Lightwriters are a type of speech-generating device. The person who cannot speak types a message on the keyboard, and this message is displayed on two displays, one facing the user and a second outfacing display facing the communication partner or partners. A speech synthesiser is also used to provide speech output, and some models offer the facility to connect to a printer to provide printed output.
For people who are unable to use a keyboard, some models of Lightwriter offer the option of an on-screen keyboard with selection made by a switch using a scanning technique. Word prediction is included to make a significant reduction in the number of keystrokes.
One model of Lightwriter, the SL40, has a built-in mobile phone which provides text messaging and the option of voice telephony with the synthesised speech sent to the person on the other end and the incoming speech message being broadcast through the Lightwriter's loudspeaker. [1]
Lightwriter is the brand name of Abilia. Lightwriters are available in a wide range of European languages.
In 1969 Toby Churchill was working in France when he fell ill after swimming in a polluted lake. The doctors initially believed he had sunstroke and that the symptoms would soon pass, but became perplexed as he began to deteriorate rapidly and decided to get him back to England as quickly as possible for further treatment, and he was transferred to Addenbrookes Hospital in Cambridge where doctors could not decide whether the problem was neurological or vascular, and their diagnostic tools were limited since this was before the days of CT and MRI scanners which nowadays can look inside someone's body non-invasively.
Within a few days the only voluntary movement Toby had left was an eyeblink, all other physical movement and speech being frozen. He was then in a state of ‘locked-in syndrome’, where he was perfectly aware of everything that was said to him but unable to respond, a condition eloquently described by Jean-Dominique Bauby in his book The Diving Bell and the Butterfly . Toby’s family and friends had to quickly learn new communication techniques: the use of ‘closed’ questions (ones to which only a “yes” or “no” reply is required - with 1 eyeblink for “yes” or 2 eyeblinks blinks for “no”), and using an alphabet board with auditory scanning “first row?, second row? etc” until Toby blinked to select that row, and the same for each letter across the row. It was a tedious process but all that was available at that time.
Gradually, some movement returned to his left hand and arm, and a little to his legs, so he was no longer bed-bound and after a few months was transferred to Stoke Mandeville Hospital (National Spinal Injury Unit) for further physiotherapy and rehabilitation and was there introduced to the early POSSUM Row/Column scanner. While this was less tiring for the communication partner, it was not portable and became unnecessarily slow after Toby had regained hand movement and the ability to type. Toby then quickly put his engineering skills into practice to design a portable communication aid - a typewriter which instead of typing on paper, typed the message on a display, and this was then logically named the Lightwriter. Toby had no plans at that time to make more than just for himself but, as he met other people in a similar position, realised that there was a demand for them and started to manufacture them for other people, founding the Company in 1973.
Lightwriters are text-to-speech devices and so require some degree of literacy.
Lightwriters are used by many people with acquired speech loss following laryngectomy, tracheostomy, stroke, head injury, or with progressive neurological diseases such as motor neurone disease (also known as amyotropic lateral sclerosis or ALS), Parkinson's disease, multiple sclerosis (MS) or Huntington's chorea.
Lightwriters are also used by people with congenital speech loss with conditions such as cerebral palsy after literacy has been gained.
Diane Pretty was a British woman diagnosed with Motor Neurone Disease who attempted to change British law so she could end her own life with the assistance of her husband without it being classed as assisted suicide, which is illegal in the United Kingdom. Pretty went to the House of Lords and the European Court on Human Rights using her Lightwriter to argue her case, but was unsuccessful. [2]
Other notable users include Professor Sydney Selwyn and comedian Lee Ridley
In the 1998 film The Theory of Flight starring Kenneth Branagh and Helena Bonham Carter, Bonham Carter's character, a young woman with motor neuron disease, uses a Lightwriter to communicate. In the 2001 episode of the TV sitcom "Becker" Dr Becker (Ted Danson) obtains a Lightwriter for his patient Joe Willike (Tom Poston) who is unable to speak due to advancing ALS.
