Journal of Rehabilitation and Assistive Technologies Engineering最新文献_第7页

A real-time algorithm for the detection of compensatory movements during reaching. 一种检测到达过程中补偿运动的实时算法。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-09-01 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221117085

Edward Averell, Don Knox, Frederike van Wijck

{"title":"A real-time algorithm for the detection of compensatory movements during reaching.","authors":"Edward Averell, Don Knox, Frederike van Wijck","doi":"10.1177/20556683221117085","DOIUrl":"https://doi.org/10.1177/20556683221117085","url":null,"abstract":"Introduction: Interactive game systems can motivate stroke survivors to engage with their rehabilitation exercises. However, it is crucial that systems are in place to detect if exercises are performed correctly as stroke survivors often perform compensatory movements which can be detrimental to recovery. Very few game systems integrate motion tracking algorithms to monitor performance and detect such movements. This paper describes the development of algorithms which monitor for compensatory movements during upper limb reaching movements in real-time and provides quantitative metrics for health professionals to monitor performance and progress over time. Methods: A real-time algorithm was developed to analyse reaching motions in real-time through a low-cost depth camera. The algorithm segments cyclical reaching motions into component parts, including compensatory movement, and provides a graphical representation of task performance. Healthy participants (n = 10) performed reaching motions facing the camera. The real-time accuracy of the algorithm was assessed by comparing offline analysis to real-time collection of data. Results: The algorithm's ability to segment cyclical reaching motions and detect the component parts in real-time was assessed. Results show that movement types can be detected in real time with accuracy, showing a maximum error of 1.71%. Conclusions: Using the methods outlined, the real-time detection and quantification of compensatory movements is feasible for integration within home-based, repetitive task practice game systems for people with stroke.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/c7/10.1177_20556683221117085.PMC9445474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33454702","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}

引用次数: 1

Blind sports' blind spot: The global epidemiology of visual impairment against participation trends in elite blind para sport. 盲人运动的盲点:视力障碍的全球流行病学与精英盲人残疾人运动的参与趋势。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-08-29 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221122276

Catherine S M Stratton, Kristina Fagher, Xiang Li, Taylor D Ottesen, Yetsa A Tuakli-Wosornu

{"title":"Blind sports' blind spot: The global epidemiology of visual impairment against participation trends in elite blind para sport.","authors":"Catherine S M Stratton, Kristina Fagher, Xiang Li, Taylor D Ottesen, Yetsa A Tuakli-Wosornu","doi":"10.1177/20556683221122276","DOIUrl":"https://doi.org/10.1177/20556683221122276","url":null,"abstract":"Background: It remains unknown whether access to elite blind sports opportunities is globally balanced or matches the prevalence of blindness/visual impairment (VI). The primary objective of this study was to determine the rate of elite blind sports participation in each world region registered in the International Blind Sports Federation's (IBSA) and to assess its association with the global and regional prevalence of blindness/VI. The secondary objective was to determine the association between other covariates, such as age, vision class, and sex, with the number of IBSA-registered athletes from each region. Methods: A baseline estimate of blindness/VI data was established and used when comparing participation rates to blindness/VI rates. Descriptive statistics were used to describe sports participation and associated co-variates. Results: Among 123 member countries registered in IBSA, 31 did not have any completed registrations in blind sports, of which 22 had a prevalence of blindness/VI higher than the global average. During the summer season 2019, 738 (29.52%) IBSA athletes were female and 1762 (70.48%) were male. Conclusions: These results suggest elite blind/VI sport participation is limited independently from blindness/VI prevalence. Increasing blind-friendly sport resources, especially in low-and-middle-income countries (LMICs), would improve the rate of elite sport participation among athletes with blindness/VI.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/f1/10.1177_20556683221122276.PMC9434663.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40350674","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}

引用次数: 1

Educating rehabilitation professionals on clinical skills for postural care services: A scoping review. 教育康复专业人员的临床技能的姿势护理服务:范围审查。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-08-10 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221114786

