Disability and Rehabilitation-Assistive Technology最新文献

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Introducing a self-managed early communication resource for parents - A mixed methods feasibility study of the Swedish "ComAlong online". 为家长引入自我管理的早期沟通资源--瑞典 "ComAlong 在线 "混合方法可行性研究。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-09-12 DOI: 10.1080/17483107.2024.2398606
Ellen Backman, Carmela Miniscalco, Gunilla Thunberg
{"title":"Introducing a self-managed early communication resource for parents - A mixed methods feasibility study of the Swedish \"ComAlong online\".","authors":"Ellen Backman, Carmela Miniscalco, Gunilla Thunberg","doi":"10.1080/17483107.2024.2398606","DOIUrl":"10.1080/17483107.2024.2398606","url":null,"abstract":"<p><strong>Background: </strong>Web-based programmes offer parents of children with communication difficulties promising access to parent-mediated, early interventions. However, empirical evaluations of such programmes are limited. This study focused on parents and used mixed methods to examine the feasibility of ComAlong online.</p><p><strong>Methods: </strong>ComAlong online is a Swedish, self-managed web-resource teaching parents supportive strategies to promote child communication. Data of different types were collected from a total of 71 parents: ten individual parent interviews, 21 pre-questionnaires and 10 post-questionnaires, and finally 50 anonymous digital evaluation surveys. Descriptive statistics and deductive qualitative content analysis were used.</p><p><strong>Results: </strong>Findings indicate that parents perceived improved child communication and own competence after using the ComAlong online. The most valued parts included podcasts with experts and videos of parent-child interaction. Parents reported that the resource was easy to use, but they wanted to have gained access to the resource when the child was younger. Suggestions for changes included adding a chat function with experts, a parent net forum, and the possibility of creating personalised playlists of videos and podcasts. Evaluation of the research process revealed difficulties in recruiting parents from local child healthcare services and parents of children not yet with a diagnosis.</p><p><strong>Conclusions: </strong>This study supports the potential for self-managed, web-based resources to disseminate evidence-based parent training for supporting early communication development. Importantly, parents lack individual guidance from experts and contact with other parents. Also, measures need to be made to disseminate the resources within local child healthcare services.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"598-610"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298721","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}
引用次数: 0
Virtual reality current use, facilitators and barriers to implementation in paediatric physiotherapy: cross-sectional online survey of UK paediatric physiotherapists. 虚拟现实技术在儿科物理治疗中的当前使用情况、促进因素和实施障碍:对英国儿科物理治疗师的横断面在线调查。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-08-24 DOI: 10.1080/17483107.2024.2393695
Mohammed Alrashidi, Richard J Tomlinson, Gavin Buckingham, Craig A Williams
{"title":"Virtual reality current use, facilitators and barriers to implementation in paediatric physiotherapy: cross-sectional online survey of UK paediatric physiotherapists.","authors":"Mohammed Alrashidi, Richard J Tomlinson, Gavin Buckingham, Craig A Williams","doi":"10.1080/17483107.2024.2393695","DOIUrl":"10.1080/17483107.2024.2393695","url":null,"abstract":"<p><strong>Background: </strong>The literature is scarce about virtual reality (VR) use and its integration into clinical practice. Given the growing interest toward using VR in healthcare in the UK, the aims of this survey were to explore its current use by paediatric physiotherapists in clinical practice in the UK, identify the facilitators and barriers to VR implementation in clinical practice and investigate the factors that will enhance intentions to use it in the future.</p><p><strong>Methods: </strong>An online survey using Assessing Determinants of Prospective Take-Up of Virtual Reality (ADOPT-VR2) was distributed to UK paediatric physiotherapists through the Association of Paediatric Chartered Physiotherapists. Descriptive statistics and regression analysis were conducted.