Lianne S. van Dijk, F. Holtkamp, M. Verkerk, E. Wouters
BACKGROUND: A relatively high number of users is dissatisfied with their orthopaedic device. The term ‘user practice’ was introduced to emphasise the idea that users of orthopaedic devices perform activities within an environment, which are characteristic for that environment. OBJECTIVE: To investigate to what extend orthopaedic shoe engineers map the specific environments in which users live and the activities they perform within these environments during the first intake for custom made orthopaedic footwear. METHODS: Orthopaedic shoe engineers were recruited from orthopaedic service providers across The Netherlands. The intake with a new client for orthopaedic footwear was recorded and analysed using four user environments: daily life at home, transport, work, and leisure. RESULTS: Our study showed that orthopaedic shoe engineers cover at best less than 50% of activities within the four user environments. Consequently, there is no guarantee that the resulting design of the orthopaedic footwear fits all of the activities and environments of the users. CONCLUSIONS: The principles of user practices, consisting of specific environments and activities of the user, are not yet adequately used in the field of orthopaedic shoe engineering. By not using them, too little understanding of the life of the user can result in dissatisfaction and non-usage of the orthopaedic device.
{"title":"Better understanding the life of the user to improve the design of orthopaedic footwear","authors":"Lianne S. van Dijk, F. Holtkamp, M. Verkerk, E. Wouters","doi":"10.3233/tad-220381","DOIUrl":"https://doi.org/10.3233/tad-220381","url":null,"abstract":"BACKGROUND: A relatively high number of users is dissatisfied with their orthopaedic device. The term ‘user practice’ was introduced to emphasise the idea that users of orthopaedic devices perform activities within an environment, which are characteristic for that environment. OBJECTIVE: To investigate to what extend orthopaedic shoe engineers map the specific environments in which users live and the activities they perform within these environments during the first intake for custom made orthopaedic footwear. METHODS: Orthopaedic shoe engineers were recruited from orthopaedic service providers across The Netherlands. The intake with a new client for orthopaedic footwear was recorded and analysed using four user environments: daily life at home, transport, work, and leisure. RESULTS: Our study showed that orthopaedic shoe engineers cover at best less than 50% of activities within the four user environments. Consequently, there is no guarantee that the resulting design of the orthopaedic footwear fits all of the activities and environments of the users. CONCLUSIONS: The principles of user practices, consisting of specific environments and activities of the user, are not yet adequately used in the field of orthopaedic shoe engineering. By not using them, too little understanding of the life of the user can result in dissatisfaction and non-usage of the orthopaedic device.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":"67 ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41273846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Drivers with Multiple Sclerosis (MS) experience visual-cognitive impairment that impact on-road driving performance. OBJECTIVE: This study examines the feasibility of utilizing visual-cognitive and driving simulator assessments to indicate driving performance deficits (operational, tactical, and strategic maneuvers) in drivers with MS. METHODS: Through an evidence-informed feasibility framework, we evaluated recruitment capability and resulting sample characteristics, data collection procedures and outcome measures, participants’ acceptability and suitability of the driving simulator, the resources and ability to implement the study, and clinical and driving simulator assessment results. RESULTS: Thirty-eight persons with MS (median age = 43 years, IQR = 19) and 21 persons without MS (median age = 41 years, IQR = 14) participated. Missing data on the driving simulator resulted from scenario complexity (13 with MS, 4 without MS) or the onset of simulator sickness (1 with MS, 1 without MS). Seven participants with MS and two participants without MS reported symptoms of simulator sickness. Participants with MS (vs without MS) made more adjustment to stimuli errors (tactical maneuvers). For participants with MS, immediate verbal/auditory recall or divided/selective attention correlated with simulated driving maneuvers. CONCLUSIONS: Study findings identified challenges (missing data, simulator sickness), but established feasibility for executing a full-scale study to predict driving simulator performance in drivers with MS.
