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Aphasia Intervention Exercises

This manual presents a series of exercises to work on different aspects of language in patients with aphasia, such as fluency, naming, comprehension, and reading. The exercises include describing images, constructing sentences, naming images and words, semantic relations, and word identification. The goal is to enable patients to practice these skills both in therapy sessions and at home independently.
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0% found this document useful (0 votes)
29 views70 pages

Aphasia Intervention Exercises

This manual presents a series of exercises to work on different aspects of language in patients with aphasia, such as fluency, naming, comprehension, and reading. The exercises include describing images, constructing sentences, naming images and words, semantic relations, and word identification. The goal is to enable patients to practice these skills both in therapy sessions and at home independently.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Exercise Manual

Exercises
of

Intervention
Index
Fluency Description of an image 3
Melodic intonation method 8
Sentence construction 20

Appointment
Image naming 25
Association of images 28
Evocation of words 31
Naming of family members 32

Understanding
Semantic Evocation 34
Semantic Relations 36
Grouping by semantic fields 37
Identification of words by function 44

Reading Identification of the intruder word 45


Identification of the correct word 46
Identification of similar words 47
Reading complex orders 48
Question–Answer Correspondence 49

Writing
Writing of words by semantic evocation 50
Verbal conjugation 51
Complementarity with content words 52
Complementarity with function words 53
Correction of sentences 54
Crosswords 55
Word Search 57
Calculation
Counting money 59
Identification of coins/bills 61
Problem solving 63
Counting numbers - notion of quantity 68
Exercise Manual

Introduction
This exercise manual has been created with the aim of
intervene directly and indirectly with users with aphasia.
Thus, the user will be able to work with the therapist on the various

tasks that make up this manual in session and


simultaneously take him home, and training more
autonomously the affected components.

--1--
Fluency
Description of an image

Tell me what is happening in this image

--2--
Fluency

Description of an image

Tell me what is happening in this image

--3--
Fluency

Description of an image

Tell me what is happening in this image

--4--
Fluency

Description of an image

Tell me what is happening in this image

--5--
Fluency

Description of an image

Tell me what is happening in this image

--6--
Fluency

Melodic intonation method


Based on an image, the user will need to produce an example of speech, taking into account
the facial expression of the image.

Look at the image. What do you think the Lady is saying?

--7--
Fluency

Melodic Intonation Method


Based on an image, the user will have to produce an example of speech, taking into account
the facial expression of the image.

Look at the image. What do you think the lady is saying?

--8--
Fluency
Melodic intonation method
Based on an image, the user will need to produce an example of speech, taking into account
the facial expression of the image.

Look at the image. What do you think the Lady is saying?

--9--
Fluency

Melodic intonation method


Based on an image, the user will have to produce an example of a speech, taking into account
the facial expression of the image.

Look at the image. What do you think the boys are saying?

- - 10 - -
Fluency

Melodic Intonation Method


Based on an image, the user will have to create an example of speech, taking into account
the facial expression of the image.

Look at the image. What do you think the Lady is saying?

- - 11 - -
Fluency

Melodic Intonation Method


Based on an image, the user will have to produce a speech example, taking into account
the facial expression of the image.

Notice the image. What do you think the Lady is saying?

- - 12 - -
Fluency

Melodic intonation method


Starting from an image, the user will need to produce an example of speech, taking into account
the facial expression of the image.

Look at the image. What do you think the Lord is saying?

13
Fluency

Melodic intonation method


Based on an image, the user will have to produce an example of speech, taking into account
the facial expression of the image.

Notice the image. What do you think the Lady is saying?

- - 14 - -
Fluency

Melodic intonation method


Based on an image, the user will have to produce an example of speech, taking into account
the facial expression of the image.

Look at the picture. What do you think the boy is saying?

- - 15 - -
Fluency

Melodic intonation method


Based on an image, the user will have to produce an example of speech, taking into account
the facial expression of the image.

Take a look at the image. What do you think the Lord is saying?

- - 16 - -
Fluency

Melodic intonation method


Based on an image, the user will have to produce an example of speech, taking into account
the facial expression of the image.

Look at the image. What do you think the boy is saying?

- - 17 - -
Fluency

Melodic intonation method


Based on an image, the user will need to produce an example of speech, taking into account
the facial expression of the image.

Repair the image. What do you think the boy is saying?

- - 18 - -
Fluency
Sentence construction
Based on one or two words represented in images, the user will have to form a
phrase about this(these) image(s). To ensure that this choice of images is random, use the 12.
images below, which are attached to this manual.

Remove one/two images. Now say something about this/these image(s). Make a sentence...

