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Speech-generating device

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their age, disability, interests, etc. Therefore, content organization is extremely time-consuming. Additionally, SGDs are rarely covered by health insurance companies. As a result, resources are very limited with regards to both funding and staffing. Dr. John Costello of Boston Children's Hospital has been the driving force soliciting donations to keep these program running and well-staffed both within his hospital and in hospitals across the country.
596:, and some argue that the device user should be involved in the decision to monitor use in this way. Similar concerns have been raised regarding the proposals for devices with automatic content generation, and privacy is increasingly a factor in design of SGDs. As AAC devices are designed to be used in all areas of a user's life, there are sensitive legal, social, and technical issues centred on a wide family of 533:
age. The selection set for an AAC system may include words that the user does not know yet – they are included for the user to "grow into". The content installed on any given SGD may include a large number of preset pages provided by the manufacturer, with a number of additional pages produced by the user or the user's care team depending on the user's needs and the contexts that the device will be used in.
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is needed (for example, terms related directly to a user's interest in horse riding). The term "fringe vocabulary" refers to vocabulary that is specific or unique to the individual's personal interests or needs. A typical technique to develop fringe vocabulary for a device is to conduct interviews with multiple "informants": siblings, parents, teachers, co-workers and other involved persons.
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for automatically adding content. A number of research approaches have attempted to overcome this difficulty, these range from "inferred input", such as generating content based on a log of conversation with a user's friends and family, to data mined from the Internet to find language materials, such as the Webcrawler Project. Moreover, by making use of
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Beukelman and Mirenda emphasize that vocabulary selection also involves ongoing vocabulary maintenance; however, a difficulty in AAC is that users or their carers must program in any new utterances manually (e.g. names of new friends or personal stories) and there are no existing commercial solutions
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uses text-to-speech software that can carry less emotional information but permits the user to speak novel messages by typing new words. Today, individuals use a combination of recorded messages and text-to-speech techniques on their SGDs. However, some devices are limited to only one type of output.
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Low cost systems can also include a keyboard and audio speaker combination without a dynamic display or visual screen. This type of keyboard sends typed text direct to an audio speaker. It can permit any phrase to be spoken without the need for a visual screen that is not always required. One simple
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is often used for indirect selection. Unlike direct selection (e.g., typing on a keyboard, touching a screen), users of Target Scanning can only make selections when the scanning indicator (or cursor) of the electronic device is on the desired choice. Those who are unable to point typically calibrate
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There are many methods of accessing messages on devices: directly, indirectly, and with specialized access devices. Direct access methods involve physical contact with the system, by using a keyboard or a touch screen. Users accessing SGDs indirectly and through specialized devices must manipulate an
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Other researchers, such as Musselwhite and St. Louis suggest that initial vocabulary items should be of high interest to the user, be frequently applicable, have a range of meanings and be pragmatic in functionality. These criteria have been widely used in the AAC field as an ecological check of SGD
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Previous work has analyzed both vocabulary use of typically developing speakers and word use of AAC users to generate content for new AAC devices. Such processes work well for generating a core set of utterances or vocal expressions but are less effective in situations where a particular vocabulary
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The selection set of a SGD is the set of all messages, symbols and codes that are available to a person using that device. The content, organisation, and updating of this selection set are areas of active research and are influenced by a number of factors, including the user's ability, interests and
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and speech naturalness for the listener (e.g., person of the same age and gender as the AAC user can be selected to record the messages), and (b) it provides for additional sounds that may be important for the user such as laughing or whistling. Moreover, Digitized SGDs is that they provide a degree
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to accommodate a large number of vocal expressions, and thus only a portion of the symbols available are visible at any one time, with the communicator navigating the various pages. Speech-generating devices generally display a set of selections either using a dynamically changing screen, or a fixed
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Programming of Dynamic Speech Generating devices is usually done by augmentative communication specialists. Specialists are required to cater to the needs of the patients because the patients usually choose what kinds of words/ phrases they want. For example, patients use different phrases based on
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Researchers Beukelman and Mirenda list a number of possible sources (such as family members, friends, teachers, and care staff) for the selection of initial content for a SGD. A range of sources is required because, in general, one individual would not have the knowledge and experience to generate
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Synthesized SGDs may allow multiple methods of message creation that can be used individually or in combination: messages can be created from letters, words, phrases, sentences, pictures, or symbols. With synthesized speech there is virtually unlimited storage capacity for messages with few demands
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Starting in the early 2000s, specialists saw the benefit of using SGDs not only for adults but for children, as well. Neuro-linguists found that SGDs were just as effective in helping children who were at risk for temporary language deficits after undergoing brain surgery as it is for patients with
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to communicate. Beginning in the 1980s, improvements in technology led to a greatly increased number, variety, and performance of commercially available communication devices, and a reduction in their size and price. Alternative methods of access such as Target Scanning (also known as eye pointing)
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software may determine the choices to be offered based on their frequency in language, association with other words, past choices of the user, or grammatical suitability. However, users have been shown to produce more words per minute (using a scanning interface) with a static keyboard layout than
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combine sequences of icons (picture symbols) to produce words or phrases. In numeric, alpha-numeric, and letter encoding (also known as Abbreviation-Expansion), words and sentences are coded as sequences of letters and numbers. For example, typing "HH" or "G1" (for Greeting 1) may retrieve "Hello,
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The content, organization, and updating of the vocabulary on an SGD is influenced by a number of factors, such as the user's needs and the contexts that the device will be used in. The development of techniques to improve the available vocabulary and rate of speech production is an active research
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Johansen, A. S., Hansen, J. P., Hansen, D. W., Itoh, K., and Mashino, S. 2003. Language technology in a predictive, restricted on-screen keyboard with dynamic layout for severely disabled people. In Proceedings of the 2003 EACL Workshop on Language Modeling for Text Entry Methods (TextEntry '03).