{"title":"Feasibility of utilizing clinical and driving simulator assessments to indicate driving performance deficits in adults with multiple sclerosis","authors":"Sarah Krasniuk, S. Classen, S. Morrow","doi":"10.3233/tad-210367","DOIUrl":"https://doi.org/10.3233/tad-210367","url":null,"abstract":"BACKGROUND: Drivers with Multiple Sclerosis (MS) experience visual-cognitive impairment that impact on-road driving performance. OBJECTIVE: This study examines the feasibility of utilizing visual-cognitive and driving simulator assessments to indicate driving performance deficits (operational, tactical, and strategic maneuvers) in drivers with MS. METHODS: Through an evidence-informed feasibility framework, we evaluated recruitment capability and resulting sample characteristics, data collection procedures and outcome measures, participants’ acceptability and suitability of the driving simulator, the resources and ability to implement the study, and clinical and driving simulator assessment results. RESULTS: Thirty-eight persons with MS (median age = 43 years, IQR = 19) and 21 persons without MS (median age = 41 years, IQR = 14) participated. Missing data on the driving simulator resulted from scenario complexity (13 with MS, 4 without MS) or the onset of simulator sickness (1 with MS, 1 without MS). Seven participants with MS and two participants without MS reported symptoms of simulator sickness. Participants with MS (vs without MS) made more adjustment to stimuli errors (tactical maneuvers). For participants with MS, immediate verbal/auditory recall or divided/selective attention correlated with simulated driving maneuvers. CONCLUSIONS: Study findings identified challenges (missing data, simulator sickness), but established feasibility for executing a full-scale study to predict driving simulator performance in drivers with MS.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49200185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Lancioni, Nirbhay N. Singh, M. O'Reilly, J. Sigafoos, Gloria Alberti, Valeria Chiariello, F. Campodonico, L. Desideri
BACKGROUND: People with severe/profound intellectual and multiple disabilities often need support for their occupational engagement. OBJECTIVE: This study assessed a smartphone-based intervention program to strengthen a functional object manipulation response (i.e., collecting and putting away objects) and possibly improve the mood of five adult participants with severe/profound intellectual disability and visual-motor impairment. METHODS: The intervention program, which relied on a smartphone linked to a motion sensor, was implemented according to a nonconcurrent multiple baseline across participants design. During the program phase, every object manipulation response (detected by the motion sensor) caused the smartphone to provide the participants with 9 or 10 s of preferred stimulation. Failure to respond for a preset period of time caused the smartphone to present a verbal encouragement/prompt. RESULTS: Data showed that during baseline (prior to the intervention program), the participants’ mean frequency of object manipulation responses per 5-min session was always below three. During the intervention phase, the mean frequency of object manipulation responses varied between about 14.5 and 20.5 per session. Moreover, participants showed mood improvement. CONCLUSIONS: These results suggest that a smartphone-based intervention program may promote functional responding and improve mood in people with severe/profound intellectual and multiple disabilities.
{"title":"A smartphone-based program for promoting functional object manipulation responses and positive mood in people with intellectual and multiple disabilities","authors":"G. Lancioni, Nirbhay N. Singh, M. O'Reilly, J. Sigafoos, Gloria Alberti, Valeria Chiariello, F. Campodonico, L. Desideri","doi":"10.3233/tad-220373","DOIUrl":"https://doi.org/10.3233/tad-220373","url":null,"abstract":"BACKGROUND: People with severe/profound intellectual and multiple disabilities often need support for their occupational engagement. OBJECTIVE: This study assessed a smartphone-based intervention program to strengthen a functional object manipulation response (i.e., collecting and putting away objects) and possibly improve the mood of five adult participants with severe/profound intellectual disability and visual-motor impairment. METHODS: The intervention program, which relied on a smartphone linked to a motion sensor, was implemented according to a nonconcurrent multiple baseline across participants design. During the program phase, every object manipulation response (detected by the motion sensor) caused the smartphone to provide the participants with 9 or 10 s of preferred stimulation. Failure to respond for a preset period of time caused the smartphone to present a verbal encouragement/prompt. RESULTS: Data showed that during baseline (prior to the intervention program), the participants’ mean frequency of object manipulation responses per 5-min session was always below three. During the intervention phase, the mean frequency of object manipulation responses varied between about 14.5 and 20.5 per session. Moreover, participants showed mood improvement. CONCLUSIONS: These results suggest that a smartphone-based intervention program may promote functional responding and improve mood in people with severe/profound intellectual and multiple disabilities.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48830033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Students studying in the higher education system face multiple challenges, such as meeting the minimum requirements for enrolling in a programme, securing tuition fees and adapting to new teaching and learning styles, whilst also coping with minimal support. The challenges are more profound for students with disabilities (SWDs) who must progress and emerge triumphantly as graduates, despite their unique and special needs. OBJECTIVE: By relating the personal experiences of SWDs, this article examines the different types of support they need as they commence their studies in higher education institutions, as well as throughout their journeys. METHODS: The study adopted a qualitative multiple case study research design in which the approaches of public and private high schools in handling SWDs were compared with the experiences of SWDs at a higher education open distance e-learning institution. RESULTS: The findings revealed that the use and availability of assistive technology devices were more pronounced at the school level than at the ODeL institution. The SWDs expressed their frustrations and reported more struggles with their studies at the ODeL institution than they had experienced at school level. CONCLUSION: The SWDs in the study provided some potential improvements that could be implemented by ODeL institutions in addressing their needs and in providing support, whilst also emulating the best practices implemented at high school level.
