Assistive Technology
Strategies and Solutions for
   People with Degenerative
     Neurological Disorders

     Carolyn P....
Agenda
• Define & Explore the degenerative
  neurological disease (DND) process

• Research Updates

• Considering AT & Ma...
Credits Available!
• CEU’s - Visit www.aacinstitute.org to
  register for CEUs
• 1.5 CRC's available

• Email Liz – Liz@ga...
“Technology gives me hope & I
     need a lot of Hope!"
        ~ Earnestine
Categories of Acquired Disabilities
Permanent - stable
• Spinal Cord Injuries
• Traumatic Brain Injuries (TBI)
• Cerebrova...
Cognition
• The act or process of knowing or being aware of
  thoughts or perceptions; the various thinking
  skills and p...
What is a Spinal Cord Injury?
• Spinal Cord Injury (SCI) is damage to the spinal cord that
  results in a loss of function...
What is Huntington‟s Disease?
• Huntington's Disease (HD) is a devastating, degenerative
  brain disorder for which there ...
Stages & Symptoms for HD
• Early Stage - Symptoms of Huntington's Disease may
  affect cognitive ability or mobility and i...
More info about HD & Hope!
• HD typically begins in mid-life, between the ages of 30 and
  45, though onset may occur as e...
Exciting Research Update!
• February 15, 2008, News on Therapeutic Compounds (Irvine, CA)
• According to the University of...
Exciting Update!
• January 31, 2009: News on Drugs that may delay the onset or
  slow down HD (Dallas, TX and Vancouver, B...
What is Muscular Dystrophy (MD)?
• Muscular Dystrophy (MD) is defined as a group of
  genetic (inherited) degenerative dis...
Neuromuscular Diseases recognized by the
Muscular Dystrophy Association (MDA)
 • There are currently 8 different categorie...
Signs and Symptoms of MD
Some Main symptoms include:
   •   Progressive muscular wasting
   •   Poor balance
   •   Freque...
More about MD & Hope!
• Onset, symptoms, stages of muscle atrophy, progressive
  weakness and life expectancy are all dete...
Research & Exciting News for MD!
• MDA is the world's largest non-governmental
  sponsor of research seeking the causes of...
Exciting Research Updates!
2007
   – The FDA has approved U.S. sales of the enzyme-replacement drug
     Lumizyme, the fir...
What is Amyotrophic Lateral Sclerosis
(ALS) ?
• Amyotrophic lateral sclerosis (ALS) is a
  neurodegenerative disease that ...
More Info about ALS & Hope!
• The facts about ALS are sobering: Every day, an average of 15 people
  are newly diagnosed w...
What is Multiple Sclerosis (MS)?
• Multiple sclerosis (MS) is a life-long chronic disease
  diagnosed primarily in young a...
Symptoms of MS
• Symptoms of MS may be mild or severe and of long
  duration or short and appear in various combinations. ...
More Info about MS & Hope
• There is as yet no cure for MS. Until recently,
  steroids were the principal medications for ...
Considering Accommodations and
      Assistive Technology
Why Assistive Technology?

• For a person without a
  disability, technology
  makes things easier…

• For a person with a...
Assistive Technology Matching:
          A TEAM APPROACH
    The Person with the disAbility
    Circle of Support – Fami...
Family Centered Approach in AT
• Families & Family of Choice are primary source of care giving
  for many individuals with...
Human Activity Technology (HAAT) Model
• Human: represents the skills and abilities of the person
  with a disability
• Ac...
Promoting Strengths & Managing
         Weaknesses
A Holistic Approach
Selection of an AT Device
Depends on an analysis of the following conditions:
  •    Prior experience or knowledge, and in...
Most Effective Technological Products

•   Able to level out the playing field
•   Work in cross-settings
•   Portable
•  ...
Staying off the FAST Track!

       Frustration
       Anxiety
       Stress
       Tension
Components of
Evidence Based Practice (EBP)
What is a Direct
      Brain-Computer Interface?

