Improved language in chronic aphasia after self-delivered iPad speech therapy

  title={Improved language in chronic aphasia after self-delivered iPad speech therapy},
  author={Brielle C. Stark and Elizabeth A. Warburton},
  journal={Neuropsychological Rehabilitation},
  pages={818 - 831}
ABSTRACT Self-delivered speech therapy provides an opportunity for individualised dosage as a complement to the speech-therapy regime in the long-term rehabilitation pathway. Few apps for speech therapy have been subject to clinical trials, especially on a self-delivered platform. In a crossover design study, the Comprehensive Aphasia Test (CAT) and Cookie Theft Picture Description (CTPD) were used to measure untrained improvement in a group of chronic expressive aphasic patients after using a… 

A multiple-case study testing the implementation of a non-aphasia-specific app into evidence-based therapy

Digital treatments on tablet computers have become increasingly popular to deliver speech and language therapy. Practice guidelines have been proposed to successfully integrate non-aphasia-specific

A Speech Therapy Game Application for Aphasia Patient Neurorehabilitation - A Pilot Study of an mHealth App

  • Manuel B. Garcia
  • Psychology, Medicine
    International journal of simulation: systems, science & technology
  • 2019
A comparison of before and after treatment revealed that there was an improvement in all of the QAB subtests, suggesting that the development of this speech therapy game and the preliminary findings from the pilot study may indeed be an effective neurorehabilitation instrument for therapy of aphasia patients.

Conversational Therapy through Semi-Immersive Virtual Reality Environments for Language Recovery and Psychological Well-Being in Post Stroke Aphasia

The results add to previous evidence which points to the ecological validity and feasibility of VR treatment for language recovery and psychosocial well-being.

Feasibility of Automatic Speech Recognition for Providing Feedback During Tablet-Based Treatment for Apraxia of Speech Plus Aphasia.

Evaluating an iPad-based speech therapy app that uses automatic speech recognition (ASR) software to provide feedback on speech accuracy to determine the ASR's accuracy against human judgment and whether participants' speech improved with this ASR-based feedback.

RecoverNow: Feasibility of a Mobile Tablet-Based Rehabilitation Intervention to Treat Post-Stroke Communication Deficits in the Acute Care Setting

Individualized speech-language therapy delivered by mobile tablet technology is feasible in acute care for patients with communication deficits following acute stroke.

Computerised speech and language therapy or attention control added to usual care for people with long-term post-stroke aphasia: the Big CACTUS three-arm RCT.

This trial evaluated the clinical effectiveness and cost-effectiveness of self-managed computerised speech and language therapy to provide additional therapy to help people with post-stroke aphasia improve their communication.

Implementation and Effects of an Information Technology–Based Intervention to Support Speech and Language Therapy Among Stroke Patients With Aphasia: Protocol for a Virtual Randomized Controlled Trial

If positive results are obtained from this RCT, the VoiceAdapt app can be recommended as an efficacious means of improving lexical retrieval and communicative functioning in people with aphasia in an easily accessible and a cost-effective manner.

Implementation and Effects of an Information Technology-Based Intervention to Support Speech and Language Therapy Among Stroke Patients with Aphasia: Protocol for a Virtual Randomized Controlled Trial (Preprint)

If positive results are obtained from this RCT, the VoiceAdapt app can be recommended as an efficacious means of improving lexical retrieval and communicative functioning in PwA within an easily accessible, cost-effective manner.

Current Approaches to the Treatment of Post-Stroke Aphasia

Advances in aphasia therapy in the last 5 years are discussed and properly powered, randomized, controlled trials of both behavioral therapies and interventions to augment therapy for post-stroke aphasIA are focused on.



Using computers to enable self-management of aphasia therapy exercises for word finding: the patient and carer perspective.

Although some participants preferred face-to-face therapy, using a computer for independent language practice was perceived to be an acceptable alternative and the independence, flexibility and repetition afforded by the computer was viewed as beneficial and the personalized exercises motivated participants to practise.

Patient-reported changes in communication after computer-based script training for aphasia.

Feasibility and cost analysis of implementing high intensity aphasia clinics within a sub-acute setting

The outcomes support the potential feasibility of embedding the different models into sub-acute facilities to enhance client access to intensive treatment for aphasia and the pro-rata cost of providing treatment per hour per client for the computer and group therapy models was found to be 30% cheaper compared to the standard service.

Aphasia following a stroke : recovery and recommendations for rehabilitation

Recovery from and therapy for aphasia are challenging areas of study for neuro rehabilitation because they concern one neurological domain (language) but different functions, such as verbal communication and activities involving daily life and self-organisation.

Effect of computer therapy in aphasia: a systematic review

The need for further research investigating the effectiveness of computer therapy in comparison to clinician-delivered therapy in a larger sample is highlighted to enable the exploration of factors such as the type of aphasia and severity and the role of feedback and cueing hierarchies on treatment success.

Computer delivery of gesture therapy for people with severe aphasia

GeST was proved to be easy and enjoyable to use and had some effect on participants’ gesturing skills, although the magnitude of gains were small and only occurred on items that were practised with regular therapist support.

Computer Therapy Compared With Usual Care for People With Long-Standing Aphasia Poststroke: A Pilot Randomized Controlled Trial

This pilot trial indicates that self- managed computer therapy for aphasia is feasible and that it will be practical to recruit sufficient participants to conduct an appropriately powered clinical trial to investigate the effectiveness of self-managed computer therapy.

Speech and language therapy for aphasia following stroke.

BACKGROUND Aphasia describes language impairment associated with a brain lesion. OBJECTIVES The objective of this review was to assess the effects of formal speech and language therapy and

Oral Reading for Language in Aphasia (ORLA): Evaluating the Efficacy of Computer-Delivered Therapy in Chronic Nonfluent Aphasia

  • L. Cherney
  • Psychology
    Topics in stroke rehabilitation
  • 2010
Low-intensity ORLA, delivered by computer to individuals with chronic nonfluent aphasia, is efficacious and may be equivalent to ORLA delivered by an SLP.

Aphasia treatment: Intensity, dose parameters, and script training

  • L. Cherney
  • Psychology
    International journal of speech-language pathology
  • 2012
The review illustrated the complexity of quantifying the dose of comprehensive treatments that target multiple modalities and utilize a variety of different strategies and served to illustrate Baker's contention that intensity alone is insufficient without also considering the active ingredients of the teaching episode.