Assistive TechnologyPub Date : 2024-01-02Epub Date: 2023-05-31DOI: 10.1080/10400435.2023.2205490
Yangha Hank Han, Mahya Beheshti, Blake Jones, Todd E Hudson, William H Seiple, John-Ross Jr Rizzo
{"title":"Wearables for persons with blindness and low vision: form factor matters.","authors":"Yangha Hank Han, Mahya Beheshti, Blake Jones, Todd E Hudson, William H Seiple, John-Ross Jr Rizzo","doi":"10.1080/10400435.2023.2205490","DOIUrl":"10.1080/10400435.2023.2205490","url":null,"abstract":"<p><p>Based on statistics from the WHO and the International Agency for the Prevention of Blindness, an estimated 43.3 million people have blindness and 295 million have moderate and severe vision impairment globally as of 2020, statistics expected to increase to 61 million and 474 million respectively by 2050, staggering numbers. Blindness and low vision (BLV) stultify many activities of daily living, as sight is beneficial to most functional tasks. Assistive technologies for persons with blindness and low vision (pBLV) consist of a wide range of aids that work in some way to enhance one's functioning and support independence. Although handheld and head-mounted approaches have been primary foci when building new platforms or devices to support function and mobility, this perspective reviews potential shortcomings of these form factors or embodiments and posits that a body-centered approach may overcome many of these limitations.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"60-63"},"PeriodicalIF":2.5,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9536709","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 : 2024-01-02Epub Date: 2023-06-26DOI: 10.1080/10400435.2023.2213742
Julie Faieta, Julie Bourassa, Krista Best
{"title":"Refinement of Health App Review Tool (HART) through stakeholder interviews: HART 2.0.","authors":"Julie Faieta, Julie Bourassa, Krista Best","doi":"10.1080/10400435.2023.2213742","DOIUrl":"10.1080/10400435.2023.2213742","url":null,"abstract":"<p><p>The Health App Review Tool (HART) is a novel assessment designed to match users with Alzheimer's disease or related dementias (ADRD) and caregivers to mobile applications that support health and wellness. The objectives of this study were to gather stakeholder feedback on the HART and then to implement revisions. Thirteen participants completed in-depth Think Aloud interviews. Participants shared qualitative feedback on each HART item. Participant feedback was analyzed via in-depth video-audio review. Feedback was implemented as actionable HART revisions. On average, the majority of participants rated items as \"adequate\"; however, qualitative findings indicated the need for improvement in conciseness, clarity, and understandability. Conciseness was addressed by combining related concepts into multi-items, clarity through the addition of specific examples, and understandability through improved verbiage. The HART has been refined from 106 items to 17 items through extensive revisions to the clarity, conciseness, and explanations provided throughout the assessment.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"75-81"},"PeriodicalIF":1.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692274","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":"Multimodal job interview simulator for training of autistic individuals.","authors":"Deeksha Adiani, Michael Breen, Miroslava Migovich, Joshua Wade, Spencer Hunt, Mahrukh Tauseef, Nibraas Khan, Kelley Colopietro, Megan Lanthier, Amy Swanson, Timothy J Vogus, Nilanjan Sarkar","doi":"10.1080/10400435.2023.2188907","DOIUrl":"10.1080/10400435.2023.2188907","url":null,"abstract":"<p><p>Autistic individuals face difficulties in finding and maintaining employment, and studies have shown that the job interview is often a significant barrier to obtaining employment. Prior computer-based job interview training interventions for autistic individuals have been associated with better interview outcomes. These previous interventions, however, do not leverage the use of multimodal data that could give insight into the emotional underpinnings of autistic individuals' challenges in job interviews. In this article, the authors present the design of a novel multimodal job interview training platform called CIRVR that simulates job interviews through spoken interaction and collects eye gaze, facial expressions, and physiological responses of the participants to understand their stress response and their affective state. Results from a feasibility study with 23 autistic participants who interacted with CIRVR are presented. In addition, qualitative feedback was gathered from stakeholders on visualizations of data on CIRVR's visualization tool called the Dashboard. The data gathered indicate the potential of CIRVR along with the Dashboard to be used in the creation of individualized job interview training of autistic individuals.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"22-39"},"PeriodicalIF":1.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9399738","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}
