Aphasia NYC's posterous

Aphasia NYC's posterous

Aphasia NYC  //  To empower people who are affected by aphasia to access and negotiate the services and opportunities they need for a better life.

Jan 19 / 3:58am

Top Tips For Recovery After A Stroke

Published: aphasianyc.org at Jan 19, 2010

Recently a client jokingly asked me, "Can you give me a pill so I can instantly recover from my stroke and don't have to come to therapy any more?" Unfortunately, this pill has not been invented yet. Until it is invented, the best way to recover from a stroke is - practice, practice, practice.

Twenty years of experience as a speech language pathologist has convinced me that the brain is like a muscle - the more we use it, the stronger for us. Luckily, the brain does not get bigger when we use it, the way a muscle does - if it did, we would all have "big heads"! But the brain does get faster, more accurate, and more efficient, the more that we use it.

Think back to the time when you were learning a new skill. It could have been a sport like baseball or basketball. Or it could have been learning a musical instrument like the piano. It could even have been as simple as learning to ride a bike or drive a car. You can remember that when you first started practicing, you were very slow and had to think about every move that you made. You could only do the simplest things, and even those with great difficulty. However, the more you practiced, the easier it got. As your skills got better, you could make more difficult maneuvers, move faster, and you didn't waste as much energy. Eventually, you didn't even have to think that much about what you were doing - you could do it "automatically".

It took a lot of practice to become good. You probably had to practice 2-3 hours a day if you wanted to become really good. In fact, researchers found that to be a true expert in any field, you have to practice about 10,000 hours. That's the equivalent of 20 hours a week for 10 years. So if you only practiced one or two hours a week, you probably didn't get very good at what you were learning.

Relearning a skill after a stroke is similar to the process of learning it in the first place. Fortunately, after a stroke you usually have all the knowledge that you had before the stroke. The information is not "lost", it is still there. The problem is that the connection to the information is broken. So you have trouble getting hold of the information that you already possess. You may "come up blank", or your ability to do it is slower and less accurate. The only way to make the connections stronger is to practice doing the activity over and over again.

The skill of a therapist is to organize your practice. The therapist needs to know what your present abilities are, and what you would like to be able to do. The therapist has knowledge of what activities will get you from where you are to where you want to be. The therapist must also select activities that will be difficult enough to be challenging, but not so difficult that they will be discouraging or even impossible to do.

Whether you are currently in therapy or not, you can continue to improve your abilities for as long as you live. Scientists recently discovered that giant redwood trees, the largest trees on the planet, continue to grow bigger for as long as they live. The human brain also can continue to learn for a whole life time. Have you heard the old expression, "You can't teach an old dog new tricks" ? Well, it is not true. Regardless of your age, you can keep learning every day of your life.

Keep on looking for activities that challenge you, but are not impossible for you to do today. In a few years from now, you will be amazed to see what you have accomplished!

Dorothy Ross

DER:AM

Filed under  //  Dorothy E Ross PhD CCC-SLP  
Oct 6 / 2:31am

Aphasia Groups in NYC - PART 2

Posted by email 

Published: aphasianyc.org at Oct 6, 2009

Aphasia is an acquired language disorder in which there is an impairment of any language modality. This may include difficulty in producing or comprehending spoken or written language.

How to find an aphasia group?

A message for people with aphasia from people with aphasia

(download)

Filed under  //  Adam Miller   Dorothy E Ross PhD CCC-SLP  
Oct 6 / 1:37am

Aphasia Groups in NYC - PART 1

Posted by email 

Published: aphasianyc.org at Oct 6, 2009

Aphasia is an acquired language disorder in which there is an impairment of any language modality. This may include difficulty in producing or comprehending spoken or written language.

Why go to an aphasia group?

