Bashar Al Qaroot, Mohammad Sobuh, Aws Khanfar, Farah Al-Imyan, Eman Al-Laham, Nasrul Anuar Abd Razak
{"title":"Enhancing static alignment in hyperpronated feet using custom medial and lateral supports in R-AFO: A Pilot study.","authors":"Bashar Al Qaroot, Mohammad Sobuh, Aws Khanfar, Farah Al-Imyan, Eman Al-Laham, Nasrul Anuar Abd Razak","doi":"10.1080/10400435.2025.2562861","DOIUrl":"10.1080/10400435.2025.2562861","url":null,"abstract":"<p><p>The ankle-foot complex plays a vital role in stability and mobility, with its dysfunction leading to gait abnormalities. Rigid ankle-foot orthoses (R-AFOs) are commonly used to address anteroposterior instability, but their effectiveness on static mediolateral alignment, particularly in cases of hyperpronation, remains unclear. This study examines the impact of incorporating medial and lateral supports into R-AFOs on enhancing mediolateral alignment. To assess whether adding medial and lateral supports to R-AFOs improve static mediolateral alignment in individuals with hyperpronation by analyzing changes in the resting calcaneal stance position angle (RCSPA). Nine individuals (mean age 20.56 ± 3.22 years) with flexible hyperpronation were recruited. Adjustable medial and lateral supports (3 mm, 6 mm, 9 mm, and 12 mm) were tested within a R-AFO. RCSPA changes were measured to quantify mediolateral alignment changes and pain levels were recorded. Statistical analysis was conducted using Friedman and Wilcoxon signed-rank tests. Lateral support significantly reduced pronation (Z = -2.561, <i>p</i> = 0.01), with a 6 mm depth providing optimal correction (4.83° reduction). Medial support had minimal impact, and higher depths (9 mm, 12 mm) caused discomfort. Lateral support within R-AFOs effectively enhances mediolateral alignment in individuals with hyperpronation, offering a simple and cost-effective intervention. Further research is needed for clinical validation.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-8"},"PeriodicalIF":2.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132381","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}
Toshiki Kobayashi, Sarah R Chang, Jessica Garries, Jung Kim, Shaghayegh Mirbaha, Sander L Hitzig, Amanda L Mayo, Silvia Raschke, Adam K Arabian, David A Boone
Sangmi Park, Jorge L Candiotti, Yi He, Jordan Cooper, Rosemarie Cooper, Rory A Cooper
{"title":"Physical board game versus digital game: Comparison of game experiences between two types of serious games on community mobility for mobility device users and travel companions.","authors":"Sangmi Park, Jorge L Candiotti, Yi He, Jordan Cooper, Rosemarie Cooper, Rory A Cooper","doi":"10.1080/10400435.2025.2555244","DOIUrl":"10.1080/10400435.2025.2555244","url":null,"abstract":"<p><p>HERL-Town is a game-based training tool designed to educate mobility device users (MDUs) and their travel companions about transportation barriers and compensatory strategies, focusing on decision-making, problem-solving, and wheelchair skills to promote safe, independent community mobility. The game currently offers a validated physical board game and an alternative digital game to suit different training settings. This study aimed to compare the gameplay experience of both games. In this cross-sectional crossover study, 43 MDUs and travel companions completed session 1, in which they were randomized to either a board game or a digital game group. Twenty-nine participants completed session 2, in which they played the other type of game from session 1. Participants rated their game experience after each session using the Model for the Evaluation of Educational Games (MEEGA+) questionnaire. In session 1, the MEEGA+ scores for both games met good-level criteria (board game: 57.10, digital game: 59.30). In session 2, the board game reached excellent-level criteria (77.55), while the digital game stayed at good level (58.15). Findings highlight consistent game quality between the board and digital games, when playing for the first time. The board game's higher quality in session 2 suggests further improvement in the digital game's mechanics.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-8"},"PeriodicalIF":2.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126399","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 technology in current occupational therapy practice.","authors":"Karen Dishman, Blair Carsone, Juliana Bell, Leslie J Hardman, Olivia Fulton","doi":"10.1080/10400435.2025.2555238","DOIUrl":"https://doi.org/10.1080/10400435.2025.2555238","url":null,"abstract":"<p><p>Previous research found that occupational therapy practitioners desired more training in assistive technology. This study provides further evidence on which assistive technology categories should be included in the education of occupational therapists in the United States, based on the practice setting. Participants were recruited through snowball sampling and were included if they were certified occupational therapists practicing in the United States. A quantitative survey method was utilized, and 392 participant responses were captured through Likert-scale, multiple-choice, and ordinal ranking-scale questions. Of the 12 settings included in the study, eight practice settings reported that wheelchair seating and mobility were the most used assistive technology. Regarding the remaining four practice settings, occupational therapists working in early intervention with children aged 0-3 years reported using communication devices; outpatient hand therapy reported home modifications; mental health professionals reported using cognitive aids; and occupational therapists in the school setting reported using technology for learning disabilities. All participants reported that assistive technology is used \"sometimes\" to \"always,\" regardless of setting. The need for occupational therapists to have an established knowledge base in assistive technology is crucial. This study highlights the association between the practice setting and the use and frequency of assistive technology.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-6"},"PeriodicalIF":2.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024772","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}