        … a system that captures signals directly from the
      human b...
Brain Signal Detection
               Techniques
                              Invasive: implanted electrodes (single neur...
Restoring Motion - Neural Prosthetics

Brain “re-learns” how to move limbs via an
artificial nervous system


Simulation
•...
The “Aware „Chair”
                     Integrated communication
                     and environmental control
          ...
Solutions for DND & AT
•   Energy Savers
•   Access
•   Memory Aids
•   Attention
•   Organization
•   Communication Aids
Tilt in Space and Reclining
      Power Wheelchair
           • Combination of both
             features allows for
     ...
Getting to Work
Abbreviation Expanders




•   Abbreviation Expanders benefits students who struggle with writing.
     • WordQ
     • Rea...
Microsoft Word

           •   Auto-correct
           •   Auto-text
           •   Auto-summarize
           •   Template...
Speech Recognition Software
• Turn spoken words into
  text

• Connect with the timing
  of your thoughts

• Dictation spe...
Digtial Voice Recorder

              • Speech-to-text
                software
              • Converts audio data to
   ...
WordQ
       http://www.wordq.com/
• WordQ predicts
  what you are typing
  and presents you
  with a list of
  correctly ...
Solutions for DND & AT
•   Energy Savers
•   Access
•   Memory Aids
•   Attention
•   Organization
•   Communication Aids
Adjusting Accessibility Options




• StickyKeys: Press One Key at a Time for Key Combinations
• FilterKeys: Ignore Brief ...
REACH
• On-screen keyboard
• Word/sentence
  completion
• Speech augmentation
• Scanning keyboard
  options
• Automatic wi...
Software Modifications
• Sticky keys
• Slow keys or
  disable auto-
  repeat
• Modify
  keyboard
  mappings
• On-screen
  ...
Mouse alternatives
          • Trackball
          • Proportional
            joystick
          • Switched joystick
     ...
Keyboard Modifications
• Keyguards
• Alternative layouts
  – Reduce
    movement
  – One-handed
    keyboards,
    possibl...
ERICA – Eye Response Technology

               • Control computer by
                 using eyes

               • Mouse ...
Solutions for DND & AT
•   Energy Savers
•   Access
•   Memory Aids
•   Attention
•   Organization
•   Communication Aids
WATCH MINDER

      • Assist with alerts
      • Program as
        medication
        reminder
      • Large Screen
     ...
Solutions for DND & AT
•   Energy Savers
•   Access
•   Memory Aids
•   Attention
•   Organization
•   Communication Aids
Magnifiers
• Several different
  types of magnifiers
• Helps pull words off
  the page
• Less strain on the
  eyes
• Magni...
Hear-It
• Increased phonological
  awareness for all
  auditory input-results in
  better focus and
  comprehension
• Noti...
WYNN
 • Enhances Reading,
   Writing, and
   Comprehension
 • Word Prediction,
   dictionary, thesaurus,
   homophones, sp...
Solutions for DND & AT
•   Energy Savers
•   Access
•   Memory Aids
•   Attention
•   Organization
•   Communication Aids
Solutions for DND & AT
•   Energy Savers
•   Access
•   Memory Aids
•   Attention
•   Organization
•   Communication Aids
Apple iPad
•   Multi- touch screen
•   Thousands of apps
•   Surf web
•   iTunes
•   Videos
•   Organization
•   Voice Ove...
Apple iPod Touch
        •   Pocket computer
        •   Thousands of apps
        •   Videos
        •   Surf Web
       ...
Lite Tech/Low Tech
• Nonvoice tools

• Simple Voice output

• Less than $1500
  – Developed by Libby Rush & Mary Joan McCl...
Low/Lite or No Technology AAC
• Alphabet supplementation

• Topic boards

• Voice amplifier            Sample Voice Amplif...
Non-voice Tools
Lingraphica

   SmallTalk aphasia – FREE!
      turns your iPod or iPhone into a mobile
      accessory to the Lingraphica...
Lingraphica
    Aphasia Facts

