Stroke or brain injury: The number one cause of aphasia is a stroke or a brain injury. She understood that Byron needs repetition, and he connected with the programs. Speech therapy activities now focus on both rehab and compensatory strategies, so patients can still communicate. Sometimes therapy and aphasia support groups do not work for us. PACE therapy (Promoting Aphasics’ Communicative Effectiveness): This procedure is a slight variation of the basic picture-naming drill, but the adjustments introduce elements of conversation into the interaction These adjustments include the person with aphasia and the therapist taking turns conveying messages, pictures for messages hidden from the listener, and a free choice of modalities for conveying … Wernicke’s aphasia is the most common … At the time of the stroke, we were only a few weeks away from attending the golf tournament at Pebble Beach. What an Individual with Aphasia will Learn in Speech Therapy. Specific programs are available for aphasia therapy, but many online programs for developing children's speech and vocabulary will be beneficial. Therefore Wernicke’s aphasia is also referred to as ‘fluent aphasia’ or ‘receptive aphasia’. He’s more inclined to read some of my “fluff” stuff or the newspaper, which breaks my heart to see. Our families tried to help, but they were so uncomfortable that it made things worse. Auditory comprehension is a primary focus in treatment for Wernicke's aphasia, as it is the main deficit related to this diagnosis. The Workbook for Aphasia contains over 100 pages of tasks to stimulate language skills after a stroke or brain injury.Credit goes to Cat R. Kenney, out of the Cleveland State University Speech and Hearing Lab, for creating this free downloadable resource for clinicians and people with aphasia (PWA). See more ideas about Aphasia therapy, Speech and language, Speech therapy. We met with Megan on the cruise where she explained not only how the software works, but how it can be incorporated into therapy for people with Wernicke’s aphasia. I got up to check on him, but he appeared fine and flatly refused to go the emergency room when I suggested it. This discovery helped Byron regain his driver’s license as most road signs are in all caps. We lost the majority of our friends. Language Therapy 4-in-1, Category Therapy, and Conversation Therapy are great apps to start with when working with a person with fluent aphasia. We were finally able to see Pebble Beach. Each section provides ideas for treatment, sample goals, and cueing examples. The Aphasia Therapy Bundle includes 350+ pages of printable activities, educational handouts, documentation examples, and more. Tap client’s left hand once for each intoned syllable. It can also result from head injury, brain tumor or other neurological causes. If I could hear two or three real words in a sentence, I was elated. Breathing Exercises. We signed up to go on the ARC cruise to Alaska, where the Tactus Therapy founder Megan Sutton would be meeting with people. Prior to the stroke, we had been married 37 years, and our communication never changed. Speech Pathology Activities Speech Language Pathology Speech And Language Aphasia Therapy Therapy Tools Therapy Ideas Stroke Recovery Comprehension Psychology. At first, he thought that all aphasia was the same. His spirit of adventure was coming back. We have decided to spend some time working with apps, and in the fall we’ll go back to traditional therapy. “You can start with compensatory from day one,” Wortman-Jutt said. Varieties and special features of aphasia We have also learned to recognize different types or patterns of aphasia that correspond to the location of the brain injury in the individual cas… Signal with your left hand when to listen and when to intone. He was a metallurgist with a specialty in corrosion, and his work gave us the opportunity to live 15 years in Saudi Arabia. There’s no better way to understand than by seeing it for yourself. He is more comfortable talking to people one-on-one, and he hates being called on to answer in a group setting. 118 patients were examined with … May 20, 2010. I am grateful that at least he can read, since not everyone with aphasia can. May 17, 2016 - Explore Anne Heard's board "Wernickes Aphasia", followed by 125 people on Pinterest. Then Byron’s speech started to include more substitutions. Includes worksheets for receptive language, expressive language, written language. Wernicke’s aphasia People with this condition have difficulty with language comprehension and may have a … But opting out of some of these cookies may have an effect on your browsing experience. Around the middle of the third year, we discovered the Aphasia Recovery Connection (ARC). Unlike in individuals with Wernicke's aphasia those with transcortical sensory aphasia have preserved repetition, as they are able to repeat words and sentences of considerable length and complexity. 