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USE OF MOBILE
TOUCH-SCREEN
TECHNOLOGY IN
STROKE REHAB
BY MEGAN SUTTON, MS,
RSLP, CCC-SLP (C)
Saturday, November 26, 2011
Stroke Recovery Association of BC
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Megan Sutton, MS, RSLP
 BA
in Linguistics from Rutgers, MS in
Speech-Language Pathology from Boston
University
 Certified
in Speech-Language Pathology by
ASHA, CASLPA, and registered with BC
College of SLP
 Worked
in Private Practice, Extended Care,
Acute Care, Rehabilitation, Outpatient
Therapy in US and Canada; Experienced
in website design and technical support
 Currently
working at Surrey Memorial
Hospital, High-Intensity Rehab at Laurel
Place for Fraser Health
 Developer
of apps for Tactus Therapy
Solutions Ltd since March 2011
 Passionate
about Aphasia, Stroke, and
Acquired Speech and Language
Impairments
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Tactus Therapy Solutions
 Founded
in March 2011 as a BC Corporation
 Develops
apps for adults with aphasia and other acquired
speech, language and cognitive disorders
 All
apps allow the therapist and individual an easy and
automated way to practice evidence-based and traditional
therapy activities with data tracking and e-mail reports
 All
apps are user-friendly for use by elderly and impaired
individuals
 3
apps available now; watch for many more in the coming
months
 www.tactustherapy.com
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The Technology
 Tablets
& Smart Phones
 APPLE
 iPad
 iPhone
iPod touch
  ANDROID
Phones & Tablets (Linux)
 BLACKBERRY
Phones & Playbook
 MICROSOFT Tablet
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PC
The iPad2
 Front
and Rear Camera
 Speaker
on Rear, Microphone on
bottom
 10
hour battery life
 $519
for 16GB, wifi version
 iCloud
saves apps and documents
between devices
 600
gram weight
 9.5” x
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7.3” size
The Advantages
 Portable
 Cool
 Intuitive
 Fun & Interactive
 Easy
 Use Alone or with Support
 Automated
 Accessories Available
 Less
 Built-in Microphone, Speaker,
& Camera(s)
 Connect to Internet 2 ways
 Multi-Functional
 All Ages
to Use
to Carry
 Available
to the Public
 Cost-Efficient
(Devices &
Apps)
 Language
Barrier Aid
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The Apps
(Software Applications)
 Speechy Apps
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OT-ish Apps
AAC
 Language
  Attention
General Cognition
 Reading
 Math
 Writing
 Memory
 Speech
 Problem Solving
 Swallowing
 Cooking
Motor Therapy
  General Purpose
 Education
 Communication
 Coordinator Support
 Recreation
iTunes
 Create an account on iTunes or
on the App Store on your
device
 Update apps whenever
updates are available to fix
bugs and get new features
 Share apps purchased on this
account among unlimited
devices
  Use this account on up to 5
computers
Be cautious of free or Lite apps
– most have ads or in-app
purchase to get full
functionality. Many apps are
well worth a few dollars or
more for quality content
 Use iTunes gift cards to avoid
linking account to a credit card
 The Cloud – now apps and
content can be synced
wirelessly for access on all
devices
Considerations
 Vision
 Dexterity
 Accuracy
 Level
of Support (Therapist, Family, Technical Support)
 Appropriateness
 Confidentiality
 Limits
(matching goals)
(stored patient data)
of Device (size, portability, volume, battery life)
 Maintenance
(updating OS & apps, charging)
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AAC
Augmentative & Alternative Communication
The Apps
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 My Voice – uses GPS
  Proloquo2Go
Scene Speak
 Verbally - text
 Touch Chat
 Answers HD Yes/ No
 Lingraphica SmallTalk
Aphasia & Others
 Speak it! Text to Speech
Speak it!
