Disability and Rehabilitation-Assistive Technology最新文献

{"title":"Multimodal deep learning methods for speech and language rehabilitation: a cross-sectional observational study.","authors":"Xinqiao Cen","doi":"10.1080/17483107.2025.2551708","DOIUrl":"https://doi.org/10.1080/17483107.2025.2551708","url":null,"abstract":"<p><p>The speech and language rehabilitation are essential to people who have disorders of communication that may occur due to the condition of neurological disorder, developmental delays, or bodily disabilities. With the advent of deep learning, we introduce an improved multimodal rehabilitation pipeline that incorporates audio, video, and text information in order to provide patient-tailored therapy that adapts to the patient. The technique uses a cross-attention fusion multimodal hierarchical transformer architectural model that allows it to jointly design speech acoustics as well as the facial dynamics, lip articulation, and linguistic context. We adopt the strategy of self-supervised pretraining on large-scale unlabelled corpora and domain-adaptive fine-tuning with data augmentation in order to overcome the problem of cohort size and interpatient variability. A low latency inference architecture will provide real-time feedback and individualised changes to therapy. Clinical and synthetic test results show our method trained and verified on clinical and synthetic data fare better than uni-modal and conventional fusion baselines in terms of accuracy, patient engagement, and measurable therapeutic benefit. Such findings point out opportunities of using intelligent, multimodal deep learning systems to reinvent future of speech and language rehabilitation.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating fitness for wheelchair users: exploring safety and usability of a standing active arm passive leg exercise device.","authors":"Katherine Toy, Rae Lee, Johanne Mattie, James J Laskin, W Ben Mortenson, Jaimie Borisoff","doi":"10.1080/17483107.2025.2552407","DOIUrl":"https://doi.org/10.1080/17483107.2025.2552407","url":null,"abstract":"<p><strong>Introduction: </strong>Exercising upright can promote rehabilitation and reduce the risk of cardiorespiratory and musculoskeletal complications from prolonged sitting. Seated Active Arm Passive Leg Exercise (AAPLE) offers cardiovascular benefits; however, no commercially available device currently enables fully supported, upright AAPLE. The AAPLEwalk device transitions wheelchair users from sitting to standing, facilitating gait-like movements at varying intensities. An iterative development process incorporating user feedback refined the design from version 1 (v1) to version 2 (v2), which had yet to be formally evaluated.</p><p><strong>Purpose: </strong>(1) To assess the perceptions of non-disabled users and wheelchair users regarding the safety, usability, and functionality of AAPLEwalk^™ v2. (2) To compare user experiences between v1 and v2 among a sub-sample who tested both.</p><p><strong>Materials and methods: </strong>Participants were fitted to the AAPLEwalk. Before wheelchair users, non-disabled users initially tested the device to ensure skin and pressure safety. We explored comfort, usability, and design modifications through informal discussions, formal semi-structured interviews, and measured System Usability Scale (SUS) scores. RESULTS<b>:</b> Fourteen non-disabled and six wheelchair users participated. Respectively, average SUS scores were 70 (non-disabled) and 72 (wheelchair), ranking in the 50th and 80th percentiles. Three themes emerged: (1) A good workout, (2) Feeling secure, (3) Maximizing independence. Users reported physical, mental, and emotional benefits, finding AAPLEwalk v2 safe, comfortable, and feasible for independent use with practice.</p><p><strong>Conclusion: </strong>The AAPLEwalk appears to be a promising device for enabling upright APPLE for wheelchair users. Future research should assess the device's physiological impact and long-term fitness benefits.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio-cultural considerations of home modifications from the perspective of people with spinal cord injury in Iran.","authors":"Shiva Abedi, Azam Naghavi, Farzaneh Zamani, Libby Callaway, Linda Barclay","doi":"10.1080/17483107.2025.2553027","DOIUrl":"https://doi.org/10.1080/17483107.2025.2553027","url":null,"abstract":"<p><strong>Purpose: </strong>The main purpose of this study was to investigate the socio-cultural considerations for home modifications among individuals with spinal cord injury (SCI) in Iran.</p><p><strong>Materials and methods: </strong>A descriptive qualitative design was employed, involving semi-structured interviews with 18 participants. Data were analyzed using reflexive thematic analysis to identify key themes and subthemes.