Disability and Rehabilitation-Assistive Technology最新文献

{"title":"Exploring the influence of a school-based wheelchair skills training program on manual wheelchair mobility in youth: an exploratory study.","authors":"Tatiana Dib, Béatrice Ouellet, Maude Michaud, Krista L Best, Geneviève Daoust, Julie-Anne Therrien, Marie-Michèle Côté, Daniel Lair, Paula W Rushton","doi":"10.1080/17483107.2025.2483297","DOIUrl":"https://doi.org/10.1080/17483107.2025.2483297","url":null,"abstract":"<p><strong>Introduction: </strong>Self-directed manual wheelchair (MWC) mobility can facilitate participation in school, sports and community activities for pediatric MWC users (PMWUs), though many rely on others for getting around. The Wheelchair Skills Training Program (WSTP) has demonstrated effectiveness in improving MWC mobility in adults with preliminary evidence in pediatrics. However, rehabilitation professionals lack time to provide sufficient training. Expanding training opportunities within the community, such as in schools, could be promising, but has not been documented. A mobility training physical education class incorporating the WSTP (<i>Groupe Endurance</i>), was offered at a specialized high school.</p><p><strong>Objectives: </strong>Explore changes in MWC capacity, propulsion and endurance of PMWUs between pre- (T0) to mid- (T1) to post-course (T2).</p><p><strong>Methods: </strong>A pre-post study with three measures (T0, T1, T2) was conducted. <i>Groupe Endurance</i>'s participants respecting the eligibility criteria were invited to participate in the study. PMWUs attended 34 classes during the school year. MWC capacity, propulsion and endurance were assessed with the Wheelchair Skills Test (WST), the Wheelchair Propulsion Test (WPT) and the 12-minute Wheelchair Performance Test for Cardiorespiratory Endurance (12-WPTCE) respectively. Nonparametric longitudinal analyses were used to explore changes between T0, T1 and T2.</p><p><strong>Results: </strong>Ten PMWUs participated in the study. There were statistically significant differences between T0, T1 and T2 for MWC capacity (ATS (1.84)=17.35, <i>p</i> < 0.001) and the distance covered by participants on the 12-WPTCE (ATS (1.12)=4.36, <i>p</i> = 0.03).</p><p><strong>Conclusion: </strong>Integrating MWC skills training into schools appears to be an interesting solution to improve PMWUs' mobility. Future studies are required to determine proper training dosage.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711607","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":"Stakeholder's perspective on brain-computer interfaces for children and young adults with cerebral palsy.","authors":"Mariana P Branco, Malinda S W Verberne, Bouke J van Balen, Annike Bekius, Sacha Leinders, Marjolijn Ketelaar, Johanna Geytenbeek, Marieke van Driel-Boerrigter, Marike Willems-Op Het Veld, Kim Rabbie-Baauw, Mariska J Vansteensel","doi":"10.1080/17483107.2025.2481426","DOIUrl":"https://doi.org/10.1080/17483107.2025.2481426","url":null,"abstract":"<p><p>Communication Brain-Computer Interfaces (cBCIs) are a promising tool for people with motor and speech impairment, in particular for children and young adults with communication impairments, for example due to cerebral palsy (CP). Here we aimed to create a solid basis for the user-centered design of cBCIs for children and young adults with severe CP by investigating the perspectives of their parents/caregivers and health care professionals on communication and cBCIs. We conducted an online survey on 1) current communication problems and usability of used aids, 2) interest in cBCIs, and 3) preference for specific types of cBCIs. A total of 19 parents/caregivers and 36 health care professionals who interacted directly with children and young adults (8-25 years old) with severe CP, corresponding to Gross Motor Function Classification System level IV or V, participated. Both groups of respondents indicated that motor impairment occurred the most frequently and had the greatest impact on communication. The currently used communication aids included mainly no/low-tech aids and high-tech aids. The majority of health care professionals and parents/caregivers reported an interest in cBCIs, with a slight preference for implanted electrodes over non-implanted ones, and no preference for either of the two proposed mental BCI control strategies. Results indicate that cBCIs should be considered for a subpopulation of children and young adults with severe CP, and that in the development of cBCIs for this group both visual stimuli and sensorimotor rhythms, as well as the use of implanted electrodes, should be considered.