A Case Study on the Impact of Digital Therapy in Parkinson’s Disease Management

– Written By

Rakshitha S

MASLP (Master’s in Audiology and Speech Language Pathology)     

Consultant Speech Swallow pathologist, Digital practitioner -SLP

Introduction

Living with Parkinson’s Disease can present many challenges, particularly in terms of speech and communication. Today, I want to share an inspiring story about Gadha, a 63-year-old woman who has shown remarkable progress through digital therapy. Gadha and her caretakers opted for digital therapy due to their remote location and the unavailability of her caretakers for frequent travel. This approach ensures consistent and accessible care despite the logistical challenges they face. This blog will highlight her journey, the activities she engaged in, and how digital therapy has empowered her to improve her speech and communication skills.

Understanding Parkinson’s Disease

Parkinson’s Disease is a progressive neurological disorder that affects movement and can impact speech and cognitive functions. Symptoms often include tremors, stiffness, difficulty with balance and coordination, and speech difficulties such as:

  • Reduced range of tongue movement
  • Slow rate of speech with interrupted fluency
  • Reduced vocal loudness and a monotonous voice quality
  • Challenges with word retrieval and answering in sequence
  • Mild executive function deficits (planning and organization)

Gadha’s Initial Challenges

When Gadha first started her therapy, she faced several significant challenges:

  • Reduced range of tongue movement
  • Difficulty biting hard food
  • Slow and interrupted speech
  • Reduced vital capacity and mean length of utterance
  • Difficulty retrieving words and answering in sequence
  • Reduced vocal loudness and a breathy, monotonous voice quality
  • Mild executive function deficits
  • Generally intact attention and memory skills with some variability

Despite these hurdles, Gadha was determined to improve her speech and communication abilities.

The Power of Digital Therapy

Digital therapy leverages technology to provide therapeutic interventions that can be accessed remotely. This approach offers flexibility, accessibility, and personalized care, making it a powerful tool for individuals like Gadha.

1. Oromotor and Brain Gym Exercises:

Enhanced range of tongue movement and oral motor skills.

Improved cognitive abilities, including attention and memory.

2. Reading and Explaining Proverbs:

Boosted word retrieval abilities and fluency.

Engaged cognitive skills by understanding and explaining proverbs.

3. Describing Pictures:

Improved mean length of utterance and vital capacity.

Encouraged the use of descriptive language and longer sentences.

4. LSVT Technique for Breath Support and Sound Quality:

Increased vocal loudness and improved voice quality.

5. Calendar Tasks:

Helped comprehend and express days of the week, enhancing cognitive organization.

6. Identifying Birds and Animals:

Strengthened categorization skills and vocabulary.

7. Performing Complex Commands:

Improved ability to follow multi-step instructions, aiding executive function.

8. Identifying Emotions through Digital Activities:

Enhanced emotional recognition and expression.

9. Singing Along with Film Songs:

Improved intonation and rhythmic speech patterns.

10. Comprehending and Expressing Various Categories:

Practiced naming professionals, zodiac signs, and more.

11. Sequencing Skills through Reciting Cooking Recipes:

Strengthened sequencing abilities and verbal organization.

12. Number Sequence Tasks and Cognitive Skill Exercises:

Enhanced cognitive processing and number recognition.

13. Sorting and Identifying Spices, Discussing Recipes:

Combined sensory stimulation with cognitive and language skills.

14. Expressing Names of Kannada Serials and Their Timings:

Practiced memory and time-related vocabulary.

15. Naming Things Related to Different Rooms:

Enhanced environmental vocabulary and contextual usage.

16. Answering WH Questions and Riddles:

Improved comprehension and critical thinking.

17. Identifying Addresses and Recalling Phone Numbers:

Strengthened memory and practical language use.

18. Repeating Kannada Proverbs:

Practiced cultural language and fluency.

19. Identifying Hindu Mythology Characters and Their Roles:

Enhanced cultural literacy and narrative skills.

20. Reading Numbers for Digit Recognition:

Improved number recognition and reading skills.

21. Discussing Morals from Stories and Songs:

Engaged critical thinking and moral reasoning.

22. Telling Time from a Displayed Clock:

Practiced time-telling and temporal concepts.

23. Identifying and Expressing the Use of Objects:

Improved functional language and vocabulary.

24. Recognizing Logos:

Enhanced visual recognition and associative language skills.

Gadha’s Progress

Through consistent practice and dedication, Gadha has shown significant improvements:

  • Increased range of tongue movement
  • Enhanced ability to bite and chew food
  • Faster, more fluent speech
  • Improved word retrieval and sequencing abilities
  • Increased vocal loudness and a more varied voice quality
  • Better planning and organizational skills

Gadha’s journey demonstrates the effectiveness of digital therapy. Her ability to engage in these therapeutic activities from the comfort of her home has played a crucial role in her progress.

Conclusion

Gadha’s story is a testament to the power of digital therapy in managing Parkinson’s Disease. With the right tools and support, individuals can make meaningful progress in their speech and communication skills. If you or a loved one are facing similar challenges, consider exploring digital therapy options. Remember, with perseverance and the right guidance, improvement is always within reach. Thank you for reading! If you found this story inspiring, please share it with others who might benefit from it. Together, we can spread awareness and support those on their journey with Parkinson’s Disease.

