Department of Communication Sciences & Disorders, University of Cincinnati, OH.
Department of Speech-Language Pathology, Duquesne University, Pittsburgh, PA.
Am J Speech Lang Pathol. 2020 May 8;29(2):909-913. doi: 10.1044/2019_AJSLP-19-00041. Epub 2020 Feb 27.
Purpose The purpose of this article is to revisit the role of augmentative and alternative communication (AAC) in poststroke aphasia rehabilitation. The authors' intent is to provide a viewpoint that expands the use of AAC in poststroke aphasia rehabilitation. Specifically, we seek to clarify the role of AAC in restorative and participation approaches to aphasia rehabilitation while also considering the role of AAC in a comprehensive treatment plan. The authors support their viewpoint with citations from both the historic and contemporary literature on aphasia rehabilitation. Conclusions A thought-provoking viewpoint on the role of AAC in poststroke aphasia rehabilitation is proposed. More specifically, the versatility of AAC strategies is reviewed, with an emphasis on how AAC can be used to empower people with aphasia to fully participate and engage in life activities with increased independence. Moreover, we argue that AAC can be viewed as a dual-purpose tool that can simultaneously serve to drive intersystemic reorganization resulting in some improved language performance-and perhaps restoration of language function-while offering a communication alternative during inevitable anomic events.
目的 本文旨在重新审视辅助沟通（AAC）在卒中后失语症康复中的作用。作者的意图是提供一种观点，即扩大 AAC 在卒中后失语症康复中的应用。具体来说，我们试图阐明 AAC 在失语症康复的恢复和参与方法中的作用，同时考虑 AAC 在综合治疗计划中的作用。作者通过引用历史和当代失语症康复文献来支持他们的观点。 结论 提出了一个关于 AAC 在卒中后失语症康复中作用的发人深省的观点。更具体地说，我们回顾了 AAC 策略的多功能性，重点介绍了如何使用 AAC 使失语症患者能够更加独立地充分参与和参与生活活动。此外，我们认为 AAC 可以被视为一种双重用途的工具，既可以促进系统间的重组，从而导致一些语言表现的改善，甚至语言功能的恢复，同时在不可避免的命名障碍事件中提供一种沟通替代方案。
