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All The Things We Love About Speech Therapy With Adults

This blog is about all the things we at Sanapsis Love about Speech Therapy with Adults. 

More to like in Sanapsis Svenska!

Nana Lehtinen

We just launched our first official update to our Sanapsis Svenska (1.3), yay! To celebrate, this post will mostly be about the newly localized exercises for Swedish. So, if you are using the English or Finnish version of Sanapsis, mostly old news. But not to despair - we think one can always use a refresher. Maybe you have not been taking these exercises for a spin with your patients lately and could use some motivation to make more use of the stuff you already own. Let’s find out!

The update comes with three new exercises to our Swedish version of Sanapsis: Discussion starters, Build a question and Sentence and picture. Old favorites with many possibilities!

Let’s first have a look at Sentence and Picture / Lause ja kuva / Mening och bild. You see this one in our Reading- section, right up there in the right hand corner of the menu.

Reading menu

Reading menu

Sentence and Picture / Lause ja kuva / Mening och bild - exercise comes with two levels. Level one shows an image and two, three or four sentences, depending on the settings. Ask your patient to choose the one that matches the image. On level 1 the sentences are rather simple and very different from each other. On level 2 the setup is the same but sentences are more abstract or semantically closer. As the patient chooses a sentence the text changes color but no feedback is given by the app. It’s up to you to decide how to make the most of the material in your session.

Level 1, two options

Level 1, two options

Level 2, four options

Level 2, four options

Some of our exercises are provided to you in multiple categories. Mostly for easy access but also because we do not want you to get stuck with just one way to use the materials you have at your disposal. Creativity and flexibility, that’s what it takes to become a fluent Sanapsis user! One of these exercises is Build a question / Valitse kysymyssana / Välj frågeordet and you can find it in categories Production and Reading.

Production menu

Production menu

Reading menu

Reading menu

Build a question looks very similar to the Sentence and Picture we just introduced. So, if you know your way around that, this one is an easy step. Here you see an image, a sentence that lacks a question word and two, three or four question words. You know it by now, right? Yes! You ask your patient to choose a question word that completes the sentence. Under the info button you see in the lower right hand corner you can always find all the settings and more info on how and when to use this exercise. Nice.

Build a question, two options

Build a question, two options

Build a question, four options

Build a question, four options

For the next one we are going to looking at categories Semantics and Reading.

Semantics menu

Semantics menu

Reading menu

In both of these categories you will find a new exercise: Discussion starters / Keskustelunkäynnistäjät / Diskussioninledningar. This is a simple but powerful exercise. It comes with two levels (settings under the info button, as usual). Level 1 has straightforward questions you can mostly answer with one or two words. I love using this when introducing using AAC-methods, great for writing down some options for the patient to point at or even make use of pictures and drawings! Level 2 comes with more complex questions that invite the patient to tell more. If you hand the iPad over to your patient and let them choose the topic to discuss with you, you create a perfect place to work on making initiatives and asking for more info.

Level 1

Level 1

Level 2

Level 2

 

That it our update for Sanapsis Svenska 1.3. If you haven’t yet, you can download it for your iPad from the Appstore. Buy once, get all future updates for free (no in-app purchases, ever)!

Play around, invite your patients to play around and most importantly - let us know what you think! We love hearing what works, what could use improvement, where we have missed a typo or what you would like to see added. You can always contact us via this website or send an email to sanapsis@puheklinikka.net (in English, Finnish or Swedish). Looking forward to hearing from you!

New icons

Nana Lehtinen

Now that we have three language versions of Sanapsis, we thought it would be fun to have three different icons to display at AppStore and on your iPad. We are still in love with our color-scheme (orange, gray and white) and decided to keep things in line with that. As we also want to avoid getting mixed up with language learning apps *think flags for languages* so sticking to our trio was the obvious solution. All our apps are a collaboration of our trilingual team. However, we do play favorites..

