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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}
BACKGROUND: Today, various emerging assistive applications (apps) running on smartphones have been introduced such as Seeing AI, TapTapSee, and BeMyEyes apps. The assistive apps are designed to assist people with visual impairment in navigating unfamiliar environments, reading text, identifying objects and persons. Yet, little is known about how those with visual impairment perceive the assistive apps. OBJECTIVE: This study aims to advance knowledge of user experience with those assistive apps. METHODS: To address the knowledge gap, this study conducted phone interviews with a convenience sample of 30 individuals with visual impairment. RESULTS: The results indicated that those with visual impairment showed a range of preferences, needs, and concerns about user interfaces and interactions with the assistive apps. DISCUSSIONS: Given their needs and concerns, this study offered a set of facilitators to promote user adoption of the assistive apps, which should be valuable guidance to user interface/interaction designers in the field.
{"title":"User experience of assistive apps among people with visual impairment","authors":"H. N. Kim","doi":"10.3233/tad-220377","DOIUrl":"https://doi.org/10.3233/tad-220377","url":null,"abstract":"BACKGROUND: Today, various emerging assistive applications (apps) running on smartphones have been introduced such as Seeing AI, TapTapSee, and BeMyEyes apps. The assistive apps are designed to assist people with visual impairment in navigating unfamiliar environments, reading text, identifying objects and persons. Yet, little is known about how those with visual impairment perceive the assistive apps. OBJECTIVE: This study aims to advance knowledge of user experience with those assistive apps. METHODS: To address the knowledge gap, this study conducted phone interviews with a convenience sample of 30 individuals with visual impairment. RESULTS: The results indicated that those with visual impairment showed a range of preferences, needs, and concerns about user interfaces and interactions with the assistive apps. DISCUSSIONS: Given their needs and concerns, this study offered a set of facilitators to promote user adoption of the assistive apps, which should be valuable guidance to user interface/interaction designers in the field.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48239971","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}
Stijn Roggeman, Mahyar Firouzi, N. Lefeber, E. De Keersmaecker, Lotte Cuypers, E. Swinnen, E. Joos, Marc Schiltz, S. Hatem
BACKGROUND: Walking difficulties put an individual at high risk of falling, institutionalisation and even death. The use of robotical rehabilitation or assistive devices for walking has gained considerable interest as a means of improving patients’ gait abilities. OBJECTIVE: The aim of this research was to examine patients’ intrinsic motivation to train with a wearable hip exoskeleton (Honda Walking Assist). METHODS: Rehabilitation patients (stroke, medullar lesion, orthopaedic surgery) and elderly (> 65 yrs) with walking difficulties were recruited for this study (n= 23). Each walked with the Honda Walking Assist for 30 minutes during one therapy session and completed the Intrinsic Motivation Inventory (IMI) afterwards. RESULTS: All participants presented with high scores on the IMI, in particular for the items ‘interest/enjoyment’ (median: 43; 25th–75th perc.: 37–46; maximal score: 49), ‘perceived competence of walking’ (35 [31–38]; max. score 42) and ‘value/usefulness’ (44 [35–49]; max. score 49). CONCLUSIONS: This robotic exoskeleton for assisted walking was considered a valuable device by the majority of participants, eliciting a high degree of motivation and enjoyment.
