Assistive technology is an umbrella term that includes assistive, adaptive, and rehabilitative devices for people with disabilities or elderly population while also including the process used in selecting, locating, and using them. People who have disabilities often have difficulty performing activities of daily living (ADLs) independently, or even with assistance. ADLs are self-care activities that include toileting, mobility (ambulation), eating, bathing, dressing and grooming. Assistive technology can ameliorate the effects of disabilities that limit the ability to perform ADLs. Assistive technology promotes greater independence by enabling people to perform tasks they were formerly unable to accomplish, or had great difficulty accomplishing, by providing enhancements to, or changing methods of interacting with, the technology needed to accomplish such tasks. For example, wheelchairs provide independent mobility for those who cannot walk, while assistive eating devices can enable people who cannot feed themselves to do so. Due to assistive technology, people with disabilities have an opportunity of a more positive and easygoing lifestyle, with an increase in "social participation," "security and control," and a greater chance to "reduce institutional costs without significantly increasing household expenses."
Fingerspelling is the representation of the letters of a writing system, and sometimes numeral systems, using only the hands. These manual alphabets, have often been used in deaf education, and have subsequently been adopted as a distinct part of a number of sign languages; there are about forty manual alphabets around the world. Historically, manual alphabets have had a number of additional applications—including use as ciphers, as mnemonics, and in silent religious settings.
Makaton is a language programme designed to provide a means of communication to individuals who cannot communicate efficiently by speaking. The Makaton language programme has been used with individuals who have cognitive impairments, autism, Down syndrome, specific language impairment, multisensory impairment and acquired neurological disorders that have negatively affected the ability to communicate, including stroke patients.
A gesture is a form of non-verbal communication or non-vocal communication in which visible bodily actions communicate particular messages, either in place of, or in conjunction with, speech. Gestures include movement of the hands, face, or other parts of the body. Gestures differ from physical non-verbal communication that does not communicate specific messages, such as purely expressive displays, proxemics, or displays of joint attention. Gestures allow individuals to communicate a variety of feelings and thoughts, from contempt and hostility to approval and affection, often together with body language in addition to words when they speak.
Signing Exact English is a system of manual communication that strives to be an exact representation of English vocabulary and grammar. It is one of a number of such systems in use in English-speaking countries. It is related to Seeing Essential English (SEE-I), a manual sign system created in 1971, based on the morphemes of English words. SEE-II models much of its sign vocabulary from American Sign Language (ASL), but modifies the handshapes used in ASL in order to use the handshape of the first letter of the corresponding English word. The four components of signs are handshape, orientation, location, and movement.
Cued Speech is a visual system of communication used with and among deaf or hard-of-hearing people. It is a phonemic-based system which makes traditionally spoken languages accessible by using a small number of handshapes, known as cues, in different locations near the mouth, as a supplement to speechreading. The National Cued Speech Association defines Cued Speech as "...a visual mode of communication that uses hand shapes and placements in combination with the mouth movements and speech to make the phonemes of spoken language look different from each other." It adds information about the phonology of the word that is not visible on the lips. This allows people with hearing or language difficulties to visually access the fundamental properties of language. It is now used with people with a variety of language, speech, communication, and learning needs. It is different from American Sign Language (ASL), which is a separate language from English. Cued Speech is considered a communication modality, but can be used as a strategy to support auditory rehabilitation, speech articulation, and literacy development.
Reading for special needs has become an area of interest as the understanding of reading has improved. Teaching children with special needs how to read was not historically pursued due to perspectives of a Reading Readiness model. This model assumes that a reader must learn to read in a hierarchical manner such that one skill must be mastered before learning the next skill. This approach often led to teaching sub-skills of reading in a decontextualized manner. This style of teaching made it difficult for children to master these early skills, and as a result, did not advance to more advanced literacy instruction and often continued to receive age-inappropriate instruction.
Icelandic Sign Language is the sign language of the deaf community in Iceland. It is based on Danish Sign Language; until 1910, deaf Icelandic people were sent to school in Denmark, but the languages have diverged since then. It is officially recognized by the state and regulated by a national committee.
Adaptive equipment are devices that are used to assist with completing activities of daily living.
