Assistive TechnologyPub Date : 2024-07-03Epub Date: 2023-10-05DOI: 10.1080/10400435.2023.2260860
Szu-Han Kay Chen, Conner Saeli, Gang Hu
{"title":"A proof-of-concept study for automatic speech recognition to transcribe AAC speakers' speech from high-technology AAC systems.","authors":"Szu-Han Kay Chen, Conner Saeli, Gang Hu","doi":"10.1080/10400435.2023.2260860","DOIUrl":"10.1080/10400435.2023.2260860","url":null,"abstract":"<p><p>Automatic speech recognition (ASR) is an emerging technology that has been used in recognizing non-typical speech of people with speech impairment and enhancing the language sample transcription process in communication sciences and disorders. However, the feasibility of using ASR for recognizing speech samples from high-tech Augmentative and Alternative Communication (AAC) systems has not been investigated. This proof-of-concept paper aims to investigate the feasibility of using AAC-ASR to transcribe language samples generated by high-tech AAC systems and compares the recognition accuracy of two published ASR models: CMU Sphinx and Google Speech-to-text. An AAC-ASR model was developed that transcribes simulated AAC speaker language samples. The AAC-ASR model's word error rate (WER) was compared with those of CMU Sphinx and Google Speech-to-text. The WER of the AAC-ASR model outperformed (28.6%) compared with CMU Sphinx and Google when tested on the testing files (70.7% and 86.2% retrospectively). Our results demonstrate the feasibility of using the ASR model to automatically transcribe high-technology AAC-simulated language samples to support language sample analysis. Future steps will focus on developing the model with diverse AAC speech training datasets and understanding the speech patterns of individual AAC users to refine the AAC-ASR model.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"319-326"},"PeriodicalIF":2.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165123","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 : 2024-07-03Epub Date: 2023-12-11DOI: 10.1080/10400435.2023.2283461
Roslyn W Livingstone, Ginny S Paleg, Debra A Field
{"title":"Supported standing and stepping device use in young children with cerebral palsy, gross motor function classification system III, IV and V: A descriptive study.","authors":"Roslyn W Livingstone, Ginny S Paleg, Debra A Field","doi":"10.1080/10400435.2023.2283461","DOIUrl":"10.1080/10400435.2023.2283461","url":null,"abstract":"<p><p>This study described and compared use of supported-standing and stepping devices by young children with cerebral palsy, Gross-Motor Function Classification System (GMFCS) levels III-V following power mobility introduction. Data was collected at two time-points, 5-6 months apart, for 42 participants, aged 18-80 months, using the Home Use of Technology for CHildren (HUTCH). Supported-standing and stepping device choice and time in each device remained stable over 6 months. Associations between device use and three functional classifications were examined. Children with more impaired motor, postural and manual abilities were more likely to use a supine stander rather than a prone/upright stander or no stander. Children at GMFCS V tended to use hands-free stepping devices, while support-arms stepping devices were more common for children at GMFCS IV. Only children at GMFCS III used convertible stepping devices. Using power mobility, standers and supported-stepping devices was feasible and 19/34 classified at GMFCS IV/V used all three devices over 6 months. A key finding was that introduction of power mobility did not reduce use of supported-stepping devices at any GMFCS level. Use of multiple upright positioning and mobility devices may assist children with limited mobility to be actively engaged and participate in daily life.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"264-274"},"PeriodicalIF":2.