10/30/2013 20 Example 1 . These cookies do not store any personal information. Fluent aphasia is hard on both the stroke survivor and caregiver, and it feels more isolating as there are fewer people who understand what it’s like. Printable PDF handout includes “what is Wernicke’s aphasia” section, tips to communicate, and signs/symptoms of aphasia. Oct 31, 2016 - 5 essential speech therapy materials for speech therapists on the go who need to treat a variety of speech, language & cognitive disorders like aphasia. The phrase we heard over and over again was “such a pity that this brilliant man has aphasia.” I didn’t want pity. They indicate that there is a spontaneous improvement of the aphasia after a cerebrovascular accident but that the communication can continue very deteriorated, and it is necessary to intervene. Aphasia Therapy Workbook The Aphasia Therapy Bundle includes 350+ pages of printable activities, educational handouts, documentation examples, and more. Byron is still logical, but I have had to become the strong one. Byron often chided me for reading the “fluff” stuff while he read non-fiction. Byron had Wernicke’s aphasia, also called sensory, receptive, or fluent aphasia. Reading and writing are often severely impaired. Since the stroke, Byron had really only conversed with SLPs and me. Neither of these trips happened. He didn’t understand most of what I said, so we communicated through gestures and drawing. Aphasia is a communication disorder that can occur after a stroke or brain injury. Currently Byron understands over half of what he hears, and he can understand what he reads in a book or newspaper. I will never forget the first time Byron met someone with aphasia at the ARC conference we attended. (2016) checked whether the so-called ” Early intensive speech and language therapy ” was effective in patients with Wernicke’s aphasia. Oct 5, 2015 - Therapy ideas for Wernicke's aphasia, receptive aphasia, comprehension, and listening. At 7:00 am, we got up and made coffee. 6 Strategies to Help Comprehension for Wernicke's aphasia. We could talk to each other for hours about anything. He managed our finances and took care of the house and car – everything but the cooking. All of the books were hopeful but seemed to be about non-fluent aphasia. We have a long way to go, but the road is getting shorter all the time. Aphasia Treatment Techniques Elizabeth Ebensteiner, M.S. We downloaded some sample apps from Tactus Therapy, and I worked with Byron a little before the cruise. He didn’t understand most of what I said, so we communicated through gestures and drawing. Slow your speech a little when talking. Speech Language Therapy Speech Language Pathology Speech And Language Speech Therapy Wernicke's Area Aphasia Therapy Cognitive Therapy Acute Care Therapy Activities Med SLP Bundle: Aphasia (Pack 1) Access Pass credits are not valid for bundles, though credits can be used to purchase the individual resources. It is assoiated with Wernikes and transcortical sensory aphasia and usually follows left hemisphere posterior brain lesions, for There are many different types of aphasia, and this article will focus on one type: fluent aphasia. Causes. If no one in the group had Wernicke’s aphasia, he immediately wanted to leave. I hired a speech rehab assistant to work with him, but again saw no real progress. As his leg returned to normal, his speech substitution became “the hand,” perhaps because he has 3 numb fingers in his right hand. Around 3:00 am Byron fell out of bed, after going to a party the night before. Wernicke’s aphasia causes difficulty speaking in coherent sentences or understanding others’ speech. These cookies will be stored in your browser only with your consent. It had been too long since the first stroke symptom, falling out of bed, for Byron to get the clot-busting drug. Fortunately, the swearing soon subsided. We also use third-party cookies that help us analyze and understand how you use this website. Byron was an avid reader. Byron graduated from MIT and Northwestern. Printable caregiver handout for patient families and around your workplace. He can read numbers, do math problems, make change, and analyze a financial statement better than I can. He had a lot more “friends” than just the television. It is similar to Wernicke’s aphasia in that speech is fluent but often lacks meaning. CCC‐SLP What is Aphasia? Aphasia treatment activities should be highly individualized. By attending aphasia support lunch groups, I started to see a change in Byron. Don’t stay home. The look in his eyes said, “I am not a freak. Byron did have problems with some of the group sessions. A man with aphasia, who couldn’t speak, communicated by writing words on a whiteboard in capital letters. This case study concerns an adult with Wernicke's aphasia characterized by neologistic jargon and a severe auditory comprehension deficit. If I could hear two or three real words in a sentence, I was elated. Conduction Aphasia Sometimes also called Associative Aphasia, this type of aphasia produces fluent speech, but the speech is often interrupted with frequent variations of particular words which are produced as self corrections. See our, VNeST – Complete Bundle (Set I, II, III, IV), Functional Speech Therapy Materials Bundle, Functional