Comparison

Cuespeak vs Ratio S/Z

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Cuespeak

This app provides speech and language rehabilitation exercises for individuals with difficulties following stroke or brain injury. It offers a wide range of customizable activities for speaking, understanding, reading, and writing, designed for home or clinic use.

Highlights
  • Expert-developed exercises
  • Personalized therapy sessions
  • Engaging and interactive activities
  • Weekly new content updates
  • Session sharing via email
  • Mobile accessibility
Features
Read full description

Supercharge your speech therapy with Cuespeak, the NHS-recommended rehabilitation tool for people with speech, language, and cognitive difficulties after stroke or brain injury. Designed for use in both home and clinic, Cuespeak offers a huge range of exercises to work on aphasia and apraxia of speech, addressing speaking, understanding, reading and writing. Key Features: - Expert-Developed Content: Access hundreds of exercises developed by specialist speech and language therapists - Personalise it: Customise your therapy sessions and add personalised content such as names of family and friends - Engaging and Fun: Cuespeak’s interactive exercises are relevant to real life to keep you motivated - Up to date: New content added every week, including the latest items from the news - Share sessions via email: Allows you to get help from someone in another location - Accessible on the move: Use Cuespeak on your iPhone or iPad, so you can practise anytime, anywhere, making therapy convenient and flexible Who is it for? - People with speech and language difficulties seeking a home therapy tool - Caregivers and family members supporting a loved one’s recovery following stroke or brain injury What users have said: - “I just wanted to thank you for your marvellous programme. My husband has severe aphasia but has not lost his intelligence. Your programme stimulates his interest – there is no dumbing down. Keep up the good work. We love the humour in Cuespeak” Home user - “This is the best therapy tool I have ever used” Elizabeth McBarnet, Speech & Language Therapist, N. Ireland - "I can’t stress enough how much I love this app. I have been using it today with a lady with apraxia and aphasia and she was just so excited by how relevant it was to her life!” Bev Snowden, Senior Specialist SLT, North Devon Healthcare Trust

About

Ratio S/Z

Features
Currently charting
Read full description

Ratio S/Z is an app designed by Andreu Sauca, an experienced speech therapist and phoniatrician. It has been conceived as a tool for the evaluation and the monitoring of voice rehabilitation. Purpose: The app registers the maximum expiration and phonation time and the calculation of the phonation quotient (or ratio S/Z) by using the highest of the three values in each. The ratio S/Z test is a crucial part in every protocol of voice exploration. There might be different professional purposes for taking the test. In addition to the exploration purpose, the ratio S/Z can be used as a re-evaluation in case of being monitoring or before being discharged. In some cases, it can also be prescribed as a training for different objectives (this app can be used both by the speech therapist and by the patient) or as a screening tool to detect voice problems among some collectives such as teachers. Procedure: With the aid of the chronometers integrated in the ratio S/Z, the professional registers three samples of the highest time taken in the production of the [s] and other three samples on the highest time production of the [z]. Each chronometer shows the obtained values and highlights the highest one in blue. Automatically, the app uses these values to calculate the S/Z quotient, which appears in green or in red to indicate whether it is pathological or not. The interpretation of results varies according to some parameters (age and gender) is accessible through a specific button. As the age and sex of the patient can vary the interpretation of the results, a button allows the selection of which kind of patient is undergoing the test. This will give us not only a more accurate result, but it will also evaluate the phonation time length, this is a novelty of this app. Characteristics: -Careful design to enable an easy access and a right understanding of the results. -Two chronometers with three partial storing boxes each individually resettable. -Selection of the type of patient according to age and gender. -Resounding examples of the requested sound. -Color code to identify the result fields and buttons. -Start, stop and reset buttons for each chronometer. -Informative window about the test. -Help window to ease the interpretation of results, adapted to it. -Export your results to pdf. -Languages: Spanish, Catalan, Italian and English. More soon.

Screenshots

Cuespeak4 screens
Ratio S/Z4 screens

Verdict

The call

The clearest difference is price: Cuespeak at Free against Ratio S/Z's $2.99. Cuespeak also leads on update cadence (every 3 weeks vs every 3 months). Ratio S/Z's advantage is in-app purchases (none vs 7) and chart position (#174 vs unranked). On ads and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Cuespeak is free to download; Ratio S/Z costs $2.99 up front. Cuespeak sells 7 in-app purchases, starting at $3.99 per month. Ratio S/Z asks for nothing beyond the download.

UpkeepUpdate frequency

Cuespeak ships an update every 3 weeks, Ratio S/Z every 3 months. Both last shipped on October 29, 2026.

Scorecard5 real differences · 6 level
Cuespeak versus Ratio S/Z: the parameters behind the verdict, then further details
ParameterCuespeakRatio S/Z
PriceFree — better$2.99
Rating4.7 (89 ratings) — better—
Positive reviews84.0% of reviews—
Number of ratings89 — better—
Update frequencyEvery 3 weeks — betterEvery 3 months
AdsNoNo
In-app purchasesYesNo — better
MonetizationFree with in-app purchases—
Best chart rank—#174 — better
DevicesiPhone, iPad, iPodiPhone, iPad, iPod, Apple Watch — better
Requires iOS15.011.0 — better
Further details — not scored
Size124 MB25 MB
Age rating12+12+
DeveloperCuespeak LimitedMarina Sauca

In-app purchases

7 purchases

Cuespeak

Subscriptions5
  • Legacy 1$3.991 Month
  • Legacy 2$3.991 Month
  • Legacy 3$3.991 Month
Show 2 more
  • Monthly auto-renewing1 Month trial$7.491 Month
  • Monthly auto-renewing$12.991 Month
One-time2
  • 1 year license (non-renewing)$129.99
  • 3 year license (non-renewing)$399.00
None

Ratio S/Z

No in-app purchases

Questions

Is Cuespeak free?
Cuespeak is free to download, with in-app purchases available.
Is Ratio S/Z free?
Ratio S/Z costs $2.99, with no in-app purchases.
Do Cuespeak or Ratio S/Z have ads?
Neither Cuespeak nor Ratio S/Z shows ads.
Which is updated more often, Cuespeak or Ratio S/Z?
Cuespeak ships an update every 3 weeks, and Ratio S/Z every 3 months. Most recently, Cuespeak was updated on October 29, 2026 and Ratio S/Z on October 29, 2026.

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