{"title":"Outdoor E-trike cycling: A low intensity physical activity.","authors":"Roos Bulthuis, Monique Tabak, Leendert Schaake, Hermie Hermens","doi":"10.1080/10400435.2020.1858995","DOIUrl":"https://doi.org/10.1080/10400435.2020.1858995","url":null,"abstract":"<p><p>For people with disabilities or chronic diseases, an electrically supported tricycle (e-trike) could facilitate independence and participation in physical activity, and improve health conditions. This study investigates the exercise intensity and perceived exertion of e-trike cycling. Twenty healthy participants cycled on an e-trike with different speeds (12 and 18 km/h) and different levels of electric pedal support at an outdoor athletics track. Exercise intensity was measured with oxygen consumption (<math><mover><mi>V</mi><mo>˙</mo></mover><mrow><msub><mi>O</mi><mn>2</mn></msub></mrow></math>) using a Cosmed K4B2 analysis unit, perceived exertion was measured with the Borg Rating of Perceived Exertion scale, pedaling power, and engine power were measured with a torque sensor. The effect of speed and support was analyzed with a Linear Mixed Effects model. <math><mover><mi>V</mi><mo>˙</mo></mover><mrow><msub><mi>O</mi><mn>2</mn></msub></mrow></math> was 18.67 ± 3.13 ml/kg/min without support, with electric support the exercise intensity was significantly below moderate intensity (i.e. 10.5 ml/kg/min) at t = 11.37, <i>p</i> < .001, 95% CI: 1.90, 2.77. The Borg score without support was 9.79 ± 1.72 and all other conditions below this, which were significantly below moderate intensity (i.e. 11) at t = -3.07, <i>p</i> = .007, 95% CI: -2.04, -0.38. Speed and support significantly affected <math><mover><mi>V</mi><mo>˙</mo></mover><mrow><msub><mi>O</mi><mn>2</mn></msub></mrow></math> (F = 185.49, <i>p</i> < .001). E-trike cycling is a low intensity activity, but intensity can be influenced by changing speed and support level.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"429-436"},"PeriodicalIF":1.8,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1858995","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38706810","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}
Norina Gasteiger, Ho Seok Ahn, Christine Fok, JongYoon Lim, Christopher Lee, Bruce A MacDonald, Geon Ha Kim, Elizabeth Broadbent
{"title":"Older adults' experiences and perceptions of living with Bomy, an assistive dailycare robot: a qualitative study.","authors":"Norina Gasteiger, Ho Seok Ahn, Christine Fok, JongYoon Lim, Christopher Lee, Bruce A MacDonald, Geon Ha Kim, Elizabeth Broadbent","doi":"10.1080/10400435.2021.1877210","DOIUrl":"https://doi.org/10.1080/10400435.2021.1877210","url":null,"abstract":"<p><p>An aging global population and preference for aging-in-place pose the opportunity for home-based robots to assist older adults with their daily routines. However, there is limited research into the experiences of older adults using robots in their own homes. In this descriptive qualitative feasibility study, older self-supporting and community-dwelling adults with various age-related health needs used Bomy, a dailycare robot in their homes for up to one week. The study explored the usefulness of the robot and participants' perceptions and experiences of using it. Bomy reminded them of daily activities and delivered cognitive stimulation games. Semi-structured in-person interviews were conducted, and data were analyzed thematically. Findings revealed an acceptance toward robots and the value of assistive dailycare robots. Participants perceived Bomy as a companion and made suggestions for improvement, including resolving technical issues associated with long-term use. Future functions should be personalizable, to accommodate each user's health needs and could also include smoke detection and reading aloud functions. Dailycare robots show promising potential in elderly care, especially in providing reminders for medication, health and wellbeing. This study highlights the importance of co-design and testing robotics in the environments for which they have been developed. Widespread implementation of Bomy might be feasible in the future, with some further adjustments.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"487-497"},"PeriodicalIF":1.8,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2021.1877210","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25334846","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}
