Our Year-end Thoughts on Aphasia Recovery, 2017  
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Editor's Note - Sharon Rennhack:  
If you find this newsletter helps you and  it gives  you important information and treatment and practice ideas, please be sure to share with others on Facebook and in other social media communities. 
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The staff of aphasiatoolbox wishes you Merry Christmas, Happy Holidays and Happy New Year!

Rather than focus on  what we have accomplished this year at aphasiatoolbox and and at our sister company  - Telepractice Certification Community, we want to  identify and discuss  ANSWERS to key questions that you may have about aphasia and discuss key factors for your aphasia treatment and recovery.   And - most importantly,   we offer our best thoughts for your ongoing recovery.

In this edition:
We are including here current articles and studies covering  the dynamics of aphasia recovery.  We discuss the   importance of  attention,  being in an intensive aphasia program, the role of neuroplasticity in aphasia treatment  and recovery, how telerpractice can improve your outcome,  and  the role of whole person recovery.
 
And,  Bill Connors, in a video, offers his personal thoughts on what is required for your recovery.      

The staff of  aphasiatoolbox have a combined 85+ years helping people with aphasia recover, thru our aphasiatoolbox.com comprensive  program.    For more information, ideas and tools about aggressively traveling the recovery pathway,
contact Bill Connors .       
 
Conclusion:    
When you have questions about aphasia,  the answer is aphasiatoolbox®.  We ARE aphasia recovery. 
 


For information on how we can expedite your recovery using the most effective and affordable tools,  contact us at [email protected] ; OR click here to  schedule a free consultation  and select a 30 minute phone call with our an aphasia recovery expert. 
 

What We've Learned and Confirmed About Aphasia Recovery This Year: 
   
In this month's edition of  the Aphasiatoolbox Newsletter and Video,  Bill Connors discusses   these  studies on aphasia treatment and recovery.   As a holiday gift to you, Bill   answers these key questions covering aphasia treatment and recovery:  
 
 
1. What is the role of attention and cognition in my aphasia recovery?   

Limited attentional skills, I am absolutely convinced, create a significant obstacle to aphasia recovery. The ability to focus, sustain and alternate one's attention is essential in interacting, recovering, and in responding to therapy and practice.  The skilled aphasia clinician will appreciate the attention skills or impairment of a person recovering from aphasia and then either address those weaknesses, incorporate those strengths, or most often both.   There are so many aphasia research and studies that confirm the need for addressing cognition skills and mental processing that we can no longer neglect to address these in aphasia rehabilitation and recovery.  
 
Sources:  

Speech Pathology.com,  August 13, 2007
There is a growing empirical literature regarding how aphasia symptoms and outcomes may be related to cognitive strengths and weaknesses, including the integrity of memory skills (e.g., Murray, 2004).

Cognitive deficits in post-stroke aphasia,  Arquivos de Neuro-Psiquiatria,  October  2015
The assessment of aphasics' cognitive performance is challenging and such patients are generally excluded from studies that describe cognitive deficits after stroke.  

Volume 4, 2017 - Issue 1
Researchers have questioned whether aphasia coincides with deficiencies in the non-linguistic executive functions needed to coordinate cognitive-linguistic skills. Attention, an important component of executive function, may be compromised in the presence of aphasia.

Perspectives of the ASHA Special Interest Groups, February 2017, Vol. 2 (SIG 2), 7-14.
When thinking about what drives language recovery in aphasia, it is important to consider the possible role of attention processing. Not only is attention a fundamental skill that is required during even very simple tasks, it has also been shown to be impaired in individuals with aphasia. In this paper, we consider what successful attention during a typical language therapy session might look like, and discuss how impaired attention might negatively impact language treatment and recovery.
  

2. How DO I recover  my speech and language following Stroke/TBI?   
 
We would all like an Aphasia Roadmap to recovery of communication and speech skills.   I  would  suggest these 10 keys to maximizing aphasia recovery:
  1. Find a speech pathologist (SLP) and practice coach who share your commitment to recovery and your aggressive attitude.
  2. Begin from a Whole Person Recovery perspective ( see below) 
  3. Work in treatment to create and generate words and sentences rather than imitating and repeating them.  Conversational speech is a creative process, not one in which we imitate others.  
  4. Address the pragmatics of conversation such as: turn taking; clarifying verifying; eye contact; and using all modalities such as speech-writing-drawing-gestures-technology., to name a few.
  5. Set up and stick to a daily, aggressive practice schedule.
  6. Work on treatment activities and techniques that you can incorporate into your actual, daily life outside of therapy.
  7. Study how neuroplasticity works and then be sure that you brain's powerful ability to reconnect, grow and activate is exploited in your recovery program.
  8. Utilize a Mindfulness Approach to aphasia recovery that dissipates your aphasia stress - less focus and worry about being right/wrong. The fear of doing the wrong thing, especially in structured tasks, causes stress and anxiety in anyone.  Focus instead on your thoughts and ideas and have faith as you let them flow into spoken ( or typed) words, phrases and sentences.  
  9. As soon as possible, make sure that your speech practice is done in canonical ( subject - verb - object ) sentences in a conversational exchange between you and your SLP/coach. 
  10. Realize that nothing in the brain happens in one place.  Speech requires numerous brain processes to activate and interact.   Be sure that your therapy and practice recognize this.
 
Source:      
 
Intensive speech therapy helps months after strokeReuters, Health News,  March 8, 2017
Even months after a stroke, survivors can make major strides in communication and quality of life with intensive speech therapy, a recent study in Germany suggests.
 
