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Visual Action Therapy

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by

Samantha Lowe

on 9 November 2014

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Transcript of Visual Action Therapy

Level 1 - Includes steps 1-12
Uses real objects, pictures of the objects, and action pictures

Level 2 - Includes steps 6-12
No real objects are used, only action pictures

Level 3 - Includes steps 6-12
Only object pictures are used

Levels
What is Visual Action Therapy?
Include a 12 step procedure:

1. Match Pictures and Objects (placing objects on pictures)
2. Picture-Object Matching (placing pictures on objects)
3. Picture-Object Matching (pointing to objects)
4. Picture-Object Match (pointing to pictures)
5. Object Use Training
6. Action Picture Demonstration
7. Following Action Picture Commands
8. Pantomimed Gesture Demonstration
9. Pantomimed Gesture Recognition
10.Pantomimed Gesture Production
11.Representation of Hidden Objects Demonstrations
12.Production of Gestures for Hidden Objects
Steps of Visual Action Therapy
Must have experienced a left hemisphere stroke
Severe aphasia
no use of verbal or gestural communication
Moderate-to-severe limb/oral apraxia
Inability to produce everyday gestures
e.g. waving hello/goodbye
Moderate abilities of cognition in order to perform visual perception, attention, and memory skills
Attentive, cooperative, and motivated for 30 minutes
Population for Visual Action Therapy
There are no specific trainings needed for Visual Action Therapy

However, all speech-language therapy methods should be performed by a licensed speech-language pathologist
Special Training Needed for Visual Action Therapy
References
Visual Action Therapy

By: Tia Hawker, Rachael Lindgren, Samantha Lowe and Sarah Snowa
"Designed to train people with severely restricted spoken and written expression and both limb and oral ideomotor, apraxia, and to produce symbolic gestures for the purpose of communication" (Helm-Estabrooks, Albert & Nicholas, 2014, p.365)
A hierarchical, organized, and nonverbal program
Visual Action Therapy:
Intends to reduce apraxia through the use of gestures
Improves patient's verbal expression or ability to use symbolic gestures as a means of communication
Generalize skills for purposes of communication in a variety of settings
Step 1
Place pictures on the table in front of the client
Give the objects to the client
Have the client place the object on top of the picture they represent without verbal instruction
Must score a 4.5 in order to move on to step 2
Step 2
Randomly place objects on a table in front of the client
Hand the client pictures of the objects
Have the client place the picture on top of the object they represent with no verbal instructions
Must score a 4.5 in order to move on to step 3
Step 3
Collect pictures and rearrange the objects
Hold up the picture
Have the client point to the object that represents the picture being held by the clinician
Must score a 4.5 in order to move on to step 4
Step 4
Collect objects and rearrange the pictures
Hold up the object
Have the client point to the picture that represents the object being held by the clinician
Must score a 4.5 in order to move on to step 5
Step 5
The clinician places one object at a time in front of the client
The client must pick up the object laying on the table in front of them
Next, the client must demonstrate the object's functional use without assistance in order to receive credit for the task
Must score a 4.5 in order to move on to step 6
Step 6
Place an object and an action picture in front of the client
The clinician points to the picture, picks up the object, and demonstrates the use of the object
This item is not scored and is used as a teaching method
Step 7
Place all of the objects on the table in front of the client
Hold up an action picture until the client does the corresponding action of the object represented in the picture
Must score a 4.5 in order to move on to step 8
Step 8
Place each object on the table slightly away from the client
The clinician will pantomime each object's function after pointing to the object
This item is not scored and is used as a teaching method
Step 9
Place each object on the table slightly away from the client
The clinician will pantomime an object's function
The client must point to the corresponding object of the clinician's pantomime
Must score a 4.5 in order to move on to step 10
Step 10
Show objects to the client
The client must produce the correct gesture without touching the object
After the clinician removes the object, the client must continue to gesture the object that was shown
Must score a 4.5 in order to move on to step 11
Full credit (1) = immediate production
Half credit (.5) = delayed production
Step 11
The clinician places two objects on the table in front of the client
The clinician must pantomime the objects before hiding them under a box
The clinician removes one object from the box and gestures the function of remaining, hidden object, while pointing to the box
This item is not scored and is used as a teaching method
Step 12
The clinician places two objects on the table in front of the client
The clinician instructs the client to pantomime the objects before hiding them under a box
After six seconds, the clinician removes one object from the box and indicates that the client should gesture the function of remaining, hidden object, while pointing to the box
Must score a 4.5 in order to move on to Level 2

Chapey, R. (2008). Language
intervention strategies in aphasia and related neurogenic communication disorders (5th ed.). Baltimore, MD: Lippincott Williams & Wilkins.
Helm-Estabrooks, N., Albert, M. L., &
Nicholas, M. (2014). Manual of aphasia and aphasia therapy (3rd eds.). Autsin, TX: PRO-ED, Inc.

Additional Resources:


Helm-Estabrooks, N., Fitzpatrick, R. & Barresi, B. (1982). Visual action therapy for global aphasia. J
ournal of Speech and Hearing Disorders, 44,
385-389.


Ramsberger, G., & Helm-Estabrooks, N (1989). Visual action therapy for bucco-facial apraxia. In T. E. Prescott (Ed.),
Clinical aphasiology conference proceedings,
395-400. Boston, MA: College Hill.

Full transcript