Speech Assistant AAC vs ALS Manager
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Speech Assistant AAC
This text-to-speech app assists individuals with speech impairments by allowing them to create custom buttons with saved phrases and symbols. It offers a fully customizable interface, various voice options including AI clones, and can be used during phone calls. The app supports multiple user profiles and iCloud backups for easy data transfer.
- Customizable buttons with phrases and symbols
- Multiple voice options including AI clones
- Full-screen mode for large font display
- Category and subcategory organization
- User profiles for multiple individuals
- iCloud backup and transfer
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Speech Assistant AAC is a text-to-speech app designed for people who are speech impaired, for example due to Aphasia, MND/ALS, Autism, Stroke, Cerebral Palsy or other speech problems. With the app you can create categories and save phrases on buttons for quick access and easy communication. You can also type messages using the iOS keyboard. The app is affordable with a one-time payment and no subscription. Key features • Easy to use and fully customizable to your needs and preferences. • Categories and subcategories to organize your phrases. • History feature to quickly access previously entered phrases. • Option to add symbols, emoji or photos to the buttons. • Full screen mode to display your messages in large font. • Autocomplete feature to display phrase suggestions in a drop-down list. • Tabs for multiple conversations. • Designed for iPhone and iPad, supports both portrait and landscape orientation. • Supports Apple Watch. • Backup to iCloud, Mail or AirDrop. Voices • You can choose a voice from any of the iOS system voices. • Supports ElevenLabs voices, giving you the option to use highly realistic AI professional voice clones. • Supports Apple's Personal Voice. • Option to create voice recordings for the buttons and to import voice recordings. Phone calls • The app can also be used while making Phone and FaceTime calls. • This works with iOS system voices and with iOS 18 also with ElevenLabs voices and regular recordings (app setting). Categories and phrases • Add, change or delete your own (sub)categories and phrases. • You can create an unlimited number of categories to organize your phrases for quick access. • Create user profiles with their own categories, phrases and settings for multi-language support or different individuals. • Easily edit category and phrase buttons with a long press. • With Backup to iCloud or AirDrop you can transfer your categories and phrases to another iPhone/iPad. Fully Customizable • The size of the buttons, the textbox and the text can be adjusted. • The app has various color schemes and you can also create a personal color scheme. • You can change the order of the buttons with drag and drop. Full screen • Show your message full screen with a very large font. • Useful for communicating in a noisy environment. • You can rotate the text to show your message to the person opposite of you. Speech • The rate and pitch of the speech can be adjusted. • Option to speak each Word or Character directly while typing. • Optional highlighting of the spoken words. • Pause and resume speaking by tapping the speak button (optional setting). Apple Watch • The Watch app can especially be useful for communicating short messages. • On the go, you don't have to pick up your phone and can quicky communicate with the app on your wrist. Other features • Button to share your message to mail, text and social media. • Connect a bluetooth keyboard and create shortcuts for actions. • A custom keyboard can be enabled in the settings with customizable size, color and layout. • Abbreviations expansion to reduce keystrokes. • Attention sound button on Main and Full screen. • Option to select symbols from the set of 3400 Mulberry Symbols (mulberrysymbols.org). About the app • This app is developed by ASoft. • The app does not collect any data, so all your conversations stay private. • One-time payment, there is no subscription fee. • The app has won an innovation award: The Vodafone Mobiles For Good Challenge. • The app does not require an internet connection. • For feedback or questions, please contact: speechassistant@asoft.nl. • On www.asoft.nl you can find more information such as a user manual.
ALS Manager
This app helps individuals manage daily symptoms of Amyotrophic Lateral Sclerosis (ALS). It allows users to track pain, medications, moods, and other health data, presenting it in easy-to-understand charts. Users can also connect with care providers to share progress and access educational resources about ALS.
- Daily symptom and mood tracking
- Medication and treatment management with reminders
- Photo upload for visible symptom sharing
- Care provider connection for progress monitoring
- Educational resources on ALS
- Data visualization with charts and graphs
- Progress tracking and journaling
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NOTE: This app integrates with the Health app so if you choose to also manage certain heart conditions and have an Apple Watch or other device that creates heart rate data, you can now send that data to your doctor through the app giving you full control over which data you send. No health data is collected or sent from device without you specifically doing it. Getting the Full Picture of Amyotrophic Lateral Sclerosis (ALS) When you are living with ALS, the ALS Manager can help you manage the symptoms that affect you every day. Studies show that people with chronic diseases can positively affect their lives by using @Point of Care apps to track pain, medications, and more—giving a sense of control over their conditions. For many, the best part of using ALS Manager, is seeing moods, pain, medications—even how often they journal—in colorful pie charts. When your health journey is presented this way, it is easier to spot trends, notice strengths, and identify areas of concern. When You Download ALS Manager and Register, You Can: • Track your progress and symptoms by filling in the daily journal with its sliders and buttons and watch your data transform into easy-to-read charts • Manage your medications and treatments, including reminders • Use the photo upload feature to share visible symptoms with care providers • Connect to care providers so they can monitor your progress between visits and better understand how your condition is affecting you • Stay up-to-date with the latest information on ALS when you access the “Learn More” section • In-app Help guides you through the features so you can get the most out of the app • Experience the new animated feature @Points Rewards and accumulate badges by using the app • Manage other health conditions with the same app A Wealth of Medical Expertise Going Back to 1980 Our @Point of Care platform is an award-winning digital technology. It provides mobile, desktop, digital clinical answers at the point of care through Projects In Knowledge™. To be able to connect with you and share your HIPAA-protected information, tell your care provider to download our @Point of Care Suite App or register online at www.atpointofcare.com.
