{"id":135814,"date":"2023-06-19T09:49:13","date_gmt":"2023-06-19T13:49:13","guid":{"rendered":"https:\/\/www.ucf.edu\/news\/?p=135814"},"modified":"2023-08-11T13:58:54","modified_gmt":"2023-08-11T17:58:54","slug":"how-ucfs-aphasia-house-helps-patients-like-kyle-burke","status":"publish","type":"post","link":"https:\/\/www.ucf.edu\/news\/how-ucfs-aphasia-house-helps-patients-like-kyle-burke\/","title":{"rendered":"How UCF\u2019s Aphasia House Helps Patients Like Kyle Burke"},"content":{"rendered":"<p>It\u2019s a Thursday morning in late April and the sound of excited voices and laughter are emanating from the large kitchen at the Aphasia House. Gathered inside are a small army of graduate students, clad in matching black polos embroidered with the name of their program: Communication Sciences and Disorders. They are all studying to become speech-language pathologists.<\/p>\n<p>It\u2019s graduation day. But not for the students.<\/p>\n<p>It\u2019s a commencement ceremony for their patients. In this case, four adults with aphasia \u2014 a communication disorder that can occur suddenly following a stroke or head injury but may also develop slowly from a brain tumor or a progressive neurological disease. June is Aphasia Awareness Month.<\/p>\n<p>One of these four patients is Kyle Burke, a constantly smiling 25-year-old who seemingly knows everyone in the room.<\/p>\n<p>He arrives at the ceremony in an orange Clemson University T-shirt. In May 2020, he was enrolled as a student and celebrating the completion of final exams and making the dean\u2019s list when the pandemic brought him back home. It was there that a skateboarding accident would leave him with a traumatic brain injury and an inability to speak, write or understand language.<\/p>\n<p>His family found the <a href=\"https:\/\/healthprofessions.ucf.edu\/cdclinic\/aphasia\/\">Aphasia House at UCF<\/a> \u2014 one of just a few of its kind in the country and known for its intensive and highly-personalized treatment.<\/p>\n<p>\u201cKyle\u2019s a young guy and I just thought, &#8216;what a perfect environment,&#8217; \u201d <a href=\"https:\/\/www.youtube.com\/watch?v=Unrj6JBiJrY\">recounts his mother, Deborah Burke, in an early interview<\/a>. \u201cThis is what he needs. He needs to be out with a bunch of people in a college environment. And he was excited.\u201d<\/p>\n<p>In October of 2021, Burke began his first delivery of the six-week program at UCF.<\/p>\n<p>On April 21, 2023, he\u2019s completed the program for what marks his eighth and final time.<\/p>\n<div class=\"embed oembed oembed-video d-flex flex-column align-items-center\">\n<div class=\"embed-responsive embed-responsive-16by9\"><noscript><iframe title=\"How UCF\u2019s Aphasia House Helps Patients Like Kyle Burke\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/Ql-8gWtlfBU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/noscript><iframe title=\"How UCF\u2019s Aphasia House Helps Patients Like Kyle Burke\" width=\"500\" height=\"281\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen data-src=\"https:\/\/www.youtube.com\/embed\/Ql-8gWtlfBU?feature=oembed\" class=\" lazyload\"><\/iframe><\/div>\n<\/div>\n<h3>Thriving Through Therapy<\/h3>\n<p>\u201cKyle came to us with severe expressive and receptive language deficits making understanding what people said to him in speech and in writing severely impaired, as well as being severely impaired in his ability to express himself,\u201d says Angela Ziegler, an instructor in communication sciences and disorders and licensed clinical aphasia educator. \u201cHe initially didn\u2019t know many of the errors he made while trying to communicate because he couldn\u2019t hear his own errors.\u201d<\/p>\n<p>Burke\u2019s treatment plan called for working on expressive and receptive language, making sure he could accurately understand what people say to him and easily formulate into words what he wants to say to others. His program consisted of individual therapy administered four hours a day, four days a week for six weeks. His therapists: a team of trained student clinicians \u2014aspiring speech language pathologists, operating under the close supervision of a faculty clinician and themselves approaching graduation from UCF.<\/p>\n<figure id=\"attachment_135833\" style=\"max-width: 339px;\" class=\"figure float-left\"><noscript><img decoding=\"async\" width=\"1200\" height=\"800\" class=\"figure-img img-fluid w-100 wp-image-135833 \" src=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal.jpg\" alt=\"Kyle Burke and graduate student Nathalie Espinal \" srcset=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal.jpg 1200w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-300x200.jpg 300w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-768x512.jpg 768w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-600x400.jpg 600w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-360x240.jpg 360w\" sizes=\"(max-width: 1200px) 100vw, 1200px\"><\/noscript><img decoding=\"async\" width=\"1200\" height=\"800\" class=\"figure-img img-fluid w-100 wp-image-135833  lazyload\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%201200%20800%22%3E%3C%2Fsvg%3E\" alt=\"Kyle Burke and graduate student Nathalie Espinal \" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%201200%20800%22%3E%3C%2Fsvg%3E 1200w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" data-srcset=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal.jpg 1200w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-300x200.jpg 300w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-768x512.jpg 768w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-600x400.jpg 600w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal-360x240.jpg 360w\" data-src=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2023\/06\/Kyle-Burke-and-Nathalie-Espinal.jpg\"><figcaption class=\"figure-caption\">Kyle Burke and graduate student Nathalie Espinal &#8217;21<\/figcaption><\/figure>\n<p>Communication sciences and disorders graduate student <strong>Nathalie Espinal \u201921<\/strong> served as Burke\u2019s clinician in the summer of 2022 and then again in the fall. She focused heavily on conversation-based therapy treatments.