La intervención de la comunicación aumentativa y alternativa en el traumatismo craneoencefálico

María Luisa Gómez Taibo, Eva Mª Pérez García

Resumen


Las personas que sobreviven a un traumatismo craneoencefálico (TCE) pueden presentar trastornos significativos de la comunicación que dependen del tamaño y severidad de la lesión y del nivel resultante de funcionamiento cognitivo. Los trastornos comunicativos generan una restricción en la participación en las actividades diarias y en la reintegración familiar, social y laboral. Ante las necesidades comunicativas insatisfechas derivadas de estos trastornos, el uso de la Comunicación Aumentativa y Alternativa (CAA) es una opción a considerar a lo largo del proceso de recuperación para compensar las necesidades temporales o permanentes, y llevar al máximo potencial la comunicación para la interacción social. El objetivo de este artículo es presentar la variedad de herramientas y estrategias de CAA para una buena valoración e intervención de los supervivientes a un TCE, siguiendo el marco organizativo de estrategias de intervención que incluye los niveles de estimulación, de estructuración y compensatorio, y no las tradicionales fases del modelo de recuperación, y que ha sido descrito en esta área de trabajo por Fager y sus colaboradores (Fager, 2005; Fager y Beukelman, 2005; Fager y Karantounis, 2010; Fager, Doyle, y Karantounis, 2007). Con este trabajo se pretende realizar una contribución a la intervención logopédica, en tanto en cuanto no existen documentos en español que describan y resuman las diferentes estrategias de valoración e intervención de la CAA en población con daño cerebral por TCE.

Citas


American Speech-Language-Hearing Association. (2005). Roles and responsibilities of speech-language pathologists with respect to alternative communication. Position state¬ment. Resource document. http://www.asha.org/Practice-Portal/Professional-Issues/Aug¬mentative-and-Alternative-Communication. Accessed 15 julio 2017

Baker, B. (1986). Using images to generate speech. Byte, 11, 160-168.

Beukelman, D. R. y Ball, L. J. (2002).Improving AAC Use for Persons with Acquired Neu¬rogenic Disorders: Understanding Human and Engineering Factors. Assistive Technology, 14 (1), 33-44. doi: 10.1080/10400435.2002.10132053

Beukelman, D., y Yorkston, K. (1977). A communication system for the severely dysarthric speaker with an intact language system. Journal of Speech and Hearing Disorders, 42, 265-270.

Beukelman, D., y Mirenda, P. (1992). Augmentative and alternative communication process¬es. Baltimore, MD: Paul H. Brookes.

Beukelman, D. R., y Mirenda, P. (2005). Augmentative and alternative Communication: Sup¬porting children and adults with complex communication needs (3rd ed.). Baltimore: Paul H. Brookes Publishing Co.

Beukelman, D. R., Fager, S., Ball, L., y Dietz, A. (2007) AAC for adults with acquired neu¬rological conditions: A review. Augmentative and Alternative Communication, 23 (3), 230-242. doi: 10.1080/07434610701553668

Beukelman, D. R., Yorkston, K. M., y Dowden (1985). Communication augmentation: A casebook of clinical management. Austin, TX: PRO-ED.

Beukelman, D. R., Yorkston, K. M., y Garrett, K. L. (2007). An introduction to AAC services for adults with chronic medical conditions. Who, what, when, where and why. En D.R. Beukelman, K. L. Garrett, & K. M. Yorkston (Eds.), Augmentative Communication Strat¬egies for Adults with Acute or Chronic Medical Conditions (pp. 1-15). Baltimore: Paul H. Brookes.

Brooks, D. N. (1990). Cognitive deficits. En M. Rosenthal, E. R. Griffith, M. R. Bond, y J. D. Miller (Eds.), Rehabilitation of the adult and child with traumatic brain injury (pp.163- 178). Philadelphia: F. A. Davis.

Brown, J. A., Hux, K., Kenny, C. y Funk, T. (2015). Consistency and idiosyncrasy of seman¬tic categorization by individuals with traumatic brain injuries. Disability and Rehabilita¬tion: Assistive Technology, 10 (5), 378-384. doi: 10.3109/17483107.2014.921250

Brunner, M., Hemsley, B., Togher, L., y Palmer, S. (2017). Technology and its role in reha¬bilitation for people with cognitive-communication disability following a traumatic brain injury (TBI). Brain Injury, 31 (8), 1028-1043. doi: 10.1080/02699052.2017.1292429

Burke, R., Beukelman, D. R., y Hux, K. (2004). Accuracy, efficiency and preferences of survivors of traumatic brain injury when using three organization strategies to retrieve words. Brain Injury, 18, 497-507. doi: 10.1080/02699050310001645784