Faye E McGuire, Jennifer Hutson, Hannah Oldenburg

{"title":"Educating rehabilitation professionals on clinical skills for postural care services: A scoping review.","authors":"Faye E McGuire, Jennifer Hutson, Hannah Oldenburg","doi":"10.1177/20556683221114786","DOIUrl":"https://doi.org/10.1177/20556683221114786","url":null,"abstract":"Background: This scoping review aims to identify evidence-based practices for educating rehabilitation professionals who provide assistive technology interventions, specifically night-time postural care, to children with cerebral palsy. Methods: A review of both peer-reviewed and grey literature published between 2000 and 2021 was undertaken in June 2021. The articles were analyzed using a process outlined by Arksey and O'Malley in 2005: scanning abstracts, completing initial and critical reviews, collating and summarizing data into themes. Results: The search resulted in 15 articles, predominantly from the United Kingdom and the United States: 10 primary research, two reviews, two conceptual/theoretical, and one gray-literature source. Four themes emerged (1) Successful service delivery required competence, (2) Benefits of incorporating practice, collaboration, and feedback, (3) Effective online education through multifactorial approaches, (4) Considering different learning requirements among team members. Conclusions: There's beginning evidence that rehabilitation professionals' competence with night-time postural care might be achieved via active, interactive, multi-factorial online training.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/7b/10.1177_20556683221114786.PMC9373169.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40610813","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}

引用次数: 0

User perspectives on the future of mobility assistive devices: Understanding users' assistive device experiences and needs. 用户对未来移动辅助设备的看法：了解用户对辅助设备的体验和需求。

IF 2

Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-08-10 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221114790

Leah Morris, Mary Cramp, Ailie Turton

{"title":"User perspectives on the future of mobility assistive devices: Understanding users' assistive device experiences and needs.","authors":"Leah Morris, Mary Cramp, Ailie Turton","doi":"10.1177/20556683221114790","DOIUrl":"10.1177/20556683221114790","url":null,"abstract":"Introduction: Current assistive devices are inadequate in addressing the needs of some people living with impaired mobility. This study explored the experiences of living with impaired mobility in relation to how wearable assistive adaptive and rehabilitative technologies may improve their quality of life.Methods: A cross-case study approach was adopted; the case being defined as the experience of impaired mobility. Semi-structured interviews were utilised. The sample (n = 8) was purposefully selected to have impaired mobility due to stroke, age-related frailty, or lower limb amputation. From the interview transcripts, in-depth case illustrations were written to provide personal stories and thematic analysis was carried out to provide a cross-case analysis.Results: There were two overarching themes: lifestyle changes; and wishes and desires for assistive devices. There were shared experiences across participant groups, such as falls and fear of falling. All participants identified a wish for increased speed of walking. However, the reasons for their difficulties differed depending on personal factors and their condition. Participants wanted devices to be adjustable to their perceived ability on a day-to-day basis.Conclusions: Although common concerns and impacts of living with impaired mobility were apparent, individuals have unique requirements that should inform the design of assistive technology devices.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622285","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}

引用次数: 0

Meet the Editor. 见见编辑吧。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-08-09 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221111990

Kath M Bogie

引用次数: 0

A simulation-based analysis of the effects of variable prosthesis stiffness on interface dynamics between the prosthetic socket and residual limb. 基于仿真的可变义肢刚度对义肢窝与残肢界面动力学影响分析。

IF 2

Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-07-15 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221111986

