Speech-Language Therapy: Working with a Patient with Fl… — Transcript

Speech-language therapy session focusing on strategies for fluent aphasia using travel-related words and phrases.

Key Takeaways

  • Using thematic vocabulary (travel) helps contextualize language therapy for aphasia patients.
  • Repetition and phrase-building exercises support speech production and word retrieval.
  • Relaxation techniques for the jaw and tongue can improve articulation in aphasia therapy.
  • Visual and verbal cues enhance patient engagement and accuracy during therapy.
  • Positive reinforcement encourages patient motivation and participation.

Summary

  • The therapist works with a patient diagnosed with fluent aphasia, focusing on word repetition and phrase formation.
  • The session emphasizes travel-related vocabulary such as 'tour,' 'hotel,' 'car,' and 'airline.'
  • The therapist guides the patient to relax their jaw and tongue to improve pronunciation.
  • Exercises include repeating words, forming phrases, copying words, and answering yes/no questions related to travel.
  • The patient practices distinguishing similar sounding words and overcoming word substitution errors.
  • The therapist uses visual cues and encourages the patient to look up and focus on the words.
  • The session includes conversational practice about travel experiences and preferences.
  • The therapist provides positive reinforcement and adjusts difficulty based on patient responses.
  • The patient demonstrates some difficulty with word order and pronunciation but shows effort and progress.
  • The session is structured to build communication skills gradually through guided practice and feedback.

