Case Study - Moderate Wernicke's Aphasia

Case Study

Moderate Wernicke's Aphasia

Age: 53

Time since stroke: 8 months


Problems

James was a small business owner and the leader of a group of salespeople. He’d been a gifted speaker, making commercials and conducting his business marketing.

He needed to return to work to keep his business going as his wife worked full-time. He also wanted to say names of his employees and family members.

Assessment

Using The Aphasia Center's testing protocols
  • Poor repetition
  • Drew detailed pictures or gestured during breakdowns
  • Comfortable with using technology
  • Frequently unaware of speech errors ("is that right?")
  • Repeated attempts to repeat/correct speech, which made it worse
  • Speech approximately 40% intelligible secondary to paraphasias and neologisms
  • Spoke very quickly

Treatment

He completed a 5-week program

and My Aphasia Coach software homework daily.


Results

Before
After
Repetition
7%
19%
Sentence organization 6 words
0%
83%
Writing personal info
33%
83%
Cartoon description
13%
44%
Open-ended questions
42%
92%

Outcome

  • His speech accuracy increased from 40% to 80%. His awareness for speech errors improved, and ability to self-correct.
  • Said his spouse, children’s, and employees names independently
  • Wrote words to help the listener when he got stuck
  • Speech errors became only one sound different than target word (‘paid’ for ‘made’)
  • Learned how to independently navigate his phone and Ipad