Activities of Daily Living

4 different spelling & writing exercises from letter to sentence level:

1. Matching letters to sounds

12 exercises incorporating letter names, consonants, vowels & blends. The user can also record their spoken attempt if they wish to practise saying the sound or repeating the sound from a model.

2. Spelling words to dictation

Select nouns, verbs, adjectives, adverbs, pronouns, function words, irregular words or words with specific vowels for 300 common words. Hear the word spoken in isolation, then in a sentence. The user must type the word but can choose a list of 4 options if they are stuck.  The user can also record their spoken attempt if they wish to practise saying the word or repeating the word from a model.

3. Typing to dictation

Chose from 1-8 word sentences. The user must type the words dictated. If they struggle, they can ask to see the word/sentence & then try again or they can keep the sentence on screen to copy. Their errors remain listed under the stimuli so they can check back if they've made the same mistake.The user can also record their spoken attempt if they wish to practise saying the sound or repeating the sound from a model

4. Writing sentences & paragraphs

Choose a focus (e.g. nouns, verbs, adjectives, function words, personal information, text messages, taking notes, making lists, writing cards, emails, letters, personal information, directions). A key word is then given for the person to make a sentence with. If they struggle, they can ask for a word bank to help them construct their sentence. Once they have constructed a sentence, the written sentence is read aloud for the user to decide whether they would like to edit it or whether it is correct. The user can also record a spoken attempt at reading their sentence aloud or repeating it after the text to speech model. The app does not say whether the sentence is correct or not, the user must judge this themselves

Error handling: None - an auditory sound is given to indicate correct or incorrect responses but no error handling is given

Prompts/cues: Pictorial, auditory & written cues can be requested.  

Record results: a score is given at the end of each exercise (apart from sentence/paragraph writing exercises where no results are given) and results can be emailed. The user cannot look back at previous results within the app

Free trial: yes, free trial available through Advanced Language Therapy Lite app

Comments: On-screen, aphasia friendly instructions on how to use the app are provided. Comprehensive written instructions are also provided however these would not be accessible to someone with compromised reading skills. Chose upper or lower case presentation, 3 levels of exercise (easy, medium, hard) and a large bank of stimuli

Supplier: Tactus

Web based suite of exercises designed for cognitive rehabilitation.  Each activity has 2-5 levels of difficulty.

Language activities:

Auditory comprehension (true/fase) tasks, including some very high level activities

Written sequencing tasks where the user is required to put steps for an activity in order (3-16 steps, depending on the level)

Picture-adjective; picture-noun and picture-verb matching activities, including some very high level tasks

Functional, object-location matching tasks

Language based executive functioning activities:

Written decision-making tasks 

Written reasoning of consquences tasks

There are also social cognition tasks including inferring facial expressions & inferring emotional reactions 

Error handling: none

Prompts/cues: none

Record results: yes, and they can be accessed remotely

Free trial: yes, a 10 day trial is available

Comments: Latency is measured for most exercises.  Although a large number of rehab areas are listed, some contain no activities (e.g. expression, naming, fluency, writing). Although reading activities are listed, it is simply matching digits to written numbers. Alot of the exercises rely on very good reading comprehension (e.g. decision making, time estimation, reasoning of consequences, task sequencing). On some activities, the user is unable to amend their response before submitting it (e.g. on task sequencing exercises). 

Suppliers: https://www.neuronup.com/en

Customiseable app to enable the non-verbal/non-literate user to send text messages to designated communication partners

The user presses a sequence of 2 messages to be automatically sent by text to the communication partner of their choice. All messages are represented by a picture/photo (e.g. I need shopping, please get me some apples)

Pictures, text labels and spoken labels can all be customised

App can be modified remotely (i.e. SLT/carer can change messages on a desktop and it will be immediately available to the user on their tablet/phone)

App which describes the world around you (designed for people with vision impairment)

Point the phone camera at:

- short typed or handwritten text (e.g. a greetings card) & it will speak it aloud

- whole documents & it will speak the text aloud

- barcodes & it will speak out the product name

- a scene & it will give an auditory description (e.g. busy street with people & cars)

NB there is a long delay before it detects and speaks out the text/scene 

Free app which describes the world around you (designed for people with vision impairment)

Point the phone camera at:

- short typed or handwritten text (e.g. a greetings card) & it will speak it aloud

- whole documents & it will speak the text aloud

- barcodes & it will speak out the product name

-  a scene & it will give an auditory description (e.g. busy street with people & cars)

- a person & it will describe them (e.g. a 40 year old, happy blonde woman). If the person has been saved in the user's photos, it will speak out their name.