XceptionalLEARNING platform offer customized solutions designed to meet the specific requirements of both therapists and clients. Whether you’re looking for advanced features to enhance your practice or specialized tools for educational therapy, our platforms provide the flexibility and support you need. Contact us today to explore our comprehensive range of services and discover how we can support you in reaching your therapy goals. Our dedicated team is here to provide personalized assistance and ensure you have access to the best resources available. Reach out now and take the first step towards achieving excellence in therapy.

Transforming Communication: A Case Study on Speech Therapy for an 8-Year-Old Boy with Autism Spectrum Disorder (ASD)

– Written By

Rakshitha S

MASLP (Master’s in Audiology and Speech Language Pathology)     

Consultant Speech Swallow pathologist, Digital practitioner -SLP

Introduction

Meet Mathew, an energetic 8-year-old boy diagnosed with Autism Spectrum Disorder (ASD). Through a combination of tailored therapy activities, Mathew has made impressive strides in his communication, cognitive, and motor skills. This blog will explore his journey, detailing the innovative and engaging activities that have contributed to his progress, and highlight the positive outcomes from his therapy sessions.

Understanding Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) is a developmental disorder characterized by challenges in social interaction, communication, and repetitive behaviors. Children with ASD often have unique strengths and challenges, and personalized therapy plans are essential for fostering their development and helping them reach their full potential.

Mathew’s Therapy Activities

Mathew’s therapy sessions are designed to enhance his language skills, cognitive abilities, and social interactions through a variety of engaging activities:

1. Articulating Simple Words Ending with -am, -an, -in, -it, -at:

This activity helps Mathew practice pronunciation and improve his articulation skills, which are fundamental for clear speech.

2. Learning Word Families and Expressing Related Words:

By learning word families, Mathew enhances his vocabulary and understanding of word relationships, aiding in language development.

3. Narrative Tasks for Enhancing Expressive Language:

Narrative tasks encourage Mathew to construct sentences and tell stories, improving his expressive language skills.

4. Picture Description:

Describing pictures helps Mathew develop his observation skills, vocabulary, and ability to articulate his thoughts clearly.

5. Playing “Feed The Shark” Game for Linguistic Skills:

This interactive game makes learning fun while reinforcing Mathew’s linguistic skills and vocabulary.

6. Listening to and Answering WH Questions about Stories:

Stories like “Save The Elephant” and “Cat and Hat” help Mathew practice comprehension and answering WH questions, enhancing his listening and verbal response skills.

7. Performing Activities like Animal Race, How’s the Weather, Days of the Week:

These activities improve Mathew’s cognitive skills, understanding of daily concepts, and ability to follow instructions.

8. Reading Stories from Textbooks and Answering Questions:

Reading and comprehension exercises strengthen Mathew’s reading skills and ability to understand and recall information from stories.

9. Writing Spellings from Stories on the Whiteboard:

Writing exercises reinforce Mathew’s spelling and fine motor skills, helping him practice writing in a fun and engaging way.

10. Reading Provided Words and Sentences:

This activity aids in improving Mathew’s reading fluency and comprehension.

11. Engaging in Dancing (Dance and Freeze) and Gaming Activities for Cognitive Stimulation:

Dancing and gaming activities enhance Mathew’s motor skills, coordination, and cognitive stimulation through fun and interactive play.

Progress through Consistent Therapy

Mathew’s consistent engagement in these activities has led to notable improvements in various areas:

  • Enhanced Articulation: Improved pronunciation and clarity in speech.
  • Expanded Vocabulary: Broadened understanding of word families and related words.
  • Better Expressive Language: Increased ability to construct sentences and tell stories.
  • Improved Observation and Description Skills: Enhanced ability to describe pictures and articulate thoughts.
  • Strengthened Comprehension: Better understanding of stories and ability to answer WH questions.
  • Cognitive and Motor Skill Development: Improved cognitive skills and motor coordination through interactive activities.

Recommendations for Future Therapy Plans

As Mathew continues to progress, here are some recommendations for future therapy plans to further support his development:

1. Advanced Articulation Exercises:

Introduce more complex words and sentence structures to continue improving articulation and speech clarity.

2. Expanded Narrative and Storytelling Tasks:

Encourage Mathew to create and narrate longer stories to enhance his expressive language skills further.

3. Interactive Reading Sessions:

Use interactive books and reading apps to make reading sessions more engaging and interactive.

4. Social Skills Activities:

Include group activities and role-playing games to develop Mathew’s social interactions and cooperative play skills.

5. Creative Arts and Crafts:

Incorporate arts and crafts to improve fine motor skills and encourage creativity.

6. Sensory Integration Exercises:

Use sensory integration activities to help Mathew manage sensory sensitivities and improve overall sensory processing.

7. Parent Involvement:

Encourage Mathew’s parents to participate in therapy sessions and practice activities at home to reinforce learning and progress.

Conclusion

Mathew’s journey is a shining example of how tailored therapy activities can make a significant difference in the development of a child with Autism Spectrum Disorder. His progress highlights the importance of engaging, interactive, and consistent therapy in fostering growth and development. Mathew’s story inspires hope and demonstrates that with the right support, children with ASD can achieve remarkable progress. Thank you for joining us in celebrating Mathew’s achievements.

Take the first step towards a better tomorrow! XceptionalLEARNING Platform revolutionizes support for individuals on the spectrum with its advanced Virtual Autism therapy services. By utilizing cutting-edge technology, our platform ensures personalized, accessible, and effective therapy solutions that transform lives. Contact us today to learn more about our services and how we can help you achieve your therapeutic goals.

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