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Dempster, M., Alm, N., and Reiter, E.. 2010. Automatic generation of conversational utterances and narrative for augmentative and alternative communication: a prototype system. In Proceedings of the NAACL HLT 2010 Workshop on Speech and Language Processing for Assistive Technologies (SLPAT '10).
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The "home" page of a dynamic display device may show symbols related to many different contexts or conversational topics. Pressing any one of these symbols may open a different screen with messages related to that topic. For example, when watching a volleyball game, a user may press the "sport"
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in the Netherlands created the lightspot operated typewriter (LOT) in 1970, which made use of small movements of the head to point a small spot of light at a matrix of characters, each equipped with a photoelectric cell. Although it was commercially unsuccessful, the LOT was well received by its
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There are several input and display methods for users of varying abilities to make use of SGDs. Some SGDs have multiple pages of symbols to accommodate a large number of utterances, and thus only a portion of the symbols available are visible at any one time, with the communicator navigating the
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Roark, B., de Villiers, J., Gibbons, C., and Fried-Oken, M.. 2010. Scanning methods and language modeling for binary switch typing. In Proceedings of the NAACL HLT 2010 Workshop on Speech and Language Processing for Assistive Technologies (SLPAT '10). Association for Computational Linguistics,
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In 1979, Mark Dahmke developed software for a vocal communication aid program using the Computalker CT-1 analog speech synthesizer with a microcomputer. The software utilized phonemes to generate speech, assisting individuals with communication impairments in constructing words and sentences.
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Black, R., Reddington, J., Reiter, E., Tintarev, N., and Waller A.. 2010. Using NLG and sensors to support personal narrative for children with complex communication needs. In Proceedings of the NAACL HLT 2010 Workshop on Speech and Language Processing for Assistive Technologies (SLPAT '10).
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Advantages of dynamic display devices include the availability of a much larger vocabulary, and the ability to see the sentence under construction A further advantage of dynamic display devices is that the underlying operating system is capable of providing options for multiple communication
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Augmentative and alternative communication is typically much slower than speech, with users generally producing 8–10 words per minute. Rate enhancement strategies can increase the user's rate of output to around 12–15 words per minute, and as a result enhance the efficiency of communication.
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Reddington, J., & Coles-Kemp, L. (2011). Trap Hunting: Finding Personal Data Management Issues in Next Generation AAC Devices. In Proceedings of the Second Workshop on Speech and Language Processing for Assistive Technologies (pp. 32–42). Edinburgh, Scotland, UK: Association for
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calibrate the movement of a user's eyes to direct an SGD to produce the desired speech phase. Scanning, in which alternatives are presented to the user sequentially, became available on communication devices. Speech output possibilities included both digitized and synthesized speech.
368:. They share some of disadvantages; for example they are typically restricted to a limited number of symbols and hence messages. It is important to note that with technological advances made in the twenty-first century, fixed-display SGDs are not commonly used anymore. 74:
There are multiple methods of accessing messages on devices: directly or indirectly, or using specialized access devices—although the specific access method will depend on the skills and abilities of the user. SGD output is typically much slower than speech, although
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their eyes to use eye gaze as a way to point and blocking as a way to select desired words and phrases. 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.
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based approaches, a device's content can be changed based on events that occur to a user during their day. By accessing more of a user's data, more high-quality messages can be generated at a risk of exposing sensitive user data. For example, by making use of
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devices. They typically generate electronically produced visual symbols that, when pressed, change the set of selections that is displayed. The user can change the symbols available using page links to navigate to appropriate pages of vocabulary and messages.
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Prediction is a rate enhancement strategy in which the SGD attempts to reduce the number of keystrokes used by predicting the word or phrase being written by the user. The user can then select the correct prediction without needing to write the entire word.
51:, 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 with 1655:
Ashraf, S.; Warden, A.; Shearer, A. J.; Judson, A.; Ricketts, I. W.; Waller, A.; Alm, N.; Gordon, B.; MacAulay, F.; Brodie, J. K.; Etchels, M. (2002). "Capturing phrases for ICU-Talk, a communication aid for intubated intensive care patients.".
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A major disadvantage of using only recorded speech is that users are unable to produce novel messages; they are limited to the messages pre-recorded into the device. Depending on the device, there may be a limit to the length of the recordings.
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Rackensperger, T.; Krezman, C.; McNaughton, D.; Williams, M. B.; d'Silva, K. (2005). ""When I First Got It, I Wanted to Throw It off a Cliff": The Challenges and Benefits of Learning AAC Technologies as Described by Adults who use AAC".
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Words, phrases or entire messages can be digitised and stored onto the device for playback to be activated by the user. This process is formally known as Voice Banking. Advantages of recorded speech include that it (a) provides natural
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Fixed display devices refer to those in which the symbols and items are "fixed" in a particular format; some sources refer to these as "static" displays. Such display devices have a simpler learning curve than some other devices.
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The rate of words produced can depend greatly on the conceptual level of the system: the TALK system, which allows users to choose between large numbers of sentence-level utterances, demonstrated output rates in excess of 60 wpm.
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Hochstein, D. D.; McDaniel, M. A.; Nettleton, S.; Neufeld, K. H. (2003). "The Fruitfulness of a Nomothetic Approach to Investigating AAC: Comparing Two Speech Encoding Schemes Across Cerebral Palsied and Nondisabled Children".
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Synthesized speech engines are available in many languages, and the engine's parameters, such as speech rate, pitch range, gender, stress patterns, pauses, and pronunciation exceptions can be manipulated by the user.
