Case Study
Wernicke's Aphasia
Age: 66
Time since stroke: 10 months
Problems
William was a college professor and church pastor. He had also authored several books. Listeners could understand approximately 30% of his speech, but could often get the gist of his conversation. His family didn’t know what to do to help him or to communicate with him. William wanted to return to helping others, but was very frustrated about his communication. Like most people with Wernicke’s aphasia, he was not aware of his speech errors, but he could tell sometimes that people weren’t understanding him.Assessment
Using WAB-R
- No reading or writing at all
- Copying words, substituted different symbols that looked nothing like the letter
- Used no strategies to help himself
- Often perseverated on certain words
- Did not notice non-verbal cues that someone didn’t understand him
Treatment
4 week program
Results
Before
After
Speech intelligibility
30%
72%
Outcome
- Used other forms of expressive communication other than speech to help others understand him with occasional reminders.
- Learned how to use an app to listen to the Bible
- Copied words with 100% accuracy
- Pointed to words on his cards to help listener know who or what he was talking about with reminders