{"title":"Exploring electromyography for assistive technology: feasibility, usability and performance of a dry sensor EMG switch.","authors":"Simon Judge","doi":"10.1080/17483107.2025.2501746","DOIUrl":"10.1080/17483107.2025.2501746","url":null,"abstract":"<p><strong>Purpose: </strong>Switch access is a tool used by many individuals with physical disabilities. Switches used in assistive technology are typically electro-mechanical. Electromyography (EMG) has previously been suggested for assistive technology switch access but has been little explored.</p><p><p><b>Materials and Methods:</b> An exploratory study aiming to investigate the feasibility, usability and performance of a dry sensor EMG switch when used by individuals with physical disabilities to control assistive technology was conducted.</p><p><p><b>Results:</b> Twelve participants with a range of underlying conditions trialled a novel dry sensor EMG switch. Switch reaction performance data for both EMG and conventional switches and qualitative feedback from semi-structured interviews were collected and tabulated. Results showed that the EMG switch was feasible to use in a range of placements and with a range of individuals, that it was feasible in some situations where a conventional switch was not, and that it may be more appropriate for those with hypokinetic movement disorders. Some participants described use of the EMG switch as less effortful and fatiguing. Some participants had faster reaction times using the EMG switch compared to conventional switches, the fastest average reaction time reported in the study (483 ms) was using the EMG switch. More false positive activations occurred when using the EMG switch and participants described this as impacting on usability. Setup complexity was also noted as a key usability barrier.</p><p><p><b>Conclusions:</b> This study highlights potential benefits of EMG switches but suggests further development is needed to improve ease of use and minimise false activations if EMG switches are to achieve broader adoption.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2315-2326"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081339","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":"Are manual wheelchair rear wheel rolling resistance and friction (in)-dependent of load, tire pressure, and camber angle? An evaluation across different surfaces.","authors":"Mathieu Deves, Yoann Poulet, Arnaud Hays, Arnaud Faupin, Christophe Sauret","doi":"10.1080/17483107.2025.2501745","DOIUrl":"10.1080/17483107.2025.2501745","url":null,"abstract":"<p><strong>Purpose: </strong>Rolling resistance of manual wheelchair (MWC) has been widely studied, and while many studies have focused on the effects of rear-wheel configurations and surface types, few studies have comprehensively explored a broad range of surfaces and their interactions with wheel configurations. Additionally, rear wheel grip (i.e., friction) remains underexplored.</p><p><strong>Materials and methods: </strong>To assess the specific impact of rear-wheel configurations on both rolling resistance and grip, a deceleration cart with four identical wheels was developed. The rolling resistance and static friction of three tire types were tested across two loads, four camber angles, three inflation pressures, and seven surface types, including sports and everyday surfaces. Measurements were obtained using wireless inertial measurement units during deceleration tests and using a handheld dynamometer during grip tests, following an experimental design approach.</p><p><strong>Results: </strong>Statistical analysis identified surface type as the most influential factor on rolling resistance and static friction, with tire pressure and camber angle also having significant surface-dependent effects.</p><p><strong>Conclusion: </strong>The use of the deceleration cart enabled precise determination of the specific rolling resistance properties and static friction coefficients of MWC wheels, facilitating the creation of a dataset that characterizes the rolling resistance and grip properties of wheels on various surfaces.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2415-2432"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053359","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":"Assessing cybersickness in a Virtual Reality intervention among older adults living in nursing homes: a feasibility study.","authors":"Yijun Li, Irina Shiyanov, Beate Muschalla","doi":"10.1080/17483107.2025.2503909","DOIUrl":"10.1080/17483107.2025.2503909","url":null,"abstract":"<p><strong>Objects: </strong>Virtual Reality (VR) is a potential tool in geriatric rehabilitation and ageing care: VR activities may enhance activity level well-being of older adults in nursing homes. Given the specific vulnerability of older adults, it is crucial to assess potential side effects such as cybersickness, which includes symptoms like dizziness and nausea. Various VR design factors, e.g., session duration, may influence the cybersickness experience. This study aims to investigate the cybersickness prevalence among older adults in nursing homes who participate in a VR activity.</p><p><strong>Methods: </strong>A total of 27 older adults from five nursing homes participated in this feasible study. A four weeks VR intervention was conducted, with one VR session per week. After the VR intervention, participants were asked to rate the standardized VR sickness questionnaire (VRSQ) immediately. There was 11% (<i>N</i> = 3) dropping out from the VR intervention due to cybersickness. Over all participants, cybersickness level remained at a low level (VRSQ-Score, Mean = 2.23, SD = 6.25). There was no significant difference in cybersickness prevalence among the four VR sessions featuring different tasks.