{"title":"Assistive technologies as an ODeL strategy in promoting support for students with disabilities","authors":"Tumelo W. Ditlhale, L. Johnson","doi":"10.3233/tad-220376","DOIUrl":"https://doi.org/10.3233/tad-220376","url":null,"abstract":"BACKGROUND: Students studying in the higher education system face multiple challenges, such as meeting the minimum requirements for enrolling in a programme, securing tuition fees and adapting to new teaching and learning styles, whilst also coping with minimal support. The challenges are more profound for students with disabilities (SWDs) who must progress and emerge triumphantly as graduates, despite their unique and special needs. OBJECTIVE: By relating the personal experiences of SWDs, this article examines the different types of support they need as they commence their studies in higher education institutions, as well as throughout their journeys. METHODS: The study adopted a qualitative multiple case study research design in which the approaches of public and private high schools in handling SWDs were compared with the experiences of SWDs at a higher education open distance e-learning institution. RESULTS: The findings revealed that the use and availability of assistive technology devices were more pronounced at the school level than at the ODeL institution. The SWDs expressed their frustrations and reported more struggles with their studies at the ODeL institution than they had experienced at school level. CONCLUSION: The SWDs in the study provided some potential improvements that could be implemented by ODeL institutions in addressing their needs and in providing support, whilst also emulating the best practices implemented at high school level.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41769766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marco Celetto, Leonardo Zullo, Rosmary Blanco, Manuela Maieron, F. D. Mas, H. Biancuzzi, Giulia Bongiorno, Alessandro Rizzardo, E. Bizzarini, L. Miceli
INTRODUCTION: Technology is in rapid and continuous evolution. The recovery of functions, motor, and cognitive activities benefits from it to define new outcome measures and new rehabilitation processes. This study evaluates the applicability of an electrical resistance modulator device for rehabilitation purposes for a person with spinal cord injury. MATERIALS AND METHODS: The study sample consisted of 10 healthy, able-bodied subjects assessed in a light wheelchair. A resistance training mode is compared using the electrical resistance modulator device and a standard strength training protocol with the aid of two weights, through an electromyographic and a kinematic evaluation with a triaxial accelerometer. The movements investigated consist of arm abduction-adduction, arm elevation-extension and elbow flexion-extension. RESULTS AND DISCUSSION: In the flexion-extension gesture of the arm, there is a greater symmetry of muscle activation and less activation of the muscles not directly involved in the movement during the use of the electrical resistance modulator device. In the flexion-extension of the elbow and flexion-extension of the shoulder, the muscle power expressed through the electrical device is greater, while in the abduction-adduction of the shoulder, it is more significant with weights. For the joint Range of Motion, the duration of the motion cycles and their symmetry, there are no significant differences between the two experimental conditions. CONCLUSIONS: The study results confirm that training for increasing muscle strength in a person with spinal cord injury can be performed using the electrical resistance modulator device. There are no contraindications to its use nor greater risks for the subject’s health. Further studies are needed to investigate the benefits of using the electrical device in the early stages of rehabilitation of a person with spinal cord injury.
