Effectiveness and Determinant Variables of Augmentative and Alternative Communication Interventions in Cerebral Palsy Patients with Communication Deficit: a Systematic Review

Avagyan, Armenuhi; Mkrtchyan, Hasmik; Shafa, Fatemeh Alsadat; Mathew, Joan Alexandra; Petrosyan, Tigran

doi:10.1590/2317-1782/20202020244

Cited by 8 publications

(5 citation statements)

References 42 publications

(64 reference statements)

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“…As shown in children with complex communication needs 37 and CP, 38 AAC intervention has positive effects on receptive language and functional communication. However, in our multivariable models, use of AAC was not found to be a significant determinant for SLC, SWC, or functional communication development.…”

Section: Discussionmentioning

confidence: 97%

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Developmental trajectories of spoken language comprehension and functional communication in children with cerebral palsy: A prospective cohort study

Vaillant

Oostrom

Beckerman

et al. 2023

Develop Med Child Neuro

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AimTo investigate spoken language comprehension (SLC), single‐word comprehension (SWC), functional communication development, and their determinants, in children with cerebral palsy.MethodThis was a prospective cohort study in the Netherlands spanning 2 years 6 months. The main outcomes were SLC and SWC, assessed by the Computer‐Based instrument for Low motor Language Testing (C‐BiLLT) and the Peabody Picture Vocabulary Test‐III‐NL (PPVT‐III‐NL) respectively; and functional communication, measured by a subscale of the Focus on the Outcomes of Communication Under Six‐34 (FOCUS‐34). Linear mixed models were used to determine developmental trajectories, which were compared with norm and reference data. Potential determinants, for example intellectual functions, speech production, functional communication level (classified with the Communication Function Classification System, CFCS), and functional mobility, were added to assess their effects.ResultsChildren with cerebral palsy (n = 188; mean age 59 months, range 17–110) were monitored for 2 years 6 months. Developmental trajectories for SLC (C‐BiLLT) and SWC (PPVT‐III‐NL) were nonlinear; those for functional communication (FOCUS‐34) were linear. Compared with norm and reference groups, significantly delayed SLC, SWC, and functional communication development were found. Determinants for SLC and SWC were intellectual functions and functional communication level (CFCS); and for functional communication development (FOCUS‐34), speech production and arm–hand functioning.InterpretationChildren with cerebral palsy showed delayed SLC, SWC, and functional communication development compared with norm and reference groups. Remarkably, functional mobility was not associated with the development of SLC, SWC, or functional communication.

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Section: Discussionmentioning

confidence: 97%

“…Therefore, the findings about the use of AAC should be interpreted with caution. To potentially replicate results of previous research, 37,38 a larger sample with AAC users is needed, including more detailed information about AAC use.…”

Section: Discussionmentioning

confidence: 99%

Developmental trajectories of spoken language comprehension and functional communication in children with cerebral palsy: A prospective cohort study

Vaillant

Oostrom

Beckerman

et al. 2023

Develop Med Child Neuro

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“…Es probable que la adaptación orientada a otro tipo de aplicaciones oriente objetivos rehabilitadores o compensadores en el deportista. Avagyan et al (2021) concluyen que, más allá de la herramienta de uso, que impacto del SAAC en la intervención con personas con PC es dependiente de variables como el tiempo de entrenamiento mínimo de 2 semanas a más, la complementariedad con terapia de lenguaje tradicional, y la adaptación a contextos cotidianos en situaciones conversacionales de acceso rutinario.…”

Section: Discussionunclassified

Implementación del Sistema Pictográfico de Comunicación en un deportista con parálisis cerebral espástica: Reporte de un caso

Lenis

Villegas

Campos

et al. 2022

Rev. investig. logop.

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La parálisis cerebral (PC) es definida como uno de los trastornos neurológicos no progresivos que puede originarse por lesiones o anomalías en el cerebro inmaduro o en desarrollo. La parálisis cerebral de tipo espástica, concomitan con alteraciones a nivel motor y de lenguaje, alterando los procesos de transmisión de mensajes durante la comunicación. En respuesta a dichas alteraciones a nivel comunicativo se crean los Sistemas de Comunicación Aumentativa y Alternativa (SAAC), herramientas que permiten la interacción con el medio, ya sea complementando las emisiones orales o sustituyéndolas por símbolos, palabras escritas, lectoresdigitales, entre otros. El objetivo de la presente investigación es implementar un sistema de comunicación alternativo en un deportista con parálisis cerebral, mediante el uso de la aplicación Let Me Talk®. Se inicia con una evaluación utilizando como instrumento el Testde Barcelona, para la identificación de habilidades de comunicación y lenguaje. El proceso de adaptación del Sistema Pictográfico de Comunicación se desarrolló en 10 sesiones, en las cuales el deportista participó mediante el uso de la aplicación; las sesiones se registraron en un formato de observación participante de autoría propia. En el análisis de los resultados, se concluye que el SAACimplementado le permitió al deportista la participación durante las conversaciones planteadas, estructurando oraciones simples y complejas con el uso de las categorías y flexiones gramaticales, y la ejecución de preguntas movilizadoras complementadas por expresiones no verbales, que favorecieron la participación independiente en las situaciones comunicativas.

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“…[7,8]. Today, PECS is successfully used in many countries [9][10][11][12][13][14]. The primary goal of this methodology is the development of functional communication skills, speech initiative, and spontaneous speech formation.…”

Section: Introductionmentioning

confidence: 99%

Effect of a Method for Developing Communication Skills on Physical Activity in Children With Intellectual Disabilities

Mkrtchyan¹,

Margaryan²,

Hovhannisyan³

et al. 2022

hpc

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Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

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Effectiveness and Determinant Variables of Augmentative and Alternative Communication Interventions in Cerebral Palsy Patients with Communication Deficit: a Systematic Review

Abstract: This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cited by 8 publications

References 42 publications

Developmental trajectories of spoken language comprehension and functional communication in children with cerebral palsy: A prospective cohort study

Developmental trajectories of spoken language comprehension and functional communication in children with cerebral palsy: A prospective cohort study

Implementación del Sistema Pictográfico de Comunicación en un deportista con parálisis cerebral espástica: Reporte de un caso

Effect of a Method for Developing Communication Skills on Physical Activity in Children With Intellectual Disabilities

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