- - 19 - -
Fluency

- - 20 - -
Fluency

21
Fluency
Sentence construction
From three images, the user will have to form a logical sequence by ordering them. These
sequences represent two different actions, individually. In the first phase the
The therapist should provide only the images related to one action. In a second phase,
You can combine the images of the two actions so that the user can distinguish them and perform the
respective sequence.

Phase 1 - "Arrange these images correctly. Say what is happening/what they are..."
do.

Phase 2 - "Now the two actions are mixed. Separate them and arrange them."

- - 22 - -
Fluency

23
Appointment
Naming of images
The user will have to name the presented images. For this activity to occur smoothly
random, use the 12 images below, which are attached to this manual.

Look at this image and tell me what it is.

- - 24 - -
Appointment

- - 25 - -
Appointment

- - 26 - -
Appointment

Association of images
The user will have to associate the presented images. For this activity to take place...
randomly use the 12 images below, which are attached to this manual.

Look at this image and tell me what it is.

- - 27 - -
Appointment

- - 28 - -
Appointment

- - 29 - -
Appointment

Evocation of words
The user will have to name some items belonging to the presented semantic categories.
the user must evoke at least 4 names from each group. Besides these groups
semantic, others that prove to be appropriate and relevant can be used.

Say some names related to.../ Say names of...

Fruits
Professions
Terraces
Divisions of the house

Clothing
Legumes
Bedroom furniture
Kitchen furniture

- - 30 - -
Appointment

Naming of family members


Use family photographs as material and train the user on the names and the
degrees of kinship. Attaching the photographs to this manual can be important and may serve
as a good reference.

Say what the uncle is called.../ Look at this photograph, who is it?

Come Here Come here

Come here

Come here Come here

Come here Come here

- - 31 - -
Appointment

Come Here Come here

Come here Come here Come here Come here

Come Here Come here Come Here Come here

- - 32 - -
Understanding
Semantic Evocation
The user will have to, in response to the presented words, say which semantic groups they belong to.

they refer.

I will tell you some words, you have to tell me which groups they belong to.

Laranja|Banana|Morango|Maçã

Mackerel|Sardine|Whiting|Salmon

Portugal|França|Espanha|Brasil

Refrigerator|Stove|Microwave|Toaster

- - 33 - -
Understanding
Semantic Evocation
The user will have to say some names belonging to the presented semantic categories. The
the user must name at least 4 names from each group.

From the following words, give four examples of something that is...

Cold

Liquid

Sweet

Heavy

Transparent

Red

Round

Tiring

Small

- - 34 - -
Understanding
Semantic Relations
The user will have to answer the questions presented after being given the 3 options.
Of these, only one is the correct answer.

Answer the following questions...

White is to black as cold is to...


Cor House Hot

Pele is to Man as feathers are to...

Birds Woman Coat

Hand is to glove as foot is to...

Tights Finger

The shoe is to the foot as the hat is to...

Cap Head Hair

The eraser is to erase as the pencil is to...

Write Sing Sharpen

- - 35 - -
Understanding

Grouping by semantic fields


The user will have to mark the words that are related to the highlighted word.

Group the images that relate to...

Fork
Cozinha|Areia|Faca|Bebé|Colher|Refeição|Cadeira

Bathroom
Banheira|Champo|Mesa|Sanita|Cama|Torradeira|Chuveiro

Garden
Flores|Relva|Concha|Mar|Banco|Árvore|Porta

- - 36 - -
Understanding

37
Understanding

- - 38 - -
Understanding

- - 39 - -
Understanding

- - 40 - -
Understanding

- - 41 - -
Understanding

- - 42 - -
Understanding
Identification of words by function
The user will have to name some names belonging to the presented functions. They must name
at least 4 names from each group.

Say things that serve to...

Eat
Drink
Read
Write
To sit
Cut
Brush
To comb
Buy

- - 43 - -
Reading
Identification of the intruder word
The user will have to mark the only word that does not relate to the others in the group.

Among the following words, which does not fit well here...

Azul|Verde|Olho|Vermelho|Amarelo

Braço|Perna|Cabelo|Pé|Sapato

["Airplane","Chair","Car","Train","Boat"]

Banana|Uva|Maça|Ervilha|Morango

Cozinha|Sala|Casa de banho|Quarto|Jardim

Bebé|Mulher|Homem|Rapaz|Cunhado

Mãe|Tio|Primo|Avô|Senhor

- - 44 - -
Reading
Identification of the correct word
The user will have to answer the questions presented. From the 3 options given, only
one is the correct answer.

Answer the following questions...