- currency and it will speak out the amount

6 levels of reading, listening and topic vocabulary exercises for those with moderate to mild reading difficulties who are keen to practise independently

Within each level, there are 10 everyday topics (e.g. making a journey, reading a paper, reading an email, how to lose weight), each with 6 different exercise sets

Web based program - exercises can be allocated remotely & results can be accessed by the SLT remotely

The clinician purchases a yearly license and patients have free access to the software on a computer or via an app on a tablet or phone device

The software is designed for learners of English as a foreign language but can be useful for people with aphasia

App for SLTs to discuss issues pictorally with people who have communication difficulties.

It is the digital version of the low-tech Talking mats

A range of topic symbols are supplied and the person can place them under the thumbs up, thumbs down or thumbs neutral symbols depending on how they feel about that issue. The finished talking mat can be printed off. The SLT can also write up notes of the session within the app  and email them to facilitate note writing later.  A screen shot of the actual talking mat screen is also included.

A free trial is available. The Pro version is a paid version and different packages are available which provide symbols for a range of different topic areas

Games for telling the time on an analogue clock.

It is designed for children but can be a useful resource for adults with aphasia who struggle with time telling.

You are given a digital time to set on an analogue clock or you can stop the clock when it gets to the correct time

Writing exercises:

• Copying letters & words
• Written picture naming
• Complete the phrase (spell a word to complete a saying)
• Sentence scramble (re-arranging words to form a short sentence)

Speaking exercises:

• Articulation & oro-motor exercises
• Functional spoken word & phrase repetition
• Flashcard naming (spoken picture naming of nouns, verbs & adjectives)
• Naming using semantic feature analysis strategies

Reading exercises:

• Letter, word and phrase matching
• Written word/sentence to picture matching
• Written word sentence completion
• Article reading based around current news topics

Listening exercises:

• Spoken word to picture matching
• Spoken phrase to picture matching
• Spoken question to picture matching
• Following auditory directions

There is also a large bank of memory, semantic categorisation & maths exercises 

There is also a large bank of ADL exercises (e.g. reading menus, reading product labels, telling the time and reading calendar entries).

The memory and ADL exercises also work on various language areas e.g. auditory memory, functional reading, semantics, auditory comprehension and inferences.

Error handling: Yes

Prompts/cues: Yes

Record results: Yes, very detailed, specifying which cues were required, which answer was chosen, how long the task took to complete and dates tasks were attempted

Comments/N.B

• There is only one version for UK, US, Aus

• 3-4 levels of difficulty, depending on exercises

• Very large bank of over 13,500 items

• Reliant on the user self monitoring and knowing whether they named the item correctly or not.

There is no facility for recording speech attempts and the app itself does not determine level of accuracy. This app would therefore not be appropriate for independent use by someone with poor self monitoring

• FREE TRIAL available

60 tasks with a functional bias to work on:

• Auditory comprehension (sounds/words/paragraphs/rhyming/auditory instructions)
• Speech (word repetition, picture naming, reading aloud)
• Semantics (written & spoken)
• Spelling (picture naming, copying, anagrams, auditory naming)
• Reading (picture-word matching, reading comprehension, written lexical decision making)
• Attention
• Visual processing
• Time telling
• Map reading
• Cognitive function
• Problem solving
• Planning
• Reading & understanding numbers

There are 2 versions of the therapy app - a client version & a clinician version.  The clinician version is free. The client version requires a yearly subscription.

Supplier: Constant