When ALS affects speech or movement, communication online can still happen through a mix of speech, typing, symbol selection, and assistive access tools. Augmentative and alternative communication (AAC) includes low-tech boards, apps, and speech-generating devices; an AAC-experienced speech-language pathologist (SLP) can help identify options that fit now and can be adapted as abilities change.
What AAC can do
AAC is a flexible set of communication methods, not a single device. It can supplement speech that remains useful or provide an alternative when speech is no longer functional. The ALS Association puts it plainly: “No single communication method works for everyone.” A person may use different methods at home, online, or with different communication partners.
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For online conversations, AAC may let someone compose a message and have a device speak it, or select a stored phrase or symbol. Whether a particular setup works with a messaging or video-call app depends on the device, software, access method, and configuration. Confirm compatibility with an SLP or the product provider before buying equipment.
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Communication options, from simple to specialized
| Option | How it works | Access and practical considerations |
|---|---|---|
| Writing or communication board | The person writes or points to letters, words, or common phrases; a partner may read selections aloud. | Low-tech and useful as a backup or where an electronic system is unavailable or not preferred. Writing and pointing require the movement needed for the chosen approach. |
| Tablet or mobile text-to-speech app | The person types or selects a message and the app reads it aloud. | Can be portable, but direct touch may not suit someone with reduced hand or arm movement. An SLP can help choose an app and, when appropriate, set up a banked or synthesized personal voice. |
| Speech-generating device (SGD) | An electronic AAC system speaks messages created by typing, selecting stored phrases, or choosing symbols. | Can be paired with different access methods. Evaluation and equipment trials help determine whether a device and its setup fit the person’s needs. |
| Alternative access for AAC | Direct touch, switch scanning, head tracking, or eye gaze can be used to make selections. | The best approach depends on the movements the person can reliably use. Eye gaze can be considered when hand or arm function is reduced; do not assume a standard phone or tablet camera provides reliable eye-gaze access. |
These approaches can be combined. For example, a person might use a speech-generating device for longer conversations and keep a communication board available as a backup. The ALS Association describes paper boards as an important backup to a high-tech device.
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- 37 Easy To Understand Talking Buttons- Our AAC device for speech comes with 37 pre-installed instructions in a picture and color format that makes it very easy to communicate simple, but essential instructions such as yes, no, I’m thirsty, I’m sleepy, it's too loud and many more, Compared with other competing products, more talking buttons can better meet daily needs
- 1 Male/Female Voice Switch & 8 Programmable Buttons- AAC device for autism features a male and female voice switch button can switch the device to male or female voice at will. 8 programmable buttons that allow you to record your own tailored instructions with your voice! You can customize the device to your specific needs by recording your voice to provide a more personalized and effective communication experience
- Adjustable Volume- AAC Communication Device for Speech Therapy Requires 3AAA batteries, the sound is louder and louder, you can use it in busy areas at will. AAC device can also adjust the volume to meet the needs of any scenario. The product is lightweight and has a storage bag, so it is easy to carry when traveling
- A Wide Variety Of Uses- The non verbal communication tools are suitable for a wide range of individuals, including non-verbal Children, those with autism or other special needs, as aids for stroke patients, those with apraxia or aphasia, or just anyone with speech difficulties. The device is a fantastic convenient alternative to non verbal communication cards, PEC cards for autism, and communication boards for nonverbal kids
- Reduce Anxiety and Build Confidence- The Talker Buddy Build confidence and understanding by Clicking the button to expand language and communication skills and encourage response and recognition with pictorial cues. Engineered to help provide nonverbal individuals with an effective means of communication to express their needs and feelings with loved ones
Get an AAC evaluation and plan early
The ALS Association recommends involving an SLP early to monitor speech changes, explore communication options, complete an AAC evaluation, learn strategies, and plan ahead. Ask the ALS care team for an SLP experienced in ALS and AAC. An AAC specialist can review options, arrange device trials, tailor a communication setup, and may help with insurance and funding questions.
Planning before communication becomes difficult can leave more time to compare access methods and learn a system. Ask the care team or SLP about:
Rank #2
- Setup in ~40 seconds — open the box, power on, start speaking.
- No Wi-Fi required — works offline anywhere.
- One-time purchase — no subscriptions, no surprise fees.
- Start small, grow big — begin with a few tiles and expand to large boards as skills grow.
- 3,400+ built-in images for everyday communication.
- Which communication methods fit current speech, movement, vision, and day-to-day settings.
- Whether a device or app can be trialed before a purchase.
- Training for the person with ALS and their communication partners.
- Voice banking or message banking, if preserving a personal voice or familiar messages is relevant.
- Low-tech backups for situations where a device is unavailable, inconvenient, or not preferred.
- Local equipment-loan programs and funding support.
Funding and local support
Coverage varies. The ALS Association says Medicare and some insurance policies may cover much of the cost of an eye-gaze system in some circumstances; this is not a guarantee. Ask the SLP or care team what documentation and device category may apply, then confirm current eligibility and costs with the insurer and current Medicare guidance.