Burke, R., Wassink, K., Martin, T., y Seikel, A. J. (2008). Message retrieval for survivors of traumatic brain injury. Augmentative and Alternative Communication, 24 (1), 56-63. doi: 10.1080/07434610701421015

Campbell, L., Balandin, S., y Togher, L. (2002). Augmentative and alternative communica¬tion use by people with traumatic brain injury: A review. Advances in Speech-Language Pathology, 24, 89 – 94. doi: 10.1080/14417040210001669311

Coronas, M., y Basil, C. (2013). Comunicación aumentativa y alternativa para personas con afasia. Revista de Logopedia, Fonología y Audiología, 33, 126-135. doi: 10.1016/j. rlfa.2012.10.004

Demasco, P. (1994). Human factors considerations in the design of language interfaces in AAC. Assistive Technology, 6, 10-25.

De Noreña D, Ríos-Lago M, Bombín-González I, Sánchez- Cubillo I, García-Molina A, y Tirapu-Ustárroz J. (2010). Efectividad de la rehabilitación neuropsicológica en el daño cerebral adquirido (I): atención, velocidad de procesamiento, memoria y lenguaje. Re¬vista de Neurología, 51, 687-98. Recuperado de https://www.psyciencia.com/wp-content/uploads/2012/12/efectividad-de-la-rehabilitaci%C3%83%C2%B3n-neuropsi¬col%C3%83%C2%B3gica.pdf

DeRuyter, F., y Donoghue, K. (1989). Communication and traumatic brain injury. A case study. Augmentative and Alternative Communication, 5, 49-54. doi:10.1080/074346189 12331274966

DeRuyter, F., y Kennedy, M. (1991). Augmentative communication following traumatic brain injury. En D. Beukelman y K. Yorkston (Eds.), Communication disorders following traumatic brain injury: Management of cognitive, language, and motor impairments (pp. 317 – 365). Austin, TX: Pro-Ed.

DeRuyter, F., y Lafontaine, L. (1987). The nonspeaking brain injured: A clinical and demo¬graphic database report. Augmentative and Alternative Communication, 3, 18-25. doi:10 .1080/07434618712331274209

Dietz, A., McKelvey, M., y Beukelman, D. (2006). Visual scene display: New AAC interface for persons with aphasia. Perspectives on Augmentative and Alternative Communication, 15 (1), 13-17. doi:10.1044/aac15.1.13

Dongilli, P. A., Hakel, M. E., y Beukelman, D. R. (1992). Recovery of functional speech following traumatic brain injury. Journal of Head Trauma Rehabilitation, 7, 91 – 101.

Doyle, M., y Fager, S. (2011). Traumatic Brain Injury and AAC: Supporting Communication Through Recovery. The ASHA Leader, 16. doi:10.1044/leader.FTR8.16022011.np

Doyle, M., Kennedy, M., Jausalaitis, G., y Phillips, B. (2000). AAC and traumatic brain injury. En D. R. Beukelman, K. M. Yorkston, y J. Reichle (Eds.), Augmentative and al¬ternative communication for adults with acquire neurological disorders (pp. 271–304). Baltimore, MD: Brookes Publishing Co.

Fager, S. (2005). Individuals with traumatic brain injury. En D.R. Beukelman y P. Mirenda (Eds.), Augmentative and Alternative Communication: Supporting Children and Adults with Complex Communication Needs, 3rd edition (pp. 517--531). Baltimore: Brookes Publishing Co.

Fager, S., y Beukelman, D. R. (2005). Individuals with Traumatic Brain Injury. En D.R.Beu¬kelman y P. Mirenda (Eds.), Augmentative and Alternative Communication: Supporting Children & Adults with Complex Communication Needs (pp. 517-531). Baltimore: Paul H. Brookes Publishing.

Fager, S., y Karantounis, R. (2010). AAC assessment and intervention. En K. Hux (Ed.), Assisting survivors of traumatic brain injury: The Role of Speech-Language Pathologists (2nd ed) (pp. 227-254). Austin, TX: PRO-ED.

Fager, S. K., Doyle, M., y Karantounis, R. (2007). Traumatic brain injury. En D.R. Beukel¬man, K. L. Garrett, y K. M. Yorkston (Eds.), Augmentative Communication Strategies for Adults with Acute or Chronic Medical Conditions (pp. 131-162). Baltimore: Paul H. Brookes.

Fager, S., Hux, K., Beukelman, D. R., y Karantounis, R. (2006). Augmentative and Alterna¬tive Communication use and acceptance by adults with Traumatic Brain Injury. Augmen¬tative and Alternative Communication, 22 (1), 37-47. doi: 10.1080/07434610500243990

Fried-Oken, M., y Doyle, M. (1992). Language representation for the augmentative and al¬ternative communication of adults with traumatic brain injury. Journal of Head Trauma Rehabilitation, 7(3), 59 – 69.

