Reto Togni, Manuel Müller, Stefan Plüss, William R Taylor, Roland Zemp
{"title":"A 2D lightweight instrumented wheel for assessing wheelchair functionality/activity.","authors":"Reto Togni, Manuel Müller, Stefan Plüss, William R Taylor, Roland Zemp","doi":"10.1177/20556683231155198","DOIUrl":"https://doi.org/10.1177/20556683231155198","url":null,"abstract":"<p><strong>Introduction: </strong>Force measurement wheels are essential instruments for analysing manual wheelchair propulsion. Existing solutions are heavy and bulky, influence propulsion biomechanics, and are limited to confined laboratory environments. In this paper, a novel design for a compact and lightweight measurement wheel is presented and statically validated.</p><p><strong>Methods: </strong>Four connectors between the push-rim and wheel-rim doubled as force sensors to allow the calculation of tangential and radial forces as well as the point of force application. For validation, increasing weights were hung on the push-rim at known positions. Resulting values were compared against pre-determined force components.</p><p><strong>Results: </strong>The implemented prototype weighed 2.1 kg and was able to transmit signals to a mobile recording device at 140 Hz. Errors in forces at locations of propulsive pushes were in the range up to ±3.1 N but higher at the frontal extreme. Tangential force components were most accurate.</p><p><strong>Conclusion: </strong>The principle of instrumenting the joints between push-rim and wheel-rim shows promise for assessing wheelchair propulsion in daily life.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231155198"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9909051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10697494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"2023 AOPA Supplement","authors":"","doi":"10.1177/20556683231185659","DOIUrl":"https://doi.org/10.1177/20556683231185659","url":null,"abstract":"Open accessAbstractFirst published online September 11, 20232023 AOPA SupplementAll Articleshttps://doi.org/10.1177/20556683231185659","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135360508","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}
Matthew Bonello, Philip Farrugia, Nathalie Buhagiar, Joseph Mercieca
{"title":"Towards a multi-user experience approach to exploring key requirements to design smart habilitation devices for children with cerebral palsy.","authors":"Matthew Bonello, Philip Farrugia, Nathalie Buhagiar, Joseph Mercieca","doi":"10.1177/20556683221103164","DOIUrl":"10.1177/20556683221103164","url":null,"abstract":"<p><strong>Introduction: </strong>This paper takes a multi-stakeholder approach to generate key requirements to design smart habilitation devices for children with Cerebral Palsy. Four groups of different relevant stakeholders of smart-habilitation devices were approached to participate in this study, including children with Cerebral Palsy, their parents, occupational therapists, as well as technical specialists.</p><p><strong>Methods: </strong>Profiles of children with Cerebral Palsy were generated to have a concrete idea of their needs and desires. Meanwhile, for the three stakeholders, focus groups were used to gather their insights and requirements on a prospective smart habilitation device for children. Successively, a thematic analysis was conducted to analyse the qualitative data obtained during the focus groups.</p><p><strong>Results: </strong>Eight design requirements were developed to generate designs which stimulate high quality user experiences in children and other users of smart habilitation devices. In addition, an initial framework of the process that design engineers would follow to design such devices for children was proposed.</p><p><strong>Conclusion: </strong>Adopting this framework, and the respective requirements, will help design engineers to implement a multi-user approach and amend the design according to stakeholders' goals and desires. The resulted design should ensure a high quality user experience for both the active and potential passive users of smart habilitation devices.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"9 ","pages":"20556683221103164"},"PeriodicalIF":2.0,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/34/10.1177_20556683221103164.PMC9152188.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10256475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estimating whole-body vibration limits of manual wheelchair mobility over common surfaces","authors":"Jacob Misch, S. Sprigle","doi":"10.1177/20556683221092322","DOIUrl":"https://doi.org/10.1177/20556683221092322","url":null,"abstract":"Whole-body vibration (WBV) experienced during manual wheelchair use was quantified across several types of terrain (tile, sidewalk, decorative bricks, expanded metal grates). Over-ground travel was controlled using a robotic propulsion system. Vibrations along the vertical axis were measured with a triaxial accelerometer mounted to the seat of the wheelchair. Root-mean-square acceleration values were compared to the health guidance exposure limits established by the European Council using the WBV calculator tool published by the Health and Safety Executive (HSE). Vibrations along the vertical axis were well below the exposure values associated with health risks. Even the most aggressive tactile surface (grates) tested in this study would require more than 14 h of daily travel to reach the “exposure action value,” and more than 24 h would be required to reach the “exposure limit value”. Considering the average cumulative duration of active self-propulsion among manual wheelchair users is around an hour or less, none of the tested conditions were deemed unsafe or damaging.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44051089","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}
Fengpei Yuan, Amir Sadovnik, Ran Zhang, Devin Casenhiser, Eun Jin Paek, Xiaopeng Zhao