Michael A McGeehan, Peter G Adamczyk, Kieran M Nichols, Michael E Hahn

{"title":"A simulation-based analysis of the effects of variable prosthesis stiffness on interface dynamics between the prosthetic socket and residual limb.","authors":"Michael A McGeehan, Peter G Adamczyk, Kieran M Nichols, Michael E Hahn","doi":"10.1177/20556683221111986","DOIUrl":"https://doi.org/10.1177/20556683221111986","url":null,"abstract":"Introduction: Loading of a residual limb within a prosthetic socket can cause tissue damage such as ulceration. Computational simulations may be useful tools for estimating tissue loading within the socket, and thus provide insights into how prosthesis designs affect residual limb-socket interface dynamics. The purpose of this study was to model and simulate residual limb-socket interface dynamics and evaluate the effects of varied prosthesis stiffness on interface dynamics during gait. Methods: A spatial contact model of a residual limb-socket interface was developed and integrated into a gait model with a below-knee amputation. Gait trials were simulated for four subjects walking with low, medium, and high prosthesis stiffness settings. The effects of prosthesis stiffness on interface kinematics, normal pressure, and shear stresses were evaluated. Results: Model-predicted values were similar to those reported previously in sensor-based experiments; increased stiffness resulted in greater average normal pressure and shear stress (p < 0.05). Conclusions: These methods may be useful to aid experimental studies by providing insights into the effects of varied prosthesis design parameters or gait conditions on residual limb-socket interface dynamics. The current results suggest that these effects may be subject-specific.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/98/10.1177_20556683221111986.PMC9289901.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40524426","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}

引用次数: 1

Microprocessor feet improve prosthetic mobility and physical function relative to non-microprocessor feet. 与非微处理器脚相比，微处理器脚改善了假肢的移动性和身体功能。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-07-11 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221113320

Eric L Weber, Phillip M Stevens, Dwiesha L England, Vahness D Swilley, Shane R Wurdeman

{"title":"Microprocessor feet improve prosthetic mobility and physical function relative to non-microprocessor feet.","authors":"Eric L Weber, Phillip M Stevens, Dwiesha L England, Vahness D Swilley, Shane R Wurdeman","doi":"10.1177/20556683221113320","DOIUrl":"https://doi.org/10.1177/20556683221113320","url":null,"abstract":"Introduction: The clinical benefits associated with the microprocessor regulation of prosthetic ankle position and resistance have largely been reported through manufacturer conducted research in controlled laboratory environments. Measures with greater ecological validity are needed. This study aimed to understand if there are differences in physical function and mobility outcomes as patients transitioned from a non-Microprocessor to Microprocessor Feet. Method: A retrospective analysis of patient outcomes was performed. Patient-reported benefits associated with the adoption of such prosthetic foot-ankle mechanisms were collected from 23 individuals through the longitudinal use of a custom short form of the Patient-Reported Outcomes Measurement Information System-Physical Function and individual items from the Prosthesis Evaluation Questionnaire. Results: The impact of Microprocessor Feet upon physical function and mobility were observed in a significant increase in physical function (mean increase in t-score of 5.4 ± 1.25; p = .0004) and significant improvements in several mobility items. Conclusions: Collectively, these measures support the beneficial impact of Microprocessor Feet on improving socket comfort, reducing back pain, improving sit to stand transfers and enhancing hill ascent and descent as well as stair negotiation.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/e2/10.1177_20556683221113320.PMC9284201.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40623373","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}

引用次数: 2

The design of an upper arm prosthesis utilising 3D printing conceived for the 2020 Tokyo paralympic games: A technical note. 利用3D打印技术为2020年东京残奥会设计的上臂假肢:技术说明。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-07-05 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221113309

Bryce Dyer, Richard Glithro, Abigail Batley

引用次数: 0

Two-year retrospective cohort results on use of a dynamic unilateral brace for treatment of clubfoot: Can compliance and prevention of recurrence both be achieved? 使用动态单侧支具治疗内翻足的两年回顾性队列结果:依从性和预防复发都能实现吗?