{"title":"Applicability of an electrical resistance modulator device in the rehabilitation of a person with spinal cord injury","authors":"Marco Celetto, Leonardo Zullo, Rosmary Blanco, Manuela Maieron, F. D. Mas, H. Biancuzzi, Giulia Bongiorno, Alessandro Rizzardo, E. Bizzarini, L. Miceli","doi":"10.3233/tad-220371","DOIUrl":"https://doi.org/10.3233/tad-220371","url":null,"abstract":"INTRODUCTION: Technology is in rapid and continuous evolution. The recovery of functions, motor, and cognitive activities benefits from it to define new outcome measures and new rehabilitation processes. This study evaluates the applicability of an electrical resistance modulator device for rehabilitation purposes for a person with spinal cord injury. MATERIALS AND METHODS: The study sample consisted of 10 healthy, able-bodied subjects assessed in a light wheelchair. A resistance training mode is compared using the electrical resistance modulator device and a standard strength training protocol with the aid of two weights, through an electromyographic and a kinematic evaluation with a triaxial accelerometer. The movements investigated consist of arm abduction-adduction, arm elevation-extension and elbow flexion-extension. RESULTS AND DISCUSSION: In the flexion-extension gesture of the arm, there is a greater symmetry of muscle activation and less activation of the muscles not directly involved in the movement during the use of the electrical resistance modulator device. In the flexion-extension of the elbow and flexion-extension of the shoulder, the muscle power expressed through the electrical device is greater, while in the abduction-adduction of the shoulder, it is more significant with weights. For the joint Range of Motion, the duration of the motion cycles and their symmetry, there are no significant differences between the two experimental conditions. CONCLUSIONS: The study results confirm that training for increasing muscle strength in a person with spinal cord injury can be performed using the electrical resistance modulator device. There are no contraindications to its use nor greater risks for the subject’s health. Further studies are needed to investigate the benefits of using the electrical device in the early stages of rehabilitation of a person with spinal cord injury.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45858296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Tele-physiotherapy continues to rise, noticeably in Saudi Arabia which established a tele-physiotherapy initiative in 2018. However, data about the population’s understanding of tele-physiotherapy are scarce. OBJECTIVE: To explore Saudi population’s perception of tele-physiotherapy, and the correlation between quality of life and tele-physiotherapy preferences. METHODS: A cross-sectional online survey conducted on Riyadh residents, using a self-administered tele-physiotherapy survey and the SF-12 quality of life (QoL) index (Arabic version). RESULTS: Of 1011 participants, 85.3% were female, 50.8% were aged 26 to 50 years, almost 75% had university-level education, and 34.2% were employed. Only 19% had heard about tele-physiotherapy, with 43.7% of them citing social media as a source. Only 2.5% had tried tele-physiotherapy. Almost half reported uncertainty about most of the tele-physiotherapy questions, and over half recognised limitations e.g., anxiety about incorrectly performing the exercises (79.7%), therapist communication (51.7%), technical problems (70.7%), and privacy violations (66.3%). However, 58.7% said they would try tele-physiotherapy. There was no significant correlation between SF-12 QoL scores and participants’ tele-physiotherapy knowledge. CONCLUSIONS: There was a significant lack of knowledge among our cohort of patients about tele-physiotherapy. Even though, the willingness to try tele-physiotherapy was generally positive. More strategies need to be implemented to educate the Saudi individuals about tele-physiotherapy.
{"title":"Perceptions and understanding of tele-physiotherapy: A cross-sectional study in Saudi Arabia","authors":"K. Shalabi","doi":"10.3233/tad-220375","DOIUrl":"https://doi.org/10.3233/tad-220375","url":null,"abstract":"BACKGROUND: Tele-physiotherapy continues to rise, noticeably in Saudi Arabia which established a tele-physiotherapy initiative in 2018. However, data about the population’s understanding of tele-physiotherapy are scarce. OBJECTIVE: To explore Saudi population’s perception of tele-physiotherapy, and the correlation between quality of life and tele-physiotherapy preferences. METHODS: A cross-sectional online survey conducted on Riyadh residents, using a self-administered tele-physiotherapy survey and the SF-12 quality of life (QoL) index (Arabic version). RESULTS: Of 1011 participants, 85.3% were female, 50.8% were aged 26 to 50 years, almost 75% had university-level education, and 34.2% were employed. Only 19% had heard about tele-physiotherapy, with 43.7% of them citing social media as a source. Only 2.5% had tried tele-physiotherapy. Almost half reported uncertainty about most of the tele-physiotherapy questions, and over half recognised limitations e.g., anxiety about incorrectly performing the exercises (79.7%), therapist communication (51.7%), technical problems (70.7%), and privacy violations (66.3%). However, 58.7% said they would try tele-physiotherapy. There was no significant correlation between SF-12 QoL scores and participants’ tele-physiotherapy knowledge. CONCLUSIONS: There was a significant lack of knowledge among our cohort of patients about tele-physiotherapy. Even though, the willingness to try tele-physiotherapy was generally positive. More strategies need to be implemented to educate the Saudi individuals about tele-physiotherapy.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48194927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Silva, M. Castilho, E. Stieler, I. L. B. Lôbo, M. D. de Mello, Andressa Silva