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In any given SGD there may be a large number of vocal expressions that facilitate efficient and effective communication, including greetings, expressing desires, and asking questions. Some SGDs have multiple pages of
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problems that can be found in contexts of AAC use. For example, SGDs may have to be designed so that they support the user's right to delete logs of conversations or content that has been added automatically.
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Dominowska, E., Roy, D., & Patel, R. (2002). An adaptive context-sensitive communication aid. Proceedings of the CSUN International Conference on Technology and Persons with Disabilities, Northridge,
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In 1966, Barry Romich, a freshman engineering student at Case Western Reserve University, and Ed Prentke, an engineer at Highland View Hospital in Cleveland, Ohio formed a partnership, creating the
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Speech-generating systems may be dedicated devices developed solely for AAC, or non-dedicated devices such as computers running additional software to allow them to function as AAC devices.
204:. The first commercially available dynamic screen speech-generating devices were developed in the 1990s. Software programs were developed that allowed the computer-based production of 157:
Dahmke's work contributed to the advancement of assistive technology for people with disabilities. Notably, he designed the "Vocabulary Management System" for Bill Rush, a student with
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Luo, F., Higginbotham, D. J., & Lesher, G. (2007). Webcrawler: Enhanced augmentative communication. Paper presented at CSUN Conference on Disability Technology, March, Los Angeles.
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with a predictive grid layout, suggesting that the cognitive overhead of reviewing a new arrangement cancels out the benefits of the predictive layout when using a scanning interface.
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Fixed display devices replicate the typical arrangement of low-tech AAC devices (low-tech is defined as those devices that do not need batteries, electricity or electronics), like
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Hourcade, J.; Everhart Pilotte, T.; West, E.; Parette, P. (2004). "A History of Augmentative and Alternative Communication for Individuals with Severe and Profound Disabilities".
231:. In the past 20 or so years SGD have gained popularity amongst young children with speech deficiencies, such as autism, Down syndrome, and predicted brain damage due to surgery. 1983:
Hochstein, D. D.; McDaniel, M. A.; Nettleton, S. (2004). "Recognition of Vocabulary in Children and Adolescents with Cerebral Palsy: A Comparison of Two Speech Coding Schemes".
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Stephen Hawking came to be associated with the unique voice of his particular synthesis equipment. Hawking was unable to speak due to a combination of disabilities caused by
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Blischak, D. M., Lombardino, L. J., & Dyson, A. T. (2003). Use of speech-generating devices: In support of natural speech. Augmentative and Alternative Communication, 19
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benefit is that a talking keyboard, when used with a standard telephone or speakerphone can enable a voice impaired individual have 2 way conversation over a telephone.
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Mathy; Yorkston, Guttman (2000). "Augmentative Communication for Individuals with Amyotrophic Lateral Sclerosis". In Beukelman, D.; Yorkston, K.; Reichle, J. (eds.).
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technology facilitated improved communication for Rush and was featured in a 1980 issue of LIFE Magazine. Dahmke's contributions have influenced the development of
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Venkatagiri, H. S. 1995. Techniques for enhancing communication productivity in AAC: A review of research. American Journal of Speech-Language Pathology 4, 36–45.
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Glennen, Sharon L. and Decoste, Denise C. (1997). The Handbook of Augmentative and Alternative Communication. Singular Publishing Group, Inc.: San Diego, CA.
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R. Patel and R. Radhakrishnan. 2007. Enhancing Access to Situational Vocabulary by Leveraging Geographic Context. Assistive Technology Outcomes and Benefits
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has shown that such email writing practices allowed children who were SGD users to develop new social skills and increase their social participation.
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area. Vocabulary items should be of high interest to the user, be frequently applicable, have a range of meanings, and be pragmatic in functionality.
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Sundqvist, A.; Rönnberg, J. (2010). "A Qualitative Analysis of Email Interactions of Children who use Augmentative and Alternative Communication".
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There are two main options for increasing the rate of communication for an SGD: encoding, a translator such as Nicole Schatzmann. and prediction.
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Encoding permits a user to produce a word, sentence or phrase using only one or two activations of their SGD. Iconic encoding strategies such as
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all the vocal expressions needed in any given environment. For example, parents and therapists might not think to add slang terms, such as "
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symbol to open a page with messages relating to sport, then press the symbol showing a scoreboard to utter the phrase "What's the score?".
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typewriter controller named the patient-operated selector mechanism (Naman) prototyped by Reg Maling in the United Kingdom in 1960. POSSUM
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Friedman, M.B., Kiliany, G. and Dzmura, M. (1985) An Eye Gaze Controlled Keyboard. Proceedings of the 2nd International Conference on
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The use of synthesized speech has increased due to the creation of software that takes advantage of the user's existing computers and
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The specific access method will depend on the skills and abilities of the user. With direct selection a body part, pointer, adapted
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During the 1970s and early 1980s, several other companies began to emerge that have since become prominent manufacturers of SGDs.
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ALS. In particular, digitized SGDs have been used as communication aids for pediatric patients during the recovery process.
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The output of a SGD may be digitized and/or synthesized: digitized systems play directly recorded words or phrases while
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Todman, J. (2000). "Rate and quality of conversations using a text-storage AAC system: Single-case training study".
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Zangari, C.; Lloyd, L.; Vicker, B. (1994). "Augmentative and alternative communication: An historic perspective".
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Augmentative & alternative communication: supporting children & adults with complex communication needs
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to present alternative letter targets on the screen with size relative to their likelihood given the history.
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Blackstone, S. W.; Williams, M. B.; Joyce, M. (2002). "Future AAC Technology Needs: Consumer Perspectives".