•   Major cause in US is stroke ~700,000
    strokes/year

•   New aphasia cases per year ~...
iPhone /iPod Applications



               Proloquo2go




http://www.proloquo2go.com/resources/article
             /int...
Favorite: iPhone /iPod Applications
  Coming soon in the iTunes Store !




by Jennifer Marden, CCC-SLP
  www.TechnicallyS...
Table of Contents
1. An Introduction to AAC Services for Adults with Chronic Medical
Conditions: Who, What, When, Where, a...
Want to try equipment?
Visit Your Local ATRC
Resources

•   HDSA                                www.hdsa.org
•   ALS                                 www.alsa.org
•   M...
Questions
Help us Improve!

• Please complete a brief evaluation of today‟s
  Tools for Life Webinar at:

http://www.surveymonkey.co...
Contact Us

Carolyn Phillips                  404-638-0390
Tools for Life Program Director
                               ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
Assistive Technology Strategies and Solutions for People with ...
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Assistive Technology Strategies and Solutions for People with ...

  1. 1. Assistive Technology Strategies and Solutions for People with Degenerative Neurological Disorders Carolyn P. Phillips & Liz Persaud Tools for Life www.gatfl.org
  2. 2. Agenda • Define & Explore the degenerative neurological disease (DND) process • Research Updates • Considering AT & Matching individuals with AT
  3. 3. Credits Available! • CEU’s - Visit www.aacinstitute.org to register for CEUs • 1.5 CRC's available • Email Liz – Liz@gatfl.org – for your CRC Verification Form
  4. 4. “Technology gives me hope & I need a lot of Hope!" ~ Earnestine
  5. 5. Categories of Acquired Disabilities Permanent - stable • Spinal Cord Injuries • Traumatic Brain Injuries (TBI) • Cerebrovascular Accidents (CVA/Stroke) Permanent - degenerative • Amyotrophic Lateral Sclerosis (ALS)* • Multiple Sclerosis (MS) * • Parkinson‟s Disease • Alzheimer‟s Disease • Huntington's chorea (HD)* • Muscular Dystrophy (MD)* • Acquired Immune Deficiency Syndrome (AIDS) • Friedreich's Ataxia
  6. 6. Cognition • The act or process of knowing or being aware of thoughts or perceptions; the various thinking skills and processes are considered cognitive skills. – Cognitive Ability - Intellectual ability; thinking and reasoning skills. – Cognitive Limitation - Difficulty with one or more of the basic functions of the brain: perception, memory, expression and processing skills.
  7. 7. What is a Spinal Cord Injury? • Spinal Cord Injury (SCI) is damage to the spinal cord that results in a loss of function such as mobility or feeling. Frequent causes of damage are trauma (car accident, gunshot, falls, etc.) or disease (polio, spina bifida, Friedreich's Ataxia, etc.). The spinal cord does not have to be severed in order for a loss of functioning to occur. In fact, in most people with SCI, the spinal cord is intact, but the damage to it results in loss of functioning. SCI is very different from back injuries such as ruptured disks, spinal stenosis or pinched nerves. • A person can "break their back or neck" yet not sustain a spinal cord injury if only the bones around the spinal cord (the vertebrae) are damaged, but the spinal cord is not affected. In these situations, the individual may not experience paralysis after the bones are stabilized. www.spinalinjury.net
  8. 8. What is Huntington‟s Disease? • Huntington's Disease (HD) is a devastating, degenerative brain disorder for which there is, at present, no effective treatment or cure. HD slowly diminishes the affected individual's ability to walk, think, talk and reason. Eventually, the person with HD becomes totally dependent upon others for his or her care. Huntington's Disease profoundly affects the lives of entire families: emotionally, socially and economically. This hereditary disorder in 1872, HD is now recognized as one of the more common genetic disorders. More than a quarter of a million Americans have HD (40,000) or are "at risk" of inheriting the disease from an affected parent. HD affects as many people as Hemophilia, Cystic Fibrosis or muscular dystrophy.