3. What is neuroplasticity?  How can that aid my recovery?  
 
Neuroplasticity is  the  ability of the human brain to improve and change.  We now know that your aphasia recovery treatment and program must exploit your brain's neuroplasticity in effective ways. Be sure to demand that your recovery program, treatment  - and practice,  take full advantage of your brain's potential.  Contact me -   Bill Connors ,  to learn how to do this.  
 
Sources:  
    
How Do Neuroplasticity and Neurogenesis Rewire Your Brain? , Psychology Today, February 2017
For over a decade, neuroscientists have been trying to figure out how neurogenesis (the birth of new neurons) and neuroplasticity (the malleability of neural circuits) work together to reshape how we think, remember, and behave.  This week, an eye-opening new study, Adult-Born Neurons Modify Excitatory Synaptic Transmission to Existing Neurons reported how newborn neurons (created via neurogenesis) weave themselves into a "new and improved" neural tapestry. The January 2017 findings were published in the journal eLife.   
 
Neurogenesis in Stroke Recovery.  Koh SH, Park HH.  Transl Stroke Res. 2017  Feb;8(1):3-13.
Stroke, resulting from limited blood flow to the brain, is one of the most important causes of morbidity and mortality worldwide.  
 
4. What is Telepractice?
 
Telepractice is  a cost-effective way to access speech therapy during your treatment and recovery.    The staff at aphasiatoolbox are experts in using and combining telepractice AND neuroplasticity for your recovery goals.  According to ASHA,  telepractice is "the application of telecommunications technology to the delivery of speech language pathology and audiology professional services at a distance by linking clinician to client or clinician to clinician for assessment, intervention, and/or consultation. "
Telepractice works  well with children and adults.   Contact me for free demonstration.  
 
Source:    
 
Researchers and practitioners have found that telepractice is an effective means of increasing access to high-quality services that meet children's unique needs and is a viable mechanism to deliver speech-language services for multiple purposes.  
   
5. What is the Whole Person Recovery program for  people  with aphasia?  How does it turn a PWA into a Person Recovering from Aphasia?   How can it help my recovery?

We discussed our Whole Person Recovery program in last month's edition -"Build a Better Brain!";  click here to access  the October edition of aphasiatoolbox .  
 
I know that recovery can be difficult;  I am offering you the tools for your recovery.  Contact me to learn how to incorporate the Whole Person Recovery into your aphasia  treatment and recovery program.   
 
       
Bill Connors discusses:
Thoughts on your Recovery
 
   
In this month's edition of  the Aphasiatoolbox Newsletter and Video,  Bill Connors discusses  ideas  and tools  for  your aphasia recovery, including:
 
1.  Don't settle  for less.
2.  Reject the Aphasia Plateau myth.
3.  Use  your hope and grit.
4.  Work for your independence.

Aphasia Toolbox wishes you   Happy Holidays!   
 
 

     Time:   02:42

 News/Events: Stroke/Aphasia

1.   Hope for Aphasia Patients
Cynthia K. Thompson, Ph.D., is a top researcher on language recovery from brain damage. Her research is funded in part by the National Institute on Deafness and Other Communication Disorders (NIDCD). NIH MedlinePlus magazine caught up with the Ralph and Jean Sundin Professor of Communication Sciences at Northwestern University's School of Communication, where she leads the Center for the Neurobiology of Language Recovery.   2017

Jessica Peters has an extra step in her morning routine as she gets ready for work at the New England Dog Biscuit Shop in Salem.  "My robot arm is awesome," said Peters, beaming.  2017

3.  UMAP Research Explores New Advances in Aphasia Treatment tDCS
A new method for potentially treating language disorders and prompting language recovery has emerged. Transcranial Direct Current Stimulation (tDCS) is a form of brain stimulation researchers are exploring as treatment for a number of conditions, including aphasia.  2017

4.  Wemogee is Samsung's new emoji-based app for people with aphasia
Created by Samsung Electronics Italia, Wemogee is designed specifically to help people with aphasia by replacing texts with a series of emojis.  Emojis may be one of the most underrated inventions of the modern world. We see them everywhere, and some criticize them for playing a role in dumbing us down. Yet, not only do they help us convey nuanced feelings in non-verbal conversations like texting, but they've also been extremely useful in identifying vulnerable children and domestic violence victims and helping them communicate abuse. In other words, emojis have transformed the way we interact with one another.   2017

Summary: Researchers have identified a brain mechanism that appears to support navigation systems used in both linguistic and spatial tasks.  Source: National Research University Higher School of Economics.   2017

Executive Summary:  Traumatic brain injury (TBI) is a public health challenge of vast, but insufficiently recognised, proportions. TBI is the leading cause of mortality in young adults and a major cause of death and disability across all ages in all countries. In high-income countries, the number of elderly people with TBI is increasing, mainly due to falls, while in low-income and middle-income countries, the burden of TBI from road traffic incidents is increasing.  2017

Gareth Gaskell reviews the evidence on memory consolidation during sleep.  2017

Summary: A new study provides evidence to support the long standing view that human speech and music may have roots in biological processes that are shared across a variety of different animals.  Source: McGill University,    2017

Michael Kosh enjoys getting outside and doing lawn work, pruning trees and bundling the limbs at the home of his daughter and son-in-law where he lives with his wife, Rhonda, in Stephensen, Va. He plays with his grandchildren-4-year-old twin boys and a 2-year-old granddaughter-a year after experiencing 10 strokes in one night attributed to septic shock following surgery.  2017

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