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Speech Therapy: Stroke/Aphasia

About Cuespeak

Cuespeak is a new Speech and Language Therapy workstation for iOS devices featuring a suite of therapy exercises produced in the UK by a specialist in aphasia, a communication disability caused by stroke and other neurological disorders.

Teacher Review

Cuespeak is designed for use both by clinicians and by people with aphasia. The exercises are suitable for adults with moderate-severe aphasia, including those diagnosed with apraxia of speech and those with associated cognitive problems.

Cuespeak can be used both with and without a therapist present. The ideal scenario is to start a session with a specialist speech and language therapist, who will configure the programme to the individual’s needs. The person with aphasia will then use the app for independent practice until the next session with the therapist.

The exercises in Cuespeak feature a large amount of spoken feedback on errors and spoken cues to facilitate spoken word production. They are also highly customisable to the needs of each individual. The programme allows the user to organise exercises into sessions which run automatically at the single press of a button. And there is humour!

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App Details






Communication Skills
Academic Relevance


In-App Purchases - No


Jon Hunt

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Screenshots for Cuespeak

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“Brilliant! The most comprehensive aphasia app I have ever seen!” Kit Clewley, SLT, Keep Communicating, North Wales

“Hugely impressive… It’s the first time I’ve seen a language therapy app that really makes use of the potential of the technology” Dr. Anna Caute, Division of Language and Communication Science, City University of London

“Cuespeak has become the ‘go to’ app in our team. The contents and design clearly show the developer understands aphasia therapy and what people with aphasia and their therapists want” Laorag Hunter, SLT, NHS Tayside, Scotland

Cuespeak is a professional rehabilitation tool for people with speech, language and cognitive difficulties after stroke or brain injury. Produced in the UK and now used in many NHS hospitals, Cuespeak contains over 3000 images, 1700 videos showing target words being spoken and broken down into syllables and sounds, and more than 10,000 spoken prompts.

Cuespeak moves beyond traditional 'picture naming' approaches towards a more dynamic 'question and facilitated answer' format which seeks better to emulate the processing demands of conversation. The 10,000+ spoken prompts include questions, spoken feedback on errors and 'closure cues' designed to elicit spoken production of target words and phrases.

Exercises from any of the ten therapy modules can be highly customised to individual needs and combined into a complete bespoke therapy programme which will run automatically at the single press of a button. This enables people even with significant cognitive problems to carry out prolonged, intensive, independent practice to supplement their face-to-face therapy programme.

Exercises cover:

Spoken word retrieval and production
Sentence construction and production
Asking questions
Understanding spoken language
Semantic associations

An advanced settings menu allows SLTs to tailor exercises for very specific linguistic needs. Target words can be selected according to number of phonemes (sounds), number of letters, number of syllables, first and last sounds, grammatical word class and thematic role. Results capture both accuracy and speed of responses and are displayed over time in graph form.

With the exception of the articulation videos, Cuespeak can run fully without internet connection, making it easy to use on the move.

This version of Cuespeak is aimed at UK users, using British English throughout and with cultural references geared towards the UK. However, a filter is provided to remove UK-specific questions if desired.

“This is the best therapy tool I have ever used. The levels, variety, clear pictures and breakdown of material are perfect. I introduced it to my dysphasic client just now and he was beaming with delight. The app both challenged him and gave him material he could do easily. He was delighted to read, select choices and then repeat grammatically correct sentences for the first time in 2 years.” Elizabeth McBarnet, SLT, Lismenary Speech and Language Clinic, N. Ireland.

Cuespeak is currently free to download, while offering optional auto-renewing subscription-based in-app purchases.

Subscription Names: Concession / Recommended / Philanthropist
Subscription cost: £3.99 / £9.99 / £19.99 (GBP)
Subscription duration: 1 month - auto renewing every month
Terms of use:
Privacy policy:

– Payment will be charged to iTunes Account at confirmation of purchase
– Subscription automatically renews unless auto-renew is turned off at least 24-hours before the end of the current period
– Account will be charged for renewal within 24-hours prior to the end of the current period
– Subscriptions may be managed by the user and auto-renewal may be turned off by going to the user's Account Settings after purchase
– Any unused portion of a free trial period, if offered, will be forfeited when the user purchases a subscription to that publication, where applicable

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