{"title":"A pilot study of the impact of the electro-suit Mollii® on body functions, activity, and participation in children with cerebral palsy.","authors":"Camilla Flodström, Sari-Anne Viklund Axelsson, Birgitta Nordström","doi":"10.1080/10400435.2020.1837288","DOIUrl":"https://doi.org/10.1080/10400435.2020.1837288","url":null,"abstract":"<p><p>Electrical stimulation has been used to treat spasticity in children with cerebral palsy. Building on the benefits of electrical stimulation, a new assistive device, electro-suit Mollii® with imbedded electrodes has been tested. The aim of the study was to evaluate the possible effect of Mollii® on body function, activity and participation in self-selected activities. Six children, five to ten years of age, used the electro-suit for one hour, every other day for three months. The impact was evaluated after four weeks and after three months by measuring passive range of motion (ROM), muscle tone, pain, gross motor function and participation. All participants improved in the total score for Canadian Occupational Performance Measure (COPM), three of them showed significant clinical improvements. Pain was reduced for children who estimated pain when the study started. There were also small changes in Electro-suit Mollii® had a positive impact on activity and participation in self-selected activities among the children in this study. Further studies with more children over a longer time are necessary to evaluate the impact and usefulness over time.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"411-417"},"PeriodicalIF":1.8,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1837288","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38569659","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}
{"title":"A computer aided drawing system evaluation with early and late blind users.","authors":"Sandra Fernando, James Ohene-Djan","doi":"10.1080/10400435.2020.1829745","DOIUrl":"https://doi.org/10.1080/10400435.2020.1829745","url":null,"abstract":"<p><p>The present lack of suitable and efficient graphics creation techniques may place limitations on the career progression and life contentment of blind students. It is challenging for a BVI (Blind and Visually Impaired) person to draw diagrams or art, which are commonly taught in education or used in industry. The SETUP09 graphics creation system was developed to address a need for blind users to be able to create such content and consists of both navigation and computer aided drawing techniques, enabling graphics creation and manipulation through command language and intuitive, matrix-style movement. The technique can facilitate a user's ability to produce art and scientific diagrams electronically. This paper presents a comparative system evaluation of digital versus analogue drawing techniques with early and late blind individuals. Users were tested using different graphics creation tasks to assess the accuracy and efficiency of an analogue drawing technique compared with the digital SETUP09 system. The results confirmed that the SETUP09 compass-based graphics creation technique allows greater accuracy in completing a drawing task, with a noticeable reduction in effort compared to analogue drawing techniques.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"392-401"},"PeriodicalIF":1.8,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1829745","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25336678","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}
Juanita Rodríguez, María V Díaz, Olga Collazos, Ángel García-Crespo
{"title":"GoCC4All a pervasive technology to provide access to TV to the deafblind community.","authors":"Juanita Rodríguez, María V Díaz, Olga Collazos, Ángel García-Crespo","doi":"10.1080/10400435.2020.1829176","DOIUrl":"https://doi.org/10.1080/10400435.2020.1829176","url":null,"abstract":"<p><p>Considering the importance of communication and independence for the deafblind community, this work presents findings of the use of technology to address the lack of information due to communication challenges among the deafblind community. Over time, many investigations have been carried out regarding this matter, but very few providing solution, which is why this study emerged, looking to making all the information broadcasted through television accessible for this community. The work team designed a technology (GoCC4All) to address the needs of the deafblind community. GoCC4All provides access to captions available on TV through braille displays and mobile devices. Our research process and results outline the path for creating, adapting, and adopting new technologies for people with disabilities who have the right to access the information just as their peers without disabilities. The information in this paper is based on two surveys, an initial beta testing (BT) and a final survey among a group of 14 users (UT) who tested the GoCC4All application. Our findings support the positive impact of the iterative creation of assistive technology based on users' experience and users' recommendations to better serve the needs of the deafblind community.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"383-391"},"PeriodicalIF":1.8,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1829176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38611035","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}
