Movement, Motivation and Mastery of AAC: A Co-Treat Approach - - PowerPoint PPT Presentation

SLIDE 1

Movement, Motivation and Mastery

• f AAC: A Co-Treat Approach

Melanie Conatser OTR/L Brenda Del Monte MA CCC-SLP

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Therapists who have a Non-Profit WHO ARE WE?

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We BELIEVE....

intelligent minds and passionate hearts can thrive in complicated bodies

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SLP vs Motor

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Just for today….drop your domain.

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Video Disclaimer

A special “thank you” to all the children and their families for letting us show these beautiful children for educational purposes. The videos don’t lie. They show children doing amazing things…sometimes because of the therapist facilitation and sometimes in spite of the therapist. Nobody is perfect but we are willing to show the do’s and the don’ts. 

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A question for you…….

• What is your most challenging kiddo?
• What skills do you need to address the needs
• f that kiddo?
• One word to describe how you feel?

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Meet Aidan

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Now that we have motivation – what is his body doing to move? TAKE A DEEP BREATH

OBSERVE

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Talk Points

• Watch his body to see voluntary or even

reflexive movement that happens with motivating stimuli

• Understand the difference between voluntary

and reflexive movement

• Cue accordingly “take a breath”
• Movement was motivating and motivation

created movement.

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Meet Natalie

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SLIDE 14

Meet Camden

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The body language says it all…

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Talk Points

• Using “knock it down” in a variety of ways
• Out of the chair is better for his body
• Eye gaze is still viable even with spasticity
• No tech yes and no
• Switch access is never off the table because

there are limitations to eye gaze

• Always have low tech eye gaze available

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Meet Nani

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Talk Points

• Variety of positions within one session

maintains learning level of alertness, decreases fatigue and sustains interest

• Any physically challenging activity could be

painful

• Model, Model, Model
• Total Communication
• No tech yes/no

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Meet Zidaan

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Talk Points

• Blahhhhhh!
• High Cognition, Ambulatory, Pointer – but not

really

• Rocking is our enemy
• Movement is his motivation
• Recorded speech is preferred during active

choices

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Meet Bella

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Talk Points

• Apraxia – hand over hand required to break

the motor plan to select bottom left button and even to complete the selection

• Movement and engagement with parents is

essential!

• Control over movement and positioning
• All of the above was required for AAC buy in

for her and her parents

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Children Approach Life From A Different Angle Than Adults

What We See:

What Kids See:

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Movement increases arousal level and primes the “brain-pump” for communication.

Movement also promotes self-initiated activities.

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Why Powered Mobility?

• Looking for a switch site and so we are going to

do that with a “CAR”? -NO

• NOT “looking for a switch site” – establishing

access through something that is essential (mobility), motivating and that creates inherit cause and effect that is meaningful

• Arlene James – “Mobility and Movement is the

easiest way to find interest, intent and allow for self initiated, self driven and thus, an engaging activity for the person.”

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Meet Seth

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Talk Points

• Low vision
• Only motivated by the iPad
• Powered Mobility with textures
• Device behind him prevented impulse to reach

toward the screen light

• Choices lead to a variety of positions
• Interest level guided language goals

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What are we measuring?

What we see

Junior will perform a task 8 out of 10 opportunities independently

What the kids see

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We BELIEVE…

In the human right to ACCESS LIFE – access education, access literacy, access independent mobility, access entertainment.