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694093","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":"The COOK assistive technology for cognition for older adults with cognitive deficits: a usability study.","authors":"A Yaddaden, C Bottari, M Lussier, H Kenfack-Ngankam, M Couture, S Giroux, H Pigot, R-P Fillou, N Bier","doi":"10.1080/17483107.2025.2481430","DOIUrl":"https://doi.org/10.1080/17483107.2025.2481430","url":null,"abstract":"<p><strong>Objectives: </strong>The significantly accelerated use of technology by older adults during the COVID-19 pandemic provides an ideal opportunity to link the use of technology to home safety and aging in place. Our team developed COOK (<i>Cognitive Orthosis for coOKing</i>), an assistive technology for cognition. The study aimed to identify (1) usability issues of COOK for older adults living with and/or without cognitive impairments and (2) the modifications needed to improve its usability and facilitate its deployment.<b>Methods:</b> We conducted a mixed user-centred co-design study including (1) laboratory task scenarios and (2) real-world setting use. We also administered usability and user experience questionnaires. Qualitative deductive thematic analyses and descriptive statistical analyses were used.</p><p><strong>Results: </strong>Evaluation of the perceived usability of COOK indicated generally positive prospects. A first evaluation (Study 1) allowed us to simplify several safety-related functionalities, which emerged as key elements to consider. Additionally, a version named COOK - My Safety emerged and was also evaluated (Study 2).</p><p><strong>Discussion: </strong>This article confirms the potential of COOK to assist this clientele, with some reported usability problems. Modifications to rectify them were proposed, particularly to prevent safety hazards. The assistive features may require further prototyping.</p><p><strong>Conclusion: </strong>The next step will be to develop a suitable version to test long-term use in a real-world setting.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674680","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":"Development of a clinical prediction rule for the diagnosis of cubital tunnel syndrome in Thai wheelchair users.","authors":"Kittipong Kitisak, Siam Tongprasert, Niracha Luengutaisilp, Phichayut Phinyo, Pichitchai Atthakomol, Kulanan Nantasukasem, Montana Buntragulpoontawee","doi":"10.1080/17483107.2025.2477680","DOIUrl":"https://doi.org/10.1080/17483107.2025.2477680","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and internally validate a clinical prediction rule (CPR) for diagnosing cubital tunnel syndrome (CuTS) in wheelchair users. To the authors' knowledge, no prior diagnostic CPR for CuTS was developed.</p><p><strong>Methods: </strong>Participants were wheelchair users with spinal cord injuries/lesions aged ≥20 years. All underwent clinical examinations and electrodiagnostic studies. Clinical endpoint was a confirmed CuTS diagnosis; clinical symptoms and positive electrodiagnostic criteria. The CPR was developed using multivariable logistic regression with backward elimination. Coefficients of the selected predictors were converted into scores by division of the lowest coefficient and then rounded off to the closest integer. Internal validation was performed using bootstrap technique. The model's discriminative ability and calibration performance were evaluated.</p><p><strong>Results: </strong>Seventy-seven wheelchair users (142 arms) were included, 28(19.7%) arms had CuTS. Multivariable analysis identified three statistically significant predictors for the final diagnostic model: numbness or tingling in the fourth (ulnar half) and fifth fingers, grip weakness and a positive elbow flexion test; \"The CuTS-3 Diagnostic Score\" (CuTS-3). The CuTS-3 demonstrated good discriminative ability; area under the receiver operating characteristic (AuROC) = 0.88 (95%CI: 0.82-0.95) and calibration. The bootstrap performance adjusted for the estimated optimism for the clinical endpoint was 0.869 (95%CI 0.797-0.946). A cut-off score of ≥2 was suggested for diagnosis as it showed good sensitivity (89.3%) and specificity (78.1%).</p><p><strong>Conclusions: </strong>The CuTS-3 is a simple and well-performing diagnostic CPR. General clinical use is encouraged to help detecting and providing timely CuTS management. In the future, the model would benefit from external validation in different population.