</p><p><strong>Results: </strong>Three main themes were identified: (1) Holding out hope for recovery from SCI, (2) Absence of home modifications led to unique solutions but potential risks, and (3) Occupational therapy recommendations regarding home modifications need to be culturally safe. Participants often received misinformation about their prognosis, leading to delayed or avoided home modifications.</p><p><strong>Conclusion: </strong>The findings underscore the importance of providing accurate information regarding SCI prognosis to facilitate the implementation of needed home modifications. Occupational therapists and other health care professionals are advised to consider cultural factors, including practices related to values such as privacy, to ensure that recommendations are client-centered, effective, and culturally adaptable. This study highlights the necessity of developing culturally sensitive guidelines for home modifications and emphasize the critical role of involving in decision-making process, and improving access to appropriate assistive technology.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An AI-integrated spatial auxiliary decision-support model for historic and cultural blocks based on the spatial triad.","authors":"Qiwen Xue, Jingling Yang, Xinyao Liu","doi":"10.1080/17483107.2025.2554331","DOIUrl":"https://doi.org/10.1080/17483107.2025.2554331","url":null,"abstract":"<p><p>The findings of this study offer valuable insights for the development of targeted rehabilitation strategies. Understanding the specific cognitive and behavioural patterns identified can help clinicians tailor interventions that address underlying mechanisms rather than only symptoms. For example, integrating adaptive training programs that focus on enhancing self-regulation and social cognition may improve patient outcomes. Furthermore, the demonstrated role of contextual and individual difference factors suggests that rehabilitation plans should be personalised, taking into account demographic and psychosocial variables to maximise efficacy. Incorporating technology-assisted approaches, such as virtual reality or AI-driven feedback systems, could further enhance engagement and facilitate real-time monitoring of progress. Overall, these implications highlight the need for a holistic, flexible, and patient-centred rehabilitation framework to promote sustainable recovery.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and opportunities in direct-to-consumer hearing healthcare service delivery: a scoping review.","authors":"Harini Madhu, Millie R Kirkwood, Amir Hussain, Alison Porter-Armstrong, Adele M Goman","doi":"10.1080/17483107.2025.2543032","DOIUrl":"https://doi.org/10.1080/17483107.2025.2543032","url":null,"abstract":"<p><p>Despite the rising prevalence of hearing loss worldwide, underutilization of hearing aids persists. Direct-to-consumer (DTC) hearing services have emerged as a potential solution to address barriers in conventional audiology services. This scoping review investigates the challenges and opportunities associated with direct-to-consumer service delivery in audiology. This review followed the Arksey and O'Malley and PRISMA-ScR guidelines. A systematic search of four databases and gray literature identified 12,034 records. Studies published in English between January 2015 and October 2024 were included if they explored challenges or opportunities in DTC hearing care service delivery from the perspectives of users aged 18 years or older with hearing loss or healthcare providers. After the screening and full-text review, 24 studies were included. The identified barriers included lack of professional guidance, safety concerns, limited user awareness and trust issues. Opportunities included improved accessibility, cost-effectiveness, integration of DTC into audiological practice, interprofessional collaboration, patient education and research comparing DTC and traditional service models. While DTC models can enhance access to hearing healthcare, overcoming challenges such as user education, trust, and professional involvement is crucial. Task shifting to other healthcare providers has emerged as a crucial strategy for enhancing service efficiency. The findings emphasise the need for a collaborative, multi-disciplinary approach to optimize DTC service delivery and inform future policy and practice.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the use of smartphone applications during navigation-based tasks for individuals who are blind or who have low vision: future directions and priorities.","authors":"Maxime Bleau, Natalina Martiniello, Nathalie Gingras-Royer, Catherine Tardif-Bernier, Joseph Paul Nemargut","doi":"10.1080/17483107.2025.2544942","DOIUrl":"https://doi.org/10.1080/17483107.2025.2544942","url":null,"abstract":"<p><strong>Purpose: </strong>Mainstream smartphone applications are increasingly replacing the use of traditional visual aids to facilitate independent travel for people with blindness or low vision. However, little is known about which navigation apps are being used, the factors underpinning these decisions and why apps are not used in certain contexts. The goal of this study was to explore the navigation-based apps used by individuals who are blind or who have low vision, the factors influencing these decisions, and perceptions about gaps to address future needs in navigation.