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of normalcy both for the patient and for their families when they lose their ability to speak on their own.
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A speech-generating device with dynamic display, capable of outputting both synthesized and digitized speech
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Higginbotham, D. J.; Shane, H.; Russell, S.; Caves, K. (2007). "Access to AAC: Present, past, and future".
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founded Toby Churchill Ltd in 1973, after losing his speech following encephalitis. In the US,
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Communication programming for persons with severe handicaps: vocal and augmentative strategies
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can increase the user's rate of output, resulting in enhanced efficiency of communication.
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Reddington, J.; Tintarev, N. (2011). "Automatically generating stories from sensor data".
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The patient-operated selector mechanism (POSM or POSSUM), was developed in the early 1960s
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Proceedings of the 15th international conference on Intelligent user interfaces - IUI '11
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SGDs have their roots in early electronic communication aids. The first such aid was a
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various pages. Speech-generating devices can produce electronic voice output by using
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development has meant that SGD capabilities can now be integrated into devices like
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Keyboard used to create speech over a telephone using a Text to Speech converter.
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to help monitor the content used by an individual. This raises concerns about
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for independent access to other equipment such as TV, radio and telephones.
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The first known SGD was prototyped in the mid-1970s, and rapid progress in
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rules of the language to translate the user's message into voice output (
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Association for Computational Linguistics, Stroudsburg, PA, USA, 10–18.
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Association for Computational Linguistics, Stroudsburg, PA, USA, 1–9.
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through a set of symbols on an illuminated display. Researchers at
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object in order to access the system, such as maneuvering a
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Schlosser, R. W.; Blischak, D. M.; K., Rajinder K. (2003).
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Stassen, H. G.; Sheridan, T. B.; Van Lunteren, T. (1997).
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development continued, including projects funded by the
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Augmentative Communication in Practice: An Introduction
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Information theory, inference, and learning algorithms
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Radomski, M. V. & Trombly Latham, C. A. (2007).
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Focus on Autism and Other Developmental Disabilities
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Cambridge University Press. p. 119. 1646:: CS1 maint: numeric names: authors list ( 1274: 959:. National Student Volunteer Program. 1980. 473:SGDs that use synthesized speech apply the 2618:Augmentative and alternative communication 2542:Augmentative and Alternative Communication 2382:Augmentative and Alternative Communication 2345:Augmentative and Alternative Communication 2277: 2183:Augmentative and Alternative Communication 1985:Augmentative and Alternative Communication 1918:Augmentative and Alternative Communication 1529: 1396: 805: 803: 801: 799: 590:performance measurement and analysis tools 376:Dynamic displays devices are usually also 371: 167:augmentative and alternative communication 45:augmentative and alternative communication 2286:. San Diego: Academic. pp. 472–532. 