Abstract
Augmentative and alternative communication (AAC) is an approach used to supplement, improve, and support the communication of those with speech or language impairments. We developed an AAC device for diverse approaches, using an electromyographic (EMG) switch and a necklace-type button switch. The EMG switch comprised an EMG signal processor and a switch interface processor. EMG signals were processed using an electrode through the stages of signal acquisition, amplification, filtering, rectification, and smoothing. In the switch interface processor, the microprocessor determined the switch as ON or OFF in response to an input EMG signal and then converted the EMG signal into a keyboard signal, which was transmitted to a smart device via Bluetooth communication. A similar transmission process was used for the necklace-type button switch, and switch signals were input and processed with general-purpose input/output. The first and second feasibility tests for the EMG switch and button switch were conducted in a total of three test sessions. The result of the feasibility test indicated that the major inconvenience and desired improvement associated with the EMG switch were the intricacy of the AAC device settings. The major inconveniences and desired improvements for the necklace-type button switch involved device shifting, volume and weight, and inconvenience in fixing the switch in various directions. Thus, based on the first and second feasibility tests, we developed an additional device. Finally, the EMG switch and necklace-type button switch developed to remedy the inconveniencies had high feasibility.
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References
Lewis RB (1993) Special education technology: classroom applications. Brooks/Cole Publishing Company, Pacific Grove
Cler MJ, Nieto-Castañón A, Guenther FH, Fager SK, Stepp CE (2016) Surface electromyographic control of a novel phonemic interface for speech synthesis. Augment Altern Commun 32:120–130
Beukelman D, Mirenda P (2005) Augmentative and alternative communication: supporting children and adults with complex communication needs. Paul H. Brookes, Baltimore
Williams MR, Kirsch RF (2008) Evaluation of head orientation and neck muscle EMG signals as command inputs to a human–computer interface for individuals with high tetraplegia. IEEE Trans Neural Syst Rehabil Eng 16:485–494
Higginbotham DJ, Shane H, Russell S, Caves K (2007) Access to AAC: present, past, and future. Augment Altern Commun 23:243–257
Orhan U, Hild KE, Erdogmus D, Roark B, Oken B, Fried-Oken M (2012) RSVP keyboard: an EEG based typing interface. In: Proc IEEE Int conf Acoust speech signal Process, pp 645–648
Beukelman DR, Mirenda P (2013) Augmentative & alternative communication: supporting children & adults with complex communication needs, 4th edn. Paul H. Brookes Pub, Baltimore
Fager S, Bardach L, Russell S, Higginbotham J (2012) Access to augmentative and alternative communication: new technologies and clinical decision-making. J Pediatr Rehabil Med 5:53
Majaranta P, MacKenzie IS, Aula A, Räihä KJ (2006) Effects of feedback and dwell time on eye typing speed and accuracy. Univers Access in Inform Soc 5:199–208
Tonet O, Marinelli M, Citi L et al (2008) Defining brain–machine interface applications by matching interface performance with device requirements. J Neurosci Methods 167:91–104
Stepp CE (2012) Surface electromyography for speech and swallowing systems: measurement, analysis, and interpretation. J Speech Lang Hear Res 55:1232–1246
Saxena S, Nikolic S, Popovic D (1995) An EMG-controlled grasping system for tetraplegics. J Rehabil Res Dev 32:17
Mobasheri MH, King D, Judge S et al (2016) Communication aid requirements of intensive care unit patients with transient speech loss. Augment Altern Commun 32:261–271
Kong JY, Kim KY, Nam SH, An NY (2017) Survey on the use of Korean-type augmentative and alternative communication (AAC) for person with brain lesions. AAC Res Pract 5:25–50
Cook A, Hussesy S (2002) Assistive technology: preincilples and practive, 2nd edn. Mosby, St. Louis
Beukelman D, Mirenda P (2012) Augmentative and alternative communication, 4th edn. Paul H. Brookes Publishing Co, Baltimore
McNaughton D, Light J (2013) The iPad and mobile technology revolution: benefits and challenges for individuals who require augmentative and alternative communication. Augment Altern Commun 29:107–116
Russo MJ, Prodan V, Meda NN et al (2017) High-technology augmentative communication for adults with post-stroke aphasia: a systematic review. Expert Rev Med Devices 14(5):355–370
Ten Hoorn S, Elbers PW, Girbes AR, Tuinman PR (2016) Communicating with conscious and mechanically ventilated critically ill patients: a systematic review. Crit Care 20(1):333
Hodge S (2007) Why is the potential of augmentative and alternative communication not being realized? Exploring the experiences of people who use communication aids. Disabil Soc 22:457–471
McNaughton D, Rackensperger T, Benedek-Wood E, Krezman C, Williams MB, Light J (2008) A child needs to be given a chance to succeed”: parents of individuals who use AAC describe the benefits and challenges of learning AAC technologies. Augment Altern Commun 24:43–55
Cooper L, Balandin S, Trembath D (2009) The loneliness experiences of young adults with cerebral palsy who use alternative and augmentative communication. Augment Altern Commun 25:154–164
Bailey RL, Parette HP, Stoner JB, Angell ME, Carroll K (2006) Family members' perceptions of augmentative and alternative communication device use. Lang Speech Hear Serv Sch 37:50–60
Acknowledgements
This research was supported by the R&D Grant (No. 2017006) on rehabilitation by Korea National Rehabilitation Center Research Institute, Ministry of Health & Welfare.
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This research was supported by the R&D Grant (No. 2017006) on rehabilitation by Korea National Rehabilitation Center Research Institute, Ministry of Health & Welfare.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Kyungnam University Institutional Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Lee, D., Lee, S., Lee, K. et al. Biological surface electromyographic switch and necklace-type button switch control as an augmentative and alternative communication input device: a feasibility study. Australas Phys Eng Sci Med 42, 839–851 (2019). https://doi.org/10.1007/s13246-019-00766-1
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DOI: https://doi.org/10.1007/s13246-019-00766-1