Full Transcript — Download SRT & Markdown

00:00
Speaker A
[Music] A little bit about yourself before we start. Go ahead. We're trying to collect the Val charges, MH and he charges, the file that we cut off that week. It's hard to say. Do you feel like you're making progress since you've been here? I will try. Yeah, you're trying very hard. I know. So, we've been working on some strategies, and what I'm going to do right now is start with saying words and having you repeat the words. Then we're going to put the words in phrases. Okay? Okay, here we go. Repeat after me. Tour. Tour. On. Tour on. Force. Let me do it first. On. Don't move. On. Tour on. Tour. Very good. Come on, let's do the next one. We'll come back to this. It is hard. We're going to come back to this word. Okay, the next word is hotel. Hotel. Watch me relax your jaw. Watch me. Hotel. Hotel. You're giving me an "a" in the middle. Watch me relax your jaw. Hotel. See? You hear that? You're giving me an "a" in the middle. I see. Let's try just throwing it away. Okay, watch me. Hotel. Hotel. Better. That was better. That was better. Let's put it in a phrase. Okay. Car. Car. Rented a car. Rented a car. Watch me. Watch me. Rented a car. Rented a car. Relax your tongue. Do this for me. Love, just relax your tongue. That's it. Let your tongue just hang out. Let that tongue relax. Car. Carl. Carl. Car. Car. Car. Good. All right, let's now move on to the next exercise. That was good. We went on a guided tour. We went on a guided tour. Very good. Did you reserve a car? Did you reserve a car? Good. I'm going to take just one of these words. We're just going to focus on one for right now, and what I want you to do is copy the word for me. Can you copy the word? Good. What word did you just write? Right? You're starting, you're doing it backwards. Start over here. Right? Look at me. Look up at me. I can't pronounce it. Yes, you can. Look up at me. T. T. Yeah. So, what do you mean you can't pronounce it? You just did it. Write it again for me. Beautiful. What word did you write? You're doing it backwards again. Ro. Roar. Look at me. Tour. Tour bus. Yeah, tour, not tour bus. No, you're making it longer than it was. All of the words that we've been working on today, look up at me for a second. All of the words that we've been working on today have to do with travel words like tour and suitcase. I want you to look at these words, and I want you to find for me, look at me, all of the travel words. Words having to do with travel. Okay? Yeah. Do you know what word that is? Ro. Look. Look up at me. Airline. Look up at me. Look at me. Yeah, I know. All. I don't want you to move. Airline. Airline. Much better. Line. Airline. Airline. Yeah. Yeah, very good. What is that word? Airline. Did Airline. What's the one underneath it that you just pointed to? Airline. Look up at me. You pointed to hotel. Oh. H. Li. Hine. Sometimes what happens is you get stuck on the previous word, right? So, you gave me... I know. It happens all the time. So, you gave me a little bit of airline and a little bit of hotel all combined. Look up at me. Hotel. Hotel. Yeah, much better. Okay, we're going to move on. Normally, again, we would spend more time reading and looking for the travel words. We're going to do another exercise using some of these travel words. We went to Europe on a three-week... Look up at me. Tour. Tour. Yeah, very good. Let's do another one. I'm going to skip around a little bit. All right, I am going to ask you some questions now having to do with travel, and I want you to answer yes or no. I'm going to write this down. Yes or no. All right, here's the first question. All of them have to do with our category travel. Okay, first question is a tour guide always wonderful? Yes or no? A tour guide is always wonderful? Every tour guide? No. No, not every tour guide is wonderful. We hope that they're wonderful, right? Do you understand? Yes. Okay, let's do another one. Are plane tickets expensive? Yes or no? Yes. Yes, right. Traveling is expensive, right? Okay. Can you get a rental car at the airport? Well, it's got to be R de. Yes, you can get a rental car at the airport. You can use what? Hertz or what are some of the other companies? SAR and travel. Do you rent a car when you travel? I love it. You love them? Yes. Why do you love them? Because you far and you par and are the rental car. Uh-huh. The rental car, right? And the paron and Rosel and the hotel. So you... I used to F. You used to a regular park, a regular parking space? No. A parking in the lover in the hotel? Yes. You'd park your car at the hotel? Yes. Ah, okay. Very, very good. A second. So, we have a three-star hotel, right? And then we have a four-star hotel. Hang on. Which is more? Which is more? Which is more, this one or this one? Which one's going to be more expensive? Yes. Yes. Yeah, the four-star hotel is more than a three-star hotel. It has one more star. You've stayed in a six-star hotel? Yeah, you have. No? What? Where were you in a six-star hotel? I didn't even know hotels had six stars. Oh, jeez. I want to find out where this hotel is. It sounds very nice. Hang on. Oh, you're going to get them? Oh, yeah. Hang on a second. Okay, I'm going to stop you there. I'm going to stop you there because I want to make sure I understand. Okay, here's a cup. Here's Florida. Two. I spent two when the go t in summer. Are you in the summer Australia? You went to Australia in called you and are you talking... Are you talking about going to a camp? Camping? Yes. Ah, but the own she has an owner. Look at me for a second. Do you go camping? Yes. You go camping? No kidding. So no four-star hotels. They own... They own camp cells. You go camping? Well, yes, but the anelo is cell. It's sell. There's a camper. A camper dad. Camp C. Okay. A. A. No, no, not a... Let's stop here. We're going to continue. Put the camper sleep over. Sleep over. Okay. Sleep over. That's it. And he sleeps in here. I know. Yes, they can sleep for a cop. A cop up in a sleeper. He sleeps C over. Where are you talking about? Like a camper that you drive? Yes. Oh, you travel in a camper but not a cabin. Not a cabin but a camper. A camper. I travel in a camper, right? Wa?
00:25
Speaker A
progress since you've been here I will try yeah you're trying very hard I I know so we've been working on some strategies and what I'm going to do right now is start with saying words and having you repeat the words then we're going to put
00:41
Speaker A
the words in phrases okay okay here we go repeat after me tour tour on tour on Force let me do it first on don't move on tour on tour very good come on let's do the next one we'll come back to this