1702:(3rd ed.). Paul H. Brookes Pub. Co. 1493: 988:"J news - UNIVERSITY OF NEBRASKA–LINCOLN" 897:"Dahmke Using Concurrent PC DOS 1986 pdf" 730: 684: 682: 680: 678: 676: 674: 523:Keyboard text-to-speech generating device 269:, or eye tracking could be used, whereas 2108: 2043:"Augmentative Alternative Communication" 1545: 1543: 1445: 1443: 1441: 1439: 1437: 1297:Augmentative Communication, Incorporated 1264: 1262: 1260: 561: 518: 446: 416: 383: 351: 347: 327:Another approach to rate-enhancement is 281: 124: 20: 2598:Applications of artificial intelligence 2073:. University of Edinburgh CALL Centre. 2064:"High Technology Aids to Communication" 1460: 1206: 1204: 796: 651: 649: 647: 645: 643: 641: 277: 2585: 1509: 1507: 1505: 1412: 1410: 1408: 1406: 1404: 1312: 1301: 1223: 1221: 1219: 787: 785: 671: 1915: 1860:"Stephen Hawking chooses a new voice" 1767:"'Technology Gives Young Boy A Voice" 1690: 1582: 1540: 1454: 1434: 1428: 1416: 1397:Schlosser, Blischak & Koul (2003) 1323: 1268: 1257: 1246: 1241: 1237: 1235: 1227: 1210: 982: 980: 715: 588:Many recently developed SGDs include 468: 1823:. Blogs.suntimes.com. Archived from 1357: 1201: 1116: 1003: 638: 412: 1554: 1502: 1401: 1346: 1216: 826: 782: 583: 442: 13: 1982: 1779: 1617:Reddington & Coles-Kemp (2011) 1560: 1535: 1375:Dynavox at www.speechbubble.org.uk 1252: 1232: 1032:"BYTE - the small systems journal" 977: 14: 2629: 2562: 2102: 2011: 1307: 1149: 761: 566:AAC user with custom-built device 343:Fixed and dynamic display devices 331:, which uses language models and 238: 2568: 2480: 2443: 1514:Reddington & Tintarev (2011) 1285: 791: 94:. Notable users of SGDs include 2524: 2280:"Roles of Speech Output in AAC" 2132: 2118:. Baltimore: P.H. Brookes Pub. 1785: 1722: 1624: 1610: 1599: 1594: 1588: 1576: 1565: 1518: 1422: 1386:Sundqvist & Rönnberg (2010) 1379: 1374: 1368: 1340: 1334: 1189: 1178: 1167: 1161: 1155: 1127: 1091: 1066: 1041: 1024: 997: 963: 947: 930: 914: 889: 863: 837: 751:University of Washington (2009) 750: 41:voice output communication aids 2342: 2113: 2061: 1901:. Routledge. pp. 100–01. 1848: 1737:10.1080/10400435.2002.10132051 1694:; Mirenda, P. (15 June 2005). 1385: 1184: 971:"LateBlt's Computer Book List" 847:. 15 July 2015. Archived from 776: 660: 628: – Accessibility software 1: 2608:Speech and language pathology 1839: 1765:Brewer, N (8 February 2011). 1759: 666: 632: 604: 558:Automatic content maintenance 63:of natural speech or through 53:amyotrophic lateral sclerosis 2554:10.1080/07434619412331276740 2539: 2394:10.1080/07434610012331279024 2357:10.3109/07434618.2010.528796 2321: 2282:. In R. W. Schlosser (ed.). 2273:Stroudsburg, PA, USA, 28–36. 2265: 2062:Jans, D.; Clark, S. (1998). 2026:10.1177/10883576040190040501 1997:10.1080/07434610410001699708 1878: 1873: 1798: 1616: 1482:Disability Studies Quarterly 1195: 1173: 1133: 820: 809: 688: 528:Selection set and vocabulary 218:environmental control device 216:and Internet use, and as an 212:, perform as a computer for 7: 2444:Vanderheide, G. C. (2002). 2300: 2133:David J. C. MacKay (2003). 1968:10.1044/1058-0360(2003/057) 1894: 1857: 1654: 1606:Rackensperger et al. (2005) 1524: 626:Orca (assistive technology) 613: 77:rate enhancement strategies 10: 2634: 2425:"Toby Churchill, About Us" 2271: 2267:Computational Linguistics. 2209: 2174: 2069:. In Wilson, Allan (ed.). 1952: 1858:Hanlon, M. (4 June 2004). 1851:Rehabilitation Engineering 1818: 1716: 1631: 1571: 1549: 1449: 1363: 1329: 1296: 655: 578:global positioning systems 242: 182:Carnegie-Mellon University 120: 2603:Computational linguistics 2575:Speech generating devices 2485: 2423: 2195:10.1080/07434610500140360 2179: 1930:10.1080/07434610701571058 1898:Rehabilitation Technology 1881:"Stephen Hawking and ALS" 1800:"Dynavox Company History" 1773: 1764: 1605: 1572:Patel & Radhakrishnan 1318: 1228:Higginbotham et al (2007) 1134:Dynavox (Company History) 1123:Toby Churchill (About Us) 1122: 537:Initial content selection 429: 33:Speech-generating devices 2379: 2230: 2040: 1595:Blackstone et al. (2002) 1513: 1352: 598:personal data management 290:rate enhancement program 112:ALS Ice Bucket Challenge 16:Augmenting speech device 2241:10.1145/1943403.1943477 1583:Beukelman & Mirenda 1495:10.18061/dsq.v31i4.1724 1461:Beukelman & Mirenda 1429:Beukelman & Mirenda 1417:Beukelman & Mirenda 1269:Beukelman & Mirenda 1242:Beukelman & Mirenda 1211:Beukelman & Mirenda 1174:Stephen Hawking and ALS 1078:Original Life Magazines 777:Jans & Clark (1998) 731:Musselwhite & Louis 716:Beukelman & Mirenda 372:Dynamic display devices 1895:Hedman, Glenn (1990). 