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674674","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":"Communication challenges and use of communication apps among individuals with cerebral palsy.","authors":"Eva Chang, Yi-Ran Chen","doi":"10.1080/17483107.2025.2481425","DOIUrl":"https://doi.org/10.1080/17483107.2025.2481425","url":null,"abstract":"<p><strong>Purpose: </strong>Verbal communication is the most immediate way of expressing oneself and the fastest way to make a first impression on others. However, for individuals with cerebral palsy (CP), which is generally accompanied by speech impediments, verbal communication can present a major hurdle to social interactions.</p><p><strong>Materials and methods: </strong>In this study, 10 individuals with CP (four men and six women) and speech impediments were surveyed using questionnaires and semistructured interviews to explore the following four points: (1) communication difficulties in life, (2) communication methods and related problems, (3) application of existing AAC methods, and (4) predicaments using existing communication technologies.</p><p><strong>Results: </strong>The study found that individuals with CP and speech impediments speak slowly and generally choose to avoid conversations or engage passively, relying on written words, simplified phrases, and physical gestures to compensate for their language impediments. Family education and educational attainment influence their communication strategies.</p><p><strong>Conclusion: </strong>Following advancements in technology, individuals with CP have become more reliant on text communications via phone apps such as Line and Facebook Messenger, and use text and stickers to express themselves. Despite the many problems with the usability of assistive devices and tech products for individuals with CP, reducing the number of operational steps and time constraints can improve the convenience of these products for individuals with CP.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671462","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":"NavWear: design and evaluation of a wearable device for obstacle detection for blind and visually impaired people.","authors":"Aline Darc Piculo Dos Santos, Matheus Loureiro, Fabiana Machado, Anselmo Frizera, Fausto Orsi Medola","doi":"10.1080/17483107.2025.2477681","DOIUrl":"https://doi.org/10.1080/17483107.2025.2477681","url":null,"abstract":"<p><strong>Purpose: </strong>Wearable devices have been developed to improve the outdoor mobility of blind and visually impaired (BVI) people. While the functionality of these solutions has been widely evaluated, research on user-device interaction remains scarce. This study describes the development and evaluation of the Navigation Wearable System (NavWear), a wearable device for obstacle detection to assist the outdoor mobility of BVI people.</p><p><strong>Materials and methods: </strong>The system is based on an RGB-D camera and haptic feedback, integrated into a backpack developed to improve usability and user interaction. Ten blindfolded participants were recruited to evaluate the prototype and completed obstacle courses in three conditions: (i) NavWear; (ii) white cane, and (iii) both devices combined to compare their performance and perceived usability.</p><p><strong>Results and conclusions: </strong>The results indicate that using the NavWear with the white cane resulted in fewer obstacle collisions, less frustration, and a higher perception of safety. These findings suggest that the prototype can potentially assist the outdoor mobility of BVI people. The results also provide new insights into improving the prototype, including contributions to the design of assistive technology devices that can lead to the engaged use of these devices.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658273","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":"VIP SpaceNav - smart buildings for people with visual impairments.","authors":"Maria-Anca Băluțoiu, Anca Morar, Alin Moldoveanu, Andrei Lăpușteanu, Florica Moldoveanu, Ana Magdalena Anghel","doi":"10.1080/17483107.2025.2478484","DOIUrl":"https://doi.org/10.1080/17483107.2025.2478484","url":null,"abstract":"<p><p>People with visual impairments have difficulties in navigating indoor spaces and identifying elements of interest in the environment. There are a plethora of assistive systems that address this problem, but most of them are either expensive, depend on specialized hardware or lack intuitiveness. VIP SpaceNav is a platform for low-cost, intuitive configuration and safe navigation, intended for people with visual impairments. The system's content management system stores a 3D model of the building, together with localization information and elements of interest. The mobile application dedicated to users with visual impairments runs a localization component, as well as an obstacle detection module, providing navigation cues and information about points of interest in the vicinity, with the help of text-to-speech and audio signals. This paper presents a concept of indoor guidance for people with visual impairments and a first materialization of the prototype, based on state-of-the-art localization and spatial sounds. It also describes the piloting of the system in complex scenarios in a real building, demonstrating its potential of deployment in any indoor space, with minimal financial and time resources.