{"title":"Staged treatment protocol for gait with hybrid assistive limb in the acute phase of patients with stroke.","authors":"Tomoyuki Ueno, Aiki Marushima, Hiroaki Kawamoto, Yukiyo Shimizu, Hiroki Watanabe, Hideki Kadone, Kayo Hiruta, Shunsuke Yamauchi, Ayumu Endo, Yasushi Hada, Hideo Tsurushima, Eiichi Ishikawa, Yuji Matsumaru, Yoshiyuki Sankai, Masashi Yamazaki, Akira Matsumura","doi":"10.1080/10400435.2020.1862361","DOIUrl":"https://doi.org/10.1080/10400435.2020.1862361","url":null,"abstract":"<p><p>Hybrid Assistive Limb (HAL) is a wearable human assistant cyborg-type robot that helps lower-leg movement based on bioelectrical signals detected from the voluntary movement of the person wearing it. In this study, we developed a novel staged HAL treatment protocol for patients with acute stroke. The Regain Program for Gait with HAL (RPG-HAL) was formulated in four steps, based on the severity of limb paralysis. Twenty-one patients with acute stroke received a combination treatment of RPG-HAL and conventional rehabilitation. The feasibility and safety of RPG-HAL were evaluated based on changes in physical function and activities of daily living (ADL). RPG-HAL yielded improvement in gait speed, cadence, step length, and functional ambulation category (FAC). The effect size was >0.8 in all measurements. FAC (1.90) and Barthel Index (BI) (1.92) exhibited the highest scores. Twelve out of 14 patients with FAC 0 before RPG-HAL reached the upper FAC. Thus, earlier intervention using RPG-HAL as improving physical function, ADL, and gait ability in patients with stroke.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"437-443"},"PeriodicalIF":1.8,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1862361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38834333","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}
{"title":"Technologies Measuring Manual Wheelchair Propulsion Metrics: A Scoping Review.","authors":"Hannah MacDuff, Emily Armstrong, M. Ferguson-Pell","doi":"10.1080/10400435.2022.2075488","DOIUrl":"https://doi.org/10.1080/10400435.2022.2075488","url":null,"abstract":"The aim of this review is to investigate existing and developing technologies assessing metrics of manual wheelchair propulsion. A scoping review of scientific and grey literature was performed. Five databases were searched - Medline, Scopus, Cinahl, Institute of Electrical and Electronics Engineers (IEEE), and Embase. The 38 retained articles identified 27 devices categorized into accelerometers, wheelchair-mounted devices, instrumented wheels, and wearables. The devices included in this review can be used by manual wheelchair users to monitor propulsion effort and activity goals, by clinicians to assess rehabilitation programs, and to inform and guide future research. The findings support a need for further research into the development of custom algorithms for manual wheelchair user populations as well as further validation in broader free-living environments with equitable participant populations.","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":"212 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133051108","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}
Claudine Auger, W Ben Mortenson, Jeffrey W Jutai, Noemie Seguin-Tremblay, Vanessa Chenel, Manon Guay
{"title":"Older adults' use of an online decision support system: Usability and stability of assistive technology recommendations.","authors":"Claudine Auger, W Ben Mortenson, Jeffrey W Jutai, Noemie Seguin-Tremblay, Vanessa Chenel, Manon Guay","doi":"10.1080/10400435.2020.1815251","DOIUrl":"https://doi.org/10.1080/10400435.2020.1815251","url":null,"abstract":"<p><p>Online decision support systems (DSS) may help older adults self-select assistive technology (AT) by offering recommendations. User interactions with DSSs may change the recommendations they receive.</p><p><strong>Objective: </strong>We evaluated recommendations stability and usability of an online DSS.</p><p><strong>Methods: </strong>Middle-aged and older adults (n = 43) were observed while using the DSS. The stability of DSS recommendations (ATs and advice) was compared between two time points, using a three-point scale: no, partial, or full agreement. Usability was coded, referencing ISO standards.</p><p><strong>Results: </strong>Half (51%) of participants received AT recommendations from the DSS in both sessions, with full (14%) or partial (12%) agreement. All but one participant received advice, and almost all of them had full (40%) or partial (56%) agreement between sessions. Many of the usability issues appear to be the result of the users inaccurately measuring their environment, challenges in understanding the questions being asked, and improperly making selections from the system.