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Disability and Rehabilitation. Assistive Technology

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https://www.readbyqxmd.com/read/28573939/is-centre-based-provision-of-hearing-aids-better-than-community-based-provision-a-cluster-randomized-trial-among-adolescents-in-bangladesh
#1
Johan Borg, Björn Olof Ekman, Per-Olof Östergren
PURPOSE: In response to the need for hearing aids in low-income countries, an approach to provide hearing aids through trained community workers was developed. This study compares the effectiveness of the community-based approach with that of a centre-based approach. METHODS: One hundred and forty adolescents (56% girls; 12-18 years; mean: 15 years) from eleven sub-districts participated in a cluster-randomized trial comparing a community-based service (n = 75) with a centre-based service (n = 65) in Bangladesh...
June 2, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28553741/use-of-two-test-methods-to-ensure-accurate-surface-firmness-and-stability-measurements-for-accessibility
#2
Peter W Axelson, Seanna L Hurley
PURPOSE: The firmness and stability of indoor and outdoor surfacing are critical to the accessibility and safety of all environments for people with mobility impairments and/or who use mobility devices. ASTM F1951 laboratory test procedures include pass/fail criteria for determining playground surface accessibility by comparing the work to propel up a 1:14 (7.1%) grade ramp to that of the test surface in a wheelchair. A portable instrumented surface indenter (ISI) was developed to validate that accessibility results obtained in the laboratory are maintained in the field where the surface is installed and used...
May 27, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28537814/a-human-oriented-framework-for-developing-assistive-service-robots
#3
Conor McGinn, Michael F Cullinan, Mark Culleton, Kevin Kelly
PURPOSE: Multipurpose robots that can perform a range of useful tasks have the potential to increase the quality of life for many people living with disabilities. Owing to factors such as high system complexity, as-yet unresolved research questions and current technology limitations, there is a need for effective strategies to coordinate the development process. METHOD: Integrating established methodologies based on human-centred design and universal design, a framework was formulated to coordinate the robot design process over successive iterations of prototype development...
May 24, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28524710/integrating-end-user-feedback-in-the-concept-stage-of-development-of-a-novel-sensor-access-system-for-environmental-control
#4
Susan Koch Fager, Tabatha Sorenson, Susanne Butte, Alexander Nelson, Nilanjan Banerjee, Ryan Robucci
PURPOSE: This article illustrates user-centred design of a novel sensor access system for environmental control in the concept stage of development. METHODS: Focus groups of individuals with disabilities and rehabilitation healthcare professionals were provided with video illustration of the technology and asked to provide quantitative and qualitative feedback through a semistructured interview process. Qualitative methods were employed to analyse transcribed comments to develop themes supporting ongoing development of the technology...
May 19, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28509584/the-influence-of-the-crutch-setup-on-stability-and-weight-bearing-parameters-in-post-total-hip-replacement-surgery-patients-during-quiet-standing
#5
Francesco Esposito, Marco Freddolini, Leonardo Latella, Palmina Braccio, Massimiliano Marcucci, Andrea Corvi
PURPOSE: The purpose of this study is to evaluate the influence of the crutch setup on standing, in post total hip replacement (THR) surgery patients. MATERIALS AND METHODS: Thirty patients after THR were randomly assigned to walking with the elbow flexed (EF) or elbow straight (ES) crutch setup. Subjects were asked to stand on a force platform in a comfortable position with the crutch positioned on the unaffected side, facing forward for 10 seconds. Centre of pressure total path and maximal excursion were evaluated in both medio-lateral and anterior-posterior planes...
May 16, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28488902/designing-augmentative-and-alternative-communication-applications-the-results-of-focus-groups-with-speech-language-pathologists-and-parents-of-children-with-autism-spectrum-disorder
#6
Jamie B Boster, John W McCarthy
PURPOSE: The purpose of this study was to gain insight from speech-language pathologists (SLPs) and parents of children with autism spectrum disorder (ASD) regarding appealing features of augmentative and alternative communication (AAC) applications. METHOD: Two separate 1-hour focus groups were conducted with 8 SLPs and 5 parents of children with ASD to identify appealing design features of AAC Apps, their benefits and potential concerns. Participants were shown novel interface designs for communication mode, play mode and incentive systems...
May 10, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28485185/exploring-the-ecological-validity-and-variability-of-a-10-min-bout-of-wheeling
#7
Megan K MacGillivray, Tania Lam, Marc Klimstra, E Paul Zehr, Bonita J Sawatzky
PURPOSE: To determine the ecological validity of using able-bodied participants to perform a 10-min wheeling trial by (1) evaluating changes in biomechanics over the trial in manual wheelchair users and able-bodied participants naïve to wheeling and (2) describing differences in changes and variability between groups. MATERIALS AND METHODS: Manual wheelchair users (n = 7, 2-27 years' experience) and able-bodied participants (n = 11) wheeled for 10 min...