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138177966","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":"Kinematic analysis of preparation for transferring from wheelchair to bed.","authors":"Hikaru Kondo, Soichiro Koyama, Yohei Otaka, Nobuhiro Kumazawa, Shotaro Furuzawa, Yoshikiyo Kanada, Shigeo Tanabe","doi":"10.1080/10400435.2024.2315410","DOIUrl":"10.1080/10400435.2024.2315410","url":null,"abstract":"<p><p>This study aimed to clarify the kinematics, particularly of the shoulder and hip joints, during preparation for manual wheelchair-to-bed transfer (i.e. when flipping up the arm and foot supports). This cross-sectional study included 32 able-bodied individuals. The kinematics of the shoulder and hip joints when the arm and foot supports were flipped up of manual wheelchair, were evaluated using a markerless inertial sensor-based motion capture system. We found that flipping the arm support upwards involved a large amount of abduction, internal and external rotation, flexion, and extension at the shoulder joint, whereas flipping the foot support upwards involved a large amount of flexion at the hip joint. The findings suggest that it is necessary to consider the range of motion required to flip up the arm and foot supports of manual wheelchairs, particularly in those with limited shoulder and hip range of motion such as older people, neuromuscular disorders, and orthopedic disorders.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"309-318"},"PeriodicalIF":2.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040830","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 : 2024-07-03Epub Date: 2024-02-21DOI: 10.1080/10400435.2024.2315412
Medine Nur Özata Değerli, Sedef Şahİn, Onur Altuntaş, Mine Uyanık, Adem Ali Yılmaz, Ali Yaşar Yiğit, Alaettin Uçan, I Lyas Yapar
{"title":"The effect of CLOSER-computer-based exercise program in older adults with a history of falls: A pilot study.","authors":"Medine Nur Özata Değerli, Sedef Şahİn, Onur Altuntaş, Mine Uyanık, Adem Ali Yılmaz, Ali Yaşar Yiğit, Alaettin Uçan, I Lyas Yapar","doi":"10.1080/10400435.2024.2315412","DOIUrl":"10.1080/10400435.2024.2315412","url":null,"abstract":"<p><p>CLOSER is a computer-based exercise program that aims to improve older adults' health, fitness and social lives. This pilot study aimed to examine the effect of CLOSER, the first computer-based exercise program developed for older adults on a national scale, on those with a history of falls. Forty-eight older adults (71.33 ± 7.47) with a history of falling at least once in the last year were included in the study. Older adults performed CLOSER exercises for (balance maintenance, neck rotation, rhythmic walking, knee flexion and trunk rotation) 2 sessions per week for eight weeks. All individuals were evaluated at baseline and the end of the eighth week. The primary outcome measures were the 30-s Chair-Stand Test (<i>p</i> = 0.002), the Berg Balance Scale (<i>p</i> = 0.002), the Falls Efficacy Scale International (<i>p</i> = 0.003), the Timed Up and Go Test (<i>p</i> = 0.008) and the motivation level (<i>p</i> = 0.007) statistically significant improvements were observed. The results show that a CLOSER-computer-based exercise program effectively increases balance and reduces the risk and fear of falling. In the future, CLOSER could significantly contribute to the healthcare system as an alternative aid for home-based exercise.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"302-308"},"PeriodicalIF":2.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914021","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":"Application of remodeled glove puppetry for children with developmental disabilities: A randomized controlled trial.","authors":"Chia Ching Lai, Hsieh-Chun Hsieh, Wai-Keung Lee, Chien-Heng Lin, Hung-Yu Lin","doi":"10.1080/10400435.2023.2267626","DOIUrl":"10.1080/10400435.2023.2267626","url":null,"abstract":"<p><p>This study aimed to improve hand performance and play behavior in children with developmental disabilities (DD) using a remodeled glove puppetry approach. Overall, 62 children with DD were randomly assigned to experimental and control groups (<i>n</i> = 31 each). The experimental group underwent a 12-week rehabilitation program by playing with the remodeled glove puppetry, while the children in the control group played with non-remodeled glove puppetry. The Chinese puppet was remodeled using a Lego EV3® robot. Hand kinematics were analyzed through the Siliconcoach® Pro 7 software, which measured the force produced by the baseline ® hydraulic pinch gauge. Play behavior was measured using the Knox Preschool Play Scale-revised (KPPS-r). The experimental group exhibited significant improvements compared to the control group in hand kinematics (wrist range of motion [ROM], <i>p</i> < .05; metacarpophalangeal ROM, <i>p</i> < .05; proximal interphalangeal ROM, <i>p</i> < .05) and KPPS-r scores (space management, <i>p</i> < .05; material management, <i>p</i> < .05; pretense-symbolic, <i>p</i> < .05; participation, <i>p</i> < .05). After the 12-week rehabilitation with the remodeled glove puppetry, the experimental group exhibited significant improvement in kinematics and KPPS-r scores.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"256-263"},"PeriodicalIF":2.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163409","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 : 2024-07-03Epub Date: 2024-06-24DOI: 10.1080/10400435.2024.2367394