Katsutoshi Oe, M. Nakashige, Ryota Shibusawa, Kurt Manal, Bryan Misialek, Benjamin Li, PJ Jenks, Benjamin Gillette, Ira Lockwood, Nolwenn Lapierre, Caroline Huet-Fiola, Dylane Labrie, Émilie Vincent-Blouin, Claudie Côté, Nathalie Rhéaume, Jacques Laberge, Krista L. Best, François Routhier, N. Sebkhi, Arpan Bhavsar, Omer Inan, Georgia Tech, Hongwu Wang, R. Chandrashekhar, S. Benham, Brianna Milstrey, Jordan Stemple, Jennifer Davis, Derek Scatena, Jeffrey Bush, Katelyn Amy, Michelle Silverman, Erik Johnson, Lilly Hamlin, Hardin-Baylor, Hanna M Noyce, Emily M Olejniczak, V. Raychoudhury, Roger Smith, M. Manary, Kyle J. Boyle, Nichole R. Orton, Brian J. Eby, Jennifer Bishop, Jingwen Hu, Kathleen D. Klinich, Sevanth Gajula, A. Sravanthi, Rohith Sirpa, Firdaus A Indradhirmaya, Andi Saptono, A. Fairman, Lindsey L Morris, Nia Monteiro
{"title":"2023 RESNA conference: move to the BeAT of innovation","authors":"Katsutoshi Oe, M. Nakashige, Ryota Shibusawa, Kurt Manal, Bryan Misialek, Benjamin Li, PJ Jenks, Benjamin Gillette, Ira Lockwood, Nolwenn Lapierre, Caroline Huet-Fiola, Dylane Labrie, Émilie Vincent-Blouin, Claudie Côté, Nathalie Rhéaume, Jacques Laberge, Krista L. Best, François Routhier, N. Sebkhi, Arpan Bhavsar, Omer Inan, Georgia Tech, Hongwu Wang, R. Chandrashekhar, S. Benham, Brianna Milstrey, Jordan Stemple, Jennifer Davis, Derek Scatena, Jeffrey Bush, Katelyn Amy, Michelle Silverman, Erik Johnson, Lilly Hamlin, Hardin-Baylor, Hanna M Noyce, Emily M Olejniczak, V. Raychoudhury, Roger Smith, M. Manary, Kyle J. Boyle, Nichole R. Orton, Brian J. Eby, Jennifer Bishop, Jingwen Hu, Kathleen D. Klinich, Sevanth Gajula, A. Sravanthi, Rohith Sirpa, Firdaus A Indradhirmaya, Andi Saptono, A. Fairman, Lindsey L Morris, Nia Monteiro","doi":"10.1080/10400435.2024.2273169","DOIUrl":"https://doi.org/10.1080/10400435.2024.2273169","url":null,"abstract":",","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":"27 5","pages":"82 - 98"},"PeriodicalIF":1.8,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006084","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 : 2023-11-02Epub Date: 2022-10-04DOI: 10.1080/10400435.2022.2121324
Benjamin C Conner, Alyssa M Spomer, Katherine M Steele, Zachary F Lerner
{"title":"Factors influencing neuromuscular responses to gait training with a robotic ankle exoskeleton in cerebral palsy.","authors":"Benjamin C Conner, Alyssa M Spomer, Katherine M Steele, Zachary F Lerner","doi":"10.1080/10400435.2022.2121324","DOIUrl":"10.1080/10400435.2022.2121324","url":null,"abstract":"<p><p>A current limitation in the development of robotic gait training interventions is understanding the factors that predict responses to treatment. The purpose of this study was to explore the application of an interpretable machine learning method, Bayesian Additive Regression Trees (BART), to identify factors influencing neuromuscular responses to a resistive ankle exoskeleton in individuals with cerebral palsy (CP). Eight individuals with CP (GMFCS levels I - III, ages 12-18 years) walked with a resistive ankle exoskeleton over seven visits while we measured soleus activation. A BART model was developed using a predictor set of kinematic, device, study, and participant metrics that were hypothesized to influence soleus activation. The model (<i>R</i><sup><i>2</i></sup> = 0.94) found that kinematics had the largest influence on soleus activation, but the magnitude of exoskeleton resistance, amount of gait training practice with the device, and participant-level parameters also had substantial effects. To optimize neuromuscular engagement during exoskeleton training in individuals with CP, our analysis highlights the importance of monitoring the user's kinematic response, in particular, peak stance phase hip flexion and ankle dorsiflexion. We demonstrate the utility of machine learning techniques for enhancing our understanding of robotic gait training outcomes, seeking to improve the efficacy of future interventions.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"463-470"},"PeriodicalIF":2.5,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9266305","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 : 2023-11-02Epub Date: 2023-10-26DOI: 10.1080/10400435.2023.2271290
