Assistive TechnologyPub Date : 2024-03-03Epub Date: 2023-07-27DOI: 10.1080/10400435.2023.2229879
Robert C Wiederien, Wesley J Gari, Jason M Wilken
{"title":"Effect of crutch and walking-boot use on whole-body angular momentum during gait.","authors":"Robert C Wiederien, Wesley J Gari, Jason M Wilken","doi":"10.1080/10400435.2023.2229879","DOIUrl":"10.1080/10400435.2023.2229879","url":null,"abstract":"<p><p>Crutches are the most prescribed ambulatory assistive device and are used for mobility and maintaining weight-bearing restrictions after injury or surgery. However, standard axillary crutches (SACs) can lead to overuse and other injuries and restrict upper limb movement. Hands-free crutches (HFC) do not restrict upper limb movement but their effect on balance control, with or without commonly prescribed walking boots, is poorly understood. The purpose of this study was to compare the effect of crutch type (SACs vs. HFC) and boot use on whole-body angular momentum (RAM), a measure of balance control. Participant's balance confidence, pain, comfort, and device preference were assessed. Seventeen participants were evaluated while walking without a crutch (NONE), with SACs, and with an HFC, and walked with and without a walking boot in each crutch condition. The gait pattern used with SACs resulted in significantly greater limb angular velocity (<i>p</i> < .05), and an 84% increase in RAM (<i>p</i> < .001) as compared to the HFC. There were no differences between the SAC and HFC for balance confidence, pain, or comfort, however most (71.1%) participants preferred the HFCs. These results suggest that individuals can better control angular momentum with the HFCs and thus may be less susceptible to loss of balance.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"164-172"},"PeriodicalIF":2.5,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10818012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10260946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Assistive TechnologyPub Date : 2024-03-03Epub Date: 2023-07-18DOI: 10.1080/10400435.2023.2229880
Marie-Eve Lamontagne, Alice Pellichero, Vincent Tostain, François Routhier, Véronique Flamand, Alexandre Campeau-Lecours, Francesco Gherardini, Mathieu Thébaud, Pauline Coignard, Willy Allègre
{"title":"The REHAB-LAB model for individualized assistive device co-creation and production.","authors":"Marie-Eve Lamontagne, Alice Pellichero, Vincent Tostain, François Routhier, Véronique Flamand, Alexandre Campeau-Lecours, Francesco Gherardini, Mathieu Thébaud, Pauline Coignard, Willy Allègre","doi":"10.1080/10400435.2023.2229880","DOIUrl":"10.1080/10400435.2023.2229880","url":null,"abstract":"<p><p>Assistive devices are designed to enhance individuals with disabilities' functional abilities. The rise of 3D printing technology enabled the production of individualized assistive devices (IADs). A REHAB-LAB is intended for IAD provision involving technical referents and occupational therapists. This study aimed to develop the REHAB-LAB logic model; to explore its fidelity and desirability; and to explore the characteristics of arising initiatives of IAD production. The REHAB-LAB logic model development involved stakeholders throughout the research process. A pragmatic multimethod approach followed two phases 1) logic model development and 2) exploration of its fidelity and desirability. The REHAB-LAB logic model presented the resources (equipment, space, human) required to implement IAD provision in a rehabilitation center, and the expected deliverables (activities and outputs). The REHAB-LAB logic model highlights the interdisciplinarity of IAD provision including occupational therapists, doctors, engineers, managers, and technical referents and places the users at the center of the IAD production. Results confirmed the fidelity and desirability of the REHAB-LAB logic model. The REHAB-LAB logic model can be used as a reference for future healthcare organizations wishing to implement an IAD provision. This research highlighted the interest of IAD provision based on the REHAB-LAB model involving users and transdisciplinary practices.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"154-163"},"PeriodicalIF":1.8,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190040","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}
Assistive TechnologyPub Date : 2024-03-03Epub Date: 2023-06-26DOI: 10.1080/10400435.2023.2219303
Leila Aflatoony, Jennifer R Dubose, Fangli Song, Herminia Machry, Maureen Burke
{"title":"Exploring the value of multi-sensory aids in co-designing assistive home devices for older adults with cognitive impairment.","authors":"Leila Aflatoony, Jennifer R Dubose, Fangli Song, Herminia Machry, Maureen Burke","doi":"10.1080/10400435.2023.2219303","DOIUrl":"10.1080/10400435.2023.2219303","url":null,"abstract":"<p><p>In this study, we aimed to investigate the benefits of co-design prompts/aids in the development of assistive devices for and with older adults who have cognitive impairment (CI), with the goal of improving their ability to live independently at home. We conducted a series of co-design workshops and utilized eight sets of multi-sensory aids to explore their values and effectiveness in engaging older adults with CI in co-design processes. Our findings revealed that the co-design aids had several benefits, including: (1) increasing the exchange of knowledge and awareness between older adults and designers; (2) eliciting insightful information through multi-sensorial aids, and (3) generating novel assistive design solutions to support seniors' independent living at home. We discuss our findings in relation to the multi-sensorial attributes of co-design aids, which empower older adults with CI to express their opinions and actively participate in co-designing assistive devices that meet their needs/expectations.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"116-122"},"PeriodicalIF":1.8,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9687734","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}