1476:Wickenden, M. (2011). 1364:Hochstein et al (2003) 1253:Hochstein et al (2004) 1007:Journey Out of Silence 1004:Rush, William (2008). 567: 524: 452: 422: 389: 357: 291: 271:switch access scanning 245:Switch access scanning 151:Prentke Romich Company 130: 29: 2500:10.1145/354401.354427 1666:10.1145/638249.638288 1450:Radomski et al (2007) 1308:Johansen et al (2003) 1196:Glennen & Decoste 689:Glennen & Decoste 667:Blischak et al (2003) 565: 522: 450: 420: 387: 355: 348:Fixed display devices 285: 256:switch access scanner 128: 24: 2613:Occupational therapy 2577:at Wikimedia Commons 2328:. Psychology Press. 1725:Assistive Technology 1525:Ashraf et al. (2002) 407:Linköping University 405:and e-mail. Work by 397:channels, including 366:communication boards 286:A screenshot of the 278:Message construction 210:eye-tracking systems 206:communication boards 169:(AAC) technologies. 61:digitized recordings 2431:on 10 December 2011 2307:Scientific American 2090:on 21 February 2007 1632:Aetna Inc. (2010). 1049:"Minspeak™ History" 875:www.mark.dahmke.com 312:Semantic compaction 227:, and an emergency 2456:(6 Suppl): 39–53. 1788:"Dynavox Series 5" 1550:Black et al (2010) 1330:Roark et al (2010) 1286:Venkatagiri (1995) 1103:empichon72.free.fr 792:Vanderheide (2002) 568: 525: 469:Synthesized speech 453: 436:synthesized speech 423: 390: 358: 292: 202:European Community 192:Rapid progress in 131: 49:speech impairments 30: 2573:Media related to 2468:on 1 October 2011 2335:978-0-8058-2190-1 2223:978-0-7817-6312-7 2167:978-0-89079-388-6 2146:978-0-521-64298-9 2125:978-1-55766-473-0 2080:978-1-898042-15-0 1908:978-1-56024-033-4 1827:on 19 August 2011 1794:on 25 April 2012. 1709:978-1-55766-684-0 1319:Ward et al (2000) 1017:978-1-4357-1497-7 877:. 14 January 2024 656:Aetna Inc. (2010) 512:on memory space. 500:are available on 413:Talking Keyboards 333:arithmetic coding 43:, are electronic 39:), also known as 2625: 2593:Speech synthesis 2572: 2557: 2536: 2534: 2532: 2521: 2488:Blackwell, A. F. 2482: 2477: 2475: 2473: 2464:. Archived from 2440: 2438: 2436: 2427:. Archived from 2420: 2418: 2416: 2405: 2376: 2339: 2318: 2316: 2314: 2297: 2274: 2268: 2262: 2227: 2206: 2176: 2171: 2150: 2129: 2110: 2105: 2099: 2097: 2095: 2089: 2083:. Archived from 2068: 2058: 2056: 2054: 2045:. Archived from 2037: 2008: 1979: 1949: 1912: 1891: 1889: 1887: 1875: 1870: 1868: 1866: 1854: 1845: 1836: 1834: 1832: 1815: 1813: 1811: 1806:on 5 August 2016 1802:. Archived from 1795: 1790:. Archived from 1782: 1776: 1770: 1761: 1756: 1719: 1713: 1701: 1687: 1651: 1645: 1637: 1619: 1614: 1608: 1603: 1597: 1592: 1586: 1580: 1574: 1569: 1563: 1561:Dominowska et al 1558: 1552: 1547: 1538: 1536:Luo et al (2007) 1533: 1527: 1522: 1516: 1511: 1500: 1499: 1497: 1473: 1464: 1458: 1452: 1447: 1432: 1426: 1420: 1414: 1399: 1394: 1388: 1383: 1377: 1372: 1366: 1361: 1355: 1350: 1344: 1338: 1332: 1327: 1321: 1316: 1310: 1305: 1299: 1294: 1288: 1283: 1272: 1266: 1255: 1250: 1244: 1239: 1230: 1225: 1214: 1208: 1199: 1193: 1187: 1182: 1176: 1171: 1165: 1159: 1153: 1147: 1136: 1131: 1125: 1120: 1114: 1113: 1111: 1109: 1095: 1089: 1088: 1086: 1084: 1070: 1064: 1063: 1061: 1059: 1053:Minspeak Academy 1045: 1039: 1038: 1036: 1028: 1022: 1021: 1001: 995: 994: 992: 984: 975: 974: 967: 961: 960: 951: 945: 944: 942: 934: 928: 927: 918: 912: 911: 909: 907: 893: 887: 886: 884: 882: 867: 861: 860: 858: 856: 841: 835: 830: 824: 818: 812: 807: 794: 789: 780: 774: 765: 759: 753: 748: 733: 728: 719: 713: 692: 686: 669: 664: 658: 653: 584:Ethical concerns 479:speech synthesis 443:Digitized speech 163:speech synthesis 143:Delft University 110:(founder of the 65:speech synthesis 2633: 2632: 2628: 2627: 2626: 2624: 2623: 2622: 2583: 2582: 2565: 2560: 2530: 2528: 2510: 2494:. p. 129. 2471: 2469: 2434: 2432: 2414: 2412: 2408: 2336: 2312: 2310: 2294: 2251: 2235:. p. 407. 2224: 2168: 2147: 2126: 2093: 2091: 2087: 2081: 2066: 2052: 2050: 2041:Infinitec.org. 1909: 1885: 1883: 1864: 1862: 1830: 1828: 1809: 1807: 1710: 1676: 1660:. p. 213. 