  9. 9. Stages & Symptoms for HD • Early Stage - Symptoms of Huntington's Disease may affect cognitive ability or mobility and include depression, mood swings, forgetfulness, clumsiness, involuntary twitching and lack of coordination. • Mid-Stage - As the disease progresses, concentration and short-term memory diminish and involuntary movements of the head, trunk and limbs increase. The most common involuntary movement is chorea*. Walking, speaking and swallowing abilities deteriorate. • Late Stage - Eventually the person is unable to care for him or herself. Death follows from complications such as choking, infection or heart failure. • – info gathered from HDSA
  10. 10. More info about HD & Hope! • HD typically begins in mid-life, between the ages of 30 and 45, though onset may occur as early as the age of 2. Children who develop the juvenile form of the disease rarely live to adulthood. HD affects males and females equally and crosses all ethnic and racial boundaries. Each child of a person with HD has a 50/50 chance of inheriting the fatal gene. Everyone who carries the gene will develop the disease. • In 1993, the HD gene was isolated and a direct genetic test developed which can accurately determine whether a person carries the HD gene. The test cannot predict when symptoms will begin. However, in the absence of a cure, some individuals "at risk" elect not to take the test.
  11. 11. Exciting Research Update! • February 15, 2008, News on Therapeutic Compounds (Irvine, CA) • According to the University of California at Irvine‟s Dr. Leslie Thompson and her collaborator, Larry Marsh, have tested compounds shown “in fruit flies and mouse models to suppress HD neurodegeneration.” Scientists use “low doses of each single drug that together provide an even greater benefit while minimizing toxic side effects. The use of a Drosophila [fruit fly] model of HD to test possible therapeutic compounds allows us to rapidly assess potential treatment regimens prior to testing in mammalian models with great savings in cost and time. These results also raise the possibility that these particular combinations or other similar types of compounds could prove effective in future human trials.” • For more information, visit the website of National Academy of Sciences at www.nas/edu or consult the Proceedings of the National Academy of Sciences at www.pnas.org.
  12. 12. Exciting Update! • January 31, 2009: News on Drugs that may delay the onset or slow down HD (Dallas, TX and Vancouver, BC) • Dr. Michael Hayden, Dr. Ilya Bezprozvanny in collaboration with Dr. Rodolfo Llinas and Dr. Bruce Kristal have discovered that drugs commonly used to treat psychiatric illnesses and blood disorders in humans may protect the brain cells that die in people with HD, thus delaying the onset and slowing the progression of the disease. • Drs. Bezprozvanny and Hayden found that while using the medium spiny neurons of mice that carry a copy of the mutated human huntingtin gene, treatment of the cells in culture with the drug Enoxaparin prevented inappropriate calcium release and prevented cell death. Enoxaparin (also sold as Lovenox) is an anti-coagulant that is FDA-approved in humans for use in treating blood clots. Dr. Llinas made the initial discovery that Enoxaparin acts as a calcium blocker and provided the team with Enoxaparin samples for the studies. • GINA
  13. 13. What is Muscular Dystrophy (MD)? • Muscular Dystrophy (MD) is defined as a group of genetic (inherited) degenerative disorders that affect the muscles. MD causes the muscles in the body to atrophy and progressively weaken. The muscles break down and are replaced with fatty deposits over time. In some forms of muscular dystrophy, cardiac and smooth muscles are affected. • The muscular dystrophies are the most known hereditary diseases. • Info from MDA