(download)

Coordinator Dorothy E Ross, PhD CCC-SLP - coordinator@aphasianyc.org

Filmer and Editor Adam Miller- administrator@aphasianyc.org

Filed under  //  Adam Miller   Dorothy E Ross PhD CCC-SLP  
Aug 10 / 9:12pm

How Speech-Language Therapeutic Intervention Can Help After a Stroke

by Mona Greenfield, PhD, LCSW, CCC-SLP
Published: aphasianyc.org at August 10, 2009

After a stroke, there may be areas of speech-language-cognition and/or swallowing affected.  Difficulties can be experienced with

processing information, producing fluent speech, word finding (anomia), use of complete sentence structure (agrammatism), reading, writing, memory, organizing information, performing motor aspects of speech production (dysarthria) and volitional production of oral tasks and/or volitional sequencing of speech sounds, words and ideas (apraxia) and a range of feeding/swallowing concerns.   A complete speech-language evaluation is recommended to identify areas of strengths and weaknesses.  This is the beginning of the road to recovery.  This process can be a lengthy and frustrating path.  Therapy with continued stimulation and support are crucial to the improvement of communication skills. 

There are many ways in which speech-language therapy can be helpful.  When you are able to realize where you are at right after your stroke and the gradual improvements (although oftentimes not feeling as if this is enough), you will become aware of how this rehabilitation process is working.  Individual and group therapy is beneficial. Individual therapy can help with specific difficulties and include drill work, conversational work, and memory work.  Group therapy can also address these areas of difficulty as well as the opportunity to practice these skills in a real life context.  When interacting with a group, the benefits of support from therapists and other group members, use of strategies learned in individual therapy sessions and new learning or relearning  through group activities can help the therapeutic process.  

In therapy, a range of strategies can be used to facilitate optimal communication.  Music and singing, prompting and cueing using alphabet letters and/or sounds, associative description of items/people/places and scripts (written conversations) may all help with retrieving words and expressing feelings, thoughts and ideas.  Alternative and augmentative communication may also be indicated as a support when verbal communication is extremely difficult.   This includes communication books/boards and devices which can help with communication using picture/symbols, words and phrases to communicate needs and express ideas and feeling.  It is important to be an active participant in conversation.   

The recovery process takes times and patience.  Changes in both processing information and expressing needs, wants and thoughts can continue to improve even years post stroke. Continued stimulation through speech-language therapy and groups are important both for working on skills (word finding, reading, writing, expressive language, comprehending and  organizing  information, memory and new learning) as well as for continued support.   It is important to “hang in there” as skills are slowly regained and progress is made.

MG:AM

Filed under  //  Mona Greenfield PhD LCSW CCC-SLP  
Aug 2 / 9:50pm

Know the Symptoms of a Stroke

by Dorothy E Ross PhD CCC-SLP
Published: aphasianyc.org at August 2, 2009

Why is it important to know the symptoms of a stroke?
Twenty years ago, if you had a stroke, there was no treatment available. Doctors could only help you with the after effects. They could not help the stroke itself. At that time, if you had a stroke, there was usually no rush to go to the hospital. You might call your doctor, and he would make an appointment to see you in two or three days.

What can help a stroke?
Now there is a drug that will help lessen the effects of a stroke. This drug is called t-PA. This drug can be very effective in making strokes less severe.

However, in order to work, t-PA has to be given within 3 hours of the beginning of the stroke. Before t-PA can be given, you have to have tests to make sure that the treatment will be effective. In order to allow time for the whole process, you need to arrive in the hospital within one hour of the beginning of the stroke. Currently, only 3-5% of people who have strokes arrive at the hospital in time to receive t-PA.

What are the symptoms of a stroke?
Everyone should know the symptoms of a stroke. There is an easy to remember acronym to remember the main symptoms – FAST
F – Facial weakness, especially on one side
A – Arm weakness
S – Speech is slurred, or the person is unable to speak
T – Time is critical, go to the hospital!

Besides the symptoms just mentioned, there are many more symptoms that can indicate a stroke. Since the brain controls all the body functions, a stroke can affect almost any body function. Any sudden change in your abilities could be a stroke.

Some of the most common other symptoms are "HaVe BeeF"
H - Headache
V- Visual problems
B- Balance problems
F- Falling

If you think you having a stroke, tell the 911 operator and emergency workers so that they can get you help faster.

This is my own original article, that I wrote myself. Feel free to use it in any way you like. Let me know if you think it needs any changes for your purposes.

DER:AM

Filed under  //  Dorothy E Ross PhD CCC-SLP