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PubMed1976

A solid state delayed auditory feedback system for speech therapy.

A delayed auditory feedback system has been constructed using solid state integrated circuit components. The construction of the instrument is described and the advantages of such an electronic device over conventional electro-mechanical systems are discussed.

Analog-Digital Conversion↗
PubMed1977

[Total aphasia and speech therapy: a case history (author's transl)].

The medical profession and therapists continue to believe that total aphasia is untreable. A case report is used to demonstrate the diagnostic features of aphasia and describe the course of the impairment from the complete loss of speech, via the learning of highly automated expressions to the aquisition of single words which the patient uses independently in the different contexts. This development involves all language functions equally. The therapy is based on conventional methods, deblocking stategies, speech therapeutic talks - principal item of the treatment - and dialogue exercises carried out under normal conditions. The problems relating to deblocking methods are discussed. A description is made of the methods which have been developed from a combined audiovisual, tactile and writing motoric speech activation programme. The article presents the linguistic signs of the syndrome in an advanced stage and demonstrates the development of the thinking structure and the psychic problems with the help of the tree drawings.

Aphasia↗
PubMed1979

Training in rehabilitation: basics needs and considerations.

Rehabilitation is an integral part of medicine. It includes physical therapy, occupational therapy, speech therapy. It involves nurses, social workers, clinical and educational psychologists. It also involves resettlement into the community and to work. Each patient, whether temporarily or permanently disabled, requires a comprehensive service to meet all his needs at the appropriate time. Although there are some multidisciplinary teams providing comprehensive rehabilitation services the needs are so wide and complex that many patients do not achieve optimum rehabilitation. Most doctors believe that the best rehabilitation stems from high standards of general medical care, but many patients require care and counselling extending into social and community aspects of their lives. The clinician must be trained to understand these needs and accept the responsibility for, at least, initiating appropriate rehabilitation and resettlement procedures and thus reducing clinical and social morbidity. Rehabilitation is more than the practice of special techniques. Most therapists can contribute considerably by the assessment of potential functional capability and by exploiting residual capability by alternative techniques of activity, or the use of aids and appliances. The behavioural aspects of response to illness or injury and the patterns of recovery thus determined need to be more clearly understood and the rehabilitation programme reappraised in the light of the knowledge.

Comprehensive Health Care↗