Emma M Smith
{"title":"Appropriate assistive technology for all: Celebrating progress and acknowledging the gaps.","authors":"Emma M Smith","doi":"10.1080/10400435.2024.2367394","DOIUrl":"10.1080/10400435.2024.2367394","url":null,"abstract":"","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":"36 4","pages":"255"},"PeriodicalIF":2.5,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447547","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":"Assistive devices non-use, abandonment, or non-adherence? Toward standard terminology for assistive devices outcomes.","authors":"Alhadi M Jahan, Paulette Guitard, Jeffrey W Jutai","doi":"10.1080/10400435.2024.2362139","DOIUrl":"https://doi.org/10.1080/10400435.2024.2362139","url":null,"abstract":"<p><p>For individuals with disabilities, failure to use prescribed assistive technology devices (ATDs) according to professional recommendations can have detrimental health consequences. The literature has employed various terms to describe this phenomenon such as nonuse, abandonment, and non-adherence to characterize this behavior, lacking clear and standardized definitions. Consistent use of a standardized language is critical for advancing research in this area. This study aims to identify and describe the concepts related to the failure to use prescribed ATDs, along with the associated contexts, and proposes a framework for standardizing terminology in this domain. A narrative literature review encompassing studies from inception to June 2023 was conducted to elucidate these concepts. Out of 1029 initially identified articles, 27 were retained for in-depth analysis. The review unveiled a significant inconsistency in the use of terms like nonuse, abandonment, noncompliance, and non-adherence. Some articles even employed these terms interchangeably without clear definitions. Only 10 of the 27 reviewed articles provided definitions for the terminology they used. This highlights the crucial need for adopting valid conceptual models to select appropriate terms. Researchers are strongly encouraged to furnish operational definitions aligned with theoretical models and relevant to their research context to advance this field consistently.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262538","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 : 2024-05-03Epub Date: 2023-10-24DOI: 10.1080/10400435.2023.2267623
Kimberly A Nickerson, Kailey Diaz, Brittney C Muir
{"title":"Circumstances of falls among older adult walker users in long-term care and the associated walker design deficits.","authors":"Kimberly A Nickerson, Kailey Diaz, Brittney C Muir","doi":"10.1080/10400435.2023.2267623","DOIUrl":"10.1080/10400435.2023.2267623","url":null,"abstract":"<p><p>Falls are the leading cause of fatal and non-fatal injuries in older adults. Walkers are often used by and prescribed to this population to reduce fall risk, however, walker users and walker non-users alike experience similar fall incidence rates. The role of walkers in preventing falls is unclear as some studies suggest walkers may be a fall-inciting factor. The purpose of this study was to analyze walker deficits by evaluating the circumstances and causes of falls in older adult walker users residing in long-term care facilities. Videos capturing 34 real-life falls involving wheeled walkers (rollators and two-wheeled walkers) in two retirement facilities were analyzed for 3 themes: walker type, fall direction, and activity at the time of fall. A frequency analysis of these themes was performed to determine common fall mechanisms. The results of this study suggest two-wheeled walker and rollator users most often fall sideways while turning and backward during weight transfer, respectively. Poor maneuverability, lateral stability, and wheel velocity control of the walkers contributed to the falls. Device improvements addressing these areas of deficiency may be necessary to mitigate falls occurring in older adult walker users.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"248-253"},"PeriodicalIF":2.5,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10995100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169123","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 : 2024-05-03Epub Date: 2023-09-12DOI: 10.1080/10400435.2023.2244560