Fried-Oken, M., Beukelman, D. R., y Hux, K. (2012). Current and Future AAC Research Considerations for Adults with Acquired Cognitive and Communication Impairments. Assistive Technology, 24 (1), 56-66. doi: 10.1080/10400435.2011.648713

Garrett, K., Fager, S. y Karantounis, R. H. (2010). Communication interventions for individ uals with severe-profound brain injuries. Seminar at ASHA, PA: Philadelphia.

Hagen, C. (1984). Language disorders in head trauma. En A. Holland (Ed.), Language disor¬ders in adults (pp. 257–258). Austin, Tx: PRO-ED.

Hagen, C. (2000). Rancho-Los Amigos Levels of Cognitive Functioning-Revised. Presented at TBI Rehabilitation Managed Care Environment: An Interdisciplinary Approach to Re¬habilitation by Continuing Education Programs of America, San Antonio, TX.

Hagen, C., Malkmus, D., y Durham, P. (1972). Levels of cognitive functioning. Downey (CA): Rancho Los Amigos Hospital.

Hagen, C. , Malkmus, D., & Durham, P. (1979). Levels of cognitive functioning. En Reha¬bilitation of the head-injured adult: Comprehensive physical management (pp. 87-89). Downey, CA: Professional Staff Association of Rancho Los Amigos Medical Center.

Helms-Estabrookes, N. (2001). CLQT: Cognitive Linguistic Quick Test. San Antonio, TX: The Psychological Corporation.

Hux, K. (2003). Assisting survivors of traumatic brain injury. Austin, TX: PRO-ED.

Hux, K. (2011). Cognitive-communication deficits. En K. Hux (Ed.), Assisting survivors of traumatic brain injury: The role of speech language pathologists (2nd ed.) (pp. 121–184) Austin, X: Pro-ed.

Hux, K., Beukelman, D. R., Dombrovskis, M., y Snyder, R. (1993). Semantic organization fol¬lowing traumatic brain injury. Journal of Medical Speech Language Pathology, 1, 121-131.

Hux, K., Burke, R., Elliot, J., y Ross, M. (2001). Communication interaction differences be¬tween natural speakers and AAC users with traumatic brain injuries. Journal of Medical, Speech, Language Pathology, 9, 71-86.

Keenan, J., y Barnhart, K. (1993). Development of yes/no systems in individuals with severe traumatic brain injuries. Augmentative and Alternative Communication, 9, 184 – 190. doi: 10.1080/07434619312331276591

Kim, Y. H., Yoo, W. K., Ko, M. H., Park, C., Kim, S. T., y Na, D. L. (2009). Plasticity of the attentional network after brain injury and cognitive rehabilitation. Neurorehabilitation and Neural Repair, 23 (5), 468-477. doi: 10.1177/1545968308328728

Koul, R., Arvidson, H. H., y Pennington, G. S. (1997). Intervention for persons with acquired disorders. En L. L. Lloyd, D. R. Fuller, y H. H. Arvidson (Eds.), Augmentative and Alter¬native Communication. A Handbook of Principles and Practices (pp. 340-366). Boston: Allyn & Bacon.

Ladtkow, M., y Culp, D. (1992). Augmentative communication with the traumatically brain injured population. En K. Yorkston (Ed.), Augmentative communication in the medical setting (pp. 139-243). Tucson, AZ: Communication Skill Builders.

Ladtkow, M. (1993). Traumatic brain injury and severe expressive communication impair¬ment: The role of augmentative communication. Seminars in Speech and Language, 14, 61-73.

Light, J., Beesley, M., y Collier, B. (1988). Transition through multiple augmentative and alternative communication systems: A three-year case study of a head injury adolescent. Augmentative and Alternative Communication, 4(1), 2 – 14.

Milikin, C. C. (1997). Symbol systems and vocabulary selection strategies. En S. L. Glen¬nen y D. C. Decoste (Eds.), Handbook of Augmentative and Alternative Communication (pp.97-148). San Diego: Singular Publishing Group.

Mirenda, P., y Locke, P. A. (1989). A comparison of symbol transparency in persons with intellectual disabilities. Journal of Speech and Hearing Disorders, 54, 131-140.

Povlishock, J.T., y Katz, D. I. (2005). Update of neuropathology and neurological recovery after traumatic brain injury. Journal of Head Trauma Rehabilitation, 20 (1), 76-94.


Texto completo: PDF

Refbacks

  • No hay Refbacks actualmente.



http://revistas.ucm.es/public/site/images/UCM-UCLM.png


Revista de Investigación en Logopedia
ISSN-e 2174-5218

© . Universidad Complutense de Madrid
Biblioteca Complutense | Ediciones Complutense