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iReadMore app provides limitless speech therapy for stroke, brain injury and Covid patients

7 July 2021

A smart app, developed 澳门历史开奖记录 Queen Square Institute of Neurology, which improves the reading ability of people who have suffered a stroke, has been a 鈥榞odsend鈥 for patients asked to rehabilitate at home during the pandemic.

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iReadMore, developed by the Neurotherapeutics Group 澳门历史开奖记录鈥檚 Queen Square Institute of Neurology, provides mobile or tablet-based reading therapy using a gamified therapy involving written and spoken words and pictures, and aims to improve word-reading speed and accuracy.

Stroke patients typically need around 100 hours of Speech and Language Therapy (SaLT), to see a marked improvement, NHS therapy is already significantly less than this and due to the pandemic NHS provisions* have been limited further.

The iReadMore app has enabled stroke patients including those with Covid-induced strokes at the National Hospital for Neurology and Neuroscience (NHNN), Queen Square, London, to have limitless hours of SaLT at the hospital and while rehabilitating at home.

In addition, the app can be used by patients with other neurological diagnoses, which cause reading impairments, including certain types of dementia.

To give as many people access to the app as possible, UCL has now added iReadMore to the Apple App and Google Play stores, making it publicly available** for android and apple smartphone and tablet users.

Two patient case studies

Paul Mylrea, aged 64, had Covid in March 2020 and during his time in hospital he went on to have two post-covid strokes caused by the coronavirus infection and was transferred for specialist care at the NHNN.

The strokes have caused Paul to develop a reading impairment called alexia causing slow and effortful reading. While recovering at home, he has been using the iReadMore therapy app to improve his reading speed and accuracy.

"The iReadMore app has been a godsend for me. My illness has spanned the entire lockdown period after developing Covid in March last year, then followed by multiple strokes,鈥 he said.

鈥淲ithout UCLH's innovative approach to stroke rehabilitation, I would probably still be waiting for help.鈥

鈥淭he iReadMore app has allowed me to work on my recuperation at home and at my own pace. The use of digital delivery makes it easy to use and entertaining.鈥

鈥淚 believe iReadMore will help both reduce the burden on the NHS and lead to more people being helped."

Peter McGriskin, 70, had a stroke in June 2012, which affected his speech and he has been using the iReadMore app for five months.

His wife, Carol, has been supporting him through his rehabilitation and spoke about Peter using iReadMore independently at home during lockdown.

鈥淚 think iReadMore is good because it gives Peter something for himself, something he can complete and be in control of, and I think that gives a big boost to his confidence,鈥 she said.

鈥淓specially during lockdown, there鈥檚 been a bit of collateral damage from it all and I know Peter鈥檚 confidence has dropped, but by doing the app, he鈥檚 getting positive feedback, and at the end of a level, I鈥檇 hear him go 鈥榶ay!鈥 when he鈥檚 got it all right.鈥

鈥淓ven after doing speech therapy at home, almost every day for nine years, it鈥檚 good the app stimulates a positive response and a willingness to continue 鈥 it gives him hope.鈥

iReadMore has been designed for and with people with acquired reading disorder (alexia) or aphasia due to a stroke, brain injury or dementia. Both conditions affect speech and comprehension.

The app helps train single word reading ability, improving both reading accuracy and speed and adapts the difficulty of the therapy to each user鈥檚 reading abilities to keep the therapy relevant and challenging without being so difficult that it becomes frustrating. This also means that iReadMore can be used by people with different types or severity or reading impairment.

It also gives users immediate feedback on their performance and has regular reading tests with results fed back to users with easy-to-understand graphs so they can track their own progress and stay motivated.

In 2018, a large randomised clinical trial*** of iReadMore demonstrated significant improvements in word reading accuracy after four weeks of training and this treatment effect was still present 3 months after participants had stopped using the therapy.

Professor Alex Leff, (UCL Institute of Cognitive Neuroscience and UCL Queen Square Institute of Neurology), helped develop iReadMore.

鈥淩eading ability is commonly affected in patients with strokes, brain injury or dementia that causes language loss. We know that the surviving brain networks can be retrained to improve reading ability, but it takes time and lots of specific practice. iReadMore provides this,鈥 he said.

鈥淏ecause the current version of the app was developed by patients, it should enable many more patients to be able to rack up the necessary practice time at their own pace and without supervision.鈥

Professor Nick Ward (UCL Queen Square Institute of Neurology) and Consultant Neurologist at NHNN is an expert in stroke rehabilitation and helped treat Paul Mylrea.

鈥淲e know that rehabilitation after stroke is important, but patients often don鈥檛 receive enough to keep their recovery going. Training without guidance or feedback can be difficult to maintain and sometimes counter-productive,鈥 he said.

鈥淲e should be striving to create stimulating and challenging ways for our patients to keep training for as long as they can and the iReadMore therapy app is a great way of doing this.鈥

Tom Langford, PhD student working on iReadMore at the UCL Queen Square Institute of Neurology, said: 鈥淪ince launching, the app has already been downloaded in every continent - except Antarctica!.

鈥淏y developing effective therapy apps that can be used at home, we are able to reach many more people around the world who may or may not have stroke rehabilitation services nearby.鈥

鈥淭his has been particularly important during the pandemic when many rehabilitation and support services have been reduced or delayed.鈥

*聽The NHS provides around 12 hours of SaLT with further face-to-face therapy available via some charities or privately.

**听Via the app store iReadMore app is available for free to people with primary progressive aphasia (a dementia related condition), or for 拢5 a month for those with stroke related aphasia, following a 7-day free trial. This cost helps cover software maintenance and user support to keep the app functioning. Any additional revenue will be reinvested into refining the iReadMore app and developing new aphasia therapy apps in the future.

***听UCL Press release, research published in聽.

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