May 9, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28475421/exploring-accessibility-issues-of-a-public-building-for-the-mobility-impaired-case-study-interstate-bus-terminal-isbt-vijayawada-india
#8
Valliappan Alagappan, Albert Hefferan, Aarthi Parivallal
Right to access in the built environment creates equal and nondiscriminatory opportunities to a person with disabilities in order to move freely around and interact positively without hindrance and barriers. The objective of the study is to understand the existing accessibility related issues and implementation of guidelines and standards for public buildings. The technical verification using onsite and offsite access audit format for current provision of facilities in the internal and external environment has been carried out with the format prepared in reference to Central Public Works Department (CPWD) accessibility guidelines for mobility impaired and elderly and American Disability Act (ADA) guidelines...
May 5, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28453365/a-novel-method-for-designing-and-optimizing-the-layout-of-facilities-in-bathroom-for-the-elderly-in-home-based-rehabilitation
#9
Duojin Wang, Jing Wu, Qinglian Lin
PURPOSE: The home-based rehabilitation of elderly patients improves their autonomy, independence and reintegration into society. Hence, a suitable environment plays an important role in rehabilitation, as do different assistance technologies. The majority of accidents at home involving elderly people occur in the bathroom. Therefore, the planning of the layout of facilities is important in this potentially dangerous area. This paper proposes an approach towards designing and optimizing the layout of facilities in the bathroom, based on logistical and nonlogistical relationships...
April 28, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28447495/quality-of-life-of-patients-after-total-laryngectomy-the-struggle-against-stigmatization-and-social-exclusion-using-speech-synthesis
#10
Jiří Mertl, Eva Žáčková, Barbora Řepová
In this article, we deal with the problem of potential stigmatization and social exclusion of people that have voice/speech problems due to neck cancer, especially those who have lost their voice because of total laryngectomy, and we analyze how this potential stigmatization could be alleviated by personalized speech synthesis. We used a mixed-method approach, consisting of quality of life questionnaires and in-depth semi-structured interviews, in order to provide more generalizable as well as rich information...
April 27, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28447491/mobile-communication-jacket-for-people-with-severe-speech-impairment
#11
Renée Lampe, Tobias Blumenstein, Varvara Turova, Ana Alves-Pinto
PURPOSE: Cerebral palsy is a movement disorder caused by damage to motor control areas of the developing brain during early childhood. Motor disorders can also affect the ability to produce clear speech and to communicate. The aim of this study was to develop and to test a prototype of an assistive tool with an embedded mobile communication device to support patients with severe speech impairments. METHODS: A prototype was developed by equipping a cycling jacket with a display, a small keyboard, a LED and an alarm system, all controlled by a microcontroller...
April 27, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28423963/patient-perceptions-of-environmental-control-units-experiences-of-veterans-with-spinal-cord-injuries-and-disorders-receiving-inpatient-va-healthcare
#12
Bella Etingen, Rachael N Martinez, Marissa A Vallette, Ryan Dendinger, Balmatee Bidassie, Scott Miskevics, Hira T Khan, Huberta T Cozart, Sara M Locatelli, Frances M Weaver
PURPOSE: To assess patients' perceptions of environmental control units (ECUs) at Veterans Affairs Spinal Cord Injury Centers. MATERIALS AND METHODS: A brief questionnaire was conducted with patients in real-time while they were hospitalised ("on-the-spot questionnaire"); a survey was mailed to patients who had recently been discharged from a hospital stay ("discharge survey"). Data were analysed using descriptive statistics. RESULTS: Seventy on-the-spot questionnaires and 80 discharge surveys were collected...
April 19, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28399722/safety-and-function-of-a-prototype-microprocessor-controlled-knee-prosthesis-for-low-active-transfemoral-amputees-switching-from-a-mechanic-knee-prosthesis-a-pilot-study
#13
Timothy Hasenoehrl, Thomas Schmalz, Reinhard Windhager, Stephan Domayer, Sara Dana, Clemens Ambrozy, Stefano Palma, Richard Crevenna
PURPOSE: Aim of this pilot study was to assess safety and functioning of a microprocessor-controlled knee prosthesis (MPK) after a short familiarization time and no structured physical therapy. MATERIALS AND METHODS: Five elderly, low-active transfemoral amputees who were fitted with a standard non-microprocessor controlled knee prosthesis (NMPK) performed a baseline measurement consisting of a 3 D gait analysis, functional tests and questionnaires. The first follow-up consisted of the same test procedure and was performed with the MPK after 4 to 6 weeks of familiarization...