Sanapsis

Sanapsis

Meet Sanapsis, our original English version. You could think of it as our firstborn (twin A) if you were so inclined. This one has seen a lot of testing under different circumstances and has held up rather nicely! Plays well with others and is currently under supervision of main designer, SLP Nana.

 
Sanapsis Suomi

Sanapsis Suomi

This is our twin B, Sanapsis Suomi (Finnish). This one is the one we have most direct patient feedback on and we are oh, so grateful to everybody who has been a part of bringing it to life. At the moment this one is being polished and made better mostly by our fantastic SLP Elina.

 
Sanapsis Svenska

Sanapsis Svenska

Our baby! Sanapsis Svenska (Swedish) is our latest localization and we are so exited to see it getting better with each update. First release gave you the basics and new releases will always free, as with all versions. Our Swedish version has been brought to life mostly by our talented SLP Annemari with the help of many speech language pathology students at Åbo Akademi in Turku, Finland.

Our team of SLPs (Nana, Annemari and Elina) showing off their favorites at NAC2019 (June 2019).

Our team of SLPs (Nana, Annemari and Elina) showing off their favorites at NAC2019 (June 2019).

Hej!

Nana Lehtinen

We are very, very pleased to welcome a new version of Sanapsis, Sanapsis Svenska! This means we are now officially a family of three languages, English, Finnish and Swedish.

Our Swedish version will be rolled out gradually. The first version includes 15 exercises and it is currently available in the AppStore. We chose these exercises to give you a broad first impression on what Sanapsis can do for you in planning and executing therapy sessions. There is so much more behind the scenes, we are having a hard time holding back! But let’s take a quick first look on what we have available now in our six categories.

Main menu

Main menu


Speech Production - Talproduktion

We kicked things off with our all time favorite exercises: Naming, nouns - Benämning, substantiv (514 images) and Naming, actions - Banämning - verb (300 images). These exercises provide a broad look into the images used in Sanapsis and also give you a few ideas on how to use these images in a versatile way in therapy. Precise sentence - Bilda en exakt mening also makes use of the images in Sanapsis, this time prompting your patient to produce precise and informative sentences. With examples, of course! Retell a story - Återge berättelsen introduces you to some text material we have created just for therapy.


Comprehension - Förståelse

The comprehension category includes one of my personal favorites. The simple Yes / No - Ja / Nej -exercise. Such an elegant task of listening and answering simple and complex Yes / No questions. Our instructions give examples on how and why to use this task and of course the material of 88 questions is there for you to use as well.

Questions based on text - Frågor om texten provides a little more challenge on listening, attention and deduction skills with more complex material. Please note that there are two levels for this task, Questions and Yes / No arguments.


Reading - Läsning

For the reading category we wanted to start by providing three exercises with different levels of difficulty. Word and picture - Ord och bild is a task of matching a written word to the correct image. Familiar, right? Connect sentences - Sätt ihop meningen provides sentences cut in half for your patient to connect on three different difficulty levels. Again, instructions give you ideas on how and why to use this exercise as well as background on why we think there are many important skills at play when working on these tasks. Read a story - Läs berättelsen is a more challenging task for those patients who read at paragraph level but sometimes struggle with extracting the important information on what they read.


Writing - Skrivning

For writing we included two exercises in our first version: Copy letters by hand - Kopiera bokstäverna för hand and Copy words by hand - Kopiera order för hand. These were included for our patients with more severe challenges. They make the most of iPads touch screen and are designed as a canvas for practicing writing skills maybe with your less dominant hand. Take a look, they are actually very fun to work with!






Semantics - Semantik

For the semantic category we decided to include exercises Is the simile true? - Är jämförelsen sann? and the classic, What does not belong? - Vad hör inte hemma i gruppen? Is the simile true makes use of different similes and asks your patient to use their logic reasoning and interpret figurative language in judging could the given simile be true. Again, more detailed explanations and examples in instruction in the app! What does not belong is most likely a familiar task for every SLP. Our version comes with only words, not images and provides three different difficulty levels. Some of these really challenge you and also make good tasks for reasoning and expressing your opinions. There is usually so much more potential in simple exercises than just completing a task, don’t you think?


