Introdução da comunicação suplementar e alternativa na terapia com afásicos

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.

Habilidades expressivas de um grupo de alunos com paralisia cerebral na atividade de jogo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Uso de expressões orais durante a implementação do recurso de comunicação suplementar e alternativa

The literature has discussed the importance of early implementation of augmentative and alternative systems with people with various disabilities. This discussion is related to concerns about language acquisition and development within the various expressive possibilities. Researchers advise that starting intervention early through resources and procedures using augmentative and alternative communication does not impede speech acquisition and development. This paper aimed to describe oral expressive abilities during the implementation of augmentative and alternative communication with a student with cerebral palsy. An 11-year-old student with cerebral palsy participated in the augmentative and alternative communication program for two years. Twelve sessions were selected during the first year of the intervention. The sessions were filmed and the augmentative and alternative communication resource procedures were transcribed. The categories of analysis were defined as verbal expression; nonverbal expression and verbal and nonverbal expression associated. The results of this study identified that augmentative and alternative communication resources supported the use of verbal expression such as vocalizations, words and unintelligible oral expressions.

Comunicação suplementar e alternativa no discurso narrativo do aluno com paralisia cerebral

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Música por meio de sistemas de comunicação alternativa: inserção do aluno com deficiência na atividade pedagógica

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Estudo das habilidades fonológicas de alunos usuários de comunicação suplementar e alternativa

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Caracterização dos enunciados de um aluno não-falante com paralisia cerebral durante o reconto de histórias com e sem tabuleiro de comunicação suplementar

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Desenvolvimento de um protocolo para avaliação de habilidades comunicativas para alunos não-falantes em situação familiar

Pós-graduação em Educação - FFC

Capacitacitação de professores no contexto de sistemas de comunicação suplementar e alternativa

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Um olhar bioecológico sobre os efeitos da comunicação alternativa na interação professor-aluno com paralisia cerebral

Estudos sobre a sintática da comunicação têm revelado que tanto a repertório verbal como a não-verbal produzem modificações significativas na interação social, e, portanto, no desenvolvimento humano. A fala, por exemplo, tem sido vista como uma modalidade comunicativa socialmente exigida para a construção de relações nos diferentes contextos e culturas. Entretanto, essa modalidade nem sempre é o recurso mais disponível principalmente para aqueles que apresentam alterações no seu desenvolvimento. Diante disso, é comum que a pessoa com deficiência tente buscar formas compensatórias para expressar seus desejos, pensamentos e frustrações, por meio das expressões faciais, do movimento ocular e/ou de piscada e de movimentos intencionais como o apontar. Nesse sentido, os recursos e estratégias de comunicação alternativa tem sidosão utilizados como ferramentas úteis para que o indivíduo possa alcançar maior participação social nos diversos contextos em que se apresenta. No entanto, a literatura tem destacado que, no ambiente escolar, os entraves de comunicação entre o professor e o aluno com deficiência podem acarretar prejuízos ao processo de ensino-aprendizagem. Por isso, esta pesquisa teve como objetivo analisar a interação professor-aluno com paralisia cerebral antes e após a introdução dessas ferramentas. Para tanto, realizou-se estudo de caráter qualitativo, do tipo estudo de caso com pesquisa intervenção. As etapas principais deste estudo foram: filmagens dos episódios interativos sem os recursos de comunicação alternativa, capacitação dos professores na escola e filmagem dos episódios interativos com os recursos de comunicação alternativa. Os dados foram analisados de forma qualitativa, considerando as quatro dimensões do modelo bioecológico de desenvolvimento humano proposto por Bronfenbrenner (1998): Processo, Pessoa, Contexto e Tempo. Dentre os resultados desta pesquisa destacam-se: maior engajamento mútuo no desenvolvimento dos episódios, com aumento na extensão de elos comunicativos; melhor percepção da professora acerca das habilidades de comunicação da aluna e tendência desta educadora para a utilização dessas ferramentas com finalidade de ensino. A partir disso, concluiu-se que esses recursos dinamizaram as interações entre a professora e a aluna com paralisia cerebral. Contudo, a implementação de tais recursos no cotidiano escolar requer a interdependência positiva de diversos fatores, dentre os quais os atributos pessoais desenvolvimentalmente geradores e maior base de tempo regular com o uso dessas ferramentas.

