Use of Braille and tactile stimulation in rehabilitation of a blind aphasic patient Megumi Nakazawa 1 , Minoru Kobayashi 1 , Tomoko Onodera 1 , Eri Nakamura 1 1Department of Rehabilitation, Iwatsuki Neurosurgical Center Keyword: 全盲 , 点字 , 失語症 , SLTA , total blindness , Braille , aphasia , SLTA pp.115-121
Published Date 2010/7/15
DOI https://doi.org/10.11477/mf.6001100246
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 We had an opportunity to evaluate and treat a patient who has been totally blind since early childhood and had aphasia due to a cerebral infarction after a subarachnoid hemorrhage. For a totally blind aphasic person, we cannot use the visual stimuli that are usually used, such as picture cards or letters, so we replaced the visual stimuli in the Standard Language Test of Aphasia (SLTA) with objects and Braille for evaluation. We also used objects, Braille, and auditory stimuli for treatment. The patient's aphasia type was considered to be a transcortical sensory aphasia at onset, but during the course of recovery, it changed to an anomic aphasia, judging from the fact that the patient's word finding was slightly delayed, paraphasias decreased, and the amount of utterances increased. As we evaluated all of the language modalities similarly to those for sighted aphasic persons by using SLTA, it was elucidated that errors would occur both in reading and writing Braille that are similar to oral reading and writing errors in a sighted person, wherein the importance of evaluation was reconfirmed. When treating blind aphasic persons, it is necessary to be aware that they may have greater limitation in communication compared to sighted aphasic persons.

Copyright © 2010, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.


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