{"title":"Intrinsic motivation for using a wearable hip exoskeleton","authors":"Stijn Roggeman, Mahyar Firouzi, N. Lefeber, E. De Keersmaecker, Lotte Cuypers, E. Swinnen, E. Joos, Marc Schiltz, S. Hatem","doi":"10.3233/tad-210362","DOIUrl":"https://doi.org/10.3233/tad-210362","url":null,"abstract":"BACKGROUND: Walking difficulties put an individual at high risk of falling, institutionalisation and even death. The use of robotical rehabilitation or assistive devices for walking has gained considerable interest as a means of improving patients’ gait abilities. OBJECTIVE: The aim of this research was to examine patients’ intrinsic motivation to train with a wearable hip exoskeleton (Honda Walking Assist). METHODS: Rehabilitation patients (stroke, medullar lesion, orthopaedic surgery) and elderly (> 65 yrs) with walking difficulties were recruited for this study (n= 23). Each walked with the Honda Walking Assist for 30 minutes during one therapy session and completed the Intrinsic Motivation Inventory (IMI) afterwards. RESULTS: All participants presented with high scores on the IMI, in particular for the items ‘interest/enjoyment’ (median: 43; 25th–75th perc.: 37–46; maximal score: 49), ‘perceived competence of walking’ (35 [31–38]; max. score 42) and ‘value/usefulness’ (44 [35–49]; max. score 49). CONCLUSIONS: This robotic exoskeleton for assisted walking was considered a valuable device by the majority of participants, eliciting a high degree of motivation and enjoyment.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48454773","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: The design, provision, and assessment of prosthetic arm technologies and related services are all dependent on an understanding of how prosthetic arms are used in everyday life. This research examines the scientific literature on prosthetic arm technologies and approaches that have been used to evaluate upper limb prosthetic arms in daily life use. OBJECTIVE: The purpose of this review paper is to give an outline of current literature, which covers the selection, design, and choices of prosthetic arm technologies. METHODS: A structural search for the available technologies on the prosthetic arm was carried out. A research database search was carried out in PubMed, Web of Science, Scopus, Crossref, Google Scholar, and questionnaires were evaluated based on available prosthetic arm technologies, material, methodology, comfortability. RESULTS: From the proposed review, it is concluded that not all prosthetic technologies suit the patients because of the difference in injuries. Every prosthetic arm technology has its advantages and limitations depending on end-user requirements and comfortability. Based on the available literature, it is observed that amputees have been given equal importance to comfortability along with functionality. Consequently, amputees may opt for a prosthetic arm technology that is easy to use and comfortable rather than an advanced technology-based prosthetic arm but less with comfortability. CONCLUSION: An attempt has been made for extensive reviews for the various types of prosthetic systems, materials, usability, methodologies, comfortability, etc. Comparative studies on various types of available prosthetic arm technologies have been also carried out with pros and cons. More specifically, the proposed paper provides a significant review of the upper limb prosthetic arm’s current developments and their impacts.
背景：假肢技术和相关服务的设计、提供和评估都取决于对假肢在日常生活中如何使用的理解。这项研究考察了有关假肢技术和方法的科学文献，这些技术和方法已被用于评估日常生活中使用的上肢假肢。目的：本文的目的是概述当前的文献，包括假肢技术的选择、设计和选择。方法：对现有的假肢技术进行结构检索。在PubMed、Web of Science、Scopus、Crossref、Google Scholar上进行了研究数据库搜索，并根据可用的假肢技术、材料、方法和舒适性对问卷进行了评估。结果：根据拟议的综述，得出的结论是，由于损伤的差异，并非所有的假体技术都适合患者。每种假肢技术都有其优点和局限性，这取决于最终用户的要求和舒适性。根据现有文献，可以观察到截肢者对舒适性和功能性同等重视。因此，截肢者可能会选择易于使用和舒适的假肢技术，而不是基于先进技术但不太舒适的假肢。结论：已经尝试对各种类型的假肢系统、材料、可用性、方法、舒适性等进行广泛的综述。还对各种可用的假肢技术进行了比较研究，包括优缺点。更具体地说，本文对上肢假肢的当前发展及其影响进行了重要回顾。
{"title":"A systematic review on available technologies and selection for prosthetic arm restoration","authors":"Bhavesh Pawar, M. Mungla","doi":"10.3233/tad-210353","DOIUrl":"https://doi.org/10.3233/tad-210353","url":null,"abstract":"BACKGROUND: The design, provision, and assessment of prosthetic arm technologies and related services are all dependent on an understanding of how prosthetic arms are used in everyday life. This research examines the scientific literature on prosthetic arm technologies and approaches that have been used to evaluate upper limb prosthetic arms in daily life use. OBJECTIVE: The purpose of this review paper is to give an outline of current literature, which covers the selection, design, and choices of prosthetic arm technologies. METHODS: A structural search for the available technologies on the prosthetic arm was carried out. A research database search was carried out in PubMed, Web of Science, Scopus, Crossref, Google Scholar, and questionnaires were evaluated based on available prosthetic arm technologies, material, methodology, comfortability. RESULTS: From the proposed review, it is concluded that not all prosthetic technologies suit the patients because of the difference in injuries. Every prosthetic arm technology has its advantages and limitations depending on end-user requirements and comfortability. Based on the available literature, it is observed that amputees have been given equal importance to comfortability along with functionality. Consequently, amputees may opt for a prosthetic arm technology that is easy to use and comfortable rather than an advanced technology-based prosthetic arm but less with comfortability. CONCLUSION: An attempt has been made for extensive reviews for the various types of prosthetic systems, materials, usability, methodologies, comfortability, etc. Comparative studies on various types of available prosthetic arm technologies have been also carried out with pros and cons. More specifically, the proposed paper provides a significant review of the upper limb prosthetic arm’s current developments and their impacts.