Introdução da comunicação suplementar e alternativa na terapia com afásicos

Abstract

Sabe-se que o tratamento fonoaudiológico de pacientes com afasia severa é limitado. A ausência de fala articulada, algumas vezes, impede o diagnóstico da afasia. O paciente "grave" pode não falar devido à inabilidade de articulação, como ocorre na disartria e/ou apraxia. Essa ausência de fala não permite afirmar se a linguagem está comprometida. O uso da comunicação suplementar e alternativa tem sido um método eficaz na reabilitação desses pacientes. Esse estudo visou descrever o uso da comunicação suplementar e alternativa associada a outras modalidades de linguagem (escrita, gestos), a partir do relato de dois casos de afasia. A análise dos dados foi composta por dois blocos: a introdução da comunicação suplementar e alternativa no diálogo; e o uso da leitura e escrita associado aos símbolos. A comunicação suplementar e alternativa foi um apoio para a oralidade, leitura e escrita dos pacientes.

Quality of life in aphasia: differences between fluent and non-fluent aphasic Augmentative and Alternative Communication users

“…The literature in the area mentions the role of AAC as a facilitator of the oral and discursive production in NF aphasics, promoting changes in this group social relations (11)(12)(13) . Thus, we can infer that the AAC contributes to positive changes in the QOL of the aphasic.…”

“…Taking into consideration that difficulties in communication are among the aphasic patient's most common complaints, it is important that, during aphasic clinical follow-up procedures, the conditions under which language produced is examined, verbal and non-verbal, analyzing dialogues, and spontaneous narratives, in other words, contextualized actions considering the social subject as an active participant of their own language reconstruction, to increase their QOL (11)(12)(13) . Thus, the search of better understanding and the inter-relation of life conditions, one of the factors that interfere in the aphasic subject's language, are of extreme relevance.…”

“…In this context, the Augmentative and Alternative Communication (ACC) appears as a possibility to improve aphasics clinical follow-up (11)(12)(13)16) , mainly in situations in which no advances in clinical therapy are present, or when the advances are poor in order to allow the assessment of the language evolution (17) .…”

“…Thus, the AAC is an important Speech-Language Pathology resource in aphasia (11)(12)(13) , bearing in mind that "the aphasic patient's quality of life is closely related to the intensity of the aphasia impact upon them" (1) . Hence, the AAC is an auxiliary aid to *The protocol validation in Portuguese did not involve patients with linguistic-cognitive impairment.…”

Comunicação aumentativa e alternativa: panorama dos periódicos brasileiros

“…The AAC in the aphasia theme was also the subject of research in two studies 9,24 . The effects on life quality were observed in a therapeutic group of patients with different types of aphasia from the implementation of AAC resources 9 , corroborating a study on satisfaction in AAC 21 .…”