Speech-generating devices (SGDs), also known as voice output communication aids, are electronic augmentative and alternative communication (AAC) systems used to supplement or replace speech or writing for individuals with severe speech impairments, enabling them to verbally communicate. SGDs are important for people who have limited means of interacting verbally, as they allow individuals to become active participants in communication interactions. They are particularly helpful for patients suffering from amyotrophic lateral sclerosis (ALS) but recently have been used for children with predicted speech deficiencies.
Gestures are a form of non-verbal communication that include movements of the hands, arms, and/or other parts of the body. Children can use gesture to communicate before they have the ability to use spoken words and phrases. In this way gestures can prepare children to learn a spoken language, creating a bridge from pre-verbal communication to speech. The onset of gesture has also been shown to predict and facilitate children's spoken language acquisition. Once children begin to use spoken words their gestures can be used in conjunction with these words to form phrases and eventually to express thoughts and complement vocalized ideas.
Tangible symbols are a type of augmentative and alternative communication (AAC) that uses objects or pictures that share a perceptual relationship with the items they represent as symbols. A tangible symbol's relation to the item it represents is perceptually obvious and concrete - the visual or tactile properties of the symbol resemble the intended item. Tangible Symbols can easily be manipulated and are most strongly associated with the sense of touch.These symbols can be used by individuals who are not able to communicate using speech or other abstract symbol systems, such as sign language. However, for those who have the ability to communicate using speech, learning to use tangible symbols does not hinder further developing acquisition of natural speech and/or language development, and may even facilitate it.
Speech and language impairment are basic categories that might be drawn in issues of communication involve hearing, speech, language, and fluency.
Semantic compaction, (Minspeak), conceptually described as polysemic (multi-meaning) iconic encoding, is one of the three ways to represent language in Augmentative and alternative communication (AAC). It is a system utilized in AAC devices in which sequences of icons are combined in order to form a word or a phrase. The goal is to increase independent communication in individuals who cannot use speech. Minspeak is the only patented system for Semantic Compaction and is based on multi-meaning icons that code vocabulary in short sequences determined by rule-driven patterns. Minspeak has been used with both children and adults with various disabilities, including cerebral palsy, motor speech disorders, developmental disabilities, autism spectrum disorder, and adult onset disabilities such as Amyotrophic Lateral Sclerosis (ALS).
Nepalese Sign Language or Nepali Sign Language is the main deaf sign language of Nepal. It is a somewhat standardized language based informally on the variety of Kathmandu, with some input from varieties of Pokhara and elsewhere. As an indigenous sign language, it is not related to oral Nepali. The newly promulgated constitution on Nepal 2072 (2015) had specifically mentioned the right to have education in Sign Language for the deaf. Likewise the newly passed Disability right act 2072 (2017) in its definition of Language has mentioned "“Language” means spoken and sign languages and other forms of speechless language. " in practice it is recognized by the Ministry of Education and the Ministry of Women, Children and Social Welfare, and is used in all schools for the deaf. In addition, there is legislation underway in Nepal which, in line with the UN Convention on the Rights of Persons with Disabilities (UNCRPD) which Nepal has ratified, should give Nepalese Sign Language equal status with the oral languages of the country.
Language acquisition by deaf children parallels the development of any children acquiring spoken language as long as there is full access to language from birth.
Janice Light, holds the Hintz Family Endowed Chair in Children's Communicative Competence in the Department of Communication Sciences and Disorders at Pennsylvania State University. As a Distinguished Professor, she teaches graduate courses and seminars in augmentative and alternative communication (AAC) and has developed an internationally recognized research program in AAC.
Signalong is an alternative and augmentative key-word signing communication method used by those individuals with a speech, language and communication need. The Signalong methodology has been effectively used with individuals who have cognitive impairments, autism, Down’s Syndrome, specific language impairment, multisensory impairment and acquired neurological disorders that have negatively affected the ability to communicate, including stroke patients and English as an additional language.
The picture exchange communication system (PECS) is a form of augmentative and alternative communication produced by Pyramid Educational Consultants, Inc. While the system is commonly used as a communication aid for children with autism spectrum disorder (ASD), it has been used with a wide variety of learners, from preschoolers to adults, who have various communicative, cognitive, and physical impairments, including cerebral palsy, blindness, and deafness. PECS has been the subject of much academic research, with currently over 85 PECS-related publications.
