Time Since Injury: 3 months
Josh worked in a specialized computer field and happened to be one of the few people in the country who could program the equipment. While he was making great progress in his recovery, there was pressure to return to work however he could. Since he also helped with sales, his goals were to improve his organization of speaking and writing and to use his computer again.
- Needed to return to work quickly
- Used a large technical vocabulary, so he became “stuck” frequently
- Vague, fluent speech with substitutions that he didn’t notice
- Needed to type and use email for work, even one-handed•
- Spelling and writing—specifically organization—was about 50%
Assessment: For his initial consultation, the client presented with Sensory Motor aphasia, but by the time he began treatment, he had improved to an Anomic Aphasia. Speech was fluent but vague “I forgot what I was saying” and “I don’t talk in a straight line.” When he had a communication breakdown, he just stopped speaking and got lost in thinking about what he wanted to say. He noticed when he substituted incorrect words approximately 40% of the time. He had a laptop but couldn’t remember how to use it.
Treatment—Due to time constraints, his family chose a 4-week program
Results: He learned how to open his email and operate with his personal and company email systems. In the beginning, it took him 40 minutes to write a short, simple email. By the end of his program, he independently wrote 3-4 sentence emails in half the time and corrected his own mistakes. He increased his typing speed and accuracy. His word-retrieval increased from 25% to 85%. His pre-testing scores were high in some areas, although his reading scores increased by 20%, and his writing increased by 66%. He returned to work part-time immediately after the program.