Intensive Comprehensive Aphasia Programme (ICAP) with Cognishine
>20 Minutes
Saved in session planning
50-75%
Improvement in session outcomes
76-100%
Increased client motivation
The Settings
Linguistic Resolutions is a leading independent provider of specialist Speech and Language Therapy (SLT), with a strong focus on neurorehabilitation. Its expert team works across both community and remote settings to support adults and children with acquired brain injuries, including individuals with complex communication and swallowing needs.
The service delivers personalized, evidence-based assessment and therapy as part of a collaborative, interdisciplinary approach. Operating within both private practice and medico-legal contexts, Linguistic Resolutions is dedicated to helping clients rebuild their confidence, communication abilities, and functional independence.
At the heart of its work is a commitment to empowering individuals—supporting recovery, restoring autonomy, and enhancing well-being following life-altering neurological events.
The Challenge
A key challenge in clinical practice is the ongoing need for innovative, personalized, and professionally designed therapy resources that can be prepared efficiently. While various digital platforms exist to support impairment-focused and strategic therapy, many fall short in usability, flexibility, and engagement. Prior to adopting Cognishine, therapists frequently encountered outdated and repetitive tasks that lacked customization, offered limited options for home practice, and provided no tools for tracking client progress.
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Cognishine is such an engaging platform for both clients and clinicians. It is enjoyable to work with alongside my clients and my team enabling everyone to be included in the rehab process who needs to be.
The Solution
Increased flexibility through sharing of tasks, progress tracking and enabling team and patient collaboration of ideas. It is portable, innovative and not samey, resources can be bespoked and are engaging.
Client 1: 74 year old male, aphasia and apraxia of speech
Lack of engagement in therapy, despite recognising a need.
Impairment language tasks are hard for this client and evoke errorful patterns. We have successfully therefore used the cognitive tasks on the platform to practice and use his intact thinking skills and gain success as a basis for practicing and improving his language skills needed to discuss real life activities and events. This meant the client had the support of familiar contexts, visual aids on the screen which help his comprehension significantly, and was feeling real success and enjoyment from getting the task right whilst also practicing the strategies which are difficult in saying and communicating what it was about.
Client 2: 69 year old male, haemorrhagic stroke
Moderate-severe non fluent expressive aphasia with apraxia of speech. Experiencing word finding difficulties, semantic and phonological paraphasias with some perseveration on word. Goals identified: to know what to do 'in the moment' when I get stuck; To write a short sentence; To be able to talk more about my everyday life.
We used Cognishine picture prompts (focusing on areas of interest) to ask the client to create simple spoken and written SVO sentences, using this as a step up from more scaffolded therapy tasks such as VNest. We also used the picture prompts to facilitate drawing and gesture practise, building on his skills as a total communicator and working to increase confidence. We used naming tasks to encourage practise of circumlocution, incorporating the semantic feature analysis model. Social situations images, verb pictures and picture prompts were also used to facilitate response elaboration therapy.
Results
The client enjoyed the activities
Particularly ones with animals and videos which brought to life what he had been figuring out or expressing (dog jumping into a swimming pool for example). Cognishine gave focus, success and an indirect benefit of being able to practice speech and language skills where this was less of the focus. The ability to easily create a profile and share tasks also enables home practice.
The ability to easily create a profile and share tasks also enables home practice.
It is worth noting that many of these tasks were handed over to the client to continue practising in his own time via a board that was easily shared with him.
The client gradually became a fantastic total communicator
Over the course of therapy the client gradually became a fantastic total communicator, using his strategies of gesture, mime and drawing brilliantly in conversation. Cognishine was very valuable in providing us with resources to help develop these skills. The client also began to spontaneously generate SVO sentence structures, with increased length of spoken utterance, again a goal achieved that had been supported through use of Cognishine materials.
Cognishine has saved me a huge amount of time in terms of resource preparation. It has encouraged self-management and enabled increased intensity of therapy as clients are able to independently continue with practise outside of sessions. There is a great variation in resources presented via Cognishine. I was able to find resources targeting key interests for all of the clients, for example, from winter sports to favourite musicians/bands.
Conclusion
We certainly recognise Cognishine as another tool in our box for supporting people with aphasia and CCD. It would be one of the core 'go to' screen based systems we would now routinely think of using with our clients. It is up to date, vibrant, and portable.
Cognishine was a real time saver during the delivery of ICAP. It helped us generate ideas for therapy tasks and gave us access to appealing, contemporary images that clients were very engaged with. It also facilitated easy access to self directed therapy outside of sessions.
Cognishine offers remarkable flexibility and portability, making it adaptable to the unique needs of each patient. It excels in setting tasks, gathering feedback, and presenting results effectively. While rooted in an impairment-based model, it thoughtfully incorporates real-life functionality that therapists often seek in content. The platform also facilitates the integration of strategic interventions with clients, relying on the therapist's skill to maximise its potential. Overall, Cognishine serves as a robust foundation for therapeutic work.
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