Case Study
Anomic Aphasia
Age: 20
Time since brain injury: 9 months
Problems
Ryan was a college student who sustained a severe brain injury during a sporting accident. The accident resulted in aphasia, dysarthria and difficulties with inhibition and focus.While Ryan spoke in sentences, his responses were overly scripted or did not answer the question. For example, if asked “how old are you?” he would respond “I am 20 years old. My brother, Scott, is 21 years old. My friend, Jake, is 19 years old”, etc. To describe a scene in which a boat was in the ocean, he may say “the water is a boat” after maximum cues to name ‘boat’.
Assessment
Using The Aphasia Center's testing protocols
- Fair reading and understanding of sentences
- Strength of repeating long sentences
- Able to write single, familiar words
- Sometimes used his phone as a strategy, but then became distracted by a text or other apps
- Difficulty understanding conversation
- Vocabulary simplified, spontaneous interaction language difficult
- Did not indicate when he didn’t understand or needed help
Treatment
He completed a 8-week program
and My Aphasia Coach software homework daily.
Results
Before
After
Answering questions
58%
100%
Following directions
8%
75%
Reading Paragraphs
0%
40%
Written Picture Description
35%
85%
Outcome
- Improved ability to answer conversational questions
- Learned how to use his phone to help communicate
- Significantly improved awareness of speech errors
- Increased his vocabulary options
- Improved real-time spontaneous speech/interactions
- Better attention to task
- More comprehensive writing--more than one sentence