Jibrin Sammani Usman, Rabbilu Salisu, Auwal Abdullahi, Abubakar Tijjani Salihu, Ashiru Hamza Muhammad, Surajo Kamilu Sulaiman, Abdussalam Muhammad Yakasai
{"title":"Assistive Technology utilization among stroke survivors in Kano, Northwest Nigeria: A cross-sectional study.","authors":"Jibrin Sammani Usman, Rabbilu Salisu, Auwal Abdullahi, Abubakar Tijjani Salihu, Ashiru Hamza Muhammad, Surajo Kamilu Sulaiman, Abdussalam Muhammad Yakasai","doi":"10.1080/10400435.2023.2244560","DOIUrl":"10.1080/10400435.2023.2244560","url":null,"abstract":"<p><p>Mobility impairments and participation restrictions are common occurrences post-stroke, which may necessitate the need to utilize Assistive Technology (AT). This study investigated the prevalence, pattern, and satisfaction with AT utilization in stroke survivors (SS). The study was conducted in two hospitals in Kano, Nigeria. The QUBEC user evaluation of satisfaction with AT (QUEST) questionnaire and the Rivermead Mobility Index were used to assess satisfaction with AT utilization and mobility, respectively. Pearson correlation and independent t-test were used to determine the relationship and gender difference among the outcomes, respectively. A total of 280 SS participated; however, only 115 (41.07%) were AT users. The commonly used AT was wheelchair 84 (73%), while the least used was walking frame 3 (2.6%). About two-thirds of the participants were quite or very satisfied with their ATs. The duration of AT utilization is positively related to stroke duration (<i>r</i> = 0.940) but negatively related to mobility level (<i>r </i>= -0.246). There is no significant gender difference in duration and satisfaction with AT utilization. AT like wheelchairs seems uncommonly utilized among SS in Kano, Nigeria, likely due to patients' lack of knowledge of use, economic factors, and culture among others.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"209-216"},"PeriodicalIF":2.5,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589708","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 : 2024-05-03Epub Date: 2023-08-02DOI: 10.1080/10400435.2023.2239555
Kinsey Herrin, Emily Upton, Aaron Young
{"title":"Towards meaningful community ambulation in individuals post stroke through use of a smart hip exoskeleton: A preliminary investigation.","authors":"Kinsey Herrin, Emily Upton, Aaron Young","doi":"10.1080/10400435.2023.2239555","DOIUrl":"10.1080/10400435.2023.2239555","url":null,"abstract":"<p><p>Stroke is the leading cause of long-term disability in the United States, leaving survivors with profound mobility challenges that impact independent community ambulation. Evidence shows assistance at the hip during walking may be beneficial for stroke survivors. In this cross-over design study, we examine the impact of a novel hip exoskeleton on both functional and patient reported outcomes measuring speed, fall risk, gait symmetry, energy expenditure and perceived walking ability during both indoors and outdoors in single and serial counting dual task paradigms. Nine ambulatory stroke survivors with hemiplegia were included. No differences were seen between the exoskeleton and baseline conditions for any outcomes. Only the patient reported outcome in which subjects were asked to rate their ability to walk outdoors approached statistical significance (<i>p</i> = 0.051) with greater improvement reported for the exoskeleton condition. When asked to rate several key factors about the exoskeleton, weight and assistance emerged as primary perceived negative factors of the exoskeleton underscoring the need for improvements to the technology in this area. Despite lack of differences across groups, some individuals responded positively to the exoskeleton for several functional outcomes measured, highlighting the need for additional exploration into the use of personalized hip exoskeletons for post-stroke rehabilitation.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"198-208"},"PeriodicalIF":2.5,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918897","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}