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-07-03 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221112084

Emily J Farrar, Michelle Lo, Luke Groothoff, Jerald Cunningham, Joseph Theuri

{"title":"Two-year retrospective cohort results on use of a dynamic unilateral brace for treatment of clubfoot: Can compliance and prevention of recurrence both be achieved?","authors":"Emily J Farrar, Michelle Lo, Luke Groothoff, Jerald Cunningham, Joseph Theuri","doi":"10.1177/20556683221112084","DOIUrl":"https://doi.org/10.1177/20556683221112084","url":null,"abstract":"Objectives: The Ponseti method has led to vast improvements in outcomes for infants born with clubfoot deformity, but challenges with compliance during the bracing phase of the protocol remain. Unilateral braces promise higher compliance but often have led to unacceptably high recurrence.Methods: We have developed a novel unilateral brace for clubfoot deformity that strategically applies patient-specific, anatomically-targeted forces to the lower limb to maintain correction. We retrospectively reviewed the cases of 26 patients with minimum follow-up of 24 months. The data were analyzed for recurrence rates, caregiver-reported compliance, and differences in Pirani score, dorsiflexion, abduction, hindfoot eversion, and resting rotation between initial and final follow-up.Results: Most patients (N = 23, 88%) were compliant with the bracing protocol. Two patients showed recurrence of deformity (8%). There were statistically significant improvements in Pirani score, dorsiflexion, abduction, hindfoot eversion, and resting external rotation. A subset of patients with sub-optimal correction at baseline showed improvement in all parameters across the course of bracing.Conclusions: This novel unilateral brace for maintenance of clubfoot correction after Ponseti treatment demonstrates rates of recurrence rates and caregiver-reported compliance at 2 years of follow up that are comparable to outcomes with traditional bilateral foot abduction orthoses.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b7/51/10.1177_20556683221112084.PMC9280036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40623374","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}

引用次数: 0

Impact of the abandonment of assistive technologies for mobility on the incidence of serious falls in older adults living at home: Results of the ECOCAT study. 放弃行动辅助技术对居家老年人严重跌倒发生率的影响:ECOCAT研究结果。

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Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2022-06-25 eCollection Date: 2022-01-01 DOI: 10.1177/20556683221110866

Abdoul Razak Sawadogo, Jean-François Nys, Estelle Tran, Caroline Gayot, Sophie Boyer, Noëlle Cardinaud, Clémence Thebaut, Achille Tchalla

{"title":"Impact of the abandonment of assistive technologies for mobility on the incidence of serious falls in older adults living at home: Results of the ECOCAT study.","authors":"Abdoul Razak Sawadogo, Jean-François Nys, Estelle Tran, Caroline Gayot, Sophie Boyer, Noëlle Cardinaud, Clémence Thebaut, Achille Tchalla","doi":"10.1177/20556683221110866","DOIUrl":"https://doi.org/10.1177/20556683221110866","url":null,"abstract":"Purpose: To examine the impact of discontinuing the use of assistive technology for mobility (ATM) devices on the 6-months incidence of falls in older adults (OA) living at home.Materials and methods: A medico-socioeconomic survey was performed to collect information on the quality of life and well-being of older adults, before and 6 months after being loaned an ATM device. Personal data (medical, social, and economic) were collected via a geriatric survey.Results: In all, 102 OA participated in the study. Over the 6-months observation period, 17 (n = 81) serious falls were recorded among participants who were using their ATM device optimally; in those who discontinued device use, 12 falls (n = 21) were recorded (57.1%; p = 0.001). Factors significantly associated with falls at home were living in an urban area (odds ratio [OR]: 11.46; 95% confidence interval [CI]: 1.48; 88.98; p = 0.020), an Instrumental Activities of Daily Living Scale score > 4 (OR: 34.04; 95% CI: 1.59; 727.86; p = 0.024), and discontinuation of ATM device use (OR: 17.41; 95% CI: 2.59; 117.02; p = 0.003).Conclusion: Discontinuation of ATM device use was associated with an increased risk for serious falls.","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/75/10.1177_20556683221110866.PMC9234835.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40410736","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}

引用次数: 1