What are Augmentative Devices, and How Can They be Used With Children Who are Not Speaking?
Some children with fragile X syndrome, particularly boys, do not begin speaking until very late, and a few do not speak at all. This inability to speak may be based upon cognitive levels, processing problems with language, and/or oral-motor problems. Many of these children understand more than they can say, such that the use of augmentative or alternative communication (AAC) devices may be helpful in allowing their thoughts and desires to be known. Augmentative and alternative communication (AAC) encompasses all kinds of communication, from gestures and sign language, to picture cards, communication boards, and computerized interactive devices. AAC allows for the development of speech and language in those who are non-verbal, and it can serve as a bridge to spoken language. AAC can accompany oral language, so that a communication partner offers the child with fragile X both the auditory input (words and sentences) and a visual cue (a picture, sign, logo, or gesture). This can strengthe
