Augmentative Communication Technology: Strategies, Features, and Rehabilitation Approaches through Lingraphica Devices, Programs, and Apps! Andrew Jinks, MA CCC-SLP, ATP! Speech-Language Pathologist! Augmentative Communication Consultant! UPMC Center for Assistive Technology! University of Pittsburgh Medical Center! Pittsburgh, Pennsylvania!! Victoria Stezzi, RN, BSN! Manager! Business Development and Sales! Lingraphica Company! Princeton, New Jersey!
Disclaimer!!! Andrew Jinks is an employee of the University of Pittsburgh Medical Center. He is not affiliated with and receives no financial compensation from the Lingraphica Company.! " Victoria Stezzi is an employee of and thereby receives financial compensation from the Lingraphica Company. "
Outline!! AAC and Aphasia"! Research and History of Lingraphica products"! Software Features"! Case Study"! Lingraphica Therapy "! Expanding to other Communication Disorders"
Why AAC and Aphasia?! versus! Traditional Therapy:! Restore linguistic function, then clinicians use compensatory strategies to deal with residual deficits! AAC Therapy:! Facilitates language restoration as supported by functional tasks, patients then use alternative synthesized speech to convey messages!
Benefits of AAC with Aphasia! Convey medical and personal information! Promote repetition ability! Improve word retrieval! Portability of devices! Focus on visual strengths! Ease error communication! People! Military! Veteran!
Aphasia-Related Challenges Using AAC! Agrammatical Language! Memory / Learning! Impairments! Symbolic Processing Disorder!!! "!#!$! Physical Impairments! Comprehension of Synthesized Speech! Importance of AAC! Facilitators!
Iconicity! Iconicity: The conceived similarity or association between the form of a sign (linguistic or otherwise) and its meaning!! Message Representation:! Logos more meaningful than Orthographic spelling! %&'()!
Iconicity! Logos Grouped by Subject! Car Manufacturers! Football Teams!
Iconicity! Photo icons:! Easily recognized, real life images! Colorful! drawing icons:! Colorful drawings that represent nouns and concepts! Animated icons:! Images that move and represent an action verb! Text icons:! Not as easily recognized, show letters, numbers and short words!
Iconicity! Drawing Icon! Custom Picture Icon! Photo Icons! Animated Verb! Speech Pathologist! My Speech Pathologist Lisa! Casino! Golden Gate Bridge!
The Science Behind Lingraphica! WRITTEN WORDS! AUDITORY CUES! HIGHLY ENGAGING! VISUAL CUES! MULTI-MODALITY STIMULATION IMPROVES COMMUNICATION!
Shift in Intent!
Evolution of SGDs! 1991! 1996! 2001! 2006! 2011!
Today s SGDs! Portability! Adult-specific! User Friendly! Support!
Personalization! Medical Page!
Contextual Scenes!
Case Study! A.W. a 52 y.o. female s/p left hemorrhagic CVA, September of 2011. Married with 2 teenage children. Ambulates with cane. Business degree, former administrative assistant in husband s graphic design company.!! Non-fluent aphasia with moderate-severe verbal apraxia Mild auditory comprehension deficits, Effortful single words with few short phrases. Repeats words of 1 2 syllables, Severe anomia, Reading comprehension at sentence level. Prints some familiar words.!
A.W. Previous Therapy Approaches!! Multiple therapy sessions at different sites over past 4 years.!! Currently using ipad with Facebook and Proloquo2Go!! Uses iphone for contact lists and calling family members!! PLQ2Go limitations navigation, programming, synthesized speech models, icons.!
A.W. AAC Evaluation! Evaluated with:!! ipad with Proloquo2go!! DynaVox T-10!! Lingraphica All-Talk!! PRC Vantage!! Trial with Lingraphica TouchTalk!! Obtained Lingraphica MiniTalk!
A.W. with Lingraphica MiniTalk!
AAC Therapy 14 sessions between 9/14 2/15!! Category Review!! Repetition!! Customization!! Word search!! Programming!! Interaction - Questions!! Device Competencies!!! Operational; Social; Linguistic; Strategic!! Assess CADL; Picture Description; Conversation!!
AAC Therapy with MiniTalk! Conveying! T-shirt (Clothes) and! Fishing (Leisure Recreation) describing WAB Picture!
AAC Therapy with MiniTalk! Conveying: Doctor Neurologist (Medical Medical People)! Wheelchair Sling (Medical Equipment), Paper and Boy (People)! Using Lingraphica MiniTalk! A.W. using Facebook on ipad in conjunction with MiniTalk to convey personal information!
Expanding Products!
Expanding Products! DYSPHAGIA!
Expanding Products! ORAL MOTOR!
Expanding Products!! FREE app! Device simulation with a screening tool! ipad-only app
Expanding Products! Task-based, Online Therapy Platform! APP! ONLINE!
Expanding Products! Task-based, Online Therapy Platform! Four language categories Three cognitive categories Difficulty levels ranging from 1-7
Expanding Products! Task-based, Online Therapy Platform! An easier matching task in the Reading category A difficult navigation task in the ADL category
Expanding Products! Task-based, Online Therapy Platform! SLPs create a customized Plan from their dash board. Clients only their customized plan.
Expanding Products! Task-based, Online Therapy Platform! Robust reporting capabilities offer visibility into client performance in all seven categories.
Try All Lingraphica Products for FREE! Start a FREE Trial with! a Speech-Generating Device! Create a FREE Account on TalkPath Therapy! www.aphasia.com!
Questions & Answers!