  14. 14. Neuromuscular Diseases recognized by the Muscular Dystrophy Association (MDA) • There are currently 8 different categories of neuromuscular diseases recognized by MDA. – MUSCULAR DYSTROPHIES – MOTOR NEURON DISEASES – INFLAMMATORY MYOPATHIES – DISEASES OF THE NEUROMUSCULAR JUNCTION – MYOPATHIES DUE TO ENDOCRINE ABNORMALITIES – DISEASES OF PERIPHERAL NERVE – MYOPATHIES – METABOLIC DISEASES OF MUSCLE • There are 43 TOTAL different types of neuromuscular diseases recognized worldwide. • Info from MDA
  15. 15. Signs and Symptoms of MD Some Main symptoms include: • Progressive muscular wasting • Poor balance • Frequent falls • Walking difficulty • Waddling gait • Calf deformation • Limited range of movement • Respiratory difficulty • Drooping eyelids • Loss of bladder control • Scoliosis (curvature of the spine and the back) • Inability to walk Few or none of these symptoms may be present before diagnosis. Some types of muscular dystrophy can affect the heart, causing cardiomyopathy or arrhythmias.
  16. 16. More about MD & Hope! • Onset, symptoms, stages of muscle atrophy, progressive weakness and life expectancy are all determined by what form of neuromuscular disease is diagnosed. • Disease onset can range from 2 months old and into adulthood. • Life expectancy depends on severity of neuromuscular disease and the how severe the respiratory and cardiac muscles are effected. – Can range from birth to adulthood • Doctors are no longer making predictions about life expectancy due to earlier diagnoses, life long therapy and the increased use of AT! – Info from MDA
  17. 17. Research & Exciting News for MD! • MDA is the world's largest non-governmental sponsor of research seeking the causes of and effective treatments for neuromuscular diseases, sponsoring some 400 research projects annually. • There have been successful breakthroughs in research for Duchenne MD, Spinal Muscular Atrophies, Friedreich‟s Ataxia, Myotonic MD, Pompe‟s Disease and much more! • Info from MDA
  18. 18. Exciting Research Updates! 2007 – The FDA has approved U.S. sales of the enzyme-replacement drug Lumizyme, the first treatment in the U.S. specifically for late-onset Pompe disease. – Lumizyme (alglucosidase alfa) is a laboratory-developed enzyme used to replace the acid maltase enzyme deficient in people with Pompe disease ages 8 and older. July 2010 – Antisense Treatment Restores Full-Length SMN in SMA Mice – When mice with an SMA-like disease received a synthetic antisense molecule, they made more full-length SMN protein; newborn mice grew longer tails – Scientists have found that mice with a disease resembling a mild form of spinal muscular atrophy (SMA) known as SMA type 3 showed more production of a needed protein in their spinal cords and more normal- looking ears and tails after treatment with a gene-modifying molecule that researchers hope could become a treatment for human SMA.
  19. 19. What is Amyotrophic Lateral Sclerosis (ALS) ? • Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that attacks nerve cells and pathways in the brain and spinal cord. When these cells die, voluntary muscle control and movement dies with them. People with ALS in the later stages of the disease are totally paralyzed, yet in most cases, their minds remain sharp and alert. • ALS struck Yankee Hall of Famer Lou Gehrig in 1939. He died two years later, but ALS is still commonly known as Lou Gehrig's disease.
  20. 20. More Info about ALS & Hope! • The facts about ALS are sobering: Every day, an average of 15 people are newly diagnosed with ALS - more than 5,600 people per year. As many as 30,000 Americans may currently be affected by ALS. The average life expectancy of a person with ALS is two to five years from time of diagnosis. • There is no known cause or cure, but with recent advances in research and improved medical care, many patients are living longer, more productive lives. • In keeping true to the spirit of the game Gehrig loved best, ALSA seeks to covers all the bases - research, patient and community services, public education, and advocacy - in providing help and hope to those facing the disease. • This & more info can be found at www.alsa.org