</p><p><strong>Results: </strong>Out of 128 responses, 81 UK-based paediatric physiotherapists completed the survey. The therapists worked in the National Health Service, in the private sector and education. Most of the respondents reported not using VR in clinical practice (<i>n</i> = 75; 93%). Only 7% of respondents reported using VR in clinical practice. Attitudes toward VR, compatibility, and the peer influence constructs of ADOPT-VR2 all significantly predicted the behavioural intention to use VR (R<sup>2</sup> = 0.612, p = <0.001).</p><p><strong>Conclusions: </strong>This study shows that the current use of VR is limited. The findings from this study suggest that multiple factors need to be reconciled to enhance VR implementation. Specifically, therapists need to be provided with time, appropriate training, and financial and technical support. Stakeholders may also need to consider developing practical manuals to ensure therapists are implementing VR consistently and correctly.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"585-591"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047309","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}
引用次数: 0
Bridging the gap: challenges and opportunities of assistive technology loan library systems for individuals with intellectual disabilities in the United States. 缩小差距:美国智障人士辅助技术借阅图书馆系统的挑战与机遇。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-09-16 DOI: 10.1080/17483107.2024.2400997
Peshawa Mahmood, Jeffrey Ruffing, Onaedo Ilozumba, Ikenna D Ebuenyi
{"title":"Bridging the gap: challenges and opportunities of assistive technology loan library systems for individuals with intellectual disabilities in the United States.","authors":"Peshawa Mahmood, Jeffrey Ruffing, Onaedo Ilozumba, Ikenna D Ebuenyi","doi":"10.1080/17483107.2024.2400997","DOIUrl":"10.1080/17483107.2024.2400997","url":null,"abstract":"<p><strong>Purpose: </strong>In an increasingly technology-driven world, this study explores the accessibility of assistive technology for individuals with intellectual disabilities through assistive technology loan libraries. Assistive technology refers to devices or systems that enhance the ability of individuals with and without disabilities to function and undertake activities of daily living.</p><p><strong>Materials and methods: </strong>The study, grounded in the Social Determinants of Health framework, employed multiple methods including both qualitative (interviews) and quantitative (questionnaire) methods, involving 19 participants comprising assistive technology professionals and users.</p><p><strong>Results: </strong>Key findings from the study underscore the pivotal role of assistive technology loan libraries, which lend various assistive devices to individuals, enabling them to try these technologies before making a long-term commitment. However, challenges, such as a restricted variety of devices and extended waiting periods for access were highlighted. The research points to a need for improved training for both staff at the loan libraries and the users of the technology. It also suggests that policy enhancements are required to better align with rapid technological advancements and address the uneven regional distribution of these technologies.</p><p><strong>Conclusions: </strong>Participants in the study highlighted the importance of expanding the range of assistive devices available in these libraries and improving the efficiency of the service they provide. The study advocates for targeted efforts to enhance the effectiveness and accessibility of assistive technology loan libraries, highlighting their critical role in empowering individuals with intellectual disabilities.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"611-620"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298716","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}
引用次数: 0
Validity of a wrist-worn consumer-grade wearable for estimating energy expenditure, sedentary behaviour, and physical activity in manual wheelchair users with spinal cord injury. 用于估算脊髓损伤手动轮椅使用者能量消耗、久坐行为和体力活动的腕戴式消费级可穿戴设备的有效性。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-09-20 DOI: 10.1080/17483107.2024.2405895
Daniel P Bailey, Imran Ahmed, Daniel L Cooper, Katherine A Finlay, Hannah M Froome, Tom E Nightingale, Lee M Romer, Vicky L Goosey-Tolfrey, Louise Ferrandino
