You may have heard that using an app
called Language Therapy for just 20 minutes a day can improve aphasia. So
let’s look at how we use this app. Language Therapy is 4 apps in 1:
Comprehension, Naming, Reading, and Writing. Let’s take a look at Comprehension first.
Comprehension Therapy works on single word listening and reading comprehension
or understanding. I go into Listen.
[male voice] “Sound”. The app says “sound” so I have to choose which picture most looks like “sound”.
[male voice] “Calf.” Calf. There we go.
[male voice] “Sidewalk”
If I didn’t hear it, I can press repeat. “Sidewalk” That one!
[male voice] “Hockey”
Now I got three in a row right, so now the app is showing me four pictures, making it harder. What was
that again? Hmm, I’m not quite sure so I’m gonna press the Hint button. Hockey. Okay, that one’s hockey.
[male voice] “Rock”…”Solider”
The app is keeping track of my score at the top and taking
me right to the next exercise so I can get lots of repetitions in. “Bracelets.” You might notice that I’m
repeating after the app, and a lot of people with aphasia try to do that too,
which is great extra practice. For even more practice, they can try to name every
picture they see. So while the target might be “bench” What’s this? That’s a fly.
What’s this? It’s a paperclip, and that’s a sink, and ooh, that’s a brain, and this is baseball. But I was supposed to touch “bench.” I’m up to six pictures now which must mean I’m doing well. If you want to make it even
harder, you can exit the exercise, go into the Settings and choose Hard as your
difficulty, or even choose to start with six pictures. This time I’m going to work
on reading and I’m gonna do it with adjectives. Different. Green. If I need a hint, I just press the button to hear the word. Yellow, that one? No, that one. Full. And ten, oh let’s
see which one’s ten… three, ten. These are a lot harder than the nouns
and some of the pictures can be interpreted differently. It’s okay – you
can discuss why some are right and why some are wrong, and why one answer is better than
another. It just gives you lots of things to look at, talk about, and practice
listening and reading. Bull’s eye. When I’m done, I can email the
results, and this can go straight to the therapist working with the person with
aphasia, it can go to them or a family member to track progress, and it gives
you a report of what happened and what you got wrong. The last activity, Listen
& Read, works on your ability to hear a word and then find the written word. Blowing. Burning. Hmm. If you need help if you don’t understand, the Hint is available with a picture. There’s a
picture of licking. I’m gonna go back home to choose from
four apps. Let’s look at Naming Therapy now
Naming Therapy works on saying the names of pictures you see. In Naming Practice
we see lots of different pictures and try to say the name. What’s this one? It’s
a bee. If you can say “bee” right away, you score it correct. Oh this one I’m not so
sure, it’s a bit more abstract, so let’s take a hint. The hints are along the
bottom. “A passage dug through the earth.” Well
yeah, I know that I know what it is, I just don’t know the word for it, so I’m
gonna get the first letter. Oh okay, yeah it’s that word. Umm another hint. Tunnel.
yes it’s a tunnel. So by doing that, the app records which cue was most helpful for me. So the full written word was helpful. Let’s look at the other cues. This is
watch, but even seeing it some people can’t say it, so they need a sound cue.
Here’s a fill-in-the-blank cue.
[male voice] “Tell time with a wrist….” With a wrist… Waaa… that’s the first sound. “watch”
Many people who can’t say the word can at least repeat it, so by getting all the
way to the end they can still get the answer right. When you’re done, email the results for a
breakdown of which cues were helpful. The Describe activity looks at
describing different items, so if you can’t name it, maybe you can talk about
it. Let’s look at this one. By touching in the middle we hear the answer. It’s a
ball. But the point isn’t to say the word. The point is to describe the word, so
let’s see… what does a ball look like? Well it looks like that, so let’s get
more specific. What shape is it? It’s round or a circle or a sphere.
[male voice] “What is it used for?”
