Auteure: Garric Clémentine, Master in Cognitive Neurosciences
At Vocalyx : Adaptation of communication content to different cognitive profiles of application users
How to use Vocalyx in a fun and rehabilitative way? This article aims to present and popularize 3 exercises that can be carried out with people with Alzheimer's. They are also suitable for people with aphasia.
The results of a study carried out in retirement homes show that "ecological" exercises , i.e. : exercises involving everyday actions or scenes are beneficial to people with Alzheimer's disease
Some speech-language pathologists use Vocalyx to work on the lack of the word in Alzheimer patients. Communication keyboards dedicated to expressing everyday expressions are already a source of rehabilitation. However, thanks to the format of Vocalyx keyboards with categories, photos, audio messages, it is possible to imagine playful exercises.
This is the challenge that Vocalyx proposed to Hélène Chappot de la Chanonie, Léa Croze and Laura le Cam, three students in Speech Therapy integrate into Vocalyx an exercise that stimulates the cognitive abilities of an Alzheimer person.
Par Hélène Chappot de la Chanonie
This keyboard corresponds to a trombinoscope of the user's family :
You have probably already shown a family photo to your loved one, and tried to find some names with him/her. The trombinoscope presents several advantages to the family photo to give the user landmarks generations are differentiated by line and by color and when one clicks on the face of a close relative that orally enunciates his first name but also brings on the important information or memories related to this person .
For example, personalized key when clicking on the user's brother:
The first step of personalization to complete the trombinoscope is in itself an exercise to perform with the person to try to collect memories and information. Once the keyboard is made, the user benefits from a complete interactive trombinoscope that can restore confidence before or during a visit by a relative.
It may seem inappropriate to represent a generation of dead people (parents, uncles and aunts) on the trombinoscope. However, in Alzheimer's disease, the autobiographical memory of early life is in most cases better preserved than any other more recent memory. The memory of parents and family members is therefore very important when you are a child; talking with your loved one about their parents can bring out many memories.
Cognitive stimulation :
- Eccisodic/autobiographical memory : Memory of personal information (family, event)
- Working memory Memory of last actions performed, for example remember who I started with? On which photo I clicked ?
Par Laura Le Cam
This keyboard corresponds to a exercise of evocation at different places.
The exercise consists in listing what can be found in each of these places, first 5 items, then 5 more items if the person easily finds the first 5. The instruction is read by the synthesis voice and written in the reading bar when a place is selected. This also gives access to a sound or visual cue if the user wishes. Example, le salon :
There is no answer given, the accompanying person can validate or invalidate the answers.
Cognitive stimulation :
- Semantic memory : memory common to everyone (for example, remembering that a cucumber is a vegetable), as opposed to episodic memory focused on the individual's memories.
- Exisodic/autobiographical memory: Some objects do not belong particularly to a place (for example, a clock in the kitchen) but were present in places inhabited or frequented by the user.
Par Léa Croze
This exercise features the preparation of a recipe from A to Z.
This exercise is a level of difficulty higher than previous ones, because it involves a lot of
planning. The companion first helps to define the user's favourite dish. Once you agree on the dish, simply navigate step by step and answer the questions (Which foods to choose? Where to shop? Which utensils to use) using images to select.
- Executive functions : plan an action in several steps
- Working memory : maintain information, remember previous step (key ability of executive functions)
- Semantic memory : find among appropriate words among foods, places and utensils.
- Episodic/autobiographical memory Find appropriate words among foods, places and utensils.
These 3 exercises have in common to deal with topics of everyday life while stimulating users differently. The accompaniment of the persons is important not to leave them in a situation of failure and to support the realization of the exercises. You can find them on your Vocalyx application via the following path : HOME > KEYBOARDS > DOWNLOAD > PUBLIC KEYBOARDS. You can download as many communication keypads as you want, just connect the device to the internet.
You are a speech therapist? Occupational therapist? Neuropsychologist? These exercise keyboards are above all examples of what it is possible to do in the application, everything is modifiable and customizable. Thanks to tree systems, visual and sound supports, access to our photo and pictogram databases, you can create your exercises and save them for sharing with several patients equipped with the Vocalyx application.