Time since brain injury: 9 months
ProblemsRyan 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’.
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
He completed a 8-week program
and My Aphasia Coach software homework daily.
Written Picture Description
- 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