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626479","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":"Social impact of the JACO wheelchair-mounted robotic arm on users and their caregivers.","authors":"Orthelo Léonel Gbètoho Atigossou, Julie Faieta, Maëlle Corcuff, Alexandre Campeau-Lecours, Véronique H Flamand, François Routhier, Jason Bouffard","doi":"10.1080/17483107.2025.2477679","DOIUrl":"https://doi.org/10.1080/17483107.2025.2477679","url":null,"abstract":"<p><strong>Purpose: </strong>The efficacious implementation of robotic assistive technologies must be built on a thorough understanding of the experiences and perceptions of all concerned interest groups, particularly those of users and their caregivers. This study provides an in-depth insight into the experiences and perceptions of users of the JACO wheelchair-mounted robotic arm and those of their caregivers.</p><p><strong>Methods: </strong>Users of JACO (<i>n</i> = 21; Female: 6; Male: 15) and caregivers (<i>n</i> = 11; Female: 9; Male: 2) participated in individual interviews used to gain qualitative insight into the impact of JACO on their day-to-day lives. Interview transcripts were analyzed using a hybrid deductive-inductive coding process. Thematic analysis was conducted in accordance with the <i>Consortium on Assistive Technology Outcomes Research</i> (CATOR) taxonomy. This article exclusively reports data on the social impact of the JACO wheelchair-mounted robotic arm. In addition, participants completed three questionnaires to gather more objective data for quantitative assessment. These included the <i>Caregiver Assistive Technology Outcome Measure</i> (CATOM), a sociodemographic questionnaire, and a home-based questionnaire to assess the social impact of using JACO.</p><p><strong>Results: </strong>Findings pointed to highly varied experiences among participants, including instances of positive, negative, and absence of effects from the use of JACO. Participants' feedback fell within two broad categories, <i>Human Assistance,</i> and <i>Cost and Use of Resources</i>.</p><p><strong>Conclusion: </strong>This study provides nuanced and varied insight into the spectrum of the social impact of using JACO as perceived by users and their caregivers, highlighting the importance of considering each user as an individual with unique experiences and needs.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630868","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":"2024 Ad Hoc Reviewers.","authors":"","doi":"10.1080/17483107.2025.2477368","DOIUrl":"https://doi.org/10.1080/17483107.2025.2477368","url":null,"abstract":"","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-5"},"PeriodicalIF":1.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626476","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":"Enhancing education for children with ASD: a review of evaluation and measurement in AI tool implementation.","authors":"Oyeyemi Patricia Adako, Oluwafemi Clement Adeusi, Peter Adeniyi Alaba","doi":"10.1080/17483107.2025.2477678","DOIUrl":"https://doi.org/10.1080/17483107.2025.2477678","url":null,"abstract":"<p><p>This article addresses the gaps in current research regarding the use of artificial intelligence (AI) tools to educate children with autism spectrum disorder (ASD). The proposed metrics are specifically designed to evaluate the progress of learning in AI-assisted education, considering the unique needs of this demographic. The review highlights the potential of long-term impact studies to determine the lasting effects of AI on social skills, emotional development, and overall academic achievement. The ethical considerations surrounding AI intervention in autistic education are thoroughly examined. By combining diverse methodologies utilized in existing studies, a comprehensive analysis of the challenges is presented, along with interdisciplinary approaches for improvement that can serve as a roadmap for future research. The manuscript provides innovative perspectives, bridges existing gaps, and advocates for the ethical and effective integration of AI tools in educating children with ASD.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626477","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}