alternative communication tool with customizable images for severe aphasias<\/pee>\n                <\/div>\n<\/p><\/div>\n<h3>Traditional Materials<\/h3>\n<ul>\n<li>Picture books and visual supports for lexical work<\/li>\n<li>Adapted card games (categorization, evocation)<\/li>\n<li>Adapted reading materials (simplified texts, large print)<\/li>\n<li>Adapted writing materials if associated motor disorders<\/li>\n<li>Personalized communication notebooks<\/li>\n<\/ul>\n<\/section>\n<section id=\"famille\">\n<h2>\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 Supporting the Family<\/h2>\n<pee>Aphasia disrupts not only the patient&#8217;s life but also that of their entire family. Supporting loved ones is an essential dimension of speech therapy management.<\/pee>\n<h3>The Objectives of Support<\/h3>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udca1<\/div>\n<h4>Inform<\/h4>\n<pee>Explain aphasia, its manifestations, its expected evolution, deconstruct misconceptions<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udde3\ufe0f<\/div>\n<h4>Train<\/h4>\n<pee>Learn to communicate with the aphasic person, adapt language, facilitate exchanges<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\u2764\ufe0f<\/div>\n<h4>Support<\/h4>\n<pee>Accompany emotional experiences, prevent caregiver burnout, guide towards resources<\/pee>\n                <\/div>\n<\/p><\/div>\n<h3>Tips for Communicating with an Aphasic Person<\/h3>\n<ul>\n<li>Speak slowly, simply, in short sentences<\/li>\n<li>Give time to respond, do not finish sentences for them<\/li>\n<li>Use visual supports (images, gestures, writing)<\/li>\n<li>Ask closed questions if comprehension is impaired<\/li>\n<li>Check understanding by rephrasing<\/li>\n<li>Maintain eye contact and a caring attitude<\/li>\n<li>Do not infantilize or speak for the patient<\/li>\n<\/ul>\n<div class=\"highlight-box\">\n<h4>\u26a0\ufe0f Prevent Social Isolation<\/h4>\n<pee>Aphasia can lead to major social isolation if the family does not know how to maintain communication. Training loved ones in facilitating strategies is crucial to preserve social ties and the patient&#8217;s quality of life.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"reinsertion\">\n<h2>\ud83c\udf1f Reintegration and Quality of Life<\/h2>\n<pee>The ultimate goal of speech therapy management is not only the improvement of language but also the social participation and quality of life of the patient. Professional and social reintegration is an integral part of the therapeutic project.<\/pee>\n<h3>The Dimensions of Reintegration<\/h3>\n<ul>\n<li><strong>Daily Life:<\/strong> Autonomy in daily activities, administrative management<\/li>\n<li><strong>Family Life:<\/strong> Communication with loved ones, maintaining family roles<\/li>\n<li><strong>Social Life:<\/strong> Friendships, leisure, community participation<\/li>\n<li><strong>Professional Life:<\/strong> Return to work with adjustments if possible<\/li>\n<\/ul>\n<pee>Patient aphasia associations (such as France AVC or the National Federation of Aphasic Patients in France) play an important role in supporting patients and their families, as well as in raising public awareness of this invisible disability.<\/pee>\n        <\/section>\n<div class=\"cta-box\">\n<h4>\ud83c\udf93 Train in Adult Neurology<\/h4>\n<pee>DYNSEO offers training to optimize the use of digital tools in neurological rehabilitation.<\/pee>\n            Discover our training \u2192\n        <\/div>\n<div class=\"conclusion\">\n<h2>\ud83c\udfaf Conclusion<\/h2>\n<pee>The speech therapy management of aphasia is a rich and demanding field that mobilizes clinical, relational, and human skills. Each patient presents a unique profile that requires fine assessment and individualized rehabilitation.<\/pee>\n            <pee>Advances in neuroscience and rehabilitation have significantly improved the prognosis for aphasic patients. Even if complete recovery is not always possible, significant improvements in communication and quality of life can be achieved through early, intensive, and prolonged management.<\/pee>\n            <pee>The speech therapist accompanies the patient through all stages of their journey, from the acute phase to social reintegration, in close collaboration with the multidisciplinary team and the family.<\/pee>\n            <pee style=\"text-align: center; margin-top: 30px;\"><strong>Want to enrich your practice in adult neurology?<!\u2013- [et_pb_br_holder] -\u2013>DYNSEO supports you with adapted tools.<\/strong><\/pee>\n        <\/div>\n<\/p><\/div>\n<p><\/main><\/p>\n<footer class=\"article-footer\">\n<div class=\"container\">\n        <pee>Article written by the <strong>DYNSEO<\/strong> team, specialists in cognitive stimulation applications.<\/pee>\n<div class=\"footer-links\">\n            Our Tools<br \/>\n            Our Training<br \/>\n            Health Professionals<br \/>\n            EDITH Seniors\n        <\/div>\n<\/p><\/div>\n<\/footer>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<p>[et_pb_code]<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is aphasia and how many people does it affect in France?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Aphasia is an acquired language disorder resulting from damage to brain areas involved in language processing. It affects more than 30,000 new people each year in France, with approximately 300,000 aphasic people currently living in the country. The condition disrupts the ability to produce and\/or understand spoken and written language.\"}},{\"@type\":\"Question\",\"name\":\"What percentage of strokes cause aphasia?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Between 30-40% of strokes cause aphasia. Stroke (CVA) is the leading cause of aphasia, accounting for 85% of all aphasia cases. This makes stroke-related aphasia the most common form of this language disorder.\"}},{\"@type\":\"Question\",\"name\":\"How does aphasia differ from developmental language disorders?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Unlike developmental disorders, aphasia is an acquired condition that occurs in a person who had normal language abilities before the brain injury. 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The condition impacts daily interactions, professional activities, and emotional well-being, making family support and comprehensive rehabilitation essential for optimal recovery.\"}},{\"@type\":\"Question\",\"name\":\"What are the main areas covered in comprehensive aphasia management?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Comprehensive aphasia management includes understanding different types of aphasia, conducting thorough speech therapy assessments, recognizing recovery phases, implementing various rehabilitative approaches, utilizing appropriate tools and techniques, supporting family members, and facilitating reintegration and quality of life improvements.\"}}]}<\/script>[\/et_pb_code]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":296280,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[2320,3022,3320],"tags":[],"class_list":["post-458151","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-about-stroke","category-fiches-techniques","category-3320"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aphasia: Complete Speech Therapy Management - DYNSEO - Educational apps &amp; 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