Aphasia Intervention Strategy: ( ORLA ) A Practical Approach for Improving Communication skills.
Introduction.
ORLA or Oral Reading for Language in Aphasia is a reading treatment for people with aphasia. It is focus on reading full sentences rather than single words. It is an evidence – based practice. ORLA is a structured therapy technique to provide increasing levels of difficulty and allowing patients to gradually develop confidence and skills .ORLA originally develop for target to reading comprehension skills ,but it also beneficial for increasing auditory comprehension ,fluency ,prosody ,memory and other aspect of speech and language.
Participation population.
People (adults) with mild to moderate chronic fluent and non-fluent aphasia such as Broca’s aphasia, who have intact literacy skills to increase receptive language.
ORLA may be too advanced for people who have severe comprehension or reading impairments.
Pre-requisites or contraindications .
Patient should have some ability to match words to spoken
words.
Person who has severe cognitive impairments, significant
visual deficits , profound auditory
comprehension impairments may limits effectiveness using ORLA.
And also person who had sever apraxia of speech may also be
a contraindication.
Material with illustrated examples
the techniques can be used with any text. For instance, an
SLP can select a news article or any text about a topic of interest
 |
| Sentence |
 |
| Paragraph. |
A brief description of the steps involved in technique .
HOW TO DO THE ORLA.
Step 1
Find a stimulus sentence or paragraph .
Step 2
Therapist read aloud to the patient, articulating carefully.
The therapist’s mouth is visible to patient.
Step 3
The therapist reads aloud to the patient points to each word
as it is read.
Step 4
Therapist read the sentence aloud again .This time ,patient point to each word as it is read and attemps to read each word aloud in unison with the therapist.Step 5
Doing the step 4 again ,this time the voice of therapist fades
out at the end of the sentence. It helps to patient to read the word aloud
independently.
Step 6
For each line or sentence , the therapist ask patient to point to the word what therapist said .(These words can
be noun ,verb or functional words.)
Step 7
For each line or sentence ,the therapist points to a word
for the patient to read aloud.
Step 8
The patient reads aloud the whole sentence aloud again in
unison with therapist.
Let's See Video Demonstration.....
Sample outcome about technique.(Measurements.)
Home-based activity based on the objectives/principles of the ORLA.
- · Select the appropriate material (choose sentence or short paragraph according to his reading level and his or her preference.
- · Do the same steps in ORLA with care giver. Like caregiver read aloud text , read with patient together and point target words .
- · Given time for patient to reads the text alone ,with assistance as needed.
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