{"title":"Validity of a wrist-worn consumer-grade wearable for estimating energy expenditure, sedentary behaviour, and physical activity in manual wheelchair users with spinal cord injury.","authors":"Daniel P Bailey, Imran Ahmed, Daniel L Cooper, Katherine A Finlay, Hannah M Froome, Tom E Nightingale, Lee M Romer, Vicky L Goosey-Tolfrey, Louise Ferrandino","doi":"10.1080/17483107.2024.2405895","DOIUrl":"10.1080/17483107.2024.2405895","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the validity of a consumer-grade wearable for estimating energy expenditure, sedentary behaviour, and physical activity in manual wheelchair users with spinal cord injury (SCI).</p><p><strong>Materials and methods: </strong>Fifteen manual wheelchair users with SCI (C5-L1, four female) completed activities of daily living and wheelchair propulsion (2-8 km·h<sup>-1</sup>). Wrist-worn accelerometry data were collected using consumer-grade (z-Track) and research-grade (ActiGraph GT9X) devices. Energy expenditure was measured <i>via</i> indirect calorimetry. Linear regression was used to evaluate the prediction of criterion metabolic equivalent of task (MET) by each accelerometer's vector magnitude (VM). Area under the receiver operating characteristic curve (ROC-AUC) evaluated the accuracy of VM for discriminating between physical activity intensities and for identifying accelerometer cut-points.</p><p><strong>Results: </strong>Standardised β-coefficients for the association between z-Track and ActiGraph VM for criterion MET were 0.791 (<i>p</i> < 0.001) and 0.774 (<i>p</i> < 0.001), respectively. The z-Track had excellent accuracy for classifying time in sedentary behaviour (ROC-AUC = 0.95) and moderate-to-vigorous physical activity (ROC-AUC = 0.93); similar values to the ActiGraph (ROC-AUC = 0.96 and 0.88, respectively). Cut-points for the z-Track were ≤37 g·min<sup>-1</sup> for sedentary behaviour and ≥222 g·min<sup>-1</sup> for moderate-to-vigorous physical activity.</p><p><strong>Conclusions: </strong>This study supports the validity of a consumer-grade wearable to measure sedentary time and physical activity in manual wheelchair users with SCI.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"708-714"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298724","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}
引用次数: 0
Measuring the adoption of internet and communication technologies among practitioners in routine disability services: a stepped inclusive approach. 衡量日常残疾服务从业人员对互联网和通信技术的采用情况:阶梯式包容性方法。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-07-01 DOI: 10.1080/17483107.2024.2367080
Jialiang Cui
{"title":"Measuring the adoption of internet and communication technologies among practitioners in routine disability services: a stepped inclusive approach.","authors":"Jialiang Cui","doi":"10.1080/17483107.2024.2367080","DOIUrl":"10.1080/17483107.2024.2367080","url":null,"abstract":"<p><strong>Purpose: </strong>Existing measurements of the use of information and communication technologies (ICTs) among practitioners in disability services often treat ICT adoption as a monolithic concept, overlooking its multifaceted nature within the disability field. This study introduces a stepped, inclusive approach to capturing this complexity, elucidating disparities in the utilization of various ICT dimensions, the present <i>vs.</i> anticipated use, and variations among different clinical-demographic groups.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was conducted in Hong Kong, gathering valid data from 324 practitioners spanning diverse disciplines and disability services.</p><p><strong>Results: </strong>Data analysis produced a three-factor model categorizing ICT tools into (1) information and communication tools, (2) screening and monitoring tools, and (3) treatment and rehabilitation tools. The first category was identified as the predominant ICT utilized currently, with significant projected growth in the latter two categories' usage. Variances in current ICT adoption were influenced by practitioners' roles, clientele, positions, affiliating agencies, and educational attainments.</p><p><strong>Conclusions: </strong>This research provides a deeper understanding of the key dimensions of ICT adoption within disability services. It underscores the importance of devising specific and customized strategies for the effective integration of ICTs, ensuring a more tailored approach to meeting the unique demands of the disability field.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"536-544"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471599","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}
引用次数: 0
Prescription methodology integrated with equipment designed for customising racing wheelchair. 处方方法与为定制赛车轮椅而设计的设备相结合。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-09-12 DOI: 10.1080/17483107.2024.2396424