<\/p>\n<p>\u201cOriginally, he didn\u2019t know any of his clinicians\u2019 names,\u201d Espinal says. \u201cHe would recognize us, of course, and we had a relationship, but he had trouble with that recall. By the second semester, he knew all the names and was able to get our attention and engage in more verbal conversation.\u201d<\/p>\n<p>By design, therapy was conducted in settings Burke would expect to be in naturally, like cooking, playing games and socializing with peers. Espinal coached Burke in Response Elaboration Training, or RET, a therapy technique that allows a patient to make a simple statement, and with a therapist\u2019s assistance, expand on the original statement into something much richer and deeper.<\/p>\n<p>\u201cWe did a lot of therapy in open areas interacting with other people,\u201d Espinal says. \u201cHe would have a conversation and say a few words that were maybe not grammatically correct, but we would build on that sentence and add more details to it.\u201d<\/p>\n<p>Progress was steady, says Espinal, who personally worked with Burke up to seven hours a week over a 12-week period and drew from common interests in therapy sessions.&nbsp; Conversations covered movies, music and pop culture. Espinal also helped Burke improve his ability to use his phone to communicate with his friends.<\/p>\n<p>\u201cInitially, I worked with him on some ways to help him with texting some friends,\u201d says Espinal. \u201cHe was using Snapchat a lot. We worked on spelling for texts and building his vocabulary on certain topics and areas of interest.\u201d<\/p>\n<p>\u201cIt genuinely felt like it was becoming a friendship,\u201d Espinal says. \u201cHe was so adamant about working. He would ask about my life and my family, and we definitely bonded a lot.\u201d<\/p>\n<h3>A Graduation Speech<\/h3>\n<p>The tradition at Aphasia House graduation is for the students to make speeches, sharing reflections on the progress of their clients and personal words of hope and encouragement.<\/p>\n<p>On his graduation day, Burke also made a speech. He is the only one in his cohort of four to do so.<\/p>\n<p>Since arriving, he has changed out of his Clemson T-shirt into a black polo shirt \u2014 the same one worn by student clinicians. It\u2019s a graduation gift and a souvenir of his time at the Aphasia House.<\/p>\n<p>His parents look on. The room is silent.<\/p>\n<p><em>\u201cHi, I am Kyle. I have a brain injury. And I\u2019m\u2026.I\u2019m\u2026.phasia. I went to Clemson University, and I am from Greer, South Carolina.\u201d <\/em><\/p>\n<p>His speech is slow and deliberate. He uses his finger as a guide along the words of the paper.<\/p>\n<p><em>\u201cI love that Clemson won a bunch of football ACC championships.\u201d <\/em><\/p>\n<p>The room erupts in laughter.<\/p>\n<p>He goes on to discuss his time at the Aphasia House. At times pausing. Sometimes reversing words. But the communication is clear.<\/p>\n<p><em>\u201cIn the hospital, I cannot really speak or understand anything. Now I am\u2026can talk and understanding the news, sports and TVs. I can read and understand song lyrics.\u201d<\/em><\/p>\n<p><em>\u201cThe students and I play mini basketball together. Watching movies\u2026reading\u2026talking and listening to songs is fun. Also, we had community outings such as bowling.\u201d <\/em><\/p>\n<p>He carefully acknowledges his parents, the students, their supervisors and \u2014 ever playful \u2014 his dog.<\/p>\n<p><em>\u201cThank you for everyone helped me<\/em>.\u201d<\/p>\n<p>Burke\u2019s graduation speech is four minutes long.<\/p>\n<h3>Moving Forward<\/h3>\n<p>Research has shown that people with aphasia have higher rates of recovery when therapy is intensive, and at the Aphasia House, therapy spaces are designed to evoke a sense of home and belonging. The rooms are themed to help remind patients of favorite things: a garden room, a music room, a game room, and a garage room. Patients, students and faculty gather together in a working kitchen and a cozy living room.<\/p>\n<p>\u201cOur personal hope for Kyle is that he finds his way in this world that allows him to live well following a TBI and aphasia in whatever manner \u2018living well\u2019 feels for him,\u201d Ziegler says.<\/p>\n<p>Burke has set his sights on one day returning to school and driving a car.<\/p>\n<p>\u201cI want him to feel independent and successful,\u201d Espinal says. \u201cIt\u2019s so clear that he\u2019s willing to put in so much work to get there. It\u2019s only a matter of time before that ends up happening for him.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In honor of Aphasia Awareness Month, here is a look at how this UCF center empowers individuals with communication disorders to connect with others.<\/p>\n","protected":false},"author":57,"featured_media":135832,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"lazy_load_responsive_images_disabled":false,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"categories":[5,6],"tags":[54219,6938,16873,1016,54218,54116],"tu_author":[],"class_list":["post-135814","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-colleges","category-community","tag-angela-ziegler","tag-aphasia-house","tag-college-of-health-professions-and-sciences","tag-communication-disorders-clinic","tag-deborah-burke","tag-school-of-communication-sciences-and-disorders"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.3 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How UCF\u2019s Aphasia House Helps Patients Like Kyle Burke | University 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