AAC
Advantages
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Disadvantages
 Portable
  Voice-Output
Connected to Internet
   Cool
 Easy to Program
 Multi-functional
 More Affordable
Mounting – some options
Battery Life – getting longer
Volume insufficient for noisy
environments
 Apps aren’t as specialized as
dedicated device software,
but more are being
converted
  Few apps are scannable for
switch users
 Not covered by Insurance in
some cases
Proloquo2go
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Verbally
Language
The Apps
Conversation Cards
 AudioBooks
 ConversationCards
 Comprehension
&
Naming TherAppy
 Maps
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Naming TherAppy
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Maps
Reading
The Apps
iBooks
 iBooks
 Word
BINGO
 You're
Only Old Once
by Photo
 Sight Words
Touch
 Speak
it! Text to Speech
 Comprehension
TherAppy
 Reading TherAppy
(coming soon)
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Dr. Seuss
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Comprehension TherAppy
Writing
The Apps
 Doddle
Buddy
 Cursive
in le
Dictation
 Dragon
Notepad
 Writing TherAppy
 Intro
to Letters
 Notepad
 Sight Words
by Little
Speller
 Word Magic
 Verbally
 Hangman
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Speech
The Apps
iBaldi
 Bla
Bla Bla
 iBaldi
 Lingraphica SmallTalk
Blends, Oral Motor,
Phonemes
 Minimal Pairs
 Pocket SLP Articulation
 Tongue Twisters
 Audio Memos
 Speak-in-Motion
 Speech Sounds on Cue –
US version $150
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Minimal Pairs
Lingraphica SmallTalk Apps
Swallowing
The Apps
iSwallow – Schedule Function
 iSwallow
 Lingraphica
SmallTalk
Dysphagia
 Lingraphica
SmallTalk
Oral Motor
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iSwallow
from UC Davis Centre for Voice and Swallowing
Step-by-Step Instructions
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Video Demonstration
Oral Motor Exercises
Education
The Apps
Brain MRI Atlas
 3D
Brain
MRI
Atlas
 NeuroMind for
iPad
 Brain
 Upper
Respiratory
Virtual Lab
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3D Brain
URVL
Communication
The Apps
Bamboo Paper
 Skype
 Facetime
 Facebook
 Twitter
 Mail
 Bamboo
Paper
 Camera
 Audio
Memos
Dictation
 QR Readers
 Dragon
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Coordinator Support
The Apps
 Calculator
 Reminders
 Calendar
 Dragon
Dictation
 Notepad
 Audio
Memos
 Dropbox
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Attention
The Apps
Doodle Find
 Doodle
Find (Works with
Inattention-Perceptual
Skills)
 Fantastic
4 in a row
Photo Differences
 Simply Find it
 Find
 Word
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Search Star
Information Processing (Problem Solving
and General Integrated Cognitive Skills)
The Apps
Imazing
 Guess’em
 Fruit
Match
(Perceptual
Skills)
 Imazing
 BrainFit
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 Suduko
 Brain
Challenge
(Perceptual Skills)
 Move it (Perceptual
Skills)
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Memory
The Apps
Calendar
 Alarmed
 Awesome
Memory
Matches
 Memory Game
 Memory
 Calendar
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Memory Matches
Executive Functioning
The Apps
Recipe Box
 Betty
Crocker Cookbook
Recipes
 Recipe Box
 Jamie’s
 Calendar
(Planning)
Maps
 Math (Finances)
 Calculator
 Google
 Math drills lite
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Motor Therapy
The Apps
Dexteria
 All
Apps that require
touch and fine motor
skills
 Intro to Letters
 Dexteria
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Rec and Leisure
The Apps
Angry Birds
 Checkers
 Angry
Birds
 Word
Bingo
 Air Hockey
 Groupon
 Facebook
 Ipod
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music
A Case Study
  31 y.o. male with TBI and global aphasia
Family purchased iPod touch and pt used:
 AAC
Software (Proloquo2go) to communicate
 Built-in
 Voice
 iPod
camera to show what he did on the weekend
Recorder to take audio clips in his life (singing the national anthem)
to listen to his favorite music
 Games
 Maps
to play with friends and pass time
to show where he lives
 Therapy
apps to practice reading, spelling, and speaking
 Calendar
app for scheduling therapy appointments and reminders
 Pt loved his device and wouldn’t touch paper communication boards.
He carried it in his pocket all the time. The “cool” factor made AAC
possible.
 iPad and iPod touch owned by the unit were used for assessment and
therapy before the family was advised to purchase their own
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