Thiago José Donegá, Jonas Profeta Borges, Sílvio Soares Dos Santos, Diego Augusto Costa Alves, Jéssica Firmino Ferreira, José Eduardo Arruda Neto, Lucas de Souza Cardoso, Cleudmar Amaral de Araújo
{"title":"Prescription methodology integrated with equipment designed for customising racing wheelchair.","authors":"Thiago José Donegá, Jonas Profeta Borges, Sílvio Soares Dos Santos, Diego Augusto Costa Alves, Jéssica Firmino Ferreira, José Eduardo Arruda Neto, Lucas de Souza Cardoso, Cleudmar Amaral de Araújo","doi":"10.1080/17483107.2024.2396424","DOIUrl":"10.1080/17483107.2024.2396424","url":null,"abstract":"<p><strong>Background: </strong>Wheelchair racing is a traditional modality of Paralympic athletics. In general, racing wheelchairs are customized according to the athletes' anthropometric conditions, based on pre-established dimensions according to the manufacturer's manual. Usually, athletes choose the dimensions for their new sports wheelchairs, and when they are delivered for use, they often have problems due to incorrect body adjustments.</p><p><strong>Purpose: </strong>To develop a new customization methodology that is made possible through a new multi-adjustable racing wheelchair prescription equipment (RWPE) for athletics. This equipment performs several measurements and adjustments according to the athlete's anthropometric characteristics, evaluating the best-fit athlete to obtain better performance in the personalized wheelchair.</p><p><strong>Materials and methods: </strong>Customizing racing wheelchairs is based on anthropometric measurements of the individual and specific ergonomic adjustments for better performance and safety. The RWPE is a multi-adjustment device composed of modules that use measuring instruments to guarantee maximum precision and accuracy of the assessments. This project's innovation is associated with the multi-regulation equipment itself and a conventional process of manufacturing a racing wheelchair through an online form. The RWPE has a robust and rigid structure for conducting race-track experimental tests.</p><p><strong>Results and conclusions: </strong>The experimental tests allowed the equipment to be validated regarding safety, comfort, and prescription methodology. A high-performance athlete validated the equipment and prescription methodology, and as a result, a new version of a parameterized wheelchair was also developed using the prescription methodology. A comparison between prescription tests showed better athlete performance regarding estimated average power, considering dimensions optimized through RWPE.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"679-691"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298723","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}
引用次数: 0
Uncovering the effects of pandemic conditions on hearing aid experiences: a dual perspective from audiologists and hearing aid users. 揭示流行病对助听器体验的影响:听力学家和助听器用户的双重视角。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-10-07 DOI: 10.1080/17483107.2024.2405557
Vida Rahimi, Elham Tavanai, Seyyed Mohammad Reza Taghavi, Mohammad Ehsan Khalili
{"title":"Uncovering the effects of pandemic conditions on hearing aid experiences: a dual perspective from audiologists and hearing aid users.","authors":"Vida Rahimi, Elham Tavanai, Seyyed Mohammad Reza Taghavi, Mohammad Ehsan Khalili","doi":"10.1080/17483107.2024.2405557","DOIUrl":"10.1080/17483107.2024.2405557","url":null,"abstract":"<p><p><b>Purpose:</b> This study examines the effects of the pandemic on hearing aid experiences from the perspectives of audiologists and patients, as well as communication challenges faced by both users and non-users of hearing aids.</p><p><p><b>Materials and Methods:</b> The study consisted of two phases: a longitudinal study examining the services provided by audiologists during the peak of the COVID-19 pandemic and after the first vaccination dose. The second phase involved a survey of 120 elderly individuals with hearing loss, divided into hearing aid users and non-users for assessing communication challenges. Data was collected from comprehensive audiology clinics using a series of checklists.