Estudo de vocábulos para avaliação de crianças com deficiência sem linguagem oral

Researchers in the field of Augmentative and Alternative Communication point out the lack of instruments for assessing children and young people with a complex communication needs. This study's focus is the selection of words for creating an instrument for the vocabulary range in non-speaking children aged two to eleven years and eleven months. Three studies were performed. The first study identified and described tools available for assessing receptive vocabulary and their respective word lists. The second identified and described research that presented word inventories or word lists. The third study identified the vocabulary reported by parents and teachers. The words that were identified in the three studies were analyzed according to: the number of times they occurred; the Picture Communication Symbols system classification; and a semantic and syntactic classification. Based on these studies the following criteria for vocabulary selection were established for word selection: the 45 words which appeared in all three studies, the words that occurred five times or more, considering the three studies, representing 167 (14.14%) words; the words identified in study one or two, but that had been reported by the families - 183 (19.37% out of 945 words) - or by teachers - 108 (11.43% out of 945 words). The word list was composed of 269 items, classified in 18 semantic and syntactic topics; it represents an initial tool for professionals in the field of health and education to set goals for beginning assessment of children and teenagers who are users of Augmentative and Alternative Communication systems.

Uso de sistemas de comunicação suplementar e alternativa na Educação Infantil: percepção do professor

Augmentative and Alternative Communication Resources have proven to be helpful in the insertion of students with disabilities and complex communication needs into a variety of pedagogical activities and expand the skills and competencies of the teacher in the teaching-learning. The objective of this research was to identify the perception of teachers regarding the use of augmentative and alternative communication during an intervention program in Preschool. Participants were a special class of Preschool students with disabilities and severe communication complexity, along with their teacher and the researcher. For the development of this research, a Alternative Communication Program was applied. The teacher was provided with systematic guidance concerning language and communication. In a collaborative process, three children’s songs were selected according to the teacher’s pedagogical planning and adapted resources through Augmentative and Alternative Communication Systems. During the intervention program, assisted evaluations also took place immediately after the activities with the music. The data were collected in audio recordings. For data analysis, content analysis was carried out resulting in the outlining of themes and subthemes. Results indicated that the teacher identified that Augmentative and Alternative Communication Systems can to facilitate expression abilities of students with disabilities; that Augmentative and Alternative Communication Systems can be used by children in Preschool; and that resources adapted through augmentative and alternative communication systems should be in accordance with the specificities of students.

Programa de capacitação de famílias de crianças, jovens e adultos usuários de comunicação alternativa

This study aimed to enter a training program for family members of children, youth and adults who use augmentative and alternative communication systems in the context of alternative languages . The study included families in the age group of 25-65 years in the period 2010- 2012. The activities were held weekly with duration of one hour in a alternative communication laboratory. All activities were videotaped and after that, the verbal participants’ reports were transcribed. The obtained categories were analyzed according to the steps of the program. The results indicated that families realized: the necessity of graphics systems for communication; the importance of adapted materials; and the need to understand their children’s different skills. The study reinforced the need for systematic and continuous guidance for families, as well as highlighted the use of graphics systems in the context of language.

Sistema de Comunicação Alternativa na Interação de um aluno com autismo e seu professor

Individuals with autism are often unable to communicate through speech, and the ones that are able to speak sometimes cannot begin or to maintain a conversation. This article presents a case study that observed the communicative profile of a young student with autism interacting with his teacher during classroom activities using adapted PECS. The results demonstrated that the autistic student enhanced communicative initiatives in the interaction with his teacher, and the augmentative and alternative communication system was a facilitating tool used in the communicative learning process.

Sistemas suplementares e alternativos de comunicação nas habilidades expressivas de um aluno com paralisia cerebral

The objective of this research was to describe the use of an augmentative and alternative system for a student with cerebral palsy during intervention. A 10-year-old male student with cerebral palsy participated in this investigation. He attended special classes for people with disability in a public school in a city of the interior of Sao Paulo. The scheduled activities were carried out twice a week for two years at the Laboratory of Special Education of a public University of São Paulo. All of the tapes describing the activities that were filmed during the assessment and implementation of augmentative and alternative communication resource were watched and described using a specific protocol. Based on the information from the protocols, the sessions with intervals greater than 20 days and the ones with activities involving the communication board with the time equal or greater than 20 minutes during the first year of intervention were selected. The chosen sessions were transcribed in full and, after analyzing the text, the following categories were established, according to the stated goal: the graphic system helped the student with utterances of vertical structure (56%) associated with the oral (14%) and non-oral and non-verbal form (30%), while the use of the graphic system along with other forms collaborated to enhance statements, enabling better understanding of the child s intention. The use of augmentative and alternative communication systems provided the expansion of effective dialogical situations for the student during the activities carried out in speech therapy.