1639: 1638: 1627: 1622: 1615: 1611: 1604: 1600: 1593: 1589: 1581: 1577: 1570: 1566: 1559: 1555: 1548: 1541: 1534: 1530: 1523: 1519: 1512: 1503: 1474: 1467: 1459: 1455: 1448: 1435: 1427: 1423: 1415: 1402: 1395: 1391: 1384: 1380: 1373: 1369: 1362: 1358: 1351: 1347: 1339: 1335: 1328: 1324: 1317: 1313: 1306: 1302: 1295: 1291: 1284: 1275: 1267: 1258: 1251: 1247: 1240: 1233: 1226: 1217: 1209: 1202: 1194: 1190: 1183: 1179: 1172: 1168: 1160: 1156: 1150:Hourcade (2004) 1148: 1139: 1132: 1128: 1121: 1117: 1107: 1105: 1097: 1096: 1092: 1082: 1080: 1072: 1071: 1067: 1057: 1055: 1047: 1046: 1042: 1034: 1030: 1029: 1025: 1018: 1002: 998: 990: 986: 985: 978: 969: 968: 964: 953: 952: 948: 940: 936: 935: 931: 920: 919: 915: 905: 903: 895: 894: 890: 880: 878: 869: 868: 864: 854: 852: 851:on 15 July 2015 843: 842: 838: 831: 827: 819: 815: 808: 797: 790: 783: 775: 768: 760: 756: 749: 736: 729: 722: 714: 695: 687: 672: 665: 661: 654: 639: 635: 616: 607: 586: 560: 539: 530: 471: 445: 432: 415: 374: 350: 345: 321:Word prediction 315:how are you?". 280: 247: 241: 214:word-processing 123: 96:Stephen Hawking 26:Stephen Hawking 17: 12: 11: 5: 2631: 2621: 2620: 2615: 2610: 2605: 2600: 2595: 2579: 2578: 2564: 2563:External links 2561: 2559: 2558: 2537: 2522: 2508: 2483: 2478: 2441: 2421: 2406: 2388:(3): 164–179. 2377: 2351:(4): 255–266. 2340: 2334: 2319: 2298: 2292: 2275: 2269: 2263: 2249: 2228: 2222: 2207: 2177: 2172: 2166: 2151: 2145: 2130: 2124: 2111: 2106: 2100: 2079: 2059: 2049:on 16 May 2011 2038: 2020:(4): 235–244. 2009: 1980: 1962:(1): 110–120. 1950: 1924:(3): 243–257. 1913: 1907: 1892: 1876: 1871: 1855: 1846: 1837: 1816: 1796: 1783: 1777: 1771: 1762: 1757: 1720: 1714: 1708: 1688: 1674: 1652: 1628: 1626: 1623: 1621: 1620: 1609: 1598: 1587: 1575: 1564: 1553: 1539: 1528: 1517: 1501: 1465: 1453: 1433: 1421: 1400: 1389: 1378: 1367: 1356: 1345: 1333: 1322: 1311: 1300: 1289: 1273: 1256: 1245: 1231: 1215: 1200: 1188: 1177: 1166: 1164:, pp. 151–153. 1154: 1137: 1126: 1115: 1099:"byte en 1981" 1090: 1065: 1040: 1023: 1016: 996: 976: 962: 946: 929: 913: 888: 862: 836: 825: 821:Stassen et al. 813: 810:Zangari (1994) 795: 781: 766: 754: 734: 720: 693: 670: 659: 636: 634: 631: 630: 629: 623: 615: 612: 606: 603: 585: 582: 559: 556: 538: 535: 529: 526: 470: 467: 444: 441: 431: 428: 414: 411: 403:text messaging 373: 370: 349: 346: 344: 341: 279: 276: 240: 239:Access methods 237: 186:cerebral palsy 174:Toby Churchill 159:cerebral palsy 122: 119: 104:Tony Proudfoot 15: 9: 6: 4: 3: 2: 2630: 2619: 2616: 2614: 2611: 2609: 2606: 2604: 2601: 2599: 2596: 2594: 2591: 2590: 2588: 2581: 2576: 2571: 2567: 2566: 2555: 2551: 2547: 2543: 2538: 2527: 2523: 2519: 2515: 2511: 2505: 2501: 2497: 2493: 2489: 2486:Ward, D. J.; 2484: 2479: 2467: 2463: 2459: 2455: 2451: 2447: 2442: 2430: 2426: 2422: 2411: 2407: 2403: 2399: 2395: 2391: 2387: 2383: 2378: 2374: 2370: 2366: 2362: 2358: 2354: 2350: 2346: 2341: 2337: 2331: 2327: 2326: 2320: 2309: 2308: 2303: 2299: 2295: 2293:0-12-625667-5 2289: 2285: 2281: 2276: 2270: 2264: 2260: 2256: 2252: 2250:9781450304191 2246: 2242: 2238: 2234: 2229: 2225: 2219: 2215: 2214: 2208: 2204: 2200: 2196: 2192: 2188: 2184: 2178: 2173: 2169: 2163: 2159: 2158: 2152: 2148: 2142: 2138: 2137: 2131: 2127: 2121: 2117: 2112: 2107: 2101: 2086: 2082: 2076: 2072: 2065: 2060: 2048: 2044: 2039: 2035: 2031: 2027: 2023: 2019: 2015: 2010: 2006: 2002: 1998: 1994: 1990: 1986: 1981: 1977: 1973: 1969: 1965: 1961: 1957: 1951: 1947: 1943: 1939: 1935: 1931: 1927: 1923: 1919: 1914: 1910: 1904: 1900: 1899: 1893: 1882: 1877: 1872: 1861: 1856: 1852: 1847: 1843: 1842:Johns Hopkins 1838: 1826: 1822: 1817: 1805: 1801: 1797: 1793: 1789: 1784: 1778: 1772: 1768: 1763: 1758: 1754: 1750: 1746: 1742: 1738: 1734: 1730: 1726: 1721: 1715: 1711: 1705: 1700: 1699: 1693: 1692:Beukelman, D. 1689: 1685: 1681: 1677: 1671: 1667: 1663: 1659: 1653: 1649: 1643: 1635: 1630: 1629: 1618: 1613: 1607: 1602: 1596: 1591: 1584: 1579: 1573: 1568: 1562: 1557: 1551: 1546: 1544: 1537: 1532: 1526: 1521: 1515: 1510: 1508: 1506: 1496: 1491: 1487: 1483: 1479: 1472: 1470: 1462: 1457: 1451: 1446: 1444: 1442: 1440: 1438: 1430: 1425: 1418: 1413: 1411: 1409: 1407: 1405: 1398: 1393: 1387: 1382: 1376: 1371: 1365: 1360: 1354: 1353:Todman (2000) 1349: 1342: 1341:MacKey (2003) 1337: 1331: 1326: 1320: 1315: 1309: 1304: 1298: 1293: 1287: 1282: 1280: 1278: 1270: 1265: 1263: 1261: 1254: 1249: 1243: 1238: 1236: 1229: 1224: 1222: 1220: 1212: 1207: 1205: 1197: 1192: 1186: 1181: 1175: 1170: 1163: 1158: 1151: 1146: 1144: 1142: 1135: 1130: 1124: 1119: 1104: 1100: 1094: 1079: 1075: 1069: 1054: 1050: 1044: 