The contribute of Occupational Therapy to the implementation of Augmentative and Alternative Communication Systems in children with Cerebral Palsy: a scoping review

Abstract

Introduction: Cerebral Palsy (CP) is a Central Nervous System lesion with a strong impact on functionality. The neuromusculoskeletal, sensory-perceptive and cognitive changes frequently originate complex communication needs. The multidisciplinary intervention often involves the implementation of Augmentative and Alternative Communication Systems (AACS). The Occupational Therapist can collaborate in this intervention, especially when assistive technologies are involved. Objective: To describe the process of Occupational Therapy (OT) in the implementation of AACS in children with CP, checking the influence on the activities in which communication deficits restrict participation. Methodology: Scoping Review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and according to the Joanna Briggs Institute (JBI) protocol, conducted using the b-on library. A thematic categorical analysis of the articles was performed using the webQDA software. Results: Ten papers were selected according to the inclusion criteria of the 353 studies initially found, demonstrating the contribution of the OT process, the importance of a multidisciplinary team, as well as the identification of gaps, which suggest investment in future research. Conclusion: OT has a relevant role in the implementation of an AACS: in the assessment, with identification of capacities and needs at different levels, including positioning, the most appropriate type of access and contexts and, in the intervention through positioning, adaptation and training in the use of the AACS, as well as training, consulting and advocacy of stakeholders. The implementation of AACSis an area that still needs investment in research and training.