Six exercises. All aphasia-specific.
Every exercise targets word retrieval or auditory comprehension, the two core deficits in post-stroke aphasia. Nothing borrowed from stuttering, voice, or general cognitive rehab.
Aphasia-specific exercises
Your SLP assigns exercises from this library based on the patient’s deficit profile. Each exercise logs cueing data per attempt, not just a binary correct/incorrect grade.
Listen and Repeat
Auditory-verbal
An audio model plays the target word. The patient repeats it and the recording is captured. Each attempt is stored independently so the clinician can hear production quality across the session.
Evidence: Targets the auditory-verbal processing loop. Most effective for patients with severe word-finding deficits who need a phonological scaffold before each attempt.
Picture Naming
Word retrieval
A photograph appears on screen. The patient names it without any audio prompt. On first miss, a semantic cue is shown. On second miss, a phonological cue. Both cues are logged against the attempt.
Evidence: The most-studied anomia treatment protocol. Semantic-then-phonological cueing mirrors the PHOLEXSEM hierarchy used in clinical practice.
Finish the Sentence
Sentence completion
A sentence plays with the final word omitted. The patient produces the missing word. The sentence frame reduces lexical retrieval load by providing strong syntactic and semantic context.
Evidence: Cloze tasks activate syntactic completion pathways. Sentence-final words are the lowest-load retrieval target, making this exercise accessible to patients with moderate-to-severe deficits.
Spelling
Orthographic output
An image appears with no audio or text prompt. The patient types the target word letter by letter. Orthographic production reinforces phonological representation.
Evidence: Based on Copy and Recall Treatment (CART). Writing via digital input has shown generalization effects on connected speech in aphasia.
Finding Words
Cued word retrieval
A two-tier cueing task. The patient attempts to name a word. Semantic cue on first miss. Phonological cue on second. Every cue used is logged per attempt, giving the clinician a quantified record of retrieval difficulty.
Evidence: Combined phonological and semantic cueing outperforms either approach alone. Cue logging provides data that self-graded apps cannot.
Read Aloud
Oral reading
A sentence or phrase appears on screen. The patient reads it aloud. Based on Oral Reading for Language in Aphasia (ORLA): audio model plays first, then the patient reads independently.
Evidence: ORLA trials show significant improvements in reading fluency and connected speech. Repeated practice of the same passage accelerates gains.
Every cue used is logged, not just whether the patient got it right
Most home practice apps record a binary correct/incorrect grade. That data is not enough for clinical decision-making. ReSpeak logs whether the patient needed a semantic cue, a phonological cue, both, or neither, across every attempt.
Cueing summary
Picture Naming session · 18 attempts
No cue needed
Independent correct production
Semantic cue
Category or function hint
Phonological cue
First sound or syllable
Target not produced
Cues given, no correct attempt
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