Affiliations: Institute for Rehabilitation Science and Engineering
at Madonna Rehabilitation Hospital, Lincoln, NE, USA | Communicating Solutions, LLC, Ann Arbor, MI, USA | Children's Hospital Boston at Waltham, Waltham, MA, USA | State University of New York at Buffalo, Buffalo, NY, USA
Note: [] Corresponding author: Susan Fager, PhD, Institute for
Rehabilitation Science and Engineering at Madonna Rehabilitation Hospital, 5401
South Street, Lincoln, NE 68506, USA. Tel.: +1 402 483 9459; Fax: +1 402 486
8629; E-mail: sfager@madonna.org
Abstract: Children with severe physical impairments require a variety of
access options to augmentative and alternative communication (AAC) and computer
technology. Access technologies have continued to develop, allowing children
with severe motor control impairments greater independence and access to
communication. This article will highlight new advances in access technology,
including eye and head tracking, scanning, and access to mainstream technology,
as well as discuss future advances. Considerations for clinical decision-making
and implementation of these technologies will be presented along with case illustrations.
Keywords: Children, AAC, alternative access, assistive technology