</p><p><strong>Impacts: </strong>These findings suggest that specifically designed VR activities yielded moderate cybersickness effects. Older adults should be monitored by nurses during VR sessions, in order to help them exit the VR session in case cybersickness occurs. The findings offer valuable insights on VR interventions under natural conditions, ensuring high external validity. Future randomized controlled trials should explore a larger spectrum of possible side effects of VR interventions in comparison to non-VR interventions in nursing homes.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2339-2347"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056550","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":"Expanding treatment opportunities for down syndrome: progress in identifying molecular targets, neurological assessment, and digital assistance.","authors":"Bikash Kumar Sah, Devatharun Vr, Aniket Singh, Ankit Kumar","doi":"10.1080/17483107.2025.2526174","DOIUrl":"10.1080/17483107.2025.2526174","url":null,"abstract":"","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2577-2578"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508862","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":"Empowering inclusive education: a multi-modal android application for accessible transliteration of Indian languages into Braille script.","authors":"Monnie Parida, Souvik Bhattacharjee, Tirthankar Dasgupta, Manjira Sinha, Anupam Basu","doi":"10.1080/17483107.2025.2539439","DOIUrl":"10.1080/17483107.2025.2539439","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this application is to promote inclusivity in the educational environment by supporting special educators and students with visual disability in accessing, disseminating, and delivering educational resources that are accessible to all learners. This application specifically assists individuals with visual disabilities by transliterating Indian languages such as Bengali, Odia, Hindi, English, and Telugu into braille scripts, thereby enhancing access to educational content in native languages.</p><p><strong>Methods: </strong>The Android application was developed using Android Studio, with Java as the primary programming language and XML for designing the user interface. Audio functionality is supported through Automatic Speech Recognition (ASR), enabling voice-based interactions. The application offers a variety of input and interaction modes, including text input, audio based navigation, multilingual voice commands, gesture based controls, and compatibility with braille embossers. This design supports a multimodal, interactive accessibility framework that integrates input, processing, and output components. To evaluate the application's usability and accessibility, an initial round of unit testing was conducted, followed by feedback from special educators, students with visual disabilities, and researchers. Their insights were instrumental in validating the application's effectiveness and its relevance in the field of assistive technology.</p><p><strong>Impact: </strong>The android application serves as an affordable tool for individuals with visual disabilities, enabling access to educational materials in native languages and supporting braille learning. It empowers users to independently engage with educational content, thereby enhancing information access and promoting literacy and educational inclusion.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2392-2406"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974284","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}
Rafael E A Muchaxo, Carla F J Nooijen, Lucas H V van der Woude, Thomas W J Janssen, Sonja de Groot
{"title":"Is handcycling performance affected by hand function impairment? A cross-sectional study on paracycling classification.","authors":"Rafael E A Muchaxo, Carla F J Nooijen, Lucas H V van der Woude, Thomas W J Janssen, Sonja de Groot","doi":"10.1080/17483107.2025.2492369","DOIUrl":"10.1080/17483107.2025.2492369","url":null,"abstract":"<p><strong>Purpose: </strong>Athletes with hand function impairment are eligible to compete in handcycling using assistive technology designed to compensate for their reduced grip strength. However, there is no evidence suggesting that these athletes perform similarly to their peers without such impairments. This study examined the impact of three simulated hand function impairments on handcycling performance in non-disabled novices.</p><p><strong>Materials and methods: </strong>Fourteen non-disabled individuals voluntarily participated in four measurement sessions using a standard handbike. Different hand function levels were simulated in the four sessions (no impairment and three simulated conditions: asymmetry, finger, and wrist impairments) using strapping and gloves to enable cyclic motion. Each session included two 4-minute submaximal handcycling tests (at 30 W and 45 W) and one 20-second isokinetic sprint. Repeated measures ANOVA was used to analyze differences among the hand function conditions in oxygen uptake (VO<sub>2</sub>sub) during submaximal tests and peak and mean power output (PO (W)) during the sprints.</p><p><strong>Results: </strong>No significant differences in VO<sub>2</sub>sub were observed across the four conditions. During the sprint, participants achieved higher peak PO without impairments compared to the simulated impairments, with values 14-17% higher (<i>p</i> < 0.01). However, no significant differences were found in mean PO, which was 5-9% higher without impairments but did not reach statistical significance (<i>p</i> ≥ 0.05).</p><p><strong>Conclusion: </strong>The results suggest that individuals without hand function impairments may have an advantage over their peers with impairments during maximal efforts but not during submaximal efforts. However, these findings need to be validated in handcycling athletes.