  21. 21. What is Multiple Sclerosis (MS)? • Multiple sclerosis (MS) is a life-long chronic disease diagnosed primarily in young adults. During an MS attack, inflammation occurs in areas of the white matter of the central nervous system (nerve fibers that are the site of MS lesions) in random patches called plaques. • Physicians use a neurological examination and take a medical history when they suspect MS. Imaging technologies such as MRI, which provides an anatomical picture of lesions, and MRS (magnetic resonance spectroscopy), which yields information about the biochemistry of the brain. No single test unequivocally detects MS. A number of other diseases produce symptoms similar to those seen in MS. • This and More info found at the MS Society website.
  22. 22. Symptoms of MS • Symptoms of MS may be mild or severe and of long duration or short and appear in various combinations. The initial symptom of MS is often blurred or double vision, red-green color distortion, or even blindness in one eye. Most MS patients experience muscle weakness in their extremities and difficulty with coordination and balance. About half of people with MS experience cognitive impairments such as difficulties with concentration, attention, memory, and judgment. • The cause of MS remains elusive, but most people with MS have a normal life expectancy. The vast majority of MS patients are mildly affected, but in the worst cases, MS can render a person unable to write, speak, or walk.
  23. 23. More Info about MS & Hope • There is as yet no cure for MS. Until recently, steroids were the principal medications for MS. While steroids cannot affect the course of MS over time, they can reduce the duration and severity of attacks in some patients. The FDA has recently approved new drugs to treat MS. The goals of therapy are threefold: to improve recovery from attacks, to prevent or lessen the number of relapses, and to halt disease progression.
  24. 24. Considering Accommodations and Assistive Technology
  25. 25. Why Assistive Technology? • For a person without a disability, technology makes things easier… • For a person with a disability, technology makes things possible.
  26. 26. Assistive Technology Matching: A TEAM APPROACH  The Person with the disAbility  Circle of Support – Family of Choice  Case Managers  Technologist  Occupational Therapist  Speech & Language Pathologist  Physical Therapist  Engineer
  27. 27. Family Centered Approach in AT • Families & Family of Choice are primary source of care giving for many individuals with DND disabilities • Family centered approaches emphasize: – a focus on the capacity; – a better way to understand the individual; – services that are provided within the values and priorities of the family
  28. 28. Human Activity Technology (HAAT) Model • Human: represents the skills and abilities of the person with a disability • Activity: a set of tasks to be performed by the person with a disability • Context: the setting or social, cultural and physical contexts that surround the environment in which the activity must be completed • Assistive Technology: devices or strategies used to bridge the gap between the person‟s abilities and the demands of the environment • Developed by Cook & Hussey
  29. 29. Promoting Strengths & Managing Weaknesses
  30. 30. A Holistic Approach
  31. 31. Selection of an AT Device Depends on an analysis of the following conditions: • Prior experience or knowledge, and interests; • The individual‟s specific strengths, weaknesses; • The specific device (reliability, ease of operation, technical support, cost) • Usefulness across settings • Usefulness over time as symptoms manifest!
  32. 32. Most Effective Technological Products • Able to level out the playing field • Work in cross-settings • Portable • Easy to maintain • Affordable to replace and/or maintain • Good and reliable technological support • Accessible training format
  33. 33. Staying off the FAST Track! Frustration Anxiety Stress Tension
  34. 34. Components of Evidence Based Practice (EBP)