Screenshots
Verdict
The clearest difference is price: ALS Manager at Free against Speech Assistant AAC's $24.99. ALS Manager also leads on rating (5.0 vs 4.6). Speech Assistant AAC's advantage is update cadence (every 3 weeks vs every 4 months) and ratings volume (103 vs 1). On ads, in-app purchases, device support and iOS requirement there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
ALS Manager is free to download; Speech Assistant AAC costs $24.99 up front. Neither carries in-app purchases, so what you see is what you pay.
ALS Manager holds the better App Store score, 5.0 against 4.6. That said, the two scores are not equally well evidenced: Speech Assistant AAC has 103 ratings behind it against 1, so its average is the more settled of the two.
Speech Assistant AAC ships an update every 3 weeks, ALS Manager every 4 months. The most recent releases landed on September 25, 2026 and September 9, 2026 respectively.
| Parameter | Speech Assistant AAC | ALS Manager |
|---|---|---|
| Price | $24.99 | Free — better |
| Rating | 4.6 (103 ratings) | 5.0 (1 ratings) — better |
| Positive reviews | 83.1% of reviews | — |
| Number of ratings | 103 — better | 1 |
| Update frequency | Every 3 weeks — better | Every 4 months |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Paid | Free — better |
| Best chart rank | #47 — better | — |
| Devices | iPhone, iPad, iPod, Apple Watch — better | iPhone, iPad, iPod |
| Requires iOS | 15.5 | 14.0 — better |
| Further details — not scored | ||
| Size | 131 MB | 20 MB |
| Age rating | 4+ | 12+ |
| Developer | Ton Schalke | @Point of Care |
Customer experience
Speech Assistant AAC
ALS Manager
Bugs and requests
Speech Assistant AAC
Reported bugs
17 issues- Default category button cannot be deleted
- Images with transparent backgrounds turn white
- Color picker does not work
- Blank word slot in new subcategories cannot be deleted
- Recorded or imported audio on buttons doesn't play on phone calls
Show 12 moreShow fewer
- Cannot send voice message to WhatsApp
- App crashes on iOS 17.5.1 on iPhone XS
- Hex codes keep changing after input
- Return key to send/speak disabled in latest update
- Syncing from iPad to iPhone not happening
- Categories don't stay on conversation when switching tabs
- App keeps crashing/freezing
- Option to not read directly seems to no longer work
- Speech button not working
- Syncing between iPhone and iPad not working
- App crashes when another app uses speaker
- Voice output not heard during phone calls
Requested features
42 requests- Ability to move sub-categories
- Toggle for reading category names
- Sub-sub-categories
- Option to choose image files
- Color picker for customization
Show 37 moreShow fewer
- Delete blank word slot in subcategories
- Send text to speech to WhatsApp
- Shortcut to Control Panel
- Ability to reset element sizes
- Ability to clone own voice
- Drag option for moving positions
- Syncing between devices
- More symbols for basic words
- Control AI devices (Echo, Google)
- Child voices for TTS
- Option to use only iPhone/iPad speaker easily
- Better autocorrect
- Fix mispronunciation of words
- Ability to print phrases from app
- Change font size of settings/documentation
- More than 5 choices in 'Clear/Restore'
- Ability to create sub-categories
- Record/import audio on phone calls
- Full screen mode
- Option for UK female voice
- Draw within the app and convert to text
- Customize buttons with color
- Add own voice to phrases
- Eye control app
- Make pictures on text buttons appear in read-out windows
- Use own pre-recorded voice
- Text can be shown in large print
- Add a lock on app configuration
- Use own voice for TTS
- More advanced audio options
- Better integration with other apps
- Option to not read directly when disabled
- Full functionality access for recording sessions
- Return key to send/speak functionality
- Sync categories with conversation tabs
- Ability to delete default category button
- Support for other languages
ALS Manager
Not enough reviews yet to summarise bugs or requests.
In-app purchases
Speech Assistant AAC
No in-app purchases
ALS Manager
No in-app purchases
Questions
Is Speech Assistant AAC free?
Is ALS Manager free?
Which has better reviews, Speech Assistant AAC or ALS Manager?
Do Speech Assistant AAC or ALS Manager have ads?
Which is updated more often, Speech Assistant AAC or ALS Manager?
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