Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Mar;35(1):13-25.
doi: 10.1080/07434618.2018.1556730. Epub 2019 Jan 21.

New and emerging access technologies for adults with complex communication needs and severe motor impairments: State of the science

Affiliations
Review

New and emerging access technologies for adults with complex communication needs and severe motor impairments: State of the science

Susan Koch Fager et al. Augment Altern Commun. 2019 Mar.

Abstract

Individuals with complex communication needs often use alternative access technologies to control their augmentative and alternative communication (AAC) devices, their computers, and mobile technologies. While a range of access devices is available, many challenges continue to exist, particularly for those with severe motor-control limitations. For some, access options may not be readily available or access itself may be inaccurate and frustrating. For others, access may be available but only under optimal conditions and support. There is an urgent need to develop new options for individuals with severe motor impairments and to leverage existing technology to improve efficiency, increase accuracy, and decrease fatigue of access. This paper describes person-centred research and development activities related to new and emerging access technologies, with a particular focus on adults with acquired neurological conditions.

Keywords: access; augmentative and alternative communication; complex communication needs; locked-in; severe motor impairment.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
Sensor switch incorporating accelerometer, gyroscope, and magnetometer for position-independent access.
Figure 2:
Figure 2:
First attempt accuracy per sentence across alternating conditions (eye tracking only vs. eye-tracking plus switch scanning [multi-input]).
Figure 3:
Figure 3:
Errors per sentence across alternating conditions (eye tracking only vs. eye-tracking plus switch scanning [multi-input]).

References

    1. Akcakaya M, Peters B, Moghadamfalahi M, Mooney A, Orhan U, Oken B,… Fried-Oken M (2014). Noninvasive brain-computer interfaces for augmentative and alternative communication. IEEE Reviews in Biomedical Engineering, 7, 31–49. doi: 10.1109/RBME.2013.2295097 - DOI - PMC - PubMed
    1. Andresen EM, Fried-Oken M, Peters B, & Patrick DL (2015). Initial constructs for patient-centered outcome measures to evaluate brain–computer interfaces, Disability and Rehabilitation: Assistive Technology, 11, 548–557. doi: 10.3109/17483107.2015.1027298 - DOI - PMC - PubMed
    1. Bacher D, Jarosiewicz B, Masse NY, Stavisky SD, Simeral JD, Newell K, ... Hochberg LR (2015). Neural point-and-click communication by a person with incomplete locked-in syndrome. Neurorehabilitation and Neural Repair, 29, 462–471. doi:10.1177/1545968314554624 - DOI - PMC - PubMed
    1. Ball L, Fager S, & Fried-Oken M (2012). Augmentative and alternative communication for people with progressive neuromuscular disease. Physical Medicine & Rehabilitation Clinics, 23, 689–699. 10.1016/j.pmr.2012.06.003 - DOI - PubMed
    1. Ball L, Nordness A, Fager S, Kersch K, Pattee G, & Beukelman D (2010). Eye gaze access of AAC technology for persons with amyotrophic lateral sclerosis. Journal of Medical Speech Language Pathology, 18, 11–23. Retrieved from https://www.atia.org/wp.../Research_Article-Eye_Gaze_Access_ALS_4AF258B.doc

Publication types