BACKGROUND: Individuals with spinal cord injury (SCI) present thermoregulatory impairments that prejudice thermal compensation and heat dissipation during exercise practice. Thus, cooling vests (CV) seems to be a promising strategy to attenuate it. OBJECTIVE: Our aim was to evaluate the efficacy of CV in controlling the rise in body temperature and in enhancing exercise performance in individuals with SCI. METHODS: The searches were performed in PubMed, Web of Science, Scopus, PEDro, and SciELO databases. We selected randomized controlled trials, quasi-randomized trials, or cross-over trials that evaluated the efficacy of CV before or during exercise practice in thermoregulatory responses and exercise performance of individuals with SCI. RESULTS: A total of 400 reports were identified through databases searches and another article was found through citation searching. Seven cross-over trials were included in this review after the screening processes. CONCLUSION: CV may not be effective in attenuating the rise in core temperature in persons with SCI, but it seems to be effective in controlling skin temperature and in improving thermal comfort/sensation. It is unclear whether the CV is more effective when applied before or during exercise practice. Individuals with tetraplegia may benefit more and the CV may be more effective in strenuous exercises.
背景：脊髓损伤（SCI）患者在运动过程中会出现体温调节障碍，影响热补偿和散热。因此，冷却背心（CV）似乎是一种很有前途的减轻SCI的策略。目的：我们的目的是评估CV在控制SCI患者体温升高和提高运动表现方面的疗效。方法：检索PubMed、Web of Science、Scopus、PEDro和SciELO数据库。我们选择了随机对照试验、准随机试验或交叉试验，评估运动前或运动中CV对SCI患者体温调节反应和运动表现的疗效。结果：通过数据库检索共发现400篇报道，通过引文检索又发现一篇文章。筛选过程结束后，本综述包括七项交叉试验。结论：CV可能不能有效缓解SCI患者的核心温度升高，但它似乎能有效控制皮肤温度和改善热舒适/感觉。目前尚不清楚在练习前或练习中使用CV是否更有效。四肢瘫痪患者可能受益更多，CV在剧烈运动中可能更有效。
{"title":"The effects of cooling vests on thermoregulatory responses and exercise performance in individuals with spinal cord injury: A systematic review","authors":"S. Silva, M. Castilho, E. Stieler, I. L. B. Lôbo, M. D. de Mello, Andressa Silva","doi":"10.3233/tad-220380","DOIUrl":"https://doi.org/10.3233/tad-220380","url":null,"abstract":"BACKGROUND: Individuals with spinal cord injury (SCI) present thermoregulatory impairments that prejudice thermal compensation and heat dissipation during exercise practice. Thus, cooling vests (CV) seems to be a promising strategy to attenuate it. OBJECTIVE: Our aim was to evaluate the efficacy of CV in controlling the rise in body temperature and in enhancing exercise performance in individuals with SCI. METHODS: The searches were performed in PubMed, Web of Science, Scopus, PEDro, and SciELO databases. We selected randomized controlled trials, quasi-randomized trials, or cross-over trials that evaluated the efficacy of CV before or during exercise practice in thermoregulatory responses and exercise performance of individuals with SCI. RESULTS: A total of 400 reports were identified through databases searches and another article was found through citation searching. Seven cross-over trials were included in this review after the screening processes. CONCLUSION: CV may not be effective in attenuating the rise in core temperature in persons with SCI, but it seems to be effective in controlling skin temperature and in improving thermal comfort/sensation. It is unclear whether the CV is more effective when applied before or during exercise practice. Individuals with tetraplegia may benefit more and the CV may be more effective in strenuous exercises.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46178174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sigrid Mueller-Schotte, Emelieke Huisman, C. Huisman, H. Kort
BACKGROUND: The care sector for persons with disabilities considers the physical environment relevant for the quality of life of people with intellectual disabilities. However, scientific evidence is limited. OBJECTIVE: To obtain evidence regarding comforting and encouraging environments and to develop an overview of studies addressing the effect of the physical environment on people with intellectual disabilities. METHODS: A scoping review, accompanied by expert panels and case findings combining scientific evidence and knowledge from practice, was performed to investigate the interaction between challenging behaviour and the physical environment. Between January and March 2020, several scientific databases were searched in the English, Dutch, and German language for relevant studies. Social media, care professionals, and experts in building physics were consulted. RESULTS: Studies on building-related factors as passive interventions and care- or therapy-related interventions could be distinguished. The majority of the studies report on building-related factors such as sound, acoustics, light, and colours and their influence on behaviour. Specific guidelines are lacking on how to adjust the indoor environment to an environment that is safe, comforting and encouraging for people displaying challenging behaviour. Proposed solutions are case-based. CONCLUSION: In future studies individual cases could be studied in a more in-depth manner, aligned and categorised to the building-related factors and to the expressions of challenging behaviour.