Assistive technology (AT) is assistive, adaptive, and rehabilitative devices for people with disabilities or the elderly population. 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, grooming, and personal device care. 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."
Motor neuron diseases or motor neurone diseases (MNDs) are a group of rare neurodegenerative disorders that selectively affect motor neurons, the cells which control voluntary muscles of the body. They include amyotrophic lateral sclerosis (ALS), progressive bulbar palsy (PBP), pseudobulbar palsy, progressive muscular atrophy (PMA), primary lateral sclerosis (PLS), and monomelic amyotrophy (MMA), as well as some rarer variants resembling ALS.
Apraxia is a motor disorder caused by damage to the brain in which the individual has difficulty with the motor planning to perform tasks or movements when asked, provided that the request or command is understood and the individual is willing to perform the task. The nature of the brain damage determines the severity, and the absence of sensory loss or paralysis helps to explain the level of difficulty. Some children may be born with apraxia although the cause is unknown. Symptoms are usually noticed in the early stages of life as the child develops. Apraxia that results from a brain injury or a neurodegenerative illness is known as acquired apraxia. Acquired apraxia is typically caused by a traumatic brain injury, stroke, dementia, Alzheimer's disease, brain tumor, and other neurodegenerative disorders. There are multiple types of apraxia and are categorized by what specific ability or body part is affected.
A barcode reader is an optical scanner that can read printed barcodes, decode the data contained in the barcode and send the data to a computer. Like a flatbed scanner, it consists of a light source, a lens and a light sensor translating for optical impulses into electrical signals. Additionally, nearly all barcode readers contain decoder circuitry that can analyze the barcode's image data provided by the sensor and sending the barcode's content to the scanner's output port.
A telecommunications relay service, also known as TRS, relay service, or IP-relay, or Web-based relay service, is an operator service that allows people who are deaf, hard of hearing, deafblind, or have a speech disorder to place calls to standard telephone users via a keyboard or assistive device. Originally, relay services were designed to be connected through a TDD, teletypewriter (TTY) or other assistive telephone device. Services gradually have expanded to include almost any real-time text capable technology such as a personal computer, laptop, mobile phone, PDA, and many other devices. The first TTY was invented by deaf scientist Robert Weitbrecht in 1964. The first relay service was established in 1974 by Converse Communications of Connecticut.
Hypotonia is a state of low muscle tone, often involving reduced muscle strength. Hypotonia is not a specific medical disorder, but a potential manifestation of many different diseases and disorders that affect motor nerve control by the brain or muscle strength. Hypotonia is a lack of resistance to passive movement, whereas muscle weakness results in impaired active movement. Central hypotonia originates from the central nervous system, while peripheral hypotonia is related to problems within the spinal cord, peripheral nerves and/or skeletal muscles. Severe hypotonia in infancy commonly known as floppy baby syndrome. Recognizing hypotonia, even in early infancy, is usually relatively straightforward, but diagnosing the underlying cause can be difficult and often unsuccessful. The long-term effects of hypotonia on a child's development and later life depend primarily on the severity of the muscle weakness and the nature of the cause. Some disorders have a specific treatment but the principal treatment for most hypotonia of idiopathic or neurologic cause is physical therapy, occupational therapy for remediation, and/or music therapy.
Dysarthria is a motor speech disorder resulting from neurological injury of the motor component of the motor–speech system and is characterized by poor articulation of phonemes. In other words, it is a condition in which problems effectively occur with the muscles that help produce speech, often making it very difficult to pronounce words. It is unrelated to problems with understanding language, although a person can have both. Any of the speech subsystems can be affected, leading to impairments in intelligibility, audibility, naturalness, and efficiency of vocal communication. Dysarthria that has progressed to a total loss of speech is referred to as anarthria. The term dysarthria is from New Latin, dys- "dysfunctional, impaired" and arthr- "joint, vocal articulation".