</p><p><p><b>Results:</b> Analysis of the frequency of services related to hearing aids revealed that during the peak period, the majority of visits were for acquiring batteries and hearing aids, while fewer visits were for fitting and fine-tuning the devices. After vaccination the pattern was changed. In the second phase, significant differences were observed between the hearing aid users and non-users with regards to their ability to comprehend speech while wearing mask, communicating at a safe distance, and following TV news.</p><p><p><b>Conclusions:</b> The distribution of requested services differed during the peak period and the post-vaccination period. There was a noticeable increase in the purchase and fitting of hearing aids after vaccination. However, patients encountered difficulties due to the limited availability of tele-audiology services and delayed services from hearing aid companies. The benefits of hearing aids were impacted by the pandemic as many people did not seek adjustments for their devices.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"652-662"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394287","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}
引用次数: 0
The impact of adapted hiking on quality of life and self-efficacy in wheelchair users: pre-post study. 适应性徒步旅行对轮椅使用者生活质量和自我效能的影响:前后期研究。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 DOI: 10.1080/17483107.2025.2486429
Martina Passi, Alessia Annecchini, Rachele Simeon, Mirko Cipolloni, Francescaroberta Panuccio, Giovanni Galeoto, Anna Berardi
{"title":"The impact of adapted hiking on quality of life and self-efficacy in wheelchair users: pre-post study.","authors":"Martina Passi, Alessia Annecchini, Rachele Simeon, Mirko Cipolloni, Francescaroberta Panuccio, Giovanni Galeoto, Anna Berardi","doi":"10.1080/17483107.2025.2486429","DOIUrl":"https://doi.org/10.1080/17483107.2025.2486429","url":null,"abstract":"<p><strong>Introduction: </strong>While leisure activities have been shown to have bio-psycho-social benefits for individuals with disabilities, there is a notable gap in the literature regarding the quantitative analysis of the effects of adapted hiking. This study, therefore, aims to fill this void by using standardised tools to evaluate the enhancement in quality of life and self-efficacy following a hiking experience in individuals with motor disabilities.</p><p><strong>Methods: </strong>The intervention took place on natural paths by transporting Joëlette people who use wheelchairs for daily mobility. The rating scales were administered before the activity (T0) and three weeks after participation (T1). The outcomes were measured through the Wheelchair use Confidence Scale for manual wheelchair users (WheelCon-M), the Spinal Cord Injury-Falls Concern Scale (SCI-FCS), the Craig Hospital Inventory of Environmental Factors (CHIEF), the Impact on Participation and Autonomy (IPA), the Community Integration Questionnaire-Revised (CIQ-R) and the Moorong Self Efficacy Scale (MSES).</p><p><strong>Results: </strong>34 people were recruited and participated in the study. The participants had an average age of 41 years; 28 used manual wheelchairs, and 6 used electric wheelchairs in their daily lives. From the analysis of the Wilcoxon rank test, the scores of the WheelCon-M were found to be statistically significant.</p><p><strong>Conclusions: </strong>This study significantly contributes to the scientific literature by providing quantitative data on the impact of adapted activities, particularly adapted hiking. The findings position adapted hiking as a valid intervention to support traditional rehabilitation treatments, specifically in enhancing confidence in wheelchair management.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765434","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}
引用次数: 0
Evaluation of fatigue and fatigability in people with Duchenne muscular dystrophy using a dynamic arm support - a pilot study. 使用动态手臂支撑评估杜兴氏肌肉萎缩症患者的疲劳程度--一项试点研究。
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-09-12 DOI: 10.1080/17483107.2024.2388284
Lonneke Alberts, Nicole Voet, Mariska Janssen