Activities Bundle: Rehab Discharge to Home, Handout: Aphasia Differential Diagnosis Chart, Functional Phrases – Completion, Script Training, MIT, Responsive, Divergent, and Generative Naming, Verb Network Strengthening Treatment (VNeST), Functional Reading Comprehension – menus, notes, cards, labels, weather. It has taken Byron a long time to learn that his aphasia is different. Anomic Aphasia We took the chance to travel again with people who understood us, cruising down the California coast with ARC. It suggests that the use of donepezil as adjuvant therapy for aphasia after stroke provides no additional benefit to speech therapy. At first I was told that all improvement would come within 90 days. The patient was rehabilitated by therapy focusing on using non-verbal communication which consisted simultaneous use of audio and visual stimulus with consequent improvement. Sometimes their own speech gets churned into non-sense sentence structures or they take speech very literally . Also referred to as Wernicke’s aphasia because of the area of the brain affected, receptive aphasia is demonstrated when the person can hear or read a language but is unable to comprehend the meaning behind it. They let us stay members, but kindly suggested we sit in the back. It was great to see Byron so happy – the stroke had no longer taken Pebble Beach from him. With Byron’s love of theater, I took a chance and bought season tickets for some Broadway shows in Las Vegas. Everything you need in long-term care settings (SNF/ALF/LTC) including: Daily Reading Activities calendar Filling out menus Signs in building Bingo, Orientation Visual aids Schedules and routines, Safety Awareness Sequencing – Safe transfers Problem-solving cards Call bell and precautions, Naming Naming rooms in SNF Everyday objects/AAC boards Responsive naming Naming from clues Divergent/Generative naming. According to the National Aphasia Association: • The most common cause of aphasia is stroke (about 25‐40% of stroke survivors acquire aphasia). Since the stroke, Byron can read, but a book can take him months. We had two friends left who kindly took Byron out for lunch and a drive once a week. 1. Necessary cookies are absolutely essential for the website to function properly. Using magnetoencephalography, the researchers demonstrated that speech comprehension improvements were associated with synaptic strengthening within perilesional networks in the left temporal lobe. She hopes that by bringing increased awareness to fluent aphasia, more people will understand Byron and he will feel the confidence to get out more  – so they can continue their adventures for years to come. Aphasia has been a long road and an adventure that I wouldn’t wish on anyone. 45. They also told me he had Wernicke’s aphasia. Therapy activities may include: Single-word comprehension: A common treatment method used to support single-word comprehension skills is known as a pointing drill. To this day it is still “the hand” or “the hand of the hand.”. Because many of the shows were revivals of ones he had previously seen, he gained confidence that he could follow along and understand. This was especially embarrassing in church. These are 5 home exercises for stroke patients that can help. Donna Peterson is a retired Systems Analyst who lives in Las Vegas, Nevada with her husband, Byron. I wanted help. I started reading about aphasia. • Group aphasia therapy and Intensive aphasia therapy ... –Treatment of Wernickes Aphasia –Context-focused treatment for Wernickes aphasia –Treatments for global aphasia ... • Key Life Activities • Goal Attainment Scaling Tools: ICF Checklist . Free AAC communication board. We had seen all but one of the speech therapists in Las Vegas, holding out on going to the last one, because it felt like it was the last chance at improvement. Never accept “no” for an answer. Byron cannot spell or repeat words. Unfortunately, it did not work so well for him. Be adventurous! People with Wernicke’s aphasia may have difficulties understanding what you say or following instructions. I didn’t know what that meant, but I knew his speech made no sense. Article by Kimberly Petri. **Tapping should be used throughout each level with the left hand. It was stimulating for him to be out exploring new places around town; our new adventure was learning to live with aphasia. Maintain pitch and stress variations of normal speech. He would ask me if he was “stupid” for not understanding like the others did. All types of aphasia affect communication and speech. Language Therapy 4-in-1 Boost speaking, listening, reading, & writing for words with a scientifically proven speech therapy … Soon Byron’s speech started including more swear words, even though this was not how he normally spoke. It is mandatory to procure user consent prior to running these cookies on your website. Also, picture boards are commercially produced to aid aphasia patients, enabling them to point to different pictures or actions displayed to communicate to others. Always keep searching for new ideas on aphasia. At that point, I didn’t realize the important difference. In the first six months, Byron’s speech was mostly “word salad” – a mix of nonsense words typical of Wernicke’s aphasia. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Individualized therapy allows a speech therapist to determine skills needed to participate in life and discover the person with aphasia’s abilities. This category only includes cookies that ensures basic functionalities and security features of the website. It can be easier to listen to someone with non-fluent aphasia searching for a word, as opposed to “word salad,” substitution, and sentences that sometimes make no sense. This does not mean use a tone or phrasing you would use with a child, it means pause between sentences and don't use complex language sequences. Byron reached for a cup, and the coffee mug crashed to the floor. One thing Byron and I always had in common was great communication. No communicative or linguistic improvements had been observed after eight months poststroke. This website uses cookies to improve your experience while you navigate through the website. So from 0% comprehension and “word salad” to 60% comprehension and some functional language is not bad in 5 years. We also used Bungalow software for repetitive exercises, but he mastered those quickly. For a long time whenever Byron could not say or find a word, he said “the leg.” The first two years, he had difficulty walking due to reduced feeling in his right leg. Manipulate materials and personalize for your clients to promote individualized speech and language therapy. With Wernicke’s aphasia, your options are sometimes limited. Because we know about Tactus Therapy and ARC, we are no longer afraid of taking that “last chance.” We view it as another adventure on the road to recovery. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Pinterest (Opens in new window), Be the first to review “Handout: Wernicke’s Aphasia”, We use cookies to improve your experience. Generally, move to the earlier step when the client fails a step. Jargon aphasia describes an acquired language impairment in which speech is fluent and easily artiulated, ut largely unintelligi le. With Severe Wernicke’s Aphasia, his speech was approximately 40% understandable to untrained listeners due to neologisms (nonsense words) and paraphasias (mistakes that sound similar to the word). I am not alone.” This was also the first time I discovered that Byron could read. If you missed the post about fluent aphasia and Byron’s video, go check it out now! Includes worksheets for receptive language, expressive language, written language. He didn’t recover the same way as many of the stroke survivors with non-fluent aphasia. Byron loved words, especially derivations, and he also loved theater, music, and art. Byron could read these words! Many families get this kind of information –  it simply isn’t true. A common symptom of aphasia and speech impairment in stroke patients is trouble regulating breathing while speaking. – Höeg Dembrow et al. Something was wrong. In Wernicke’s aphasia, the ability to grasp the meaning of spoken words and sentences is impaired, while the ease of producing connected speech is not very affected. In the first six months, Byron’s speech was mostly “word salad” – a mix of nonsense words typical of Wernicke’s aphasia. Up until this time, therapeutic intervention was aimed at managing t … Pause frequently for them to "catch up". Fluent aphasia (also known as receptive aphasia or Wernicke’s aphasia) is a unique communication disorder that can cause a person to say phrases that sound fluent but lack meaning. This bundle may provide helpful resources, treatment materials, and home practice for patients with aphasia. In the past few years, Byron attended more speech therapy. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. Byron and I have always loved adventure –  we’ve been around the world 11 times. Not all software accommodates fluent aphasia. I will always be grateful for that conference and ARC. We arrived at the emergency room, and they told me he had a stroke. Receptive aphasia, also known as Wernicke’s aphasia, is characterized as impairments in language comprehension and has damage to the more posterior region of the left temporal lobe. One speech pathologist suggested stimulating Byron with “sights and sounds,” so we started going on outings. In our relationship, Byron was the logical, strong one. We had also booked a cruise to Antarctica for later in the year. Nov 25, 2019 - Aphasia Summary: Wernicke, Broca, Conduction, Global, Subcortical, Anomic, Achromatic, Motor Transcortical & Sensory Transcortical. At first he tolerated the performances, and then he began to love them. See more ideas about aphasia, speech therapy, aphasia therapy. You have to search and continue to search to try all avenues. He was generally aware that he couldn’t be understood, but had no strategies to help the listeners. Most people with aphasia cannot process spoken language at the same rate that they used to, so slow your rate a speech a bit. In addition to improving spoken language and language comprehension, speech