Assistive TechnologyPub Date : 2024-03-03Epub Date: 2023-07-03DOI: 10.1080/10400435.2023.2219294
Sharon Manship, Eleni Hatzidimitriadou, Julia Moore, Maria Stein, Debra Towse, Raymond Smith
{"title":"The experiences and perceptions of health-care professionals regarding assistive technology training: A systematic review.","authors":"Sharon Manship, Eleni Hatzidimitriadou, Julia Moore, Maria Stein, Debra Towse, Raymond Smith","doi":"10.1080/10400435.2023.2219294","DOIUrl":"10.1080/10400435.2023.2219294","url":null,"abstract":"<p><p>Worldwide, there is an increasing demand for assistive technologies (ATs) that can support people to live independently for longer. Health-care professionals (HCPs) often recommend AT devices, however there exists a lack of availability of devices and appropriate training in the field. This systematic review aimed to synthesize the available evidence into the experiences and training needs of HCPs in relation to AT. Six electronic databases were searched without date restrictions: MEDLINE, PsycINFO, SPP, SSCI, CINAHL, and ASSIA. Journal handsearching, searching reference lists of included studies and relevant reviews, and contacting experts in the field of AT were also conducted. Findings were analyzed using narrative synthesis. Data from 7846 participants from 62 studies were synthesized, eliciting perceived challenges in access to and provision of training, resulting in knowledge gaps across disciplines and geographic locations. Mechanisms to mitigate these issues included ongoing support following training and tailoring education to meet individual needs since comprehensive training is essential to maintain and improve competence, knowledge, and confidence. Further research is required to explore the impact and effectiveness of AT training for HCPs to ensure that users of devices are supported to live independent and healthy lives.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"123-146"},"PeriodicalIF":2.5,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9746769","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}
Assistive TechnologyPub Date : 2024-03-03Epub Date: 2024-02-14DOI: 10.1080/10400435.2024.2312784
Emma M Smith
{"title":"Changing the status quo: Evaluating service delivery models to enhance assistive technology provision.","authors":"Emma M Smith","doi":"10.1080/10400435.2024.2312784","DOIUrl":"10.1080/10400435.2024.2312784","url":null,"abstract":"","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":"36 2","pages":"99-100"},"PeriodicalIF":1.8,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731010","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}
Assistive TechnologyPub Date : 2024-03-03Epub Date: 2023-08-22DOI: 10.1080/10400435.2023.2230480
Sean J O'Neill, Sinéad Smyth
{"title":"Using off-the-shelf solutions as assistive technology to support the self-management of academic tasks for autistic university students.","authors":"Sean J O'Neill, Sinéad Smyth","doi":"10.1080/10400435.2023.2230480","DOIUrl":"10.1080/10400435.2023.2230480","url":null,"abstract":"<p><p>Having the skills to self-manage the demands of academic life in third-level education is critical to the successful completion of courses taken there. Independent study behavior is an aspect of university life that pervades all topics but one that requires the self-management of time in relation to study goals. Individuals with additional educational needs, such as autism, often have difficulty self-managing independent study. This may result in students failing to meet the standards required for successful course completion. The current study (<i>n</i> = 2) used a range bound changing criterion design to evaluate the effects of a behavioral intervention that included assistive technology in the form of a smartphone and wearable smartwatch. The intervention aimed to increase the duration of independent study behavior among university students with autism. The intervention combined self-management (goal setting, self-monitoring, self-recording) together with assistive tech. to prompt engagement in, and recording of, independent study behavior. Findings showed the intervention to be effective at increasing independent study duration for autistic adults attending third-level education.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"173-187"},"PeriodicalIF":1.8,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10412456","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}
Assistive TechnologyPub Date : 2024-01-02Epub Date: 2023-05-02DOI: 10.1080/10400435.2023.2202723
Bara'ah Bsharat, Ahmad Al-Duhoun, Parisa Ghanouni