Drew H Redepenning, Lynn A Worobey, Randall Huzinec, Andy J Wu, Christopher Power, Brad E Dicianno, Chloe S Shearer, Shivaali Maddali, George Tankosich, Dan Ding
{"title":"Facilitators of and barriers to adaptive video gaming participation among individuals with physical disabilities.","authors":"Drew H Redepenning, Lynn A Worobey, Randall Huzinec, Andy J Wu, Christopher Power, Brad E Dicianno, Chloe S Shearer, Shivaali Maddali, George Tankosich, Dan Ding","doi":"10.1080/10400435.2025.2550407","DOIUrl":"https://doi.org/10.1080/10400435.2025.2550407","url":null,"abstract":"<p><p>Participation in leisure and recreational activities has been associated with improvements in quality of life and social relationships for individuals with physical disabilities. The purpose of this study was to determine the most frequent facilitators and barriers that individuals with physical disabilities experience, both when starting with adaptive video gaming and when maintaining participation. A self-administered survey was used to collect data from individuals who currently participate in adaptive gaming and included three sections: (1) Demographic Section, (2) Gamer Habits Section, and (3) Facilitators and Barriers to Adaptive Gaming Section. A total of 256 participants met inclusion criteria and completed the study survey. Family, friends, rehabilitation staff members, social media/YouTube, and peer support were found to play a role in facilitating the initiation of adaptive gaming participation. Common facilitators of adaptive gaming were fun/entertainment, stress relief/relaxation, and prior involvement in video gaming. Barriers to adaptive gaming participation were cost of equipment and difficulties with gameplay. Older age and greater severity of hand impairment were associated with experiencing a higher number of barriers (<i>p</i> < 0.01). Improving funding resources, game accessibility, and access to professional assistance for adaptive gaming may help overcome some of the commonly reported barriers in this study.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-8"},"PeriodicalIF":2.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994082","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}
Konstantinos Papadopoulos, Eleni Koustriava, Elena Chronopoulou, Rafael Molina Carmona, Flavio Manganello, Lisander Isaraj, Vasiliki Giannouli, Theofilos Papadopoulos, José María Fernández Gil
{"title":"Assistive technology for higher education students with disabilities: Knowledge and skills of teaching staff.","authors":"Konstantinos Papadopoulos, Eleni Koustriava, Elena Chronopoulou, Rafael Molina Carmona, Flavio Manganello, Lisander Isaraj, Vasiliki Giannouli, Theofilos Papadopoulos, José María Fernández Gil","doi":"10.1080/10400435.2025.2548564","DOIUrl":"https://doi.org/10.1080/10400435.2025.2548564","url":null,"abstract":"<p><p>The use of assistive technology in education has been shown to enhance academic performance, increase educational engagement, and improve both academic self-efficacy and the social and psychological well-being of students with disabilities. Despite these proven benefits, assistive technology is not always utilized systematically or effectively. Many educators report feeling insufficiently competent in using assistive technology in the classroom, with their knowledge often being limited. This study aimed to assess higher education teaching staff's knowledge of the features of both assistive and mainstream technology (including devices, software, and apps), as well as their experience in using them. A total of 131 teaching staff members from Italy, Germany, Spain, and Greece participated in the study by completing a questionnaire that included items related to both types of technology. The results indicated that staff members were far more familiar with mainstream technology than with assistive technology, and their knowledge and experience with the latter were limited. Age and prior training emerged as significant predictors of both knowledge and use of assistive technology. Notably, the study highlighted specific types of assistive technology that were more familiar to higher education teaching staff.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-7"},"PeriodicalIF":2.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993735","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}
Reinhard Claeys, Elissa Embrechts, Ruben Debeuf, Mahyar Firouzi, Aikaterini Bourazeri, Sylvie De Raedt, Charlotte Moeyersons, Benjamin Filtjens, Tom Verstraten, David Beckwée, Eva Swinnen
