Communication is a fundamental human right, but not everyone communicates the same way. Thanks to advancements in assistive technology, communication devices have been developed to help those with speech and mobility impairments interact more easily with the world around them. You may have seen a speech-generating device or seen someone use a picture board to express their thoughts before and been curious about the technology but may have been too afraid to ask questions. We’re here to break down all the different communication devices and how they’re used.

Augmentative and Alternative Communication (AAC) devices are designed for individuals who have difficulty with verbal communication. These tools help users express themselves using symbols, text, or voice output. AAC encompasses a wide range of methods and tools that either supplement (augmentative) or replace (alternative) spoken language. These devices are essential for individuals with conditions such as autism, cerebral palsy, stroke, and other speech disorders.

No-Tech Options

·       Simple picture boards: Speech and Language Kids has a great tutorial on how to make a simple communication board. Each board contains pictures that represent different messages that the person wants to say. The person can use the board to point to what they want to say.

·       Communication Books: Like a picture board, you can put pictures in a small book or binder so that the person can flip between the pages to express themselves with the pictures. This can give you more options than a simple picture board.

Technology Options (Speech-Generating Devices)

Speech generating devices are electronic devices or an app on a phone or tablet that helps people communicate when they can’t speak. They are a type of AAC device. Users click on letters or a picture to have the device say what they’ve selected and can be personalized to meet the needs of the user.

·       TouchChat: This software allows you to transform any Apple device into a communication tool. TouchChat allows you to customize features and has a wide variety of vocabularies, languages, and voices. They have options ranging from $149.99 to $299.99 with the option to try the software for a 30-day free trial.

·       Proloquo2Go: This is another software that allows a person to touch a series of buttons with pictures on them to communicate with those around them using an Apple device. They have options ranging from $249.99 to $299.99.

·       Spoken: Spoken is an Android based app that assists people with communication. It can adapt to the way a person speaks and provide word suggestions based on that. There is a free version but to own the app for life with premium features the app runs $249.99.

Eye-Tracking and Gaze Control Systems are used for individuals with severe mobility impairments, such as those with ALS or cerebral palsy. Eye-tracking technology provides a way to communicate without physical movement and is considered another form of AAC. These systems use infrared cameras to track eye movements, allowing users to select words or commands on a screen simply by looking at them.

Products like the Tobii Dynavox TD I-Series are custom built AAC devices that enable communication and independence for people with disabilities via eye control and other access methods.  It generates speech just like touch AAC devices but instead uses eye movements. It not only allows someone to communicate but can also be used for independence, and allows the user to control their own doors, lights, phone, and more all with their own eye movements.

Sign Language is another form of communication. One of the most widely used unaided AAC methods is American Sign Language (ASL), a complete and complex language that uses hand movements, facial expressions, and body positioning to convey meaning. ASL is predominantly used by the Deaf and Hard-of-Hearing communities in the United States and Canada. Unlike spoken languages, ASL has its own grammar and syntax, making it a distinct and fully developed linguistic system. Learning ASL can help bridge communication gaps and foster better inclusion for those with hearing impairments.

Hearing Aids and Cochlear Implants For individuals with hearing impairments, hearing aids and cochlear implants enhance their ability to perceive sound and communicate more effectively. These devices amplify sound and, in the case of cochlear implants, stimulate the auditory nerve to improve hearing.

Refreshable Braille Displays For individuals who are both visually impaired and have additional disabilities affecting speech, refreshable Braille displays provide a tactile way to read and communicate. These devices convert digital text into Braille, allowing users to access written content on computers, phones, and other digital platforms.

The Impact of Communication Technology

The availability of these communication devices has transformed the lives of countless individuals with disabilities. They promote independence, improve social interactions, and provide greater access to education and employment opportunities.

By embracing these technologies, we move closer to an inclusive society where everyone, regardless of ability, can express themselves and be heard. If you or someone you know could benefit from these tools, exploring the options available can be the first step towards breaking communication barriers and enhancing quality of life.