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A patient reads “dog” easily. And the non-word “slib” without hesitation. But show them “plaid" and they said "played." The word "island" becomes "iz-land." What's going on here? 🤔 Answer: surface alexia (the phonological route is intact; irregularly spelled words are a struggle) If you got that – kudos! 🤗 Even if you nailed the diagnosis, the treatment details for surface alexia might be rusty. As SLPs, we're expected to hold a lot of information in our brains. Aphasia, dysphagia, cognition, motor speech, AAC, fluency, voice, and everything else on the caseload. Our scope of practice is HUGE. 🤯 Great SLPs use great resources. Like this: These cheat sheets are part of a bigger batch of reading handouts that were just added to the Tactus Virtual Rehab Center 🎉 Here's what's new:
All of these (and more) are in the Handout Vault, free to access during your 3-week trial.
No pulling out your grad school notes, looking for research articles, or second-guessing your treatment. Just a quick peek and you're back with your patient. Confident and ready to go. 💪 Try the Virtual Rehab Center free for 3 weeks and you'll never go back! Warmly, P.S. The Handout Vault has over 100 handouts. Memory, word finding, apraxia, dysphagia, oral care, AAC... go explore. 👀 Honestly, the Vault alone is worth it. P.P.S. Missed our alexia deep dive? Read it here → |
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Your brain keeps two records of everything you read. One stores the gist. This is the meaning, the shape of it, what it was roughly about. The other stores the verbatim trace: the actual words, the specific details, the data point in the third paragraph. The gist is durable. It sticks around, gets consolidated into long-term memory, and becomes part of what you "know." The verbatim trace is fragile. It starts degrading almost immediately. To be fair, it's supposed to. Retaining every word of...
Reading a text message. Skimming a menu. Catching up on the news. Most of us don't think twice about these things... until we can't do them the way we used to. After a stroke or brain injury, reading often gets harder, slower, and more exhausting. If you've noticed this, you're not alone. 🧠 What's going on in the brain Reading isn't a single skill. It's a complex chain of steps your brain performs in a fraction of a second: recognizing letters, combining them into words, pulling meaning from...
Hey Reader – Quick question: when you get a new aphasia referral, how much of your evaluation is focused on reading? Alexia tends to be a small part of the assessment, and while functional reading always gets a goal in the treatment plan, the depth of evaluation and treatment it actually warrants often gets squeezed out by everything else on the caseload, right? 🙈 Given that over 80% of people with aphasia present with alexia… that’s a gap worth noting. The thing is, “acquired alexia” isn’t a...