{"title":"The influence of the indoor environment on people displaying challenging behaviour: A scoping review","authors":"Sigrid Mueller-Schotte, Emelieke Huisman, C. Huisman, H. Kort","doi":"10.3233/tad-210352","DOIUrl":"https://doi.org/10.3233/tad-210352","url":null,"abstract":"BACKGROUND: The care sector for persons with disabilities considers the physical environment relevant for the quality of life of people with intellectual disabilities. However, scientific evidence is limited. OBJECTIVE: To obtain evidence regarding comforting and encouraging environments and to develop an overview of studies addressing the effect of the physical environment on people with intellectual disabilities. METHODS: A scoping review, accompanied by expert panels and case findings combining scientific evidence and knowledge from practice, was performed to investigate the interaction between challenging behaviour and the physical environment. Between January and March 2020, several scientific databases were searched in the English, Dutch, and German language for relevant studies. Social media, care professionals, and experts in building physics were consulted. RESULTS: Studies on building-related factors as passive interventions and care- or therapy-related interventions could be distinguished. The majority of the studies report on building-related factors such as sound, acoustics, light, and colours and their influence on behaviour. Specific guidelines are lacking on how to adjust the indoor environment to an environment that is safe, comforting and encouraging for people displaying challenging behaviour. Proposed solutions are case-based. CONCLUSION: In future studies individual cases could be studied in a more in-depth manner, aligned and categorised to the building-related factors and to the expressions of challenging behaviour.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45836770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-16DOI: 10.1101/2022.06.15.22276111
E. Bula-Oyola, J. M. Belda-Lois, R. Porcar-Seder, A. Page
BACKGROUND: People with peripheral neuropathies may experience significant sensorimotor impairment. Prescribed treatment includes wearing an orthosis. However, a common barrier to treatment effectiveness is patient adherence. Given the limited information available, it is essential to gather evidence on treatment adherence challenges. OBJECTIVE: This study aims to identify aspects that influence adherence to orthotic treatment in patients with peripheral neuropathies. METHODS: We applied a survey that included evaluation items from the Quest 2.0 to assess importance and satisfaction and self-developed questions. We conducted the assessment following the principles of Kano's model to understand the nature of the aspects influencing adherence and prioritize opportunities for product improvement. RESULTS: Satisfaction with ease of adjustment, weight, ease of use, effectiveness, and dimensions, as well as perceived interference with daily activities, influences adherence to treatment. We found no correlation between orthosis appearance and adherence. However, it is a basic quality attribute and should be considered a relevant design requirement to avoid product rejection. CONCLUSIONS: We found differences between the estimate of importance obtained by explicit and inexplicit queries. Thus, cross-checking information from different query methods could minimize potential biases and accurately assess users' perceptions of rehabilitation products.
