Application of communication technologies to an adult with a high spinal cord injury

Abstract

This case study examines the use of augmentative communication technology with an adult male with high spinal cord injury. The primary need for this individual was better access to a keyboard, to permit an independent method of writing. Careful analysis of the situation suggested that a computerized long-range optical pointer with screen-based keyboard was appropriate. After using this system for several years, however, the communication system was dismantled in order to permit the computer to be used as the office computer for the individual's business. This case highlights the frequent differences between expert recommendation and individual preference, and between expert and individual expectations of intervention. It also points out the value of paying closer heed to both the preferences and strategies of the individual.

• abbreviation expansion
• adults
• aided approaches
• case study
• computer access
• spinal cord injury
• vocational adjustment
• writing system