April 11, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28398175/interactive-design-of-patient-oriented-video-games-for-rehabilitation-concept-and-application
#14
Giorgia Lupinacci, Gianluca Gatti, Corrado Melegari, Saverio Fontana
PURPOSE: Serious video-games are innovative tools used to train the motor skills of subjects affected by neurological disorders. They are often developed to train a specific type of patients and the rules of the game are standardly defined. A system that allows the therapist to design highly patient-oriented video-games, without specific informatics skills, is proposed. METHOD: The system consists of one personal computer, two screens, a Kinect™ sensor and a specific software developed here for the design of the video-games...
April 11, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28379744/the-meaning-ascribed-to-wheeled-mobility-devices-by-individuals-who-use-wheelchairs-and-scooters-a-metasynthesis
#15
Jacquie Ripat, Michele Verdonck, Roger Jaffrey Carter
PURPOSE: To synthesize qualitative study findings on the meaning ascribed to wheelchairs and wheeled mobility devices (WMD) by WMD users. METHOD: Bibliographic databases were systematically searched up to January 2015 to identify relevant papers. Reviewers selected studies, assessed methodological quality and thematically synthesized findings using a metasynthesis process described by Thomas and Harden (2008). RESULTS: Twenty articles were included...
April 5, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28375687/predictors-of-retention-and-attrition-in-a-study-of-an-advanced-upper-limb-prosthesis-implications-for-adoption-of-the-deka-arm
#16
Linda Resnik, Jill Cancio, Shana Klinger, Gail Latlief, Nicole Sasson, Lisa Smurr-Walters
PURPOSE: The purpose was to identify factors associated with completion of the VA home study of the DEKA Arm. Design and methodological procedures used: Differences between groups were examined using chi-square and t-tests. A multivariable logistic regression model predicting completion was generated and odds ratios (OR) for significant variables calculated. Post-hoc analysis was performed to plot the receiver operating characteristics (ROC) curve. RESULTS: Participants who completed were more likely to be prosthesis users at study onset (p = ...
April 4, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28366104/adult-scandinavians-use-of-powered-scooters-user-satisfaction-frequency-of-use-and-prediction-of-daily-use
#17
Terje Sund, Åse Brandt
PURPOSE: To investigate user satisfaction with characteristics of powered scooters (scooters), frequency of use, and factors predicting daily scooter use. DESIGN: Cross-sectional. SAMPLE: Adult scooter users (n = 59) in Denmark and Norway, mean age 74.5 (standard deviation 12.3) years. METHODS: Structured face-to-face interviews. The NOMO 1.0, the Quebec User Evaluation of Satisfaction with assistive devices (QUEST 2...
April 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28366038/perceived-self-efficacy-and-specific-self-reported-outcomes-in-persons-with-lower-limb-amputation-using-a-non-microprocessor-controlled-versus-a-microprocessor-controlled-prosthetic-knee
#18
Saffran Möller, Kerstin Hagberg, Kersti Samulesson, Nerrolyn Ramstrand
PURPOSE: To measure self-efficacy in a group of individuals who have undergone a lower-limb amputation and investigate the relationship between self-efficacy and prosthetic-specific outcomes including prosthetic use, mobility, amputation-related problems and global health. A second purpose was to examine if differences exist in outcomes based upon the type of prosthetic knee unit being used. METHOD: Cross-sectional study using the General Self-Efficacy (GSE) Scale and the Questionnaire for Persons with a Transfemoral Amputation (Q-TFA)...
April 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28366037/an-exploration-of-physiotherapists-experiences-of-robotic-therapy-in-upper-limb-rehabilitation-within-a-stroke-rehabilitation-centre
#19
Andrew Stephenson, John Stephens
PURPOSE: Strokes are the world's leading cause of adult disability, with movement impairment being more common in the upper limb (UL). Robotic therapy (RT) is identified as an effective adjunct to promote movement but with limited effect on functional capabilities. There is currently limited research in user experience of RT, specifically that of physiotherapists. This study sought to explore physiotherapists' experience of using RT in rehabilitation of the UL, within a stroke rehabilitation centre in the north of England...
April 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28366029/a-novel-mechanotronic-orthosis-enables-symmetrical-gait-kinematics-in-a-patient-with-a-femoral-nerve-palsy-a-case-study
#20
G M Hobusch, T Hasenöhrl, K Pieber, T Schmalz, S Dana, C Ambrozy, K Pohlig, H Dietl, R Crevenna, G von Skrbensky, C Hofer, R Auberger, R Windhager
The usage of stance- and swing-phase control orthoses (SSCOs) is a good option in patients with neuromuscular insufficiency of the quadriceps muscle in a broad range of musculo-skeletal disorders. The subjective sensation of improved mobility in daily life and walking comfort could be objectively confirmed by the ability to walk without crutches and by harmonization of the gait patterns in hip and knee. They could also be a considered mobility device after limb salvage surgery, which may even have an impact on preoperative decision making...
April 1, 2017: Disability and Rehabilitation. Assistive Technology
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