Augmentative and alternative communication (AAC) encompasses the communication methods used to supplement or replace speech or writing for those with impairments in the production or comprehension of spoken or written language. AAC is used by those with a wide range of speech and language impairments, including congenital impairments such as cerebral palsy, intellectual impairment and autism, and acquired conditions such as amyotrophic lateral sclerosis and Parkinson's disease. AAC can be a permanent addition to a person's communication or a temporary aid. Stephen Hawking used AAC to communicate through a speech-generating device.
Spinocerebellar ataxia (SCA) is a progressive, degenerative, genetic disease with multiple types, each of which could be considered a neurological condition in its own right. An estimated 150,000 people in the United States have a diagnosis of spinocerebellar ataxia at any given time. SCA is hereditary, progressive, degenerative, and often fatal. There is no known effective treatment or cure. SCA can affect anyone of any age. The disease is caused by either a recessive or dominant gene. In many cases people are not aware that they carry a relevant gene until they have children who begin to show signs of having the disorder.
Primary lateral sclerosis (PLS) is a very rare neuromuscular disease characterized by progressive muscle weakness in the voluntary muscles. PLS belongs to a group of disorders known as motor neuron diseases. Motor neuron diseases develop when the nerve cells that control voluntary muscle movement degenerate and die, causing weakness in the muscles they control.
Progressive muscular atrophy (PMA) is a very rare subtype of motor neuron disease (MND) that affects only the lower motor neurons. PMA is thought to account for around 4% of all MND cases. This is in contrast to amyotrophic lateral sclerosis (ALS), the most common form of MND, which affects both the upper and lower motor neurons, or primary lateral sclerosis, another rare MND variant, which affects only the upper motor neurons. The distinction is important because PMA is associated with a better prognosis than classic ALS.
The Motor Neurone Disease Association focuses on improving access to care, research and campaigning for those people living with or affected by motor neurone disease (MND) in England, Wales and Northern Ireland. MND is also known as amyotrophic lateral sclerosis (ALS) or, in the United States, Lou Gehrig's disease).
Adaptive equipment are devices that are used to assist with completing activities of daily living.
Aprosodia is a neurological condition characterized by the inability of a person to properly convey or interpret emotional prosody. Prosody in language refers to the ranges of rhythm, pitch, stress, intonation, etc. These neurological deficits can be the result of damage of some form to the non-dominant hemisphere areas of language production. The prevalence of aprosodias in individuals is currently unknown, as testing for aprosodia secondary to other brain injury is only a recent occurrence.
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.
Amyotrophic lateral sclerosis (ALS): also known as Lou Gehrig's disease in Canada and the U.S., as motor neurone disease (MND) in the UK, Ireland, Australia, South Africa and New Zealand, and Charcot disease in francophone countries; is a neurodegenerative neuromuscular disease that results in the progressive loss of motor neurons that control voluntary muscles.
In computing, an input device is a piece of equipment used to provide data and control signals to an information processing system such as a computer or information appliance. Examples of input devices include keyboards, mouse, scanners, cameras, joysticks, and microphones.
A letter board may refer to two devices.
Partner-assisted scanning or listener-assisted scanning is an augmentative and alternative communication technique used to enable a person with severe speech impairments to communicate. The approach is used with individuals who, due to sickness or disability, have severe motor impairments and good memory and attention skills. It is used as an alternative to direct access to symbols, pictures, or speech generating devices when these are not used.
Switch access scanning is an indirect selection technique, used by an assistive technology user, including those who use augmentative and alternative communication (AAC) to choose items from the selection set. Unlike direct selection, a scanner can only make selections when the scanning indicator of the electronic device is on the desired choice. The scanning indicator moves through items by highlighting each item on the screen, or by announcing each item via voice output, and then the user activates a switch to select the item. The speed and pattern of scanning, as well as the way items are selected, are individualized to the physical, visual and cognitive capabilities of the user. While there may be different reasons for using scanning, the most common is a physical disability resulting in reduced motor control for direct selection. Communication during scanning is slower and less efficient than direct selection and scanning requires more cognitive skill. Scanning using technology has an advantage allows the user to be independent in controlling the assistive technology for those with only one voluntary movement.