Communication and traumatic brain injury: a case study

DeRuyter, Frank; Donoghue, Kathleen

doi:10.1080/07434618912331274966

Cited by 15 publications

(7 citation statements)

References 1 publication

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“…Numerous case reports and single-case descriptions exist documenting the early use of AAC by people with TBI (e.g., Beukelman, Yorkston, & Dowden, 1985; DeRuyter & Donoghue, 1989; Light, Beesley, & Collier, 1988). In terms of documenting AAC intervention strategies effective with survivors displaying different types of communication challenges, Fager, Doyle, and Karantounis (2007) and Fager and Karantounis (2011) provide summaries across various stages of recovery.…”

Section: Traumatic Brain Injury and Aacmentioning

confidence: 99%

Current and Future AAC Research Considerations for Adults with Acquired Cognitive and Communication Impairments

Fried-Oken

Beukelman

Hux

2012

Assistive Technology

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Adults with acquired language impairments secondary to stroke, traumatic brain injury, and neurodegenerative diseases are candidates for communication supports outside of the traditional restoration-based approaches to intervention. Recent research proves repeatedly that augmentative and alternative communication (AAC) provides a means for participation, engagement, conversation, and message transfer when individuals can no longer expect full return of pre-morbid communication skills and that inclusion of communication supports should begin early. We discuss current research and future directions for integrated systems of technical supports that include low-technology, high tech, and partner-dependent strategies for adults with severe and chronic aphasia, cognitive-communication problems resulting from traumatic brain injuries, and primary progressive aphasia.

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Section: Traumatic Brain Injury and Aacmentioning

confidence: 99%

Current and Future AAC Research Considerations for Adults with Acquired Cognitive and Communication Impairments

Fried-Oken

Beukelman

Hux

2012

Assistive Technology

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“…Historically, it was not uncommon for AAC intervention to be delayed until a person's recovery and associated communication disorders stabilized [11]. Current models of AAC intervention emphasize the need to provide a series of AAC which evolves throughout recovery to meet changing needs just as the continuum of care constantly evolves during recovery, particularly for people with communication problems following traumatic brain injury [6,7,11]. AAC intervention is aimed at facilitating an individual's ability to communicate their basic wants and needs, participate in decision-making about their care and participate in therapy, and therefore ideally is initiated in the acute stages of recovery.…”

Section: Aac Strategies and Technologiesmentioning

confidence: 99%

“…During the early stages of recovery after brain injury and for people with severe changes in communication following a stroke, the ability to communicate and use AAC may be influ-enced by fluctuations in levels of alertness and other factors such as medical stability, medications, physical complications, pain and endurance. Intervention is often focused on multimodal stimulation, which emphasizes modeling and encouragement of the use of multiple verbal and nonverbal modes of communication to improve communicative efficiency and effectiveness, and should attempt to support communication of basic needs and identify a consistent yes/no response system which is often accomplished using simple, low tech strategies such as yes/no systems and picture or alphabet boards [7,23]. In the middle stages of recovery support and structure for using low tech interventions and training communication partners is emphasized.…”

Section: Aac Strategies and Technologiesmentioning

confidence: 99%

Technologies and strategies for people with communication problems following brain injury or stroke

Wallace

Bradshaw

2011

NRE

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Communication problems experienced following a brain injury or stroke not only impact a person's ability to participate in their desired social and vocational roles but may also impact their ability to participate in decision-making about their care, participate in therapy and receive counseling and education. Many technologies exist, including Augmentative and Alternative Communication (AAC), which can help increase communication and life participation following a brain injury or stroke. This article will define and describe a variety of AAC technologies and interventions for people with communication problems following acquired brain injury as well as discuss assessment, training and funding issues. communication problems following an acquired brain injury. AT for communication problems is often called Augmentative & Alternative Communication (AAC) and refers to the use of both technologies and strategies which aid communication. The use of AAC for communication problems is most often presented as a form of compensation which is contrastive to other interventions which focus on restoring cognitive-communicative competence and/or physical speech production. However, some would argue the use of AAC provides avenues for restoration of communication skills in children and adults and for acquiring speech and language skills in the pediatric population, as children who are given AAC may develop speech faster than they might have otherwise [4,31]. In some cases it appears supporting communication through compensation may improve a person's communication such that they are able to participate in therapeutic interventions and receive counseling and education [23] as well as participate in goal setting and planning related to their own care and recovery. AAC can impact communication in a variety of contexts including communication of wants and needs, sharing information, socialization and intrapersonal Technologies and strategies for people with communication problems communication [2,26,30]. Successful implementation of technologies and strategies to aid communication can result in meaningful improvements in quality of life and reduce the risk of avoidance and social isolation some people experience following the onset of communication problems. Supporting a person's communication can be a critical factor influencing a person's ability to communicate their needs, participate in decision-making about their care, function within their community and maintain meaningful relationships. AssessmentGiven the dynamic nature of communication and the relationship of physical, mental, emotional and behavioral abilities to communication, using a team approach to assessment and intervention is ideal. The AAC team may be composed of the person with communication problems, caregivers, speech-language pathologist, AAC or AT specialist, occupational therapist, physical therapist, counselor, therapeutic recreation specialist, vocational rehabilitation counselor or others. Assessment of communication abilities should include inventories of...

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“…In the majority of cases, it is a common practice for AAC intervention to be initiated with delay, and speech therapists usually apply AAC strategies only after the patient's recovery and associated communication disorders are stabilized (Fager, 2005). Different models of AAC intervention that are currently used in practice require methods which change and develop throughout the rehabilitation process to meet the altered/improved needs of the person, particularly for people with communication deficit related to neurological conditions (Fager, Doyle & Karantounis, 2007;Campbell, Baladin, & Togher, 2002;Deruyter & Donaghue, 1989). The primary goal of the AAC intervention is to facilitate a patient's ability to express their basic needs, to ensure their participation in decision-making about their care, and actively take part in therapy.…”

Section: /116mentioning

confidence: 99%

Highlights Of Principles Used For Augmentative And Alternative Communication Assessment In Patients With Central Nervous System Disorders

Mkrtchyan

2020

AJSE

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Different technologies are used, including Augmentative and Alternative Communication (AAC), which can improve communication competences and life participation in patients with neurological conditions and communication deficits. The assessment of patients for the AAC need is a complex procedure encompassing not only speech and language assessment but also evaluation of cognitive, motor, visual, auditory, perceptive, and a variety of other general factors that influence the process of AAC method selection. Different standardized linguistic tools are used in the assessment process. Reassessments are an indisputable part of the AAC intervention process. Training of patients, caregivers, and other primary communication partners is imperative to ensure the successful use of communication technologies. The patients must take part in assessor controlled device trials to reveal the most appropriate AAC technology. Whenever needed, the AAC training ensures the permanent use of the technologies, providing ongoing support to the families once the skilled intervention is discontinued.

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Communication and traumatic brain injury: a case study

Cited by 15 publications

References 1 publication

Current and Future AAC Research Considerations for Adults with Acquired Cognitive and Communication Impairments

Current and Future AAC Research Considerations for Adults with Acquired Cognitive and Communication Impairments

Technologies and strategies for people with communication problems following brain injury or stroke

Highlights Of Principles Used For Augmentative And Alternative Communication Assessment In Patients With Central Nervous System Disorders

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