[Assistive communication devices improve life management]

The development of information technology has enabled communication for severely disabled persons who previously were isolated even from their immediate neighborhood. Applications of information technology, particularly the Internet, make contacts possible even when spoken communication is impossible. Successful communication will support the personal autonomy of a severely disabled person and also relieves the anxiety of the family members, especially at the final stage of a progressive disease. Thorough elucidation of the user's needs and finding the most appropriate solution for communication and association is essential.