ABSTRACT
The authors review the alternative or augmentative communication approaches that are traditionally coordinated by the otolaryngologist. They also introduce the otolaryngologist to recent developments in services for the individual who is nonspeaking.
Subject(s)
Communication Aids for Disabled , Communication Disorders/rehabilitation , Self-Help Devices , Age Factors , Child , Child, Preschool , Communication Disorders/diagnosis , Humans , Infant , Infant, NewbornABSTRACT
Criteria for determining candidacy for an augmentative communication system are reviewed. Included is a consideration of cognitive, oral reflex, language, motor, intelligibility, emotional, chromological age, previous therapy, imitative, and environmental factors. The multiple factors are arranged on a branching type decision matrix, which yields a decision to either elect, reject, or delay implementation of an augmentative communication system. Case data demonstrating application of the decision matrix are presented.
Subject(s)
Communication Aids for Disabled , Self-Help Devices , Adolescent , Age Factors , Child , Cognition , Decision Making , Female , Humans , Reflex , Speech Disorders/physiopathology , Speech Disorders/psychology , Speech Disorders/rehabilitation , Speech TherapyABSTRACT
In order to study the effects of different rates of rhythmic auditory stimulation on the phonemic accuracy of speakers who have apraxia of speech, eight apraxic subjects read four equated monosyllabic passages under one control and three experimental conditions. In the experimental conditions, rhythmic auditory stimulation provided by a metronome was imposed at each subject's oral reading rate as well as 75% and 125% of this established rate. In the control condition, the subjects read without any accompanying rhythmic stimulation. It was found that the stimulus supplied by an auditory metronome did not significantly improve the phonemic accuracy of these subjects. Articulatory accuracy tended to deteriorate under imposed rhythmic stimulation.