Where vegetables are grown


Evening|Garden|Garden

Where to take a shower


Kitchen|Living Room|Bathroom

Where to place the hat


Cabeça|Braço|Mão

Where do they sell books


Store|Library|Bookstore

Where to get a haircut


Hairdresser|Butcher|Cafe

Where to buy meat


Butcher|Charcuterie|Supermarket

- - 45 - -
Reading

Identification of similar words


The user will have to mark the words similar to the highlighted one, underlining all of them.

words that begin/end with the same sound.

Mark the words that...

1.–Words that start with the same sound

Ladder
Prestes|Mestre|Escola|Estalar|Estrada

Hat
Chuva|Escada|Cacho|Xilofone|Marcha

2.–Words that end with the same sound

Hands
["Brothers","Bread","Mattresses","Breads","Heart"]

Say
Cozer|Amanhecer|Falar|Ouvir|Beber

- - 46 - -
Reading
Reading complex orders
The user will have to mark the words to which the clues below refer.

Read the clues below, and mark in the columns what is intended.

Column A Column B Column C


Car Coat Computer
Pencil Fish Table
Doll Mason Television
Bed Shoe Tree
Lisbon Plumber Setúbal

Clues
Underline the 3rd word of column A

- Circle the names of cities

In column B, mark an X on both professions.

- Underline with 2 dashes all the words that start with C.

In which column is something that can be eaten?

- - 47 - -
Reading
Question-answer correspondence
The user will have to match the question and the answer.

"Read the questions, the answers, and connect them"

[Link] you taken the


15 years ago
compressed?

How much does it cost? Yes, I took the exam


pants? last week

3. Do you have the letter of C. Take them to


driving? to lie down

4. How long ago


It costs 30 euros
Do you work?

- - 48 - -
Writing

Writing of words through semantic evocation


The user will have to write words that belong to the following semantic groups.

From the words that follow, write four examples of things that are...

Professions Beverages
______________ ______________
______________ ______________
______________ ______________
______________ ______________

Things that are done


every day Appliances
______________ ______________
______________ ______________
______________ ______________
______________ ______________

- - 49 - -
Writing
Verbal conjugation
The user will have to rewrite the following sentences with the verbs properly conjugated.

Write the sentences below, conjugating the verb that is in parentheses.

They ask for the food


_____________________________________

Tomorrow (want) to go to the cinema


_____________________________________

We are going to the party


_____________________________________

I like to write
_____________________________________

50
Writing
Complementarity with content words
The user will have to complete the text below with the words that best fit.

Complete the text with the words you think are appropriate.

On Saturday I went to the _________________ to do some shopping.

I bought a kilo of ______________ to roast, a


a kilogram of ____________ and a packet of

____________.

I later went to the ______________ and bought alcohol and

_______________ for the pain of ________________.

On returning home, I went to a pastry shop and ate a


______________ because I was already with ___________.

- 51 -
Writing
Complementarity with function words
The user will have to complete the sentences below with the words that best fit.

Complete the sentences with the words you think are appropriate.

I'm going to Lisbon to buy some new glasses.

I am here ____ yesterday ____ to schedule an appointment.

This fish is one of the best in the region.

For those who like cinema, this movie is good.

They left through the front door because they were in a hurry.

52
Writing
Correction of sentences
The user will have to identify the error present in each of the sentences and rewrite them.
correctly.

Correct the following sentences.

I really like your sister.

____________________________________________

Today I bought some shoes.

____________________________________________

The gentlemen have finished the meeting.

______________________________________________

The dogs barked all night.

_____________________________________________

The sky is very cloudy, it must rain.

______________________________________________

I closed the book and started to read it.

- 53 -
Writing

Crosswords

The user must fill in the table below, based on the horizontal and vertical clues.
grid squares that contain the number are always the starting word grid squares.

Complete the following crossword with the clues.

1 6 7 8 10

2 9

Horizontal
1-Appliance that preserves food
Fruit of the orange tree Solution:
3-Object with letters; read 1- Frigorifico; 2- Laranja; 3- Livro; 4- Ovo;
4-Starred or Fried 5- Garfo; 6- Rádio; 7- Iogurte; 8- Gelado; 9- Relógio;
10- Stove
5-Utensil for eating with 3 tips

Vertical
6-Telephony
7-Derived from milk; liquid or solid
8-Ice cream
9-Object to see the time
10-Gas or electric appliance used for cooking

- 54 -
Writing
Crosswords
The user must fill in the table below, based on the horizontal and vertical clues. The
grid squares that contain the number are always the starting word grid squares.

"Complete the following crossword puzzle based on the clues."