{"title":"A simulated experiment to explore robotic dialogue strategies for people with dementia.","authors":"Fengpei Yuan, Amir Sadovnik, Ran Zhang, Devin Casenhiser, Eun Jin Paek, Xiaopeng Zhao","doi":"10.1177/20556683221105768","DOIUrl":"https://doi.org/10.1177/20556683221105768","url":null,"abstract":"<p><strong>Introduction: </strong>Persons with dementia (PwDs) often show symptoms of repetitive questioning, which brings great burdens on caregivers. Conversational robots hold promise of helping cope with PwDs' repetitive behavior. This paper develops an adaptive conversation strategy to answer PwDs' repetitive questions, follow up with new questions to distract PwDs from repetitive behavior, and stimulate their conversation and cognition.</p><p><strong>Methods: </strong>We propose a general reinforcement learning model to interact with PwDs with repetitive questioning. Q-learning is exploited to learn adaptive conversation strategy (from the perspectives of rate and difficulty level of follow-up questions) for four simulated PwDs. A demonstration is presented using a humanoid robot.</p><p><strong>Results: </strong>The designed Q-learning model performs better than random action selection model. The RL-based conversation strategy is adaptive to PwDs with different cognitive capabilities and engagement levels. In the demonstration, the robot can answer a user's repetitive questions and further come up with a follow-up question to engage the user in continuous conversations.</p><p><strong>Conclusions: </strong>The designed Q-learning model demonstrates noteworthy effectiveness in adaptive action selection. This may provide some insights towards developing conversational social robots to cope with repetitive questioning by PwDs and increase their quality of life.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"9 ","pages":"20556683221105768"},"PeriodicalIF":2.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/ef/10.1177_20556683221105768.PMC9174559.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10454969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Hayden, Ferzana Chaze, Ashwin Kamath, Andrea Azevedo, Destanee Bucko, Alexandra Jackson, Christianne Reyna, Yara Kashlan, M. Dubé, Jacqueline De Paula, Kathryn Warren-Norton, Kate Dupuis, L. Tsotsos
{"title":"Implementation of a Virtual Reality recreation program in long-term care","authors":"L. Hayden, Ferzana Chaze, Ashwin Kamath, Andrea Azevedo, Destanee Bucko, Alexandra Jackson, Christianne Reyna, Yara Kashlan, M. Dubé, Jacqueline De Paula, Kathryn Warren-Norton, Kate Dupuis, L. Tsotsos","doi":"10.1177/20556683211070994","DOIUrl":"https://doi.org/10.1177/20556683211070994","url":null,"abstract":"Introduction This manuscript describes the implementation of a Virtual Reality (VR) recreation program at long-term care sites across Ontario, Canada, using the RE-AIM Framework to guide the implementation and its evaluation. Methods We developed a VR recreation program to enhance the lives of long-term care residents, through 3 sequential phases. In Phase 1, we learned about resident and staff needs through focus groups, staff surveys and observations. In Phase 2, we developed 10 VR experiences, based on the data from Phase 1. In Phase 3, we implemented the VR experiences and supporting manual and measured their implementation, using the RE-AIM Framework. Results We found the VR program to be highly (but not consistently) implementable across all sites. Factors that supported implementation were the following: resident interest in the content and technology, relative ease of use for staff to implement and formally integrating VR into the recreation calendar. Factors that impeded implementation were the following: the size of the headset, inability for the headset to cast given the sites' Information Technology infrastructure and some content that was not engaging. Conclusions VR programs are highly implementable and this implementation is enhanced by integration of the program into existing recreational systems, ease of use and resident engagement.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"9 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41357945","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}
Yue Zhou, Devin Box, K. G. Hardy, M. Jenkins, Jayne S. Garland, M. Naish, A. L. Trejos
{"title":"Survey-based identification of design requirements and constraints for a wearable tremor suppression device","authors":"Yue Zhou, Devin Box, K. G. Hardy, M. Jenkins, Jayne S. Garland, M. Naish, A. L. Trejos","doi":"10.1177/20556683221094480","DOIUrl":"https://doi.org/10.1177/20556683221094480","url":null,"abstract":"Introduction Parkinsonian tremor has severely impacted the lives of 65% of individuals with Parkinson’s disease, and nearly 25% do not respond to traditional treatments. Although wearable tremor suppression devices (WTSDs) have become a promising alternative approach, this technology is still in the early stages of development, and no studies have reported the stakeholders’ opinions on this technology and their desired design requirements. Methods An online survey was distributed to affected Canadians and Canadian movement disorder specialists (MDS) to acquire information on demographics, the current state of treatments, opinions on the WTSDs, and the desired design requirements of future WTSDs. Results A total of 101 affected individuals and 24 MDS completed the survey. It was found that both groups are generally open to using WTSDs to manage tremor. The most important design requirement to end users is the adaptability to lifestyle, followed by weight and size, accurate motion, comfort, safety, quick response, and cost. Lastly, most of the participants (65%) think that the device should cost under $500. Conclusions The findings from this study can be used as guidelines for the development of future WTSDs, such that the future generations could be evaluated and accepted by the end users.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47999980","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}