01:02
Speaker A
it is hard we're going to come back to this word okay the next word is hotel hotel watch me relax your jaw watch me hotel hotel you're giving me a in the middle watch me relax Hotel C you hear that you're giving me in the
01:29
Speaker A
middle I C she do let's try just throwing it away okay watch me hotel hotel better that was better that was better let's put it in a phrase okay car car rented a car rented a car watch me
01:46
Speaker A
watch me rented a car rented a car relax your tongue do this for me love just relax your tongue that's it let your tongue just hang out let that tongue relax car Carl Carl car car car good all right let's now move on
02:15
Speaker A
to the next exercise that was good we went on a guided tour we went on a guided tour very good did you reserve a car did you reserve a car good I'm going to take just one of these
02:38
Speaker A
words we're just going to focus on one for right now and what I want you to do is copy the word for me can you copy the word good what word did you just write right you're starting you're doing
02:56
Speaker A
it backwards start over here right look at me look up up at me I can't pronounce it yes you can look up at me t t yeah so what do you mean you can't pronounce it you just did it write it again for
03:15
Speaker A
me beautiful what word did you write you're doing it backwards again Ro Roar Look At Me tour tour bus yeah tour not tour bus I no you're making it longer than it was all of the words that we've been working on today look up at
03:36
Speaker A
me for a second all of the words that we've been working on today have to do with travel words like tour and suitcase I want you to look at these words and I want you to find for me look at me all
03:49
Speaker A
of the travel words words having to do with travel okay yeah do you know what word that is RO look look up at me Airline look up at me look at me yeah I know all I don't want you to
04:09
Speaker A
move Airline Airline much better line Airline Airline yeah yeah very good what is that word a airline did Airline what's the one underneath it that you just pointed to Airline look up at me you pointed to Hotel oh
04:31
Speaker A
H Li Hine sometimes what happens is you get stuck on the previous word right so you gave me I know it happens all the time so you gave me a little bit of Airline and a little bit of Hotel all
04:43
Speaker A
combined look up at me hotel hotel yeah much better okay we're going to move on normally again we would spend more time reading and looking for the travel words we're going to do another exercise using some of these travel words we went to Europe on
05:00
Speaker A
a 3 week look up at me to toour tour yeah very good let's do another one I'm going to skip around a little bit all right I am going to ask you some questions now having to do with travel
05:20
Speaker A
and I want you to answer yes or no I'm going to write this down yes or no all right here's the first question all of them have to do with our category travel okay first question is a tour
05:40
Speaker A
guide always wonderful yes or no a tour guide is always wonderful every tour guide no no not every tour guide is wonderful we hope that they're wonderful right do you understand yes okay let's do another one are plane tickets
06:03
Speaker A
expensive yes or no yes yes right traveling is expensive right okay can you get a rental car at the airport well well it's got to be R de yes you can get a rental car at the airport you can use what Herz or what
06:26
Speaker A
are some of the other companies SAR and travel do you rent a car when you travel I love it you love them yes why do you love them because you far and you par and are the Renta car uh-huh the rental
06:44
Speaker A
car right and the paron and Rosel and the hotel so you I used to F you used to a regular Park a regular parking space no a parking in the lover in the hotel yes you'd park your car at the hotel yes ah okay very
07:08
Speaker A
very good a second so we have a three star hotel right and then we have a fourstar hotel hang on which is more which is more which is more this one or this one which one's going to be more
07:37
Speaker A
expensive yes yes yeah the fourstar hotel is more than a three-star hotel it has one more star you've stayed in a six-star hotel yeah you have no what where were you in a six-star hotel I didn't even no hotels had six
08:01
Speaker A
stars oh jeez I want to find out where this hotel is it sounds very nice hang on oh you're going to get them oh yeah hang on a second okay I'm going to stop you there I'm going to stop you there because I
08:13
Speaker A
want to make sure I understand okay here's a cup here's Florida two I spent two when the go t in summer are you in the summer Australia you went to Australia in called you and are you talking are you talking about going to a
08:31
Speaker A
camp camping yes ah but the own she has an owner look at me for a second do you go camping yes you go camping no kidding so no fourar hotels they own they own Camp cells you go camping well yes but the anelo is cell
08:56
Speaker A
it's sell there's a camper a camper dad Camp C okay A a no no not a let's let's stop here we're going to continue put the camper sleep over sleep over okay sleep over that's it and he sleeps in here
09:30
Speaker A
I know yes they can sleep for a cop a cop up in a sleeper he sleeps C over where are you talking about like a camper that you drive yes oh you travel in a camper but not a
09:50
Speaker A
cabin not a cabin but a camper a camper I travel in a camper right wa
Topics:speech therapyfluent aphasialanguage rehabilitationaphasia treatmentword repetitionphrase formationtravel vocabularyspeech-language pathologyBurke Rehabilitationcommunication strategies

Frequently Asked Questions

What strategies are used to help patients with fluent aphasia in this video?

The therapist uses word repetition, phrase formation, relaxation techniques for the jaw and tongue, and thematic vocabulary related to travel to help improve speech production and word retrieval.

How does the therapist assist the patient with pronunciation difficulties?

The therapist demonstrates jaw and tongue relaxation exercises, models correct pronunciation, and provides verbal and visual cues to help the patient articulate words more clearly.

What type of vocabulary is emphasized during the therapy session?

The session focuses on travel-related vocabulary such as 'tour,' 'hotel,' 'car,' and 'airline' to provide a meaningful context for practicing language skills.

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