2 6 10

3 7

Fruit

Horizontal Vertical
1-Grapes 6-Fruit similar to Pineapple
Monkey fruit Peach fruit
3-Small fruit; large seed 8-Orange fruit
4-Fruit of the fig tree 9-Fruit with water
5-Summer fruit; red 10-Reddish

Solução:1- Uvas; 2- Banana; 3- Nêspera; 4- Figo; 5- Morango; 6- Ananás; 7- Pêssego; 8- Laranja; 9- Coco; 10- Maça

- 55 -
Writing
Word Search
The user must mark in the letter grid below the words that are presented.

Find in the letter grid below the words related to Beach, which are
presented.

M A S O N D A Q E V I J
O G E T D U J V N C M U
T G A I V O T A L H B N
E C H I T O M R C I R T
P E R M A R E O B N E U
T M E A L O R N M E P L
D E G L G N G C T L N I
A R A G A C A H F O G T
D G D S S B N A U P N E
E U E A R I H T N D H R
I L S O F Q E S E I L F
S H O N D U C O N C H A
C O F T L I I D L E S H
B I Q E E N N B R R E L
A R E I A I A I O A T E
N A V I T S R E I L F T

Mar Shell Sand


Bikini Wave Seagull
Chinelo Diving Algae

- 56 -
Writing
Word Search
The user must mark the words that are presented in the letter grid below.

Search for the words related to Beach in the letter grid below, which are
presented.

D I N H E I R O Q L L T
O J E R N O G U T U P A
L U R O P R A F T N R D
T F O S F O R O I A O I
A O B N E T L M B U F L
G C I S A P A T O J E E
O A L U Q L N L R P S H
I V R T E S G A D S S L
T E D I N A V P L C O C
E T O C U L O S V I R P
S A P A F E D Q F Q T P
O C R N U J P I E N R A
U E E E B R E O P L V L
R J S T N U F P I A N O
A U N A O L A C A B A G
E M T I L E L E F I N E

Shoe Money Tesoura


Professor Seal Phosphorus
Piano Glasses Pen

- - 57 - -
Calculation
Counting money
The user will have to do the account with money or with images of the coins/bills that are
They are found below. The calculations involve the subtraction and addition of numerical quantities.

related to the euro currency.

Add/subtract these quantities...

Can you use images of coins instead of numbers to make it easier?

2€ + 5€ = ________
1.5€ + 0.5€ = ________
3€ + 7,25€= ________
10€ + 35€ = 45€
0,5€ + 0,65€ + 1,15€ = ________

5€-0,25€ = ________
1€-0,05€ = ________
23€-13€ = ________
33€-7€ = ________

- 58 -
Calculation

- 59 -
Calculation

Identification of coins/bills
The user should identify the coins/bills. Real coins/bills may be used.
you have the representative images

Where is the coin/bill of...

60
Calculation

- 61 -
Calculation

Problem solving
The user must prepare the calculations in order to solve the imposed problem.

Solve the problem

Problem 1.
A nationwide study aims to determine the total number of
inhabitants of the cities of Lisbon and Porto. How many people live in Lisbon and
no Porto?

DATA:
Inhabitants of Lisbon 565567
Residents of Porto 264131

62
Calculation

Problem Solving
The user must work out the accounts in order to solve the given problem.

Solve the problem

Problem 2.
In a ready-to-wear store in Lisbon, all shirts had a discount of
5.5€. If the shirts cost 23€ without discount, how much do the shirts cost now?
with discount?

- 63 -
Calculation

Problem solving
The user must calculate the accounts in order to solve the imposed problem.

Solve the problem

Problems 3.
Mr. Silva bought 4 chocolates to give to his grandchildren. Each chocolate cost
4.89€. How much did Mr. Silva spend in total.

- 64 -
Calculation

Problem solving
The user must calculate in order to resolve the imposed problem.

Solve the problem

Problem 4.
Mr. Pedro intends to divide 672 tomatoes into boxes. If each box holds 12.
tomatoes, how many boxes does Mr. Pedro need to package the 672?
tomatoes?

- 65 -
Calculation

Problem solving
The user must prepare the calculations in order to solve the imposed problem.

Solve the problem

Problem 5.
Mr. Almeida went to the supermarket to buy 1 packet of rice, 1 packet of
milk, 1 bottle of juice and 1 can of beans.

DATA:
1 pack of rice €0.89
1 packet of delight 1.00€
1 bottle of juice €1.50
1 can of beans €1.15

How much did Mr. Almeida pay at the end of the shopping?
Mr. Almeida paid everything with a 10.00€ note. How much did he receive?
change?

- 66 -
Calculation

Counting numbers - notion of quantity


The user must count the images and write the corresponding number of the quantity.

Count the images that are inside the square and write the number

- 67 -
Calculation

- 68 -

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