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Assistive Technology: the Official Journal of RESNA

Kevin Pitt, Jonathan Brumberg
PURPOSE: The use of standardized screening protocols may inform brain-computer interface (BCI) research procedures to help maximize BCI performance outcomes and provide foundational information for clinical translation. Therefore, in this study we developed and evaluated a new BCI screening protocol incorporating cognitive, sensory, motor and motor imagery tasks. METHODS: Following development, BCI screener outcomes were compared to the Amyotrophic Lateral Sclerosis Cognitive Behavioral Screen (ALS-CBS), and ALS Functional Rating Scale (ALS-FRS) for twelve individuals with a neuromotor disorder...
October 31, 2018: Assistive Technology: the Official Journal of RESNA
Yvonne Schoon, Kim T J Bongers, Marcel G M Olde Rikkert
This single-blind randomized pilot study explored feasibility and safety of a self-management fall prevention program, hypothesizing that older persons can comply with this program, while it does not result in more (injurious) falls, or a decrease in mental wellbeing as an adverse effect of being focused on falls prevention. Eighty-six persons, community-dwelling or home for the aged (mean age 80.3 years [SD: 6.3], 56 women (65.1%)) participated. The intervention group measured their gait speed by using the Mobility Feedback Device (MFD) weekly for 6 months...
October 29, 2018: Assistive Technology: the Official Journal of RESNA
Bryce Dyer
Sport with a disability has progressed from undertaking physical activity for recreation to one of a high performance environment at competitions such as the Paralympic Games. There is currently limited information and guidance to help inform stakeholders as to how to develop the high performance technology of elite athletes who possess limb absence. In this manuscript, a conceptual framework for high performance prosthetic limb creation is presented. This utilises a synthesis between contemporary product design theory and a review of existing case studies...
October 29, 2018: Assistive Technology: the Official Journal of RESNA
Michael L Jones, John T Morris, James L Mueller, Ben Lippincott, W Mark Sweatman
Accessibility of telecommunication technologies by people who are deaf or hard of hearing has been a critical issue since the invention of the telephone. As both telephone and hearing-aid technologies have evolved, finding compatible solutions has been an ongoing challenge. This paper uses the findings of a longitudinal study to examine the impact of Federal hearing-aid compatibility (HAC) regulations in resolving this problem. The study ran concurrently with the phase-in of Federal Communications Commission regulations requiring that mobile handset manufacturers and wireless service providers make available minimum numbers of cell phones with shielding to reduce electromagnetic interference when cell phones are positioned close to a hearing aid user's ear...
October 17, 2018: Assistive Technology: the Official Journal of RESNA
Jolanta Marszałek, Andrzej Kosmol, Anna Mróz, Ida Wiszomirska, Krzysztof Fiok, Bartosz Molik
OBJECTIVE: The purpose of this study was to compare aerobic parameters in the multistage field test (MFT) in hand rim wheelchair propulsion and lever wheelchair propulsion. METHODS: Twenty-one men performed MFT using two different types of propulsion, i.e., lever and hand rim wheelchair propulsion. The covered distance and physiological variables (oxygen uptake (VO2 ), minute ventilation (VE), carbon dioxide output (VCO2 ), respiratory coefficient (RQ), and heart rate (HR)) were observed...
October 17, 2018: Assistive Technology: the Official Journal of RESNA
Jestin Joy, Kannan Balakrishnan, Sreeraj Madhavankutty
Availability of a sign language dictionary is very important for the literacy of deaf people. But the intricacies involved in the representation of the sign language impede attempts at representing it in a printed format. A video-based solution helps to solve this problem. This article discusses the development of a bilingual mobile sign language dictionary which has features for converting camera-captured text into sign language and translating simple sentences from a spoken language into their corresponding signs...
September 7, 2018: Assistive Technology: the Official Journal of RESNA
Lina Becerra, Thaiany Pedrozo Campos Antunes, Heather M Capel, Sandra A Wiebe, Kim D Adams
INTRODUCTION: When children with physical impairments cannot perform hand movements for haptic exploration, they may miss opportunities to learn the properties of objects. Assistive robots may enable them to make manipulation actions. OBJECTIVE: To examine the differences between using a robotic teleoperation system with haptic feedback and manual exploration when making perceptual comparisons about object properties. Accuracy and exploratory procedures (EP) using the system were compared to those in manual exploration...