{"title":"Evaluation of fatigue and fatigability in people with Duchenne muscular dystrophy using a dynamic arm support - a pilot study.","authors":"Lonneke Alberts, Nicole Voet, Mariska Janssen","doi":"10.1080/17483107.2024.2388284","DOIUrl":"10.1080/17483107.2024.2388284","url":null,"abstract":"<p><strong>Background: </strong>Due to progressive muscle wasting and weakness in patients with Duchenne Muscular Dystrophy (DMD), physical fatigability increases, upper extremity function reduces, which negatively impacts quality of life. Assistive technology such as dynamic arm supports (DAS) may help reduce this fatigability. This study aims to assess whether the novel Yumen 'EXone' DAS can reduce upper extremity fatigue and fatigability in DMD patients and healthy controls (HC), both with and without the DAS. Additionally, longitudinal changes in DMD patients were evaluated.</p><p><strong>Methods: </strong>Five DMD patients from the Yumen Bionics pioneer program and five HCs participated. Two submaximal tests simulating drinking and reaching were performed for two minutes, each with and without DAS. DMD participants completed these tests twice, at baseline (T0) and after 6-9 months (T1), while HCs completed them once. Physical fatigability was measured by the number of repetitions and changes in surface electromyography (sEMG) amplitude. Subjective fatigue was assessed using the Borg Scale (6-20) Rate of Perceived Exertion (RPE).</p><p><strong>Results: </strong>DMD participants generally performed more repetitions with the DAS than without. HCs showed similar or increased repetitions with the DAS. Assessing fatigability with sEMG was difficult due to the compensatory mechanisms used for the tests. Subjective fatigue scores on the Borg Scale were lower with the DAS for both DMD patients and HCs.</p><p><strong>Conclusion: </strong>The Yumen 'EXone' DAS effectively reduces both fatigue and fatigability in DMD patients and healthy controls. Despite the methodological shortcomings, this research is one of the first studies investigating the impact of DAS on fatigue and fatigability.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"552-561"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298718","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}
引用次数: 0
How does moderate upper limb activity modify sitting forces for able-bodied persons and wheelchair users? 适度的上肢活动如何改变健全人和轮椅使用者的坐力?
IF 1.9 4区 医学
Disability and Rehabilitation-Assistive Technology Pub Date : 2025-04-01 Epub Date: 2024-09-19 DOI: 10.1080/17483107.2024.2402812
Clémence Paquin, Anthony Gelis, Laura Dubuis, Sophie Ciancia, Olivier Chenu, Sonia Duprey
{"title":"How does moderate upper limb activity modify sitting forces for able-bodied persons and wheelchair users?","authors":"Clémence Paquin, Anthony Gelis, Laura Dubuis, Sophie Ciancia, Olivier Chenu, Sonia Duprey","doi":"10.1080/17483107.2024.2402812","DOIUrl":"10.1080/17483107.2024.2402812","url":null,"abstract":"<p><strong>Introduction: </strong>Most people with a spinal cord injury are concerned by pressure injuries (PrI). Since dynamic activities may involve distributions of forces over time that are different from static and given the significant impact of PrIs on healthcare costs, it is, important to study these sitting forces. We aim to investigate sitting forces (overall normal, shear forces and Peak Pressure Index (PPI)) assessed in both able-bodied and wheelchair users (WCU) under static and dynamic conditions. Our hypothesis is that wheelchair sitting forces encountered by able-bodied participants are significantly different from those of WCUs.</p><p><strong>Material and methods: </strong>An experimental seat and a pressure mapping system were used to investigate forces in two different populations, 102 able-bodied and 15 WCUs, in static conditions and during synchronised hand-cycling. The analysis includes statistical comparisons of the sitting conditions (static/dynamic) and of the populations (able-bodied/WCUs).</p><p><strong>Results and discussion: </strong>Significant differences in normal forces and PPI were observed between able-bodied and WCUs; conversely, differences in shear forces were non-significant. This suggests that contrary to shear forces, no conclusion on normal forces drawn from trials with healthy participants can directly be applied to WCUs. Secondly, the present results indicate significant reduced averaged: normal force, PPI, and shear forces for able-bodied performing a dynamic activity compared to static sitting. WCUs experienced non-significant lower averaged normal force and PPI but significant lower averaged shear forces.</p><p><strong>Conclusion: </strong>While the present results seem to indicate lower forces for able-bodied performing a dynamic activity compared to static sitting, due to reduced averaged forces, this conclusion is less clear-cut for WCUs.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"635-643"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298719","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}
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