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Utilizing Repetitive Transcranial Magnetic Stimulation to Improve Language Function in Stroke Patients with Chronic Non-fluent Aphasia

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A computerised communication aid in severe aphasia: an exploratory study.

W Mieke E Van de Sandt-Koenderman¹, Jiska Wiegers, Sandra M Wielaert

¹Rijndam Rehabilitation Center, Rotterdam, The Netherlands. m.sandt@rijndam.nl

Disability and Rehabilitation

|September 14, 2007

Summary

TouchSpeak (TS) effectively supports communication for individuals with severe aphasia, improving overall ability. While many patients benefit initially, long-term use of this communication aid is temporary for most.

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Area of Science:

Neurology
Speech-Language Pathology
Assistive Technology

Background:

Aphasia significantly impairs communication.
Alternative and Augmentative Communication (AAC) is crucial for severe aphasia.
Evaluating novel AAC devices is essential.

Purpose of the Study:

To assess the efficacy of TouchSpeak (TS), a handheld computerized communication aid.
To determine the usability and long-term impact of TS for individuals with aphasia.

Main Methods:

A pre-post, one-group design study.
34 patients with severe aphasia were trained to use TS.
Communication skills and TS usage were assessed immediately and 3 years post-training.

Main Results:

76% of participants used TS outside the clinic.
Overall communicative ability improved, even in untrained situations.
50% acquired their own TS; 6% continued use after 3 years.

Conclusions:

TouchSpeak (TS) effectively supports communication in severe aphasia.
Patients can master and utilize hierarchical computerized vocabulary in daily life.
TS may offer generalized benefits to communicative ability, though its supportive role is often temporary.