</p><p><strong>Materials and methods: </strong>An international online survey was conducted with 139 participants who self-identified as blind or low vision.</p><p><strong>Results: </strong>Findings indicate that the decision to use an app based on artificial intelligence (AI) versus live video assistance is related to whether the task is dynamic or static in nature. Although most participants rely on apps only during unfamiliar routes (60.9%), apps are shown to supplement rather than replace traditional tools such as the white cane and dog guide. Participants underscore the need for future apps to better assist with indoor navigation and to provide more precise information about points of interest (POI).</p><p><strong>Conclusion: </strong>These results provide vital insights for technology developers about the perceived utility of smartphone apps for people with low vision or blindness during navigation. Our results highlight the importance of built-in accessibility features for users with visual impairments. As additional technology-based solutions are developed, it is essential that blind and low vision users, including rehabilitation professionals, are meaningfully included within design.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-29"},"PeriodicalIF":2.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Australian disability support sector's workforce to predict the acceptance of virtual reality hardware.","authors":"Lee Trevena, Jeni Paay, Rachael McDonald, Jessica Laraine Williams, Denny Meyer","doi":"10.1080/17483107.2025.2551712","DOIUrl":"https://doi.org/10.1080/17483107.2025.2551712","url":null,"abstract":"<p><p><b><i>Purpose</i></b>: In the disability support sector, empathy is a critical skill needed by frontline workers. Virtual Reality technology may enhance empathy. Some disability service providers have adopted Virtual Reality to advance their training practices. Currently, it is unknown how accepting the Australian disability support workforce is of Virtual Reality technology. This study evaluates the internal and external factors that are significant in influencing disability support sector employees' acceptance of Virtual Reality technology. <b><i>Method</i></b>: A quantitative study using the Technology Acceptance Model (TAM) was completed by 120 cross-sectional respondents from the Australian disability workforce. Data were collected <i>via</i> an online questionnaire with a Likert scale, and analysed using descriptive statistics, reliability, correlation, and path analysis. <b><i>Results</i></b>: The external factors of <i>curiosity</i>, and <i>past use</i> had a significant relationship with the acceptance of virtual reality technology. <b><i>Conclusion</i></b>: Understanding factors relating to VR acceptance may facilitate greater adoption of VR training programs aimed to enhance empathetic behaviour in the disability support sector. The current study offers important insight relating to key determinants that facilitate the acceptance of VR technology for the disability services workforce. The five recommendations address the crucial findings - (1) evaluate the level of curiosity, (2) evaluate the level of past use, (3) offer hands-on VR workshops, (4) cultivate a sustainable collaborative design environment around training and technology adoption, and (5) cultivate a sustainable collaborative culture that is informative and fosters innovation.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual classrooms, real resilience: how AI tutors enhance cognitive rehabilitation in pediatric cancer survivors.","authors":"Bin Xiao, Huanxiang Sun, Shuangjia Lin, Jihong Li, Yuhua Yu","doi":"10.1080/17483107.2025.2549898","DOIUrl":"https://doi.org/10.1080/17483107.2025.2549898","url":null,"abstract":"<p><strong>Background: </strong>Paediatric cancer survivors often experience cognitive late effects, including impairments in working memory, processing speed, and executive function, which can adversely affect academic performance, psychosocial development, and long-term functional outcomes. Traditional educational interventions may be limited by stigma, accessibility, and inconsistent engagement. Artificial intelligence (AI)-driven virtual tutors represent a promising, personalised approach to cognitive rehabilitation in this population.</p><p><strong>Methods: </strong>A mixed-methods RCT with 150 survivors compared AI Tutor, Traditional Tutoring, and Control groups. Assessments included neurocognitive tests (WISC-V, Flanker, N-Back), academic metrics, psychosocial scales, and participant/parent/educator interviews. Subgroup analyses and ethical considerations (bias, equity) were explored. The study aimed to support and measure cognitive rehabilitation outcomes in this population.