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Stephen Hawking (1942–2018), astrophysicist and prominent SGD user. Speech-generating devices (SGDs), also known as voice output communication aids, are electronic augmentative and alternative communication (AAC) systems used to supplement or replace speech or writing for individuals with severe speech impairments, enabling them to verbally communicate. [1]
The most common device is a handheld, battery-operated device pressed against the skin under the mandible which produces vibrations to allow speech; [1] other variations include a device similar to the "talk box" electronic music device, which delivers the basis of the speech sound via a tube placed in the mouth. [2]
An AAC user indicates a series of numbers on an eye gaze communication board in order to convey a word. Augmentative and alternative communication (AAC) encompasses the communication methods used to supplement or replace speech or writing for those with impairments in the production or comprehension of spoken or written language.
Example of basic PECS communication board. The Picture Exchange Communication System (PECS) is an augmentative and alternative communication system developed and produced by Pyramid Educational Consultants, Inc. [1] PECS was developed in 1985 at the Delaware Autism Program by Andy Bondy, PhD, and Lori Frost, MS, CCC-SLP. [2]
The term "orthophonic" had previously been used in connection with speech therapy; an 1870 book mentions a therapist who "devised a series of orthophonic exercises to restore the harmony between nervous action and the organs of articulation." [7]
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