Emma M Smith
{"title":"Ethics and assistive technology: what are we missing?","authors":"Emma M Smith","doi":"10.1080/10400435.2023.2271290","DOIUrl":"10.1080/10400435.2023.2271290","url":null,"abstract":"","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"461-462"},"PeriodicalIF":1.8,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41219812","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 : 2023-11-02Epub Date: 2023-01-26DOI: 10.1080/10400435.2022.2161669
Josiane Lettre, François Routhier, Edward M Giesbrecht, Mohamed-Amine Choukou, William C Miller, Philippe S Archambault
{"title":"Clinical stakeholders' perspective for the integration of an immersive wheelchair simulator as a clinical tool for powered wheelchair training.","authors":"Josiane Lettre, François Routhier, Edward M Giesbrecht, Mohamed-Amine Choukou, William C Miller, Philippe S Archambault","doi":"10.1080/10400435.2022.2161669","DOIUrl":"10.1080/10400435.2022.2161669","url":null,"abstract":"<p><p>This study aimed to investigate clinical stakeholders' acceptance of an immersive wheelchair simulator as a potential powered wheelchair skills training tool. Focus groups, conducted in four rehabilitation centers, were used to obtain a rich understanding of participants' experiences and beliefs. Then, a cross-sectional survey of the simulator acceptability for clinical practice was created. Twenty-three rehabilitation therapists and clinical program directors participated in the focus groups and thirty-three responded to the survey. Participants generally expressed that use of the simulator would be complementary to training in an actual powered wheelchair, and that it could be useful for challenging situations in rehabilitation centers (e.g. anxious clients; when there is uncertainty around their potential to drive a powered wheelchair; tasks that cannot be assessed in a real-life environment). They also provided suggestions to improve the simulator (e.g. more feedback during tasks; possibility of adjusting control settings such as speed and sensitivity; possibility of adding varied control interfaces). Feedback received from key stakeholders clearly indicated that the wheelchair simulator would be complementary to training provided in a real context of use. However, some important limitations must be addressed to improve the simulator and promote its adoption by clinical programs, therapists and clients.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"497-505"},"PeriodicalIF":1.8,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9191212","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 : 2023-11-02Epub Date: 2023-02-28DOI: 10.1080/10400435.2023.2177774
Justin Huber, Stacey Slone, Babak Bazrgari
{"title":"An evaluation of 3D printable elastics for post stroke dynamic hand bracing: a pilot study.","authors":"Justin Huber, Stacey Slone, Babak Bazrgari","doi":"10.1080/10400435.2023.2177774","DOIUrl":"10.1080/10400435.2023.2177774","url":null,"abstract":"<p><p>The rise of 3D printing allows unprecedented customization of rehabilitation devices, and with an ever-expanding library of 3D printable (3DP) materials, the spectrum of attenable rehabilitation devices is likewise expanding. The current pilot study explores feasibility of using 3DP elastic materials to create dynamic hand orthoses for stroke survivors. A dynamic orthosis featuring a replaceable finger component was fabricated using 3DP elastic materials. Duplicates of the finger component were printed using different materials ranging from low stiffness (low elastic modulus) to relatively high stiffness (high elastic modulus). Five stroke survivors with predominantly moderate hand impairment were recruited to evaluate usability and impact of orthoses on upper extremity function and biomechanics. No significant differences in usability were found between 3D-printed orthoses and a commercial orthosis. Increases in stiffness of the 3DP material reduced pincer force (<i>p</i> = .0041) and the BBT score (<i>p</i> = .043). In comparison, the commercial orthosis did not reduce pincer force but may reduce BBT score to a degree that is clinically significant (<i>p</i> = .0002). While preliminary, these findings suggest that a dynamic orthosis is a feasible clinical application of 3DP elastic materials, and future study is warranted.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"513-522"},"PeriodicalIF":2.5,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10100438","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 : 2023-11-02Epub Date: 2023-03-02DOI: 10.1080/10400435.2022.2138634
