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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.
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]
Due to speech, motor, and cognitive decline, success with AAC devices in this population is variable [14]. Overall, amplifiers and alphabet boards are the most common low-tech AAC devices and the Lightwriter is the most common high-tech AAC device assigned to people with Parkinson’s disease [14].
[29] [30] AAC devices can be no-tech (sign language and body language), low-tech (picture boards, paper and pencils), or high-tech (tablets and speech generating devices). [28] The choice of AAC device is very important and should be determined on a case-by-case basis by speech therapists and assistive technology professionals.
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Dynavox produce a range of speech generating devices, including the very small 'Xpress', and the 'Tango', which was designed particularly for children. Its newest device is called the Maestro, which, like the older V+ and VMax+ and M 3, provides options for multiple communication channels including cell phone, text messaging and e-mail.
The training protocol is based on the principles of applied behavior analysis. [3] The goal of PECS is spontaneous and functional communication. [3] The PECS teaching protocol is based on B. F. Skinner's book, Verbal Behavior, such that functional verbal operants are systematically taught using prompting and reinforcement strategies that will lead to independent communication.
Partner-assisted scanning is a technique used with children who have severe motor and communication impairments, and especially those with additional visual impairment, those who do not yet have an established alternative form of communication, or who are unable to use their usual method, perhaps because their electronic speech output device is being repaired. [3]
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