</p><p><strong>Discussion: </strong>Strict AT matching rules versus generic advice, and usability issues, likely reduced the matching rate and stability of AT recommendations.</p><p><strong>Conclusion: </strong>It appears that some users may require assistance with the system, and we suggest changes to the DSS format and content to improve stability and usability.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"316-325"},"PeriodicalIF":1.8,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1815251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38327001","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}
{"title":"Pain mapping and health-related conditions in relation to forearm crutch usage: A cross-sectional study.","authors":"Danielle Brasil-Barros-da-Silva, Emerson Fachin-Martins","doi":"10.1080/10400435.2020.1819914","DOIUrl":"https://doi.org/10.1080/10400435.2020.1819914","url":null,"abstract":"<p><p>To explore pain complaints and health-related conditions, verifying if permanent or temporary usage of forearm crutches could be associated with them. We designed a cross-sectional study from a sample who answered a five-month public call. We organized data into five domains: (1) diseases, signs and symptoms; (2) personal factors related to age, sex, marital status, and paid occupation; (3) body structure and functional components defined by body mass index, arterial pressure, mental state, and pain; (4) activities and participation assessed by satisfaction with Assistive Technology; (5) and environmental factors focused on medicines and forearm crutch usage. The sample was geo-referenced by address, and the frequency of the codified health conditions was distributed according to ICD-10's chapters. We recruited three times more permanent than temporary users dealing with chronic and external causes of diseases. Pain mapping suggested different pattern of complaints between permanent and temporary users. Women who were temporary users seemed more likely to be injured because of external causes. Moreover, both users reported intense (31%) and moderate (53%) levels of pain. In contrast, mild pains were only reported by permanent users (16%), suggesting a distinction between acute and chronic pain according to the kind of forearm crutch usage.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"334-340"},"PeriodicalIF":1.8,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1819914","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38353321","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}
Giulia Barbareschi, Sharon Sonenblum, Catherine Holloway, Stephen Sprigle
{"title":"Does the setting matter? Observing wheelchair transfers across different environmental conditions.","authors":"Giulia Barbareschi, Sharon Sonenblum, Catherine Holloway, Stephen Sprigle","doi":"10.1080/10400435.2020.1818328","DOIUrl":"https://doi.org/10.1080/10400435.2020.1818328","url":null,"abstract":"<p><p>The setting in which wheelchair transfers are performed can affect the difficulty and the risks associated with completion. This article presents results from an observational study involving 13 wheelchair users performing independent transfers across four settings. The aim is to understand how the environment affects how different types of independent transfers are performed. Descriptive analysis was performed alongside an objective assessment using the Transfer Assessment Instrument (TAI). The perceived difficulty reported after each transfer was also collected. Two participants exhibited radically different transferring techniques in different scenarios. Additionally, the transferring scenario was found to significantly affect the perceived difficulty of sitting transfers (toilet 2.17 ±.88; bed 1.47 ±.65, <i>p</i> =.001; car 1.63 ±.82, <i>p</i> =.012) and standing transfers (car 3.5 ±.71; bed 1 ± 0, <i>p</i> =.03; toilet 1 ± 0, <i>p</i> =.03), and the TAI score attributed to sitting pivot with use of a transfer board (couch 4.3 ±.88; bed 6.93 ± 1.29, <i>p</i> =.022; car 7.13 ± 1.32, <i>p</i> =.018). Overall, environmental constraints can lead to major technique changes and, more often, to different positioning of hands and feet which could impact the transfer's biomechanics.</p>","PeriodicalId":282300,"journal":{"name":"Assistive technology : the official journal of RESNA","volume":" ","pages":"326-333"},"PeriodicalIF":1.8,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10400435.2020.1818328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38451073","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}