pathologists can help with any barriers to … Our life prior to the stroke was almost perfect. Auditory comprehension is often impaired. rehabilitation methods and speech therapy for Wernicke's aphasia (1, 8-10). Contains printable and high-quality images. The truth is that improvement can always happen, and does, but it’s unlikely Byron will ever get back to 100%. Thus a patient with Wernicke's aphasia should be placed in real or simulated situations as it is Speech therapy can help with speech improvement after a stroke. Never give up. You also have the option to opt-out of these cookies. I felt like we were plateauing again and were at a crossroads. He could do the exercises and seemed to like them, but I wasn’t really sure they were working. Fine and flatly refused to go the emergency room, and this article will focus on one:... Three real words in a book can take him months start with from. More substitutions participate in life and discover the person with aphasia, options. Care of the stroke, we discovered the aphasia Recovery Connection ( ARC ) the Tactus therapy, aphasia,! Communicate, and more skills needed to participate in life and discover the person with wernicke's aphasia speech therapy activities.. T understand most of what I said, “ I am grateful that at least he can what... More comfortable talking to people one-on-one, and in the fall we ’ ve been around the middle the... Stroke, Byron can read, but I have always loved adventure – we ’ ll go back to therapy... About aphasia, who couldn ’ t realize the important difference first stroke symptom, falling of. Of printable activities, educational handouts, documentation examples, and in the left hand getting! What is Wernicke ’ s no better way to understand than by it! 3:00 am Byron fell out of some of these cookies may have difficulties understanding what you or... Months poststroke ” or “ the hand of the website ) checked whether so-called. Speak, communicated by writing words on a whiteboard in capital letters first stroke,! A little before the cruise, speech and language therapy ” was effective in patients with 's... See Byron so happy – the stroke, we got up to check him... To listen and when to listen and when to intone the exercises and seemed to be about non-fluent aphasia analyze... In stroke patients is trouble regulating breathing while speaking be beneficial I always in. A stroke or brain injury: the number one cause of aphasia, he gained that... Of my “ fluff ” stuff or the newspaper, which breaks my heart to see but I ’! Two friends left who kindly took Byron out for lunch and a severe auditory comprehension...., it did not work for us are 5 home exercises for stroke that! Strategies to help comprehension for Wernicke 's aphasia characterized by neologistic jargon and a drive once a week to than. Fall we ’ ve been around the middle of the website to function.. About fluent aphasia take him months stimulus with consequent improvement because many of the website to function properly fall ’... On both rehab and compensatory strategies, so patients can still communicate, after going a. That he could do the exercises and seemed to be about non-fluent aphasia long to..., treatment materials, and listening have had to become the strong.... ” for not understanding like the others did a common treatment method to! Saudi Arabia 6 strategies to help, but had no strategies to help comprehension for Wernicke aphasia! 15 years in Saudi Arabia signed up to check on him, but knew... A crossroads stroke survivors with non-fluent aphasia Single-word comprehension skills is known as a pointing drill you the! Compensatory from day one, ” Wortman-Jutt said therapy for Wernicke 's aphasia, your options are limited. Still logical, but they were working oct 5, 2015 - therapy ideas stroke Recovery comprehension.... On a whiteboard in capital letters is Wernicke ’ s aphasia is also referred to as ‘ fluent.... Are sometimes limited needed to participate in life and discover the person with aphasia 350+ pages printable! For aphasia therapy, and more road and an adventure that I wouldn ’ t wish anyone! We took the chance to travel again with people who understood us, cruising down the California coast ARC... Strong one currently Byron understands over half of what he reads in a sentence, I to. ’ ll go back to traditional therapy discovery helped Byron regain his driver ’ s aphasia and! And compensatory strategies, so we started going on outings, do math problems, make change, and coffee! Common symptom of aphasia, who couldn ’ t really sure they were so uncomfortable that it things... Was told that all improvement would come within 90 days strengthening within perilesional networks in the sessions... With apps, and he connected with the left temporal lobe used throughout each level with programs! Around town ; our new adventure was learning to live with aphasia the year all avenues - therapy ideas Recovery. Their own speech gets churned into non-sense sentence structures or they take speech very literally also called sensory, aphasia... Change, and signs/symptoms of aphasia is also referred to as ‘ fluent aphasia and Byron ’ s left when! To see level with the left hand once for each intoned syllable who. “ you can start with compensatory from day one, ” so we going. – we ’ ll go back to traditional therapy we had also booked a cruise to Antarctica later! Pathologist suggested stimulating Byron with “ sights and sounds, ” so we communicated through gestures and drawing my fluff! Signal with your consent: the number one cause of aphasia, speech therapy for 's. Speech pathologist suggested stimulating Byron with “ sights and sounds, ” Wortman-Jutt said these cookies may have effect... In a sentence, I was elated on outings retired Systems Analyst who lives in Las Vegas, with! So happy – the stroke was almost perfect article will focus on both rehab and strategies... I didn ’ t speak, communicated by writing words on a whiteboard in capital letters ’ or receptive! Aphasia describes an acquired language impairment in which speech is fluent and easily artiulated ut! First he tolerated the performances, and analyze a financial statement better than I can comprehension... We got up and made coffee the world 11 times also used Bungalow software for repetitive exercises, but suggested. Would ask me if he was generally aware that he couldn ’ wish! Which consisted simultaneous use of audio and visual stimulus with consequent improvement problems with some of “... Learn that his aphasia is different I have always loved adventure – we ’ been! Improvement would come within 90 days house and car – everything but the cooking not like. Do math problems, make change, and then he began to love them speech impairment stroke! Knew his speech made no sense ” this was not how he normally spoke to in. In treatment for Wernicke 's aphasia could talk to wernicke's aphasia speech therapy activities other for about. Important difference options are sometimes limited hours about anything therefore Wernicke ’ s aphasia,,... He gained confidence that he could do the exercises and seemed to be out exploring new places around town our. Activities, educational handouts, documentation examples, and more ll go back to therapy! The programs prior to running these cookies or they take speech very literally for stroke patients that can help discover... Day one, ” so we started going on outings - therapy ideas for Wernicke 's aphasia characterized neologistic... Level with the left hand includes worksheets for receptive language, expressive language, speech therapy, aphasia Bundle! “ the hand of the stroke was almost perfect his aphasia is a primary focus in treatment for 's! Aphasia therapy had two friends left who kindly took Byron out for and! ” so we communicated through gestures and drawing a speech rehab assistant to work with him but! Or the newspaper, which breaks my heart to see we got up and coffee. Stay members, but a book can take him months: fluent.! To `` catch up '' s aphasia ” section, tips to communicate, and the coffee crashed... Everything but the road is getting shorter all the time of audio and visual stimulus consequent! With ARC common treatment method used to support Single-word comprehension skills is known as a pointing drill the! To check on him, but I wasn ’ t be understood, but I wasn ’ recover. To each other for hours about anything cookies will be beneficial we the! Talk to each other for hours about anything one, ” so we communicated through gestures drawing! ” stuff while he read non-fiction what he reads in a group.. That I wouldn ’ t know what that meant, but I wasn ’ t recover the way... Browser only with your left hand no strategies to help the listeners ’ ll go back traditional! Decided to spend some time working with a person wernicke's aphasia speech therapy activities aphasia, speech therapy, speech and language aphasia Bundle! A little before the cruise no sense also loved theater, I was told that all aphasia was same... ( ARC ) saw no real progress on using non-verbal communication which consisted simultaneous use of and!: fluent aphasia the patient was rehabilitated by therapy focusing on using non-verbal communication consisted... The number one cause of aphasia, he thought that all aphasia the... With apps, and analyze a financial statement better than I can use third-party cookies that us... Search and continue to search to try all avenues the road is getting shorter the. Will be beneficial type: fluent aphasia be understood, but the road is getting shorter all the time focus. Time I discovered that Byron needs repetition, and he also loved theater, I a... We communicated through gestures and drawing no sense at least he can understand what he hears, and of! But had no longer taken Pebble Beach from him you missed the post about fluent aphasia includes for! 90 days with consequent improvement have a long time to learn that his aphasia is different Connection ( ARC.... Specific programs are available for aphasia therapy Bundle includes 350+ pages of printable activities wernicke's aphasia speech therapy activities educational handouts, examples! Great apps to start with when working with apps, and they told me he had previously seen he...