{"title":"The acceptance and attitudes towards using assistive technology for people with stroke in Jordan: caregivers' perspectives.","authors":"Bara'ah Bsharat, Ahmad Al-Duhoun, Parisa Ghanouni","doi":"10.1080/10400435.2023.2202723","DOIUrl":"10.1080/10400435.2023.2202723","url":null,"abstract":"<p><p>The aim of this study is to evaluate the acceptance and attitudes toward assistive technology (AT) for people with stroke from their caregivers' perspectives in Jordan. Also, this study further validates the Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaire. This is a cross-sectional study that includes a three-sections survey: the first section contains demographic data, the second section includes the Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaire, and the third section consists of two optional open-ended questions. Among 123 caregivers of people with stroke over 18 years of age who participated in this study, 23% were male. The findings indicate a moderate to high acceptance of using AT for stroke survivors, confirm the validity and reliability of the UTAUT questionnaire, and clarify novel issues regarding AT based on the caregivers' perspectives.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"40-50"},"PeriodicalIF":1.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9423717","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}
Assistive TechnologyPub Date : 2024-01-02Epub Date: 2023-05-22DOI: 10.1080/10400435.2023.2202696
Rune Thorsen, Denise Cugnod, Marina Ramella, Rosa Converti, Maurizio Ferrarin
{"title":"A parametric 3D printed assistive device for people with cerebral palsy - assessment of outcomes and comparison with a commercial counterpart.","authors":"Rune Thorsen, Denise Cugnod, Marina Ramella, Rosa Converti, Maurizio Ferrarin","doi":"10.1080/10400435.2023.2202696","DOIUrl":"10.1080/10400435.2023.2202696","url":null,"abstract":"<p><p>This paper presents the use of a parametric design platform and 3D printing to create personalized assistive devices (ADs) for individuals with cerebral palsy, specifically a fork/spoon holder. Five subjects participated in the study, each receiving a customized device to fit their dominant hand, and they tested both the 3D printed device and a commercially available one. The devices were evaluated based on functionality and satisfaction using two standard clinical questionnaires (IPPA and QUEST 2.0). The results showed that neither the 3D printed nor the commercial device provided substantial benefits, but the questionnaires provided valuable feedback on areas for improvement. The study highlights the need for highly personalized solutions in ADs, which could be addressed by 3D printing. A configurator for generating production files from a parametric model could facilitate personalization, but a large number of model versions should be available to meet individual needs. Future research could explore clinical evaluations and guide the development of efficient and effective frameworks for digital fabrication in terms of clinically feasible AD model sourcing.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"16-21"},"PeriodicalIF":1.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9503977","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}
Assistive TechnologyPub Date : 2024-01-02Epub Date: 2023-04-28DOI: 10.1080/10400435.2023.2202713
Ruben Debeuf, Maaike Fobelets, Joris Vaneyghen, Ben Naets, Ben Minnaert, Evelien De Wachter, Rik Lambrechts, David Beckwée, Bart Jansen, Catherine Middag, Eva Swinnen
{"title":"Healthcare professionals' perspectives on development of assistive technology using the comprehensive assistive technology model.","authors":"Ruben Debeuf, Maaike Fobelets, Joris Vaneyghen, Ben Naets, Ben Minnaert, Evelien De Wachter, Rik Lambrechts, David Beckwée, Bart Jansen, Catherine Middag, Eva Swinnen","doi":"10.1080/10400435.2023.2202713","DOIUrl":"10.1080/10400435.2023.2202713","url":null,"abstract":"<p><p>The implementation of technology in healthcare shows promising results and provides new opportunities in rehabilitation. However, the adoption of technology into daily care is largely dependent on the acceptance rate of end-users. This study aims to gather information from healthcare professionals on the development of new assistive technology that match users' needs using the Comprehensive Assistive Technology model. In total 27 healthcare professionals (12 occupational therapists, 8 physiotherapists, 3 nurses, 2 allied health directors, a physician and a speech therapist) attended one of four online focus group discussions. These focus group discussions were structured using a question guide based on three predefined scenarios. Recordings were transcribed and data was analyzed using a thematic analysis (NVivo). Major themes identified in this study were safety, price and usability. Healthcare professionals focused on both functional capabilities of the user, as well as behavioral aspects of usability and attitude toward technology. Furthermore, the need for assistive technology that were catered toward the limitations in activity and user experience, was highlighted extensively. Based on information gathered from healthcare professionals a user-centered approach in development of safe, low-cost devices that maximize both functional outcomes and user acceptance, could potentially increase the adoption of new technology in rehabilitation.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"51-59"},"PeriodicalIF":1.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9712209","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}