Perseveration - Perseveration

Perseveration category introduces two serial naming tasks, Repetitive naming, numbers - Seriell benämning, siffror and Repetitive naming, letters - Seriell benämning, bokstäver. Included are prompts on screen with customizable settings and, you know it by now, instructions and ideas on why and how to make use of these exercises. So many ways to use these prompts, really hope you take time to peek into the instructions and get started with patients whose communication efficacy is lower because of a tendency to persevere.


So, the first version of Sanapsis Svenska is officially out in the world. As with all the versions, our updates and additions (yes, many many more exercises on their way) will always be free. No in-app purchases, no hassle. Please let us know what you think and send us your ideas on improvement and expansions. Looking forward to working together with a new group of friends from Sweden. Vi hörs!

Heja Sverige!

Heja Sverige!

It is time.

Nana Lehtinen

We are proud to release our latest update! 

You can now download the latest version of Sanapsis from AppStore update (Finnish, version 2.4 and English, version 2.7) with new material in many of the familiar exercises (we think of them as Oldies but Goodies) and also brand new exercises. As always, all new material is free - no In-App purchases, ever!

This time, most of the new things will be in our Reading-category with some extra sweet treats around the app. Below you will find a list of the things we hope will assist you in planning your therapy sessions this fall and beyond.

Oldies but goodies, improvements:

Word and Picture now has 260 tasks 

Sentence and Picture has 40 new tasks, making it a total of 104

Organize  a story / Järjestä tarina has changed its name to Organize instructions / Järjestä toimintaohje to better reflect the nature of the task. It also gained 7 new tasks!

Read a story got a few more stories (4 to be exact) making it 20 in total

In addition to these we have something brand new to show you: 3 brand new exercises.

What does not belong (total of 64 tasks in exercise)

Sound familiar? Yes, I am sure all of you have used this exercise many times before. In What does not belong you see a selection of words on screen. Ask your patient to look for the one that does not belong to the group. This new exercise has three different levels. Level 1 has four nouns and one of these does not belong in the same category as others. Level 2 adds two words the selection. On level 3 things get a little bit more interesting. Here you may find a noun mixed in with verbs or a selection where one of the words that has no connection to a library (an example of level 3 in the picture). Tasks on level 3 can be a challenge and thus provide material for our higher performing patients. As usual, the info text in the app provides you with ideas on how to use this exercise in many ways with different patients in therapy. 

What does not belong? Level 3. One answer could be: The word THINK does not belong as it is not directly associated with music. Can you think of other solutions?

What does not belong? Level 3. One answer could be: The word THINK does not belong as it is not directly associated with music. Can you think of other solutions?

Connect sentences (with 90 tasks in total)

This new exercise is a meaningful reading task at sentence level. On screen you see sentences cut in half. Ask your patient to read the parts of sentences on screen and arrange them to make coherent sentences. On level 1 you find two complete sentences mixed up, on level 2 three. Level 3 provides more challenge with four sentences. Working on multiple sentences at the same time makes your patient challenge their working memory, attentional control, cognitive inhibition, and cognitive flexibility - all the executive functions we need to be able to communicate effectively using any domains of language. And all this while exercising those reading skills!

Connect sentences. Level 1. Solution: Worlds oceans are still vastly unexplored.  An aeroplane flies at incredible speed. 

Connect sentences. Level 1. 

Solution: Worlds oceans are still vastly unexplored.  An aeroplane flies at incredible speed. 