1033: 1027: 1019: 1013: 1009: 1008: 1000: 989: 983: 981: 972: 966: 958: 957: 950: 939: 933: 925: 924: 917: 902: 898: 892: 876: 872: 866: 850: 846: 840: 834: 829: 822: 817: 811: 806: 804: 802: 800: 793: 788: 786: 778: 773: 771: 763: 758: 752: 747: 745: 743: 741: 739: 732: 727: 725: 717: 712: 710: 708: 706: 704: 702: 700: 698: 690: 685: 683: 681: 679: 677: 675: 668: 663: 657: 652: 650: 648: 646: 644: 642: 637: 627: 624: 621: 620:Electrolarynx 618: 617: 611: 602: 599: 595: 591: 581: 579: 574: 564: 555: 551: 547: 545: 534: 521: 517: 513: 509: 507: 503: 499: 495: 491: 487: 482: 480: 476: 466: 462: 459: 449: 440: 437: 427: 419: 410: 408: 404: 400: 394: 386: 382: 379: 369: 367: 362: 354: 340: 336: 334: 330: 325: 322: 316: 313: 308: 305: 302: 296: 289: 284: 275: 272: 268: 264: 259: 257: 253: 246: 236: 232: 230: 226: 221: 219: 215: 211: 207: 203: 199: 195: 190: 187: 183: 179: 175: 170: 168: 164: 161:. 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Pro-Ed. 1831:17 October 1675:1581134649 1419:p. 105-106 1162:Robitaille 633:References 605:Challenges 399:cell phone 243:See also: 2402:144178797 2313:10 August 2203:143533447 1886:10 August 1865:10 August 1853:, 446–447 1819:Lund, J. 1431:, p. 105. 956:Synergist 691:pp. 88–90 554:content. 304:display. 2531:19 March 2462:17642032 2415:19 March 2365:21091302 2259:10394365 2094:13 March 2053:16 March 2034:73593697 2005:62243903 1976:12680818 1946:17891586 1938:17701743 1753:42895721 1745:12739846 1642:cite web 1271:p. 84-85 1198:pp 62–63 823:, p. 127 614:See also 475:phonetic 267:joystick 252:joystick 198:software 194:hardware 88:software 84:hardware 1684:4474005 1585:, p. 30 1343:, p 119 926:. 1983. 762:Glennen 594:privacy 502:Android 458:prosody 301:symbols 178:Dynavox 146:users. 139:scanned 121:History 2518:189874 2516:  2506:  2460:  2400:  2371:  2363:  2332:  2290:  2257:  2247:  2220:  2201:  2164:  2143:  2122:  2077:  2032:  2003:  1974:  1944:  1936:  1905:  1751:  1743:  1706:  1682:  1672:  1108:4 June 1083:4 June 1058:4 June 1014:  906:4 June 881:4 June 855:2 June 494:Spoken 488:. AAC 430:Output 329:Dasher 288:Dasher 106:, and 2514:S2CID 2398:S2CID 2373:29481 2369:S2CID 2255:S2CID 2199:S2CID 2088:(PDF) 2067:(PDF) 2030:S2CID 2001:S2CID 1942:S2CID 1749:S2CID 1680:S2CID 1488:(4). 1463:p. 83 1035:(PDF) 991:(PDF) 941:(PDF) 544:innit 492:like 263:mouse 2533:2009 2504:ISBN 2474:2011 2458:PMID 2437:2011 2417:2009 2361:PMID 2330:ISBN 2315:2009 2288:ISBN 2245:ISBN 2218:ISBN 2162:ISBN 2141:ISBN 2120:ISBN 2096:2011 2075:ISBN 2055:2011 1972:PMID 1934:PMID 1903:ISBN 1888:2009 1867:2009 1833:2009 1812:2011 1741:PMID 1704:ISBN 1670:ISBN 1648:link 1110:2024 1085:2024 1060:2024 1012:ISBN 908:2024 883:2024 857:2024 504:and 498:Avaz 490:apps 196:and 86:and 37:SGDs 2550:doi 2496:doi 2390:doi 2353:doi 2237:doi 2191:doi 2022:doi 1993:doi 1964:doi 1926:doi 1781:CA. 1733:doi 1662:doi 1490:doi 546:". 506:iOS 496:or 225:ALS 114:). 2589:: 2546:10 2544:. 2512:. 2502:. 2454:39 2452:. 2448:. 2396:. 2386:16 2384:. 2367:. 2359:. 2349:26 2347:. 2304:. 2253:. 2243:. 2197:. 2187:21 2185:. 2028:. 2018:19 2016:. 1999:. 1989:20 1987:. 1970:. 1960:12 1958:. 1940:. 1932:. 1922:23 1920:. 1747:. 1739:. 1729:14 1727:. 1678:. 1668:. 1644:}} 1640:{{ 1542:^ 1504:^ 1486:31 1484:. 1480:. 1468:^ 1436:^ 1403:^ 1276:^ 1259:^ 1234:^ 1218:^ 1203:^ 1140:^ 1101:. 1076:. 1051:. 979:^ 899:. 873:. 798:^ 784:^ 769:^ 737:^ 723:^ 696:^ 673:^ 640:^ 401:, 265:, 258:. 102:, 98:, 2556:. 2552:: 2535:. 2520:. 2498:: 2476:. 2439:. 2419:. 2404:. 2392:: 2375:. 2355:: 2338:. 2317:. 2296:. 2261:. 2239:: 2226:. 2205:. 2193:: 2170:. 2149:. 2128:. 2098:. 2057:. 2036:. 2024:: 2007:. 1995:: 1978:. 1966:: 1948:. 1928:: 1911:. 1890:. 1869:. 1835:. 1814:. 1769:. 1755:. 1735:: 1712:. 1686:. 1664:: 1650:) 1636:. 1498:. 1492:: 1152:. 1112:. 1087:. 1062:. 1037:. 1020:. 993:. 973:. 943:. 910:. 885:. 859:. 35:(

Index


Stephen Hawking
augmentative and alternative communication
speech impairments
amyotrophic lateral sclerosis
digitized recordings
speech synthesis
rate enhancement strategies
hardware
software
smartphones
Stephen Hawking
Roger Ebert
Tony Proudfoot
Pete Frates
ALS Ice Bucket Challenge

sip-and-puff
scanned
Delft University
Prentke Romich Company
cerebral palsy
speech synthesis
augmentative and alternative communication
Toby Churchill
Dynavox
Carnegie-Mellon University
cerebral palsy
hardware
software

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