Augmentative and alternative communication: Does it have a future in aphasia rehabilitation?

Abstract Augmentative and alternative communication (AAC) techniques have been used in aphasia treatment for the past two decades. This paper examines the multiple ways in which non-speech modes have been applied—as an alternate means of communication, a means of facilitating the re-acquisition of spoken language skills, and to enhance specific language and communication functions—and the results that have been realized. The assumption that AAC techniques offer minimal assistance to the adult with language impairment is critically examined. Future directions for clinical practice, research and technology are discussed.

[1]  N. Varney,et al.  Linguistic correlates of pantomime recognition in aphasic patients. , 1978, Journal of neurology, neurosurgery, and psychiatry.

[2]  Daniel B. Hier,et al.  Incongruous oral and written naming Evidence for a subdivision of the syndrome of Wernicke's aphasia , 1977, Brain and Language.

[3]  Guido Gainotti,et al.  Comprehension of symbolic gestures in aphasia , 1976, Brain and Language.

[4]  David R. Beukelman,et al.  Augmentative and alternative communication for adults with acquired severe communication disorders , 1988 .

[5]  D R Beukelman,et al.  Nonvocal communication: performance evaluation. , 1980, Archives of physical medicine and rehabilitation.

[6]  K. Nelson,et al.  Sign language acquisition in a mute autistic boy. , 1976, The Journal of speech and hearing disorders.

[7]  A. Holland.  Observing functional communication of aphasic adults. , 1982, The Journal of speech and hearing disorders.

[8]  Wayne H. Ward,et al.  High level knowledge sources in usable speech recognition systems , 1989, CACM.

[9]  A. Miller,et al.  Cognitive-developmental training with elevated boards and sign language , 1973, Journal of autism and childhood schizophrenia.

[10]  A. Guilford,et al.  Manual communication skills in aphasia. , 1982, Archives of physical medicine and rehabilitation.

[11]  Vaughn Gr,et al.  Hand signals for dysphasia. , 1970 .

[12]  Effects of speech and speech and sign instruction on oral language learning and generalization of action + object combinations by Down's syndrome children. , 1984, The Journal of speech and hearing disorders.

[13]  Janice Light,et al.  Interaction involving individuals using augmentative and alternative communication systems: State of the art and future directions , 1988 .

[14]  C. Code,et al.  Treating severe speech and limb apraxia in a case of aphasia. , 1986, The British journal of disorders of communication.

[15]  A. Allport,et al.  Symbolically speaking: Communicating with blissymbols in aphasia , 1989 .

[16]  D. Premack,et al.  Language in chimpanzee? , 1971, Science.

[17]  David R. Beukelman,et al.  A comprehensive augmentative communication system for an adult with Broca's aphasia , 1989 .

[18]  E. Kaplan,et al.  DISTURBANCE OF GESTURE AND PANTOMIME IN APHASIA. , 1963, Brain : a journal of neurology.

[19]  R. Fouts,et al.  Acquisition of American Sign Language by a noncommunicating autistic child , 1976, Journal of autism and childhood schizophrenia.

[20]  N. helm-estabrooks,et al.  Visual action therapy for global aphasia. , 1982, The Journal of speech and hearing disorders.

[21]  R Mayberry,et al.  If a chimp can learn sign language, surely my nonverbal client can too. , 1976, ASHA.

[22]  S. Blumstein,et al.  Frequency, picturability and availability of nouns in aphasia. , 1969, Cortex; a journal devoted to the study of the nervous system and behavior.

[23]  H. Kirshner,et al.  Selective involvement of the auditory-verbal modality in an acquired communication disorder: Benefit from sign language therapy , 1981, Brain and Language.

[24]  Madge Skelly,et al.  Amer-Ind Gestural Code Based on Universal American Indian Hand Talk , 1979 .

[25]  A. Kraat,et al.  Communication Interaction between Aided and Natural Speakers: A State of the Art Report. Second Edition. , 1985 .

[26]  Howard Gardner,et al.  Visual communication in aphasia , 1976, Neuropsychologia.

[27]  R. Duffy,et al.  Communicative Use of Signs in Aphasia: Is Acquisition Enough? , 1985 .

[28]  E. J. Moody.  Sign language acquisition by a global aphasic. , 1982, The Journal of nervous and mental disease.

[29]  Edgar Zurif,et al.  The relation between gesture and language in aphasic communication , 1979, Brain and Language.

[30]  H. Gardner.  The contribution of operativity to naming capacity in aphasic patients. , 1973, Neuropsychologia.

[31]  J. Dore.  Holophrases, speech acts and language universals , 1975, Journal of Child Language.

[32]  Randall W. Smith,et al.  American Indian Sign (Amerind) as a Facilitator of Verbalization for the Oral Verbal Apraxic. , 1974 .

[33]  R. Fouts,et al.  Acquisition and Testing of Gestural Signs in Four Young Chimpanzees , 1973, Science.

[34]  David R. Beukelman,et al.  Communication augmentation : a casebook of clinical management , 1985 .

[35]  Robert T. Wertz,et al.  Processing of visual syntax in a globally aphasic patient , 1989, Brain and Language.

[36]  Michael Weinrich,et al.  Representations of ‘verbs’ in a computerized visual communication system , 1989 .

[37]  J. D. Bonvillian,et al.  Language Development in Another Mode: The Acquisition of Signs by a Brain-Damaged Adult , 2013 .

[38]  R. D. Bock,et al.  Psycholinguistic study of aphasia: a revision of the concept of anomia. , 1956, The Journal of speech and hearing disorders.

[39]  Beatrice T. Gardner,et al.  Two-Way Communication with an Infant Chimpanzee , 1971 .

[40]  C. Wallesch,et al.  Treatment of chronic global aphasia with a nonverbal communication system , 1985, Brain and Language.

[41]  Kenneth Mark Colby,et al.  A word-finding computer program with a dynamic lexical-semantic memory for patients with anomia using an intelligent speech prosthesis , 1981, Brain and Language.

[42]  M S Gazzaniga,et al.  Artificial language training in global aphasics. , 1973, Neuropsychologia.

[43]  K. Heilman,et al.  Wernicke's and global aphasia without alexia. , 1979, Archives of neurology.

[44]  Gregg C. Vanderheiden,et al.  Communication, Control, and Computer Access for Disabled and Elderly Individuals. ResourceBook 4: Update to Books 1, 2, and 3. , 1987 .

[45]  Robert T. Wertz,et al.  Computer-based visual communication in aphasia , 1989, Neuropsychologia.

[46]  T. V. Gill,et al.  Lana (chimpanzee) learning language: A progress report , 1974 .

[47]  A. Koller,et al.  Speech Acts: An Essay in the Philosophy of Language , 1969 .

[48]  S. Calculator,et al.  Evaluating the effectiveness of a communication board training program. , 1983, The Journal of speech and hearing disorders.

[49]  Bruce G. Buchanan,et al.  Understanding Artificial Intelligence , 1985 .

[50]  E. Bates.  Language and context: The acquisition of pragmatics , 1976 .

[51]  M. Wilcox,et al.  Adult Aphasia Rehabilitation: Applied Pragmatics , 1985 .

[52]  Alan F. Newell,et al.  A communication aid which models conversational patterns , 1987 .

[53]  H. Goodglass,et al.  Specific Semantic Word Categories in Aphasia , 1966 .

[54]  D. Bricker.  Imitative sign training as a facilitator of word-object association with low-functioning children. , 1972, American journal of mental deficiency.