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48545551","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: New technologies have made rapid advances in the field of assistive technologies (AT), with Extended Reality (XR) offering promising results in supporting people with mild intellectual disabilities (ID). Yet, the design and goals of programs for people with mild ID may differ from those for people with moderate and severe ID. It remains unclear how XR technologies are used for people with moderate to severe ID. OBJECTIVE: The study we present in this paper aimed to explore what is known from the existing scientific literature about XR-based interventions for supporting people with moderate to severe intellectual disabilities, including the features of XR content and technology that is used and factors that may impact implementation. METHODS: We conducted a scoping review, searching Cinahl, PubMed, LibSearch, and Google Scholar based on inclusion and exclusion criteria ensuring the focus on XR and moderate to severe ID. We adopted a qualitative content analysis approach to review the papers resulting from the search. RESULTS: In total, we included 16 papers in the review. Most of these focused on XR-based interventions to improve specific skills, such as navigation and daily living skills, in order to increase autonomy and independence. We found a large variety in the content and technology used in these interventions as well as in factors that the authors found to affect the implementation. These factors concern characteristics of users, of caregivers or facilitators, and of the XR environments and systems. The majority of the papers reported studies with small sample sizes, and lacked control groups and follow-up periods to measure long-term effects of XR. CONCLUSIONS: The use of XR for people with moderate to severe ID is an emerging field. Although many authors of the reviewed studies do acknowledge the potential of XR, further evidence is needed. Future research might explore the potential of XR as leisure activity, and might study in detail how features of the XR environment impact behaviour to inform professionals about how to approach their use of XR in order to meet the needs and preferences of people with moderate and severe ID.
{"title":"The use of extensive reality (XR) for people with moderate to severe intellectual disabilities (ID): A scoping review","authors":"Patricia Laura Maran, Ramon Daniëls, K. Slegers","doi":"10.3233/tad-210363","DOIUrl":"https://doi.org/10.3233/tad-210363","url":null,"abstract":"BACKGROUND: New technologies have made rapid advances in the field of assistive technologies (AT), with Extended Reality (XR) offering promising results in supporting people with mild intellectual disabilities (ID). Yet, the design and goals of programs for people with mild ID may differ from those for people with moderate and severe ID. It remains unclear how XR technologies are used for people with moderate to severe ID. OBJECTIVE: The study we present in this paper aimed to explore what is known from the existing scientific literature about XR-based interventions for supporting people with moderate to severe intellectual disabilities, including the features of XR content and technology that is used and factors that may impact implementation. METHODS: We conducted a scoping review, searching Cinahl, PubMed, LibSearch, and Google Scholar based on inclusion and exclusion criteria ensuring the focus on XR and moderate to severe ID. We adopted a qualitative content analysis approach to review the papers resulting from the search. RESULTS: In total, we included 16 papers in the review. Most of these focused on XR-based interventions to improve specific skills, such as navigation and daily living skills, in order to increase autonomy and independence. We found a large variety in the content and technology used in these interventions as well as in factors that the authors found to affect the implementation. These factors concern characteristics of users, of caregivers or facilitators, and of the XR environments and systems. The majority of the papers reported studies with small sample sizes, and lacked control groups and follow-up periods to measure long-term effects of XR. CONCLUSIONS: The use of XR for people with moderate to severe ID is an emerging field. Although many authors of the reviewed studies do acknowledge the potential of XR, further evidence is needed. Future research might explore the potential of XR as leisure activity, and might study in detail how features of the XR environment impact behaviour to inform professionals about how to approach their use of XR in order to meet the needs and preferences of people with moderate and severe ID.","PeriodicalId":22201,"journal":{"name":"Technology and Disability","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46103427","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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