{"title":"Aspects determining adherence to wrist-hand orthoses in patients with peripheral neuropathies","authors":"E. Bula-Oyola, J. M. Belda-Lois, R. Porcar-Seder, A. Page","doi":"10.1101/2022.06.15.22276111","DOIUrl":"https://doi.org/10.1101/2022.06.15.22276111","url":null,"abstract":"BACKGROUND: People with peripheral neuropathies may experience significant sensorimotor impairment. Prescribed treatment includes wearing an orthosis. However, a common barrier to treatment effectiveness is patient adherence. Given the limited information available, it is essential to gather evidence on treatment adherence challenges. OBJECTIVE: This study aims to identify aspects that influence adherence to orthotic treatment in patients with peripheral neuropathies. METHODS: We applied a survey that included evaluation items from the Quest 2.0 to assess importance and satisfaction and self-developed questions. We conducted the assessment following the principles of Kano's model to understand the nature of the aspects influencing adherence and prioritize opportunities for product improvement. RESULTS: Satisfaction with ease of adjustment, weight, ease of use, effectiveness, and dimensions, as well as perceived interference with daily activities, influences adherence to treatment. We found no correlation between orthosis appearance and adherence. However, it is a basic quality attribute and should be considered a relevant design requirement to avoid product rejection. CONCLUSIONS: We found differences between the estimate of importance obtained by explicit and inexplicit queries. Thus, cross-checking information from different query methods could minimize potential biases and accurately assess users' perceptions of rehabilitation products.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47140132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Chaudhary, Sunila John, Senthil D. Kumaran, V. Guddattu, G. Krishnan
BACKGROUND: Technology in recent times has shown exciting advancements. These advancements have been implemented in healthcare settings to improve therapeutic outcomes. Within the domain of communication disorders, stuttering has witnessed the implementation of a wide variety of technological interventions. The paper provides a comprehensive review and availability of the current status of technology-based stuttering intervention programs, their advantages and disadvantages, and a few directions for future research. AIM: This review aimed to systematically identify the technologies used in stuttering intervention and explore the effect of these interventions on dysfluencies in stuttering. METHOD: We followed the conventional systematic review process and searched six electronic databases using relevant keywords. We included intervention studies published since 1990 on individuals diagnosed with developmental stuttering. In addition, all studies that used technological intervention such as device(s), computer programs, and mobile phone applications were included. RESULT: Fifty-nine studies were included after a thorough eligibility check. The major categories of technological rehabilitation include telehealth technology, software programs, biofeedback, virtual reality, video-self modeling, neuromodulation, and altered auditory feedback. In general, the results show a beneficial effect of technological intervention in reducing stuttering. Further, this review identifies reduction of the duration and minimal to no side effects with such intervention technologies in stuttering. Finally, the percentage of stuttered syllables (%SS) emerged as the most common outcome measure in technology-based intervention in stuttering. CONCLUSION: A wide variety of technological applications have been implemented in stuttering intervention. Regardless of type, all the studies that aimed to examine the effect of the technological intervention on stuttering reported positive outcomes. This review highlights technology-based stuttering intervention programs’ current status and impact on stuttering dysfluencies. Further, it highlights several advantages and disadvantages of implementing technology-based, and a few directions for future research.
{"title":"Technological interventions in stuttering: A systematic review","authors":"C. Chaudhary, Sunila John, Senthil D. Kumaran, V. Guddattu, G. Krishnan","doi":"10.3233/tad-220379","DOIUrl":"https://doi.org/10.3233/tad-220379","url":null,"abstract":"BACKGROUND: Technology in recent times has shown exciting advancements. These advancements have been implemented in healthcare settings to improve therapeutic outcomes. Within the domain of communication disorders, stuttering has witnessed the implementation of a wide variety of technological interventions. The paper provides a comprehensive review and availability of the current status of technology-based stuttering intervention programs, their advantages and disadvantages, and a few directions for future research. AIM: This review aimed to systematically identify the technologies used in stuttering intervention and explore the effect of these interventions on dysfluencies in stuttering. METHOD: We followed the conventional systematic review process and searched six electronic databases using relevant keywords. We included intervention studies published since 1990 on individuals diagnosed with developmental stuttering. In addition, all studies that used technological intervention such as device(s), computer programs, and mobile phone applications were included. RESULT: Fifty-nine studies were included after a thorough eligibility check. The major categories of technological rehabilitation include telehealth technology, software programs, biofeedback, virtual reality, video-self modeling, neuromodulation, and altered auditory feedback. In general, the results show a beneficial effect of technological intervention in reducing stuttering. Further, this review identifies reduction of the duration and minimal to no side effects with such intervention technologies in stuttering. Finally, the percentage of stuttered syllables (%SS) emerged as the most common outcome measure in technology-based intervention in stuttering. CONCLUSION: A wide variety of technological applications have been implemented in stuttering intervention. Regardless of type, all the studies that aimed to examine the effect of the technological intervention on stuttering reported positive outcomes. This review highlights technology-based stuttering intervention programs’ current status and impact on stuttering dysfluencies. Further, it highlights several advantages and disadvantages of implementing technology-based, and a few directions for future research.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45152743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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