I have some experience with ultravoice but with people who have had laryngectomies. One noted problem is volume. I have had 3 people use them and stopped because it was not loud enough. The other thing is they have to be able to turn the device on via switch. Also contrary to it being a “natural voice” it is basically an intra oral electrolarynx which also turned off my patients due to the sound.

My thought would be an in line passy muir valve trial first and than electronic communication device such as you mentioned. If the eyemax did not work possibly an inferred/reflective control such as tracker pro (http://www.madentec.com/products/tracker-pro.php.   

Or (http://www.orin.com/access/headmouse/.)

Just my thoughts

 

Ron Hankins


Ron Hankins, M.,A., CCC-SLP

Speech Language Pathologist

Banner Good Samaritan Medical Center

Neuroscience Clinics

(602) 839-4150

xxxxxx@xxxxxxxxxxxxxxxx

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From: xxxxxx@xxxxxxxxxxxxxxxxxxxx [mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx] On Behalf Of Edward Hitchcock
Sent: Thursday, January 06, 2011 2:48 PM
To: xxxxxx@xxxxxxxxxxxxxxxxxxxx
Subject: [no phi] Ultravoice

 

I got a phone call from an ALS client who was recently trached.  For reasons I am not certain about, an eyemax trial failed and the family is interested in pursuing ultravoice, which I have no experience with…

 

http://www.ultravoice.com/professionals.htm

 

While they cite that it works with ALS, I am concerned longer term about the following statement about a vent dependent client they tried it with

Except for the facial weakness, his speech musculature was intact.”

 

Since presumably this person already has or will develop dysarthria I am concerned about that.

 

But does anyone have direct experience with this for ALS that can share?  Thanks, Ed

 

Ed Hitchcock OT/L

Technology Center

Rehabilitation Institute of Chicago

 

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