Fill in letters by hand (with 224 different words)

Remember the exercise Copy words by hand? The one where you can use a finger or a stylus pen to copy words they see on screen? Well, it now has a sibling! In the new exercise Fill in letters by hand the words have lost some of their letters.. But not to worry, just ask your patient to fill in the missing letters while writing the word. Some words are easy, some are more difficult (multiple let_e_s missing). You can take advantage of this by experimenting with different channels for clues (auditory and visual) and help your patient to find the ones that are most helpful to them. You can also choose a category for the words. By choosing a category you have some context for word-finding (priming). If you leave the selection blank you will be given a random word and the difficulty for the task increases.

Fill in letters by hand. You can guess this one, right?

Fill in letters by hand. You can guess this one, right?

And a special treat for our Finnish users only, just because the language is awesome:

Järjestä tavut (180 tehtävää)

Eräs ehdottomista lempimateriaaleistani terapiassa on tavukortit. Tyypillisesti luomme näitä lennossa kynää ja paperia käyttäen, hetkessä asiakkaan tarpeita vastaamaan. Nyt päätimme vihdoin tuoda tavut Sanapsikseen, toivottavasti olemme osanneet valita mukaan sanat  ja sanaparit joista on iloa käyttäjille (ja paperikori ei jatkossa pursua pieniä lappuja enää ihan samalla tavalla kuin aiemmin..)!

Tehtäväinstruktio sovelluksessa kuuluu seuraavasti: 

Ruudulla näet vaihtelevan määrän tavuja. Yhdistettynä tavut muodostavat sanoja, joita kuntoutuja voi rakentaa tavuja liikuttelemalla. Tasolla 1 ruudulla on yksi kaksi- tai kolmitavuinen sana, esim. SA-NA tai SA-RA-NA. Tasolla 2 ruudulta löytyy 1 nelitavuinen yhdyssana, esim. VE-SI-SA-DE, josta voi muodostaa yhden tai kaksi sanaa. Tasolla 3 tavut muodostavat kaksi 2-3 tavuista sanaa esim. KO-RI ja MU-KA-VA. Tavujen määrän lisääntyessä ja rakenteen muuttuessa tehtävä vaikeutuu niin visuaalisesti kuin kognitiivisestikin. Sopivien sanojen rakentaminen tapahtuu kuntoutujan ja terapeutin yhteistyönä. Sanapsis ei anna palautetetta suorituksesta, sillä kaikki suomenkieliset sanat (joiden merkityksen kuntoutuja osaa kuvata) tietenkin kelpaavat! 

Tavutehtävää voit hyödyntää perustehtävänä sanatason merkitykselliseen lukemiseen, jossa kuntoutujan tulee itse määritellä milloin tavuyhdistelmä muodostaa merkityksellisen sanan. Halutessasi voit myös itse terapeuttina järjestää osan tavuista sanoiksi, osan epäsanoiksi ja pyytää kuntoutujaa arvioimaan mikä sanoista on oikein ja mikä väärin. Tässä versiossa harjoitat sekä lukemista, semanttista päättelyä että kriittistä työskentelyotetta. Puhumattakaan yhteistyöstä ja erilaisista kommunikointirooleista roolien vaihtuessa! Yksinkertaisia tavurakenteita voit hyödyntää myös dysartria- tai apraksiaharjoitteissa, joko toisto tai ääneenlukuharjoitteina. Usein on myös tarkoituksenmukaista yhdistää monia tavoitteita yhdellä materiaalilla toteutettuun tehtävään, ja tavusarjoillahan puheterapeutit keksivät vaikka mitä! 

MItä tapoja ja ideoita sinulla on tavukorttien hyödyntämiseen? 

Järjestä tavut, taso 2. Ratkaisu voi olla KALAKEITTO tai KALA ja KEITTO

Järjestä tavut, taso 2. 

Ratkaisu voi olla KALAKEITTO tai KALA ja KEITTO

So, there you go. Now, off to work on the next one! Hope it won't be long till I see you again with a new update. In the meanwhile, please let us know how we are doing. We love to hear from our users!