  35. 35. What is a Direct Brain-Computer Interface? … a system that captures signals directly from the human brain, providing a channel to control computers and other devices. The GSU BrainLab Mission is to pioneer real-world applications research for biometric technologies to improve the quality of life for people with severe disabilities, and to explore mainstream applications.
  36. 36. Brain Signal Detection Techniques Invasive: implanted electrodes (single neuron) Noninvasive: scalp electrodes (EEG)
  37. 37. Restoring Motion - Neural Prosthetics Brain “re-learns” how to move limbs via an artificial nervous system Simulation • Virtual reality hand Restoring Physical Motion • Robotic arm
  38. 38. The “Aware „Chair” Integrated communication and environmental control • Intelligent, neurally controlled wheelchair • Conversation and environmental control prediction • Learns users habits and context • Provides emotional expression
  39. 39. Solutions for DND & AT • Energy Savers • Access • Memory Aids • Attention • Organization • Communication Aids
  40. 40. Tilt in Space and Reclining Power Wheelchair • Combination of both features allows for maximum positioning • Reduces swelling of legs • Relieves pain and discomfort from scoliosis • Relieves fatigue and neck muscle strain
  41. 41. Getting to Work
  42. 42. Abbreviation Expanders • Abbreviation Expanders benefits students who struggle with writing. • WordQ • Reach • EZ Keys for Windows • Words+ • TypeIt4Me (Shareware) • Used with word processing, these software programs allow a user to create, store, and re-use abbreviation for frequently used words or phrases. This can save the user keystrokes and ensure proper spelling of words and phrases he/she has coded as abbreviations.
  43. 43. Microsoft Word • Auto-correct • Auto-text • Auto-summarize • Templates • Formatting • Highlighters
  44. 44. Speech Recognition Software • Turn spoken words into text • Connect with the timing of your thoughts • Dictation speed 70 to 100 words per minute
  45. 45. Digtial Voice Recorder • Speech-to-text software • Converts audio data to digital signals and compresses them for recording on a Miniature Card.
  46. 46. WordQ http://www.wordq.com/ • WordQ predicts what you are typing and presents you with a list of correctly spelled words. • 30 day download
  47. 47. Solutions for DND & AT • Energy Savers • Access • Memory Aids • Attention • Organization • Communication Aids
  48. 48. Adjusting Accessibility Options • StickyKeys: Press One Key at a Time for Key Combinations • FilterKeys: Ignore Brief or Repeated Keystrokes and Slow Down the Repeat Rate • ToggleKeys: Hear Tones When Pressing Certain Keys
  49. 49. REACH • On-screen keyboard • Word/sentence completion • Speech augmentation • Scanning keyboard options • Automatic window management • 100+ built-in keyboards • 10 built-in assessment tools
  50. 50. Software Modifications • Sticky keys • Slow keys or disable auto- repeat • Modify keyboard mappings • On-screen keyboards
  51. 51. Mouse alternatives • Trackball • Proportional joystick • Switched joystick or cursor keys • Head sensor or mouth stick • Eye-gaze • Keyboard only
  52. 52. Keyboard Modifications • Keyguards • Alternative layouts – Reduce movement – One-handed keyboards, possible chords • Membrane surfaces (minimize required pressure)
  53. 53. ERICA – Eye Response Technology • Control computer by using eyes • Mouse functions • Environmental control • Wireless option
  54. 54. Solutions for DND & AT • Energy Savers • Access • Memory Aids • Attention • Organization • Communication Aids
  55. 55. WATCH MINDER • Assist with alerts • Program as medication reminder • Large Screen • Easy to use • $99.50
  56. 56. Solutions for DND & AT • Energy Savers • Access • Memory Aids • Attention • Organization • Communication Aids
  57. 57. Magnifiers • Several different types of magnifiers • Helps pull words off the page • Less strain on the eyes • Magnifiers with light output can be helpful
  58. 58. Hear-It • Increased phonological awareness for all auditory input-results in better focus and comprehension • Noticeably reduces distractions