{"title":"Toward better assistive lower-limb exoskeletons: Insights from stroke survivors through co-design.","authors":"Reinhard Claeys, Elissa Embrechts, Ruben Debeuf, Mahyar Firouzi, Aikaterini Bourazeri, Sylvie De Raedt, Charlotte Moeyersons, Benjamin Filtjens, Tom Verstraten, David Beckwée, Eva Swinnen","doi":"10.1080/10400435.2025.2541730","DOIUrl":"https://doi.org/10.1080/10400435.2025.2541730","url":null,"abstract":"<p><p>Assistive lower-limb exoskeletons (LLEs) have been recognized as promising tools for enhancing physical capacity in stroke survivors. Involving end-users in the early development stages is essential to ensure these technologies meet user needs. Co-design approaches, which actively engage end-users, support this goal. This study aims to (1) evaluate the impact of fatigue on daily living, (2) identify activities that could benefit from LLE assistance, (3) outline design and usability requirements for home-based LLEs, and (4) define physical parameters LLEs should monitor and assess. Discussions were structured using the PERCEPT co-design methodology and thematically analyzed. Four chronic stroke survivors participated in three focus group sessions, each lasting approximately 2 hours. Fatigue was identified as a significant factor in daily life, underscoring the importance of assistive technologies, such as LLEs, to help mitigate exhaustion. Participants recognized LLEs as valuable tools for enhancing physical performance, with benefits for muscle strength, balance, fatigue management, coordination, and general mobility. Design considerations included system modularity, battery efficiency, ease of donning and doffing, and practical needs for daily use. Our findings offer valuable insights into stroke survivors' design and usability concerns regarding LLEs and provide a foundation for advancing the development and adoption of new assistive technologies.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":2.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977978","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 : 2025-09-01Epub Date: 2025-05-28DOI: 10.1080/10400435.2025.2507033
Wanho Jang, Jihee Woo
{"title":"Adapting and validating the Satisfaction with Assistive Technology Services (SATS) scale for the Korean context.","authors":"Wanho Jang, Jihee Woo","doi":"10.1080/10400435.2025.2507033","DOIUrl":"10.1080/10400435.2025.2507033","url":null,"abstract":"<p><p>This study aimed to culturally adapt and validate the Satisfaction with Assistive Technology Service (SATS) instrument for the South Korean context, addressing the unique needs of assistive technology users and enhancing service-satisfaction evaluation. Following \"Principles of Good Practice\" guidelines, the SATS was translated into Korean, involving forward and backward translation, cognitive debriefing, and pre-testing with AT users and professionals. Reliability and validity were assessed through internal-consistency measures, test-retest reliability, and concurrent-validity comparison with the Quebec User Evaluation of Satisfaction with Assistive Technology, Korean version. The SATS-K demonstrated high reliability and validity, with a Cronbach's alpha of 0.94 (<i>p</i> < 0.01). The test - retest reliability, indicated by the intraclass correlation coefficient, was 0.92 (<i>p</i> < 0.01). Furthermore, the Pearson coefficient of the correlation between the SATS-K and the QUEST-K scores was 0.934 (<i>p</i> < 0.01), highlighting strong concurrent validity. The version showed notable distinctions in \"instruction & training\" satisfaction compared to European versions. Despite the potential statistical benefits of excluding the \"waiting time\" item, its retention was deemed crucial for capturing comprehensive service-satisfaction insights, particularly for highlighting the need for addressing service-delivery times. The SATS-K provides a culturally and linguistically adapted tool for evaluating AT-service satisfaction, offering significant insights for service improvement.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"358-365"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162615","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 : 2025-09-01Epub Date: 2025-06-03DOI: 10.1080/10400435.2025.2500070
Cathy Murphy, Lucie Pannell, Ritu Ghosh, Sureshkumar Kamalakannan, Vennila Palanivelu, Almah Kuambu, Ben Zuvani, George Stefan, Iuliana Mesesan
{"title":"Understanding user experiences of providing and utilizing washable absorbent continence products in India, Papua New Guinea and Romania.","authors":"Cathy Murphy, Lucie Pannell, Ritu Ghosh, Sureshkumar Kamalakannan, Vennila Palanivelu, Almah Kuambu, Ben Zuvani, George Stefan, Iuliana Mesesan","doi":"10.1080/10400435.2025.2500070","DOIUrl":"10.1080/10400435.2025.2500070","url":null,"abstract":"<p><p>Incontinence is a global health and social care challenge. Effectively containing bladder or bowel leakage is fundamental for people living with incontinence. Disposable absorbent products are widely used, but do not work well for everyone and are neither financially nor environmentally sustainable. Specifically designed washable absorbent products are not widely used. We aimed to understand people's experiences of using or providing washable products in different contexts. We undertook 57 interviews with product-users and/or carers and three focus groups with service providers in India, Papua New Guinea and Romania. Five themes were identified: 1) Usability variation, 2) Impact on lives, 3) Do no harm, 4) Future Use and 5) Scalability. We found that washable products have the potential to improve the lives of many people with long-term continence problems, but the designs tested do not work for everyone. Individual assessment and the opportunity to try out products are important. There is considerable scope for better designs and raising awareness of usage. Opinions on the products are partly shaped by the products used previously and individual financial considerations play a role. Overall, there is a clear demand for washable absorbent continence products, and innovation through co-design is urgently needed.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"366-375"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217489","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 : 2025-09-01Epub Date: 2024-06-05DOI: 10.1080/10400435.2024.2362139
Alhadi M Jahan, Paulette Guitard, Jeffrey W Jutai
{"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":"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":"388-398"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","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}