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2016-2024"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024811","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 well-being in later life: the interplay of mobility limitation, psychological adaptation, and assistive technology.","authors":"Tai-Te Su, Shannon T Mejía","doi":"10.1080/17483107.2025.2494659","DOIUrl":"10.1080/17483107.2025.2494659","url":null,"abstract":"<p><p><b>Purpose:</b> The experience of mobility limitations can compromise well-being in older adulthood. This study aimed to investigate the psychological mechanisms through which mobility limitations affect well-being and to evaluate how assistive technology might support these underlying processes among older adults.</p><p><p><b>Materials and methods:</b> Using data from the 2015-2017 rounds of the National Health and Aging Trends Study (<i>N</i> = 5,091), we conducted mediation analysis to determine if dispositional tenacity and flexibility in 2016 linked mobility limitations in 2015 to well-being in 2017. Moderation analysis evaluated whether assistive technology use in 2015 supported tenacity and flexibility in the subsequent year.</p><p><p><b>Results:</b> In 2015, 693 (13.6%) and 685 (13.5%) older adults reported mobility limitations when going outside and getting around inside, respectively. Mobility limitations had negative direct and indirect associations with well-being through pathways of reduced dispositional tenacity and flexibility. In the context of going outside, assistive technology use mitigated the impact of mobility limitation and supported the dual processes of tenacity and flexibility. However, for getting around inside, assistive technology use was associated with reduced dispositional tenacity and flexibility and further exacerbated the negative impact of mobility limitation.</p><p><p><b>Conclusions:</b> This study highlights the psychological mechanisms that connect mobility limitations to well-being. Findings suggest that deploying tailored assistive technology may protect older adults' well-being by supporting their psychological adaptation to age-related challenges.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2221-2233"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015936","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}
Maria Gabriela Lima Agustinho, Tatiane Franciele de Almeida, Vanessa Luisa Destro Fidêncio
{"title":"The first hearing aid: are there differences in the expectations of patients treated in the public and private healthcare systems?","authors":"Maria Gabriela Lima Agustinho, Tatiane Franciele de Almeida, Vanessa Luisa Destro Fidêncio","doi":"10.1080/17483107.2025.2503907","DOIUrl":"10.1080/17483107.2025.2503907","url":null,"abstract":"<p><strong>Introduction: </strong>One of the treatments for hearing loss (HL) is the use of a Hearing Aid (HA). Evaluating expectations regarding the use of HA provides a broader perspective on HL and allows for the planning and implementation of effective rehabilitation strategies.</p><p><strong>Objective: </strong>To assess and compare the expectations of adults and older adults treated in public and private healthcare services regarding the use of HA.</p><p><strong>Materials and methods: </strong>This study included 50 patients with HL, with 25 attended in a public health service, and 25 attended in a private service. Participants answered the <i>Expected Consequences of Hearing Aid Ownership</i> (ECHO).</p><p><strong>Results: </strong>Candidates for HA use exhibited higher expectations regarding Positive Effect, that is, the benefits the device can provide in daily life. In the public service, older patients had higher expectations regarding personal image. In the private healthcare service, a significant positive correlation was observed between the Personal Image subscale and the individual's level of education.</p><p><strong>Conclusion: </strong>It can be concluded that expectations regarding hearing aid use were associated with healthcare service type, age, and education level.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2522-2531"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034597","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}
Anna Legue, Dana Vanderburgh, Brynn Seigel, Tony Chase
{"title":"Fueling Life on Wheels (FLOW) - a single-subject study on the effects of a dance program on the self-esteem and confidence of pediatric manual wheelchair users.","authors":"Anna Legue, Dana Vanderburgh, Brynn Seigel, Tony Chase","doi":"10.1080/17483107.2025.2526170","DOIUrl":"10.1080/17483107.2025.2526170","url":null,"abstract":"<p><strong>Purpose: </strong>The pilot Fueling Life on Wheels program was developed to engage pediatric manual wheelchair users in the joy that is the art of dance. This study tests the hypothesis that a dance program will further increase self-esteem and confidence in pediatric manual wheelchair users.</p><p><strong>Materials and methods: </strong>Professional dance choreographers and occupational therapy doctoral students worked together to provide a 5-night series of dance class activities for children who are wheelchair users. The Rosenberg Self-Esteem Scale, Coopersmith Self-Esteem Inventory, and Pediatric Wheelchair-User Fear of Falling Scale measured participants' self-esteem as well as confidence and ability to complete wheelchair skills. Semi-structured, caregiver interviews were also conducted.</p><p><strong>Results: </strong>The study resulted in increases in self-esteem for both participants. Participants noted either a decrease or no change in fear of falling out of their chair. The caregiver interviews denoted overall program satisfaction which is a crucial component of the program.</p><p><strong>Conclusion: </strong>Limited sample sizes for this pilot study allowed for a multiple single subject design. Though larger studies are warranted, the program demonstrated a positive influence on the participants and developed pragmatic data for future iterations.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"2160-2172"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561524","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}