M. Mace, S. A. Mutalib, M. Ogrinc, N. Goldsmith, E. Burdet
{"title":"GripAble: An accurate, sensitive and robust digital device for measuring grip strength","authors":"M. Mace, S. A. Mutalib, M. Ogrinc, N. Goldsmith, E. Burdet","doi":"10.1177/20556683221078455","DOIUrl":"https://doi.org/10.1177/20556683221078455","url":null,"abstract":"Introduction Grip strength is a reliable biomarker of overall health and physiological well-being. It is widely used in clinical practice as an outcome measure. This paper demonstrates the measurement characteristics of GripAble, a wireless mobile handgrip device that measures grip force both isometrically and elastically-resisted for assessment and training of hand function. Methods A series of bench tests were performed to evaluate GripAble's grip force measurement accuracy and sensitivity. Measurement robustness was evaluated through repeated drop tests interwoven with error verification test phases. Results GripAble's absolute measurement error at the central position was under 0.81 and 1.67 kg (95th percentiles; N = 47) when measuring elastically and isometrically, respectively, providing similar or better accuracy than the industry-standard Jamar device. Sensitivity was measured as 0.062 ± 0.015 kg (mean ± std; 95th percentiles: [0.036, 0.089] kg; N = 47), independent of the applied force. There was no significant performance degradation following impact from 30 drops from a height >1.5 m. Conclusion GripAble is an accurate and reliable grip strength dynamometer. It is highly sensitive and robust, which in combination with other novel features (e.g. portability, telerehabilitation and digital data tracking) enable broad applicability in a range of clinical caseloads and environments.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43203266","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}
Javier L. Castellanos-Cruz, Maria F. Gomez-Medina, M. Tavakoli, P. Pilarski, K. Adams
{"title":"Preliminary testing of eye gaze interfaces for controlling a haptic system intended to support play in children with physical impairments: Attentive versus explicit interfaces","authors":"Javier L. Castellanos-Cruz, Maria F. Gomez-Medina, M. Tavakoli, P. Pilarski, K. Adams","doi":"10.1177/20556683221079694","DOIUrl":"https://doi.org/10.1177/20556683221079694","url":null,"abstract":"Introduction Children with physical impairments may face challenges to play because of their motor impairments, which could lead to negative impacts in their development. The objective of this article was to compare two eye gaze interfaces that identified the desired toy a user wanted to reach with a haptic-enabled telerobotic system in a play activity. Methods One of the interfaces was an attentive user interface predicted the toy that children wanted to reach by observing where they incidentally focused their gaze. The other was an explicit eye input interface determined the toy after the child dwelled for 500 ms on a selection point. Five typically developing children, an adult with cerebral palsy (CP) and a child with CP participated in this study. They controlled the robotic system to play a whack-a-mole game. Results The prediction accuracy of the attentive interface was higher than 89% in average, for all participants. All participants did the activity faster with the attentive interface than with the explicit interface. Conclusions Overall, the attentive interface was faster and easier to use, especially for children. Children needed constant prompting and were not 100% successful at using the explicit interface.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44520193","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}
L. Oldford, N. Hanson, Isabelle Ross, Emma Croken, Lise Bleau
{"title":"Exploring the psychosocial impact of simple robotic assistive technology on adolescents with neuromuscular disease","authors":"L. Oldford, N. Hanson, Isabelle Ross, Emma Croken, Lise Bleau","doi":"10.1177/20556683221087522","DOIUrl":"https://doi.org/10.1177/20556683221087522","url":null,"abstract":"Introduction Adolescents with neuromuscular disease face significant challenges accessing social leisure activities. Assistive technology has provided new opportunities for those with neuromuscular disease to augment their social lives and leisure pursuits. However, there is limited research evaluating the impact of these technologies. Methods This study employed mixed methods to evaluate the potential impact of simple robotics on psychosocial factors and quality of life for those adolescents living with neuromuscular diseases. Semi-structured qualitative interviews were performed, as well as the adult Psychosocial Impact of Assistive Technology Device (PIADS) with 9 adolescents, ranging in age from 13 to 19 years old. Results Thematic analysis of the qualitative data resulted in five major themes: everyday lives and seasonality; socialization; leisure activities; robotics as a leisure activity; and ease of use of robotics. The PIADS found the individual scores demonstrated a range from very little yet positive perceived impact to maximum positive impact in each subscale (competence, adaptability, and self-esteem). Conclusions Simple mainstream robotics, paired with personalized access methods to control them, offer potential leisure and social integration opportunities to adolescents with neuromuscular diseases in a variety of settings, indoors and outdoors. The findings of this study suggest there are opportunities for this type of mainstream technology to be applied not just to adolescents, but potentially children of all ages with neuromuscular disease, across a variety of environments.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43588324","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}