Bettina Sommer, Carole Pauli, Michael McCaskey, Frank Behrendt, Corina Schuster-Amft, Eveline S Graf
{"title":"Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain.","authors":"Bettina Sommer, Carole Pauli, Michael McCaskey, Frank Behrendt, Corina Schuster-Amft, Eveline S Graf","doi":"10.1080/10400435.2022.2138634","DOIUrl":"10.1080/10400435.2022.2138634","url":null,"abstract":"<p><p>Physical activity, particularly walking, is commonly used for the treatment of diseases such as low back pain. In this study, the effects of walking wearing the new ToneFit Reha training belt (TFR) were compared to both Nordic walking and regular walking. The TFR is intended to intensify the effects of walking through the integration of two adjustable resistance handles. Ten patients with low back pain performed regular walking, Nordic walking, and walking with the TFR in a movement laboratory. The kinematics of the trunk, upper extremities, and lower extremities were measured, and the activity of the trunk and upper extremity muscles recorded. Data were analyzed by repeated-measures ANOVA and paired t-test. Kinematics indicated that walking with the TFR introduces instability that was mitigated by a delayed peak trunk rotation (peak at 63.3% gait cycle, vs. 52.8% in walking (<i>p</i> = .001) and 51.0% in NW (<i>p</i> = .007)). Upper extremity kinematics (constrained elbow flexion, high peak shoulder abduction) showed movement patterns that need to be considered when training over a longer period. Increased muscle activity was observed especially for upper extremity muscles, when training with TFR. Overall, walking with the TFR was found to be a suitable therapy for use in a rehabilitation setting.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"477-486"},"PeriodicalIF":1.8,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10814679","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":"Engaging in a home-based exercise program: a mixed-methods approach to identify motivators and barriers for individuals with stroke.","authors":"Sutanuka Bhattacharjya, Isabelle Linares, Jeanne Langan, Wenyao Xu, Heamchand Subryan, Lora Anne Cavuoto","doi":"10.1080/10400435.2022.2151663","DOIUrl":"10.1080/10400435.2022.2151663","url":null,"abstract":"<p><p>Community-dwelling individuals with chronic stroke used a novel, portable rehabilitation system, mRehab, that uses a smartphone app coupled with 3D printed objects resembling daily use items. The objectives of this study include evaluating participant's approach and nature of engagement with mRehab and identifying factors that influenced the users' engagement with mRehab. An explanatory mixed-method approach was used. In the first phase, 16 participants used mRehab at home for six weeks; six participants were recruited from the first phase for in-depth interviews. Participants were categorized into High, Moderate, and Low Frequency groups based on their frequency of mRehab use. High frequency of use was not related to improved performance on clinical assessments; instead, High Frequency users more commonly initiated performance of new activities after the mRehab program compared to participants with lower frequency of use. Useful activities that are challenging and meaningful to the participants, and availability of objective feedback for self-monitoring were some of the motivators for mRehab use. Difficulty with time management, lack of caregiver availability, and difficulties with the design of the system posed as barriers to mRehab use. Tailoring home programs to the recipients' needs including perceived meaningfulness of the activities is key for long-term rehabilitation.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"487-496"},"PeriodicalIF":2.5,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10098389","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}
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