Children with Language and Motor Delay

For children with language and gross motor delays, gaze-based communication solutions can open up new pathways for expression and connection.

These systems range from highly advanced technologies, like EyeGaze systems that track precise eye movements with cameras, to simple, cost-effective tools that can be implemented right away. One such solution is the use of a vision board—a transparent board with Velcro-attached icons that allows children to communicate by focusing their gaze on specific symbols. This approach provides a straightforward and engaging way for children to make choices, express preferences, and begin building foundational communication skills.

Materials and Icons

A vision board is made from a transparent piece of plastic or an acrylic plastic sheet positioned vertically between the communicative partner and the child. This setup allows the partner to clearly observe the child’s gaze and monitor their selections.

Icons used for the vision board should be larger than typical PECS icons, ideally 2–2.5" squares, to make selections easier. The communicative partner can hold the board up directly in front of the child during interactions or build a stand to hold the board in place.

Adding More Icons

Start out with two sides to practice with only one icon on the board which is always preferred. Eventually add an icon for a non-preferred item and work on sustaining gaze on the preferred icon.

Once adding two preferred item icons for visual discrimination and choices - Slowly add the icons and make certain you can see the location of the fixed gaze.

Do not saturate all of the spots for icons - Start slow and steadily increase the complexity.

If the child is making selections with more than one preferred item on the board, consider doing correspondence checks.

Children with Language and Motor Delay

Materials and Icons

Positioning and Progression

Adding More Icons

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