August 27, 2018: Assistive Technology: the Official Journal of RESNA
Yann Morère, Guy Bourhis, Kévin Cosnuau, Georges Guilmois, Emilie Rumilly, Emmanuelle Blangy
The powered wheelchair (PW) has become an essential mobility assistive technology for people with motor disabilities. A critical step involved in maximizing the end-user experience is evaluating individual functional abilities. Using powered wheelchair simulation for driving analysis offers flexibility for safely evaluating the individual's driving performance in a variable environment and situations ranging in difficulty. Additionally, it makes it possible to measure numerous variables involved in the driving process...
August 7, 2018: Assistive Technology: the Official Journal of RESNA
Ian Rice, Chandrasekaran Jayaraman, Ryan T Pohlig
PURPOSE: To examine if wheelchair fit influenced the effectiveness of video-based propulsion technique training. METHOD: Based on a cross sectional design, able-bodied participants (n = 21) received an optimally configured wheelchair (OCW; n = 11) or a nonoptimally configured wheelchair (NOCW; n = 10) to determine if propulsion technique was influenced by configuration before and after training. Outcome variables collected during steady-state treadmill propulsion at 1...
July 30, 2018: Assistive Technology: the Official Journal of RESNA
Lorraine H De Souza, Andrew O Frank
This article aims to describe the characteristics of those with a primary diagnosis of spinal cord injury (SCI) attending a specialist wheelchair service providing electric powered indoor/outdoor chairs (EPIOCs). This cross-sectional study, with retrospective review of electronic and case note records, explores the complexities of additional clinical features associated with SCI and disability influencing prescription. Data were extracted under three themes; demographics, diagnostic/clinical information and wheelchair factors...
July 23, 2018: Assistive Technology: the Official Journal of RESNA
Stephen Sprigle, Steven Pubillones
For wheelchair users who are at risk for developing pressure ulcers, cushion prescription seeks to address tissue integrity. Because many designs of wheelchair cushions exist, a need exists to estimate their performance in supporting the body. The objective of this research was to develop an approach to assess the equivalency of cushions with respect to their pressure redistribution performance. Two instrumented compliant buttock models, differing in form, were used in the evaluation. Stress and strain parameters were used to characterize load-bearing performance...
July 9, 2018: Assistive Technology: the Official Journal of RESNA
Carmen P DiGiovine, Meghan Donahue, Patricia Bahr, Mark Bresler, Joseph Klaesner, Raj Pagadala, Brian Burkhardt, Ray Grott
The purpose of this white paper is to describe the rehabilitation engineering professions, specifically rehabilitation engineers, rehabilitation technologists/assistive technologists, and rehabilitation technicians. An ad-hoc committee was convened by the Rehabilitation Engineering and Technologists (RE&T) Professional Standards Group (PSG) at the 2013 annual meeting, RESNA Conference in Seattle, Washington. The ad-hoc committee consists of rehabilitation engineering professionals who have experience working in a variety of environments, and with a multitude of professionals...
June 28, 2018: Assistive Technology: the Official Journal of RESNA
Tzafit Tirkel, Yael Edan, Natalia Khvorostianov, Simona Bar-Haim
This paper presents the overall design of a prototype home-based system aimed to reduce sedentary behavior of older adults. Quantitative performance indicators were developed to measure the sedentary behavior and daily activities of an older adult. The sedentary behavior is monitored by identifying individual positions (standing, sitting, and lying) within the field of view of a Microsoft Kinect sensor, using a custom designed algorithm. The physical activity of the older adult when outside the field of view of the Microsoft Kinect sensor is monitored by counting the number of steps using a Fitbit Charge HR watch, which the older adult is equipped with...