  59. 59. WYNN • Enhances Reading, Writing, and Comprehension • Word Prediction, dictionary, thesaurus, homophones, spell check • Reads Text aloud – Highlighting • Text and web pages • 4 color coded toolbars – Reading – Writing – Studying – Internet
  60. 60. Solutions for DND & AT • Energy Savers • Access • Memory Aids • Attention • Organization • Communication Aids
  61. 61. Solutions for DND & AT • Energy Savers • Access • Memory Aids • Attention • Organization • Communication Aids
  62. 62. Apple iPad • Multi- touch screen • Thousands of apps • Surf web • iTunes • Videos • Organization • Voice Over • Books • Photos • Speakers • Starts at $499
  63. 63. Apple iPod Touch • Pocket computer • Thousands of apps • Videos • Surf Web • Voice Over • Organization • Speakers • Bluetooth • Photos • Starts at $199
  64. 64. Lite Tech/Low Tech • Nonvoice tools • Simple Voice output • Less than $1500 – Developed by Libby Rush & Mary Joan McClure
  65. 65. Low/Lite or No Technology AAC • Alphabet supplementation • Topic boards • Voice amplifier Sample Voice Amplifier • Writing/typing – Word prediction – Abbreviation expansion – Word completion
  66. 66. Non-voice Tools
  67. 67. Lingraphica SmallTalk aphasia – FREE! turns your iPod or iPhone into a mobile accessory to the Lingraphica. SmallTalk dysphagia - $19.99 icons and videos to communicate about all aspects of dysphagia. SmallTalk oral motor exercises - $19.99 exercise videos to improve oral motor strength and articulation.
  68. 68. Lingraphica Aphasia Facts • Major cause in US is stroke ~700,000 strokes/year • New aphasia cases per year ~100,000 (ALS ~5,000; CP ~10,000) • Currently ~1,000,000 Americans living with aphasia • Year 2020 prevalence of aphasia projected: ~2,000,000 • Why: aging US population, more stroke survivors, living longer
  69. 69. iPhone /iPod Applications Proloquo2go http://www.proloquo2go.com/resources/article /introductory-videos
  70. 70. Favorite: iPhone /iPod Applications Coming soon in the iTunes Store ! by Jennifer Marden, CCC-SLP www.TechnicallySpeaking-slp.com
  71. 71. Table of Contents 1. An Introduction to AAC Services for Adults with Chronic Medical Conditions: Who, What, When, Where, and Why David R. Beukelman, Kathryn M. Yorkston, & Kathryn L. Garrett 2. AAC in the Intensive Care Unit Kathryn L. Garrett, Mary Beth Happ, John M. Costello, & Melanie B. Fried-Oken 3. Brainstem Impairment Delva Culp, David R. Beukelman, & Susan K. Fager 4. Spinal Cord Injury Deanna Britton & Ross Baarslag-Benson 5. Traumatic Brain Injury Susan K. Fager, Molly Doyle, & Renee Karantounis 6. Severe Aphasia Joanne P. Lasker, Kathryn L. Garrett, & Lynn E. Fox 7. Primary Progressive Aphasia Julia M. King, Nancy Alarcon, & Margaret A. Rogers 8. Dementia Michelle S. Bourgeois & Ellen M. Hickey 9. Amyotrophic Lateral Sclerosis Laura J. Ball, David R. Beukelman, & Lisa Bardach 10. AAC Intervention for Progressive Conditions: Multiple Sclerosis, Parkinson's Disease, and Huntington's Disease Kathryn M. Yorkston and David R. Beukelman 11. AAC for People with Head and Neck Cancer Marsha D. Sullivan, Carol Gaebler, & Laura J. Ball 12. AAC Decision-Making Teams: Achieving Change and Maintaining Social Support David R. Beukelman, Kathryn M. Yorkston, & Kathryn L. Garrett
  72. 72. Want to try equipment? Visit Your Local ATRC
  73. 73. Resources • HDSA www.hdsa.org • ALS www.alsa.org • MS www.mss.org • Job Accommodation Network www.janweb.icdi.wve.edu • AT Act Programs www.resna.org • Tools for Life www.gatfl.org • GA Project for Assistive Technology www.gpat.org • Center AT & Environmental Access www.catea.org
  74. 74. Questions
  75. 75. Help us Improve! • Please complete a brief evaluation of today‟s Tools for Life Webinar at: http://www.surveymonkey.com/s/L6FBG2N
  76. 76. Contact Us Carolyn Phillips 404-638-0390 Tools for Life Program Director 800-497-8665 Carolyn@gatfl.org Liz Persaud www.gatfl.org Training and Development Coordinator Liz@gatfl.org

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