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A free scan shows the junk files, broken settings and background clutter dragging Windows down - then fixes them in one click.Free scan · Windows 10 & 11The ALS Association’s Independence & Mobility Program describes communication boards, tablets with speech apps, touch- or eye-controlled speech-generating devices, and smart-home equipment for some people with urgent or unmet needs. Its Communication Support Program describes SLP connections, AAC help, training, and equipment loans through specialized centers. Availability, eligibility, and inventory can vary, so check with the local ALS organization or care team.
Rank #3
- A Complete AAC Device for Everyday Communication: Brightway is a simple, easy-to-use AAC communication device designed for nonverbal children, autism, speech delays, dementia or anyone with difficulty speaking. It helps users express basic needs, feelings, and daily messages at home, school, or therapy.
- More Buttons, More Freedom to Communicate: With 60 total buttons, Brightway offers more phrases than typical starter devices. Preloaded with essential everyday words and phrases to support real-life communication.
- Clear Voice + Custom Recording Options: Features a natural, easy-to-understand voice with a male/female voice switch. Includes 10 programmable buttons so you can record personalized messages in a familiar voice.
- Simple, Easy-to-Press Design: Large, responsive buttons require minimal pressure, making it comfortable for kids, seniors, and users with limited motor skills. Designed for quick learning with no complicated setup.
- Adjustable Volume & Portable for Daily Use: Multiple volume levels ensure clear sound in any environment. Lightweight and easy to carry between home, school, therapy, or travel.
What the available usage figure does—and does not—show
ASHA’s AAC Practice Portal reports that 17.3% of adults with ALS in Scotland acquired AAC equipment for speech augmentation, speech replacement, or written communication support, citing Elliott et al. (2020). This is a geographically and historically specific figure, not a current global estimate of AAC use.
Quick Recap
Best Value
- AAC Device for People of All Ages: Our voice recording buttons are an effective communication tool for individuals with autism, nonverbal communication, language disorders, or those who require assistive technology to enhance their communication skills.
- Create Personalized Sound: Customize the recording content and make the voice recording buttons produce any sound you want. Each button can record sound for up to 30 seconds! Each recording button requires 2 AAA batteries (not included).
- Clear Voice Output: Equipped with built-in speakers, the button can provide clear and audible voice output, ensuring clear and concise communication of information. AAC device for autism.
- Compact and Portable Design: The compact and lightweight design makes it highly portable, making it easy to carry around and communicate anytime, anywhere.
- Multi-Scenario Communication Assistance Tool: It can serve as a multifunctional communication assistance tool for various occasions, including schools, home, therapy courses, and community interactions, and can also be used to train pets.
Rank #4
- A Starter AAC Device for Nonverbal Children: MibbyTalk is an affordable, beginner-friendly AAC device for nonverbal autistic children and those with speech delays. It offers a simple, screen-free option for families starting their AAC journey, transitioning from PECS, or waiting for a high-tech AAC system. MibbyTalk helps children express basic needs, feelings, and simple daily messages at home, school, or in the community, making it a practical addition to back to school supplies for kids who need communication support.
- 11 Recordable Buttons for Personalized Communication: Families can customize MibbyTalk AAC device with messages about a child's favorite things and daily routines, using a voice familiar to the child for recordings of up to 15 seconds per button. The included sticker sheet features labels for Brush Teeth, School, and Chores, plus blank ones for other recordings. Familiar recordings and clear labels make MibbyTalk more personal and easier for children to use.
- Easy to Get Started: MibbyTalk has 32 preset buttons for everyday phrases. They deliver complete sentences in clear, natural, expressive human voices—a format suited to children who are gestalt language processors. Four color-coded zones organize the buttons by category for easy navigation: Pink (Social Phrases), Green (Feelings), Blue (Basic Needs), and Orange (Activities). No complex programming is required.
- Easy-to-Press Tactile Buttons: MibbyTalk AAC device features raised, responsive buttons designed for children and people with limited hand strength or fine motor challenges. They require only light pressure and provide clear tactile feedback with every press. The simple button design makes message selection easier and more consistent.
- Portable, Practical & Ready to Go: Protected by a textured, anti-drop silicone case for better grip and durability—ideal for young autistic users who may drop devices frequently. Lightweight and easy to carry between home, school, therapy, car rides, or community outings. The 5-level adjustable volume ensures messages are heard clearly in different environments, with the option to switch between natural male and female voices. MibbyTalk works perfectly as a standalone communication tool or a handy backup to tablet-based AAC systems.
Sources
- The ALS Association: Augmentative and Alternative Communication
- The ALS Association: FYI—Suggestions and Information about Speech Changes & Augmentative Alternative Communication (AAC)
- The ALS Association: Independence & Mobility Program
- ASHA: Augmentative and Alternative Communication
- The ALS Association: Communication Support Program
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