Case Study - Moderate Broca’s Aphasia

Case Study

Moderate Broca's Aphasia

Age: 54

Time since stroke: 5 months


Problems

Misty and her husband owned several businesses. She was head of her business, largely doing sales and running the sales departments. After her stroke, she was largely confined to a wheelchair and could not run meetings, sell cars or run her office. She really enjoyed engaging with customers and her staff.

She had 3 children she wanted to communicate with as they grew up. She usually spoke in 1-2 word sentences with a lot of overuse of general speech, such as “Oh, Lord”. When she got stuck word-finding, the conversation would just stop. She did not have any strategies. Misty often felt like people would talk over her and not include her in their conversations.

Assessment

Using The Aphasia Center's testing protocols
  • Spoke in 1-2 word ungrammatical utterances
  • Good naming, but difficulty with word-finding in connected speech
  • Wrote single words
  • Good reading comprehension
  • Good auditory comprehension
  • Repetition up to 5 words

Treatment

She completed a 6-week program with tDCS

and My Aphasia Coach software homework daily.


Results

Before
After
Picture Description
60%
85%
Cartoon Description
56%
88%
Repetition
41%
69%
Writing Output
38%
94%
Writing Dictated Words
60%
90%

Outcome

  • Learned how to use strategies to help with word-finding issues
  • Began speaking in complete, grammatical 4-6 word sentences
  • Began writing in complete sentences of 5-9 words in length
  • Repeated up to 11 word utterances at a time
  • Gained confidence in talking to both strangers and family members