Myrden Andrew, Schudlo Larissa, Weyand Sabine, Zeyl Timothy, Chau Tom
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, 150 Kilgour Road, Toronto, Ontario, Canada Institute of Biomaterials and Biomedical Engineering, University of Toronto, 164 College Street, Toronto, Ontario, Canada.
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, 150 Kilgour Road, Toronto, Ontario, Canada Institute of Biomaterials and Biomedical Engineering, University of Toronto, 164 College Street, Toronto, Ontario, Canada
J Child Neurol. 2014 Aug;29(8):1108-18. doi: 10.1177/0883073814534320. Epub 2014 May 11.
Access solutions may facilitate communication in children with limited functional speech and motor control. This study reviews current trends in access solution development for children with cerebral palsy, with particular emphasis on the access technology that harnesses a control signal from the user (eg, movement or physiological change) and the output device (eg, augmentative and alternative communication system) whose behavior is modulated by the user's control signal. Access technologies have advanced from simple mechanical switches to machine vision (eg, eye-gaze trackers), inertial sensing, and emerging physiological interfaces that require minimal physical effort. Similarly, output devices have evolved from bulky, dedicated hardware with limited configurability, to platform-agnostic, highly personalized mobile applications. Emerging case studies encourage the consideration of access technology for all nonverbal children with cerebral palsy with at least nascent contingency awareness. However, establishing robust evidence of the effectiveness of the aforementioned advances will require more expansive studies.
辅助沟通方案可能有助于功能言语和运动控制受限儿童的交流。本研究回顾了脑瘫儿童辅助沟通方案开发的当前趋势，特别强调利用来自用户的控制信号（如运动或生理变化）的辅助技术，以及其行为由用户控制信号调制的输出设备（如辅助和替代沟通系统）。辅助技术已从简单的机械开关发展到机器视觉（如眼动追踪器）、惯性传感以及所需体力极小的新兴生理接口。同样，输出设备也已从配置性有限的笨重专用硬件，发展到与平台无关、高度个性化的移动应用程序。新出现的案例研究鼓励为所有至少具有初步应急意识的非言语脑瘫儿童考虑使用辅助技术。然而，要确立上述进展有效性的有力证据，还需要开展更广泛的研究。