June 26, 2018: Assistive Technology: the Official Journal of RESNA
Anika Steinert, Cornelia Eicher, Marten Haesner, Elisabeth Steinhagen-Thiessen
The majority of lipid metabolism disorders can be managed well if patients adhere to their therapies. Self-monitoring can drive adherence with regards to medication intake, physical activities, and nutrition. Technical devices like smartphones can further support its users to achieve health-related goals. In a clinical trial, 100 patients with lipid metabolism disorders were asked to use a smartphone application over a duration of 12 months. Users of this app could set reminders to keep track of their medication and other disease-related variables, such as weight and cholesterol...
June 26, 2018: Assistive Technology: the Official Journal of RESNA
Mohammad Gharini, Majid Mohammadi Moghaddam, Farzam Farahmand
This study proposes a computer modeling approach to find the optimal damping coefficients of the viscoelastic ankle-foot prostheses for each specific amputee. A two-dimensional locomotion model was developed for a transtibial amputee and personalized using his body measures and the reference gait pattern of an equivalent able-bodied subject. By employing the forward dynamic simulation, the amputee's locomotion was synthesized for different prosthetic settings to find the optimal damping coefficients, based on a kinematics and a total work cost function...
June 26, 2018: Assistive Technology: the Official Journal of RESNA
Emily J Steel
INTRODUCTION: Reforms to Australia's disability and rehabilitation sectors have espoused the potential of assistive technology as an enabler. As new insurance systems are being developed it is timely to examine the structure of existing systems. This exploratory study examined the policies guiding assistive technology provision in the motor accident insurance sector of one Australian state. METHODS: Policy documents were analyzed iteratively with a set of qualitative questions to understand the intent and interpretation of policies guiding assistive technology provision...
June 8, 2018: Assistive Technology: the Official Journal of RESNA
Laura Sanches Rocha, Bonita Sawatzky, W Ben Mortenson
New geared wheelchair wheels have been developed allowing the user to pull backwards on the rims to move forward. Theoretically, this utilizes larger muscle groups compared to conventional propulsion preventing repetitive stress injuries. This study compared the gross mechanical efficiency (GME), perceived effort and energy expenditure of propelling the wheelchair using two types of these geared wheels and standard forward propulsion wheels. A within participants repeated measures design was used. Participants' energy expenditure and perceived exertion were measured...
May 17, 2018: Assistive Technology: the Official Journal of RESNA
Kuang-Chin Tai
Blind people adopt their remaining intact senses to perceive the world for tasks such as determining the water level in a bowl. Pouring water into a bowl generates water sounds and echoes reflected in the bowl. This research develops a bowl with increased echo (called an echo bowl), and analyzes the accuracy of water levels perceived by visually impaired people using a container or a kettle to pour water into a common bowl or an echo bowl. The analysis of factors of pouring and filled equipment indicates that the container has a significantly lower water level error than the kettle when pouring water...
May 9, 2018: Assistive Technology: the Official Journal of RESNA
Ikram Asghar, Shuang Cang, Hongnian Yu
This study explores important factors of assistive technology (AT) and evaluates their relative impact on AT effectiveness and retention. Questionnaire based survey is used for data collection from 327 people with dementia (PWD). This empirical study uses statistical techniques including exploratory factor analysis for factor identification, linear regression for impact study, Kruskal Wallis H and Mann Whitney U tests for the statistical significant study in terms of demographic and characteristics. The exploratory factor analysis results into 11 factors: operational support, physical support, psychological support, social support, cultural match, reduced external help, affordability, travel help, compatibility, effectiveness and retention...
April 27, 2018: Assistive Technology: the Official Journal of RESNA
Marco Tofani, C Candeloro, M Sabbadini, L Lucibello, M Figura, G Fabbrini, G Galeoto, E Castelli
The importance of adaptive seating system on body structure and function is widely accepted, but its impact on psychosocial aspects needs more consideration by health professionals. This article describes the Italian validation of the Psychosocial Impact of Assistive Device Scale (IT-PIADS) for non-ambulant people with neuromotor disorders. Once agreement has been given by the original authors, the scale was translated and adapted to the Italian culture. The IT-PIADS was administered to different wheelchairs users with heterogeneous diagnosis...
April 25, 2018: Assistive Technology: the Official Journal of RESNA
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