</p><p><strong>Results: </strong>Participants in the AI Tutor group demonstrated significantly greater cognitive rehabilitation gains, particularly in working memory, processing speed, and maths performance compared to both the Traditional Tutoring and Control groups (<i>p</i> < 0.001). Flanker task error reduction and N-Back task performance indicated enhanced executive function, particularly among adolescents. Engagement metrics (e.g., session completion rates) were higher in the AI group, with younger children showing increased consistency and participation. Qualitative findings highlighted the AI tutor's non-judgmental nature, reduced perceived stigma, and effective use of gamification to foster motivation and routine.</p><p><strong>Conclusion: </strong>AI-driven virtual tutors provide a scalable, personalised, and stigma-reducing approach for cognitive rehabilitation in paediatric cancer survivors, effectively complementing traditional methods across settings. Addressing ethical concerns like algorithmic fairness and access is crucial for equitable implementation. This study supports integrating AI tutors into survivorship care.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Configuration analysis of mobile phone addiction among college students: findings from fsQCA method.","authors":"Jian Chen, Guomin Chen, Xian Wang","doi":"10.1080/17483107.2025.2548858","DOIUrl":"10.1080/17483107.2025.2548858","url":null,"abstract":"<p><strong>Purpose: </strong>Mobile phone addiction among college students is currently a common phenomenon and has many negative impacts on the students, such as decreased vision and low sleep quality. Since the existing research on this phenomenon has analyzed the net effects of causes on the result, this paper introduces the fuzzy set qualitative comparative analysis (fsQCA) method to explore the relationship between five antecedent conditions (self-control, self-esteem, loneliness, significant others, and school management) and college students' mobile phone addiction from the perspective of configuration.</p><p><strong>Method: </strong>Taking college students as research subjects, and a questionnaire was used for data collection. Then the FSQCA method was used to obtain configuration results and conduct configuration analysis.</p><p><strong>Results: </strong>The results show that a single condition is not necessary for this phenomenon. On the contrary, three configurations could bring about the addiction. The first configuration includes self-esteem, loneliness, and significant others. The second configuration contains self-control, self-esteem, loneliness, and school management. The third configuration comprises self-esteem and loneliness.</p><p><strong>Conclusions: </strong>The findings of this article can effectively explain the reasons of mobile phone addiction among college students and provide references for alleviating and eliminating it.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of the Jaco robotic arm on user satisfaction with performance in everyday activities.","authors":"Lynn Gitlow, Lauren Amato, Elizabeth Newcombe, Dominic Mikula, Ahmed Alghamdi, Jenna Gaglione, Cayla Jones, Beatrice Kim, Dominica Mountain, Nicole Osofsky, Samantha Pinand, Alexandra Santanello, Heather Scheck, Hannah Wichard","doi":"10.1080/17483107.2025.2546647","DOIUrl":"10.1080/17483107.2025.2546647","url":null,"abstract":"<p><p>Assistive technology (AT) such as the Jaco robotic arm (JRA) provides significant benefits for individuals with upper extremity disabilities (UED). Despite these advantages, barriers including funding limitations, lack of awareness, and insufficient evidence of efficacy can hinder access. This study examined the effectiveness of the JRA by evaluating user performance and satisfaction with occupational performance (OP) before and after device use. A non-experimental retrospective mixed-method study was employed. Participants completed interviews via Zoom using the Canadian Occupational Performance Measure (COPM). Interview data were analyzed and member checking was conducted to ensure accuracy. A convenience sample of JRA users in North America, aged 18 years and older, was recruited in collaboration with Partners in Medicine, the device's North America distributor. The COPM identified challenges in self-care, productivity, and leisure, as well as corresponding performance and satisfaction ratings prior to and following JRA use. Twelve users, aged 30-58, who had used the JRA for 3 weeks to 8 years, participated. Common OP problems included opening and closing doors, retrieving items, drinking, manipulating phones, eating, community mobility, and repositioning body parts. Participants consistently reported meaningful improvements after acquiring the JRA. Individual average performance score change ranged from 3.2 to 8.3, while satisfaction scores ranged from 3.0 to 7.7. This study demonstrated that the JRA was a beneficial AT intervention for study participants.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}