It’s used for throwing and catching, for bouncing. “Who uses it?” Kids like to play with balls, or dogs. Athletes use balls. “Where do you use it?”
Usually you use it outside or during a game. The category? A ball is a toy or a piece of sporting
equipment. It’s an object. Now let’s think about the sounds in the word ball. What
does it start with? This may sound easy, but for people with aphasia, it’s really
not. Ball starts with “ba” Ball ends with “ll” Rhyming words for ball: call, doll, fall…
This can be really challenging. How many beats the word has is the same as how
many syllables it has, so when you tap it out, let’s say it, “ball” – one beat. And
you can use whichever cues are helpful for you to describe it. It may be hard to
find the words to describe it, but what you’re doing is activating all of the
properties of that word in your brain, and all the properties of the sounds in
that word, to make it easier to retrieve. Flashcards can be helpful for targeting
one particular area, or doing your own activity. Trying to name this one: pretzel.
You can practice reading, you can make a sentence out of the word, you can copy
the word on a piece of paper. Let’s try making a sentence. Door.. the door is open.
Now you can write that down for extra practice. Fast. What’s the opposite of fast? Slow.
Which animal is fast? The rabbit. Lots of different things that you can do on your
own with the Flashcards. Let’s go back to Reading Therapy. Reading Therapy has four different exercises. We’ll start with Phrase Matching. Which phrase matches
this picture? Cotton thread, silly string, silly face, or sad face? This is a silly
face. Yellow paint, brown paint, wood trim,
yellow sweater? This one is a yellow sweater. Oh no, it’s yellow paint. And it continues like this. If you want to make it easier,
you can limit the number of choices in the Settings, so we can have just two
options or three options. Let’s look at Sentence Matching. Here you have to read
each sentence carefully to find the one that matches the picture. The carpenter
measured the wood. The carpenter measured the wall. The carpenter hammered the wall.
Very close, but only one is right. You can always go back to look at what the other
options were, practice reading these aloud, discussing the difference, lots of
therapeutic activities you can do with these sentences and pictures. In Phrase
and Sentence Completion, you only have text. If you prefer to go
at your own pace and talk about each item, you can turn auto-advance off. You
could also practice in Spanish, German, French, English, or UK English. Let’s look
at Sentence Completion. Oh I don’t speak Spanish! Let’s go back to English. What’s
great about this is that if you have clients or family or friends who do
speak another language, you can customize the app in their language. Speaking of
customizing, you can add your own items to any of these apps as well.
Remember Naming Therapy? Let’s add our own picture. So maybe you want to practice your
family members names. Megan. Let’s choose a photo, and we’re gonna record a
definition. Your daughter. Your daughter’s name is May.. Megan has two syllables, and
then I can choose questions for describing. Okay, now if I want to just practice my
family members once I’ve added them, they’re right there. The last app in
Language Therapy is Writing Therapy. Writing Therapy allows you to practice
the spelling of single words. Look at Fill-in-the-Blank. E is the missing letter in this word.
[S – K – A – T – E] That spells skate. Let’s see if we’re
right. The reason there’s a Check button there is so that you can actually try out
all the different combinations and see which one looks right. That looks right. This is too easy, let’s make it harder. I
can take the difficulty up to Hard. Now I have the whole alphabet to choose from. I can take a hint that limits my choices to get back to the easy level. Other
activities within this app are Copying, Spell what you See, and Spell what you
Hear. Let me show you something in the settings. You can restrict how many
letters are in each word, so if I just want to practice really long words, I’ll
turn off the short letters. More often I probably want to practice short words
with somebody with more severe aphasia, so I can just give them three, four, or
five letter words. Let’s do this in UK English. Spell what you See. This is a
camel. Let’s take a hint. Camal. No, try again so that you can
always get it right, so that you always end with a right answer. And you can go
back and look. Again, your results can be emailed or you can just keep practicing
on whatever level you want. That’s Language Therapy! I hope this
video has helped explain how to use it so that you can get more out of it.
Thanks for watching!