{"title":"Effect of gait distance during robot training on walking independence after acute brain injury.","authors":"Gakuto Kitamura, Manabu Nankaku, Takayuki Kikuchi, Hidehisa Nishi, Hiroki Tanaka, Toru Nishikawa, Honami Yonezawa, Taishi Kajimoto, Takumi Kawano, Ayumi Ohtagaki, Eriko Mashimoto, Susumu Miyamoto, Ryosuke Ikeguchi, Shuichi Matsuda","doi":"10.1080/10400435.2022.2151664","DOIUrl":"10.1080/10400435.2022.2151664","url":null,"abstract":"<p><p>This study aimed to determine whether the distance of gait training using a hybrid assistive limb (HAL) is related to the improvement of walking independence in patients with acute brain injury. This was an exploratory, observational study. Thirty patients having hemiplegia (functional ambulation category, FAC score ≤2) with acute stroke or after brain tumor surgery were included. Patients performed 4 sessions of gait training using HAL (60 min/session), 1-3 sessions/week, combined with conventional physical therapy. The gait distance achieved in the four training sessions using HAL was measured. FAC score was measured before and after intervention. Patients were divided into groups A, B, and C, for FAC score improvements of 0, 1, and ≥2, respectively. Gait distance was compared among groups using one-way analysis of variance. Gait distance in group C was significantly longer than that ingroup A [mean (standard deviation): 2527 (1725) m vs. 608 (542) m]. This study suggested that the gait distance achieved during training using the HAL may be a clinical indicator of the effectiveness of the HAL on gait training in patients with acute brain injury.<b>Clinical trial registration number</b>: UMIN000012764 R000014756.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"446-451"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10788248","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 : 2024-10-01Epub Date: 2024-10-23DOI: 10.1080/10400435.2024.2416364
Emma M Smith
{"title":"Defining assistive technology: Adopting a common framework.","authors":"Emma M Smith","doi":"10.1080/10400435.2024.2416364","DOIUrl":"https://doi.org/10.1080/10400435.2024.2416364","url":null,"abstract":"","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":"36 6","pages":"397"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512713","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":"History of assistive devices and home modification services under long-term care insurance system in Japan across 20 years: A narrative review.","authors":"Natsuka Suyama, Kaoru Inoue, Shohei Kuniya, Chirathip Thawisuk, Anuchart Kaunnil","doi":"10.1080/10400435.2022.2161667","DOIUrl":"10.1080/10400435.2022.2161667","url":null,"abstract":"<p><p>In this aging society, support services for older adults through the social welfare system have been introduced in many countries; in Japan, the long-term care insurance (LTCI) system was introduced in 2000. This review examined research of the past 20 years to investigate the history of assistive devices and home modification services and discussed future directions for health professionals through a narrative review. We selected 86 Japanese papers and six English papers: a total of 92 papers were analyzed by three researchers. This review revealed that assistive devices and home modification services contributed to helping users and decreased caregiver burden. Many studies have shown the importance of appropriate and sufficient cooperation among professionals. However, some issues related to LTCI were identified such as the regulation of subsidies and little flexibility considering local area conditions. The effectiveness and issues of assistive devices and home modification services were shown, and adjustments were suggested for the system and professional education according to the changes in a social situation. In addition, systematic research seems to be a small number; hence, studies with reliable research methods and analyses are needed to show the effectiveness of services and examine intervention by professionals.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"412-421"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10531036","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 : 2024-10-01Epub Date: 2023-06-08DOI: 10.1080/10400435.2023.2213762
Michele C McDonnall, Anne Steverson, Rachael Sessler Trinkowsky, Katerina Sergi
{"title":"Assistive technology use in the workplace by people with blindness and low vision: Perceived skill level, satisfaction, and challenges.","authors":"Michele C McDonnall, Anne Steverson, Rachael Sessler Trinkowsky, Katerina Sergi","doi":"10.1080/10400435.2023.2213762","DOIUrl":"10.1080/10400435.2023.2213762","url":null,"abstract":"<p><p>In the current labor market, assistive technology (AT) is vital to employment for people with blindness or low vision (B/LV), yet we know little about their AT use in the workplace. The purpose of this descriptive study was to increase our knowledge in this area. Participants were 314 employed people with B/LV who completed an online or phone survey about AT used on the job and perceived skill level, satisfaction, and challenges experienced with their workplace AT. Two researchers utilized content analysis to code open-ended responses and descriptive statistics were used to analyze quantitative data. Self-perceived skill levels were moderately high to high for each AT. Satisfaction with AT was generally high, but 15% or more participants expressed dissatisfaction with their AT for five tasks. Dissatisfaction with AT for some work tasks differed noticeably by type of AT being used to accomplish the task. Accessing certain software, websites, or digital documents was the most common challenge experienced, mentioned by 59.1% participants, representing an ongoing problem in the technological workplace environment for people with B/LV. In addition to websites, specific areas that present access or utilization challenges are slide presentation software, PDFs, spreadsheets, virtual meeting software, and printed material.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"429-436"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10703993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9594012","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}
{"title":"Wheelchair dependence in patients with dementia: Focus on kinematic gait analysis using simple wearable accelerometers and gyroscopes.","authors":"Yuhei Chiba, Asaki Kumamoto, Nobuhiko Noguchi, Asuka Yoshimi, Akira Suda, Akitoyo Hishimoto, Akihiko Kase","doi":"10.1080/10400435.2024.2348147","DOIUrl":"10.1080/10400435.2024.2348147","url":null,"abstract":"<p><p>Falls, wheelchair dependence, and bedridden status are the results of reduced mobility in the mid-late course of dementia. Kinematic gait analysis for patients with dementia is lacking because practically setting sensors on their bodies is particularly difficult. We analyzed the parameters of kinematic gait analysis that are related to the risks of wheelchair dependence in patients with dementia using wearable accelerometers and gyroscopes for detecting 3-dimensional physical movements. We collected data from 34 patients with dementia regarding demographics, cognitive function, CT scan findings, medications, and gait analysis parameters. The patients were followed up for 6 months. We compared data between dementia patients with and without wheelchair dependence by t-test or Fisher's exact test, multiple comparison, and simple logistic regression analysis for wheelchair dependence by gait analysis parameters. Eleven patients became wheelchair-dependent during the 6 months. The score on the clinical dementia rating scale was significantly higher and the hip extensor angle in walking was significantly lower in patients with dementia with wheelchair dependence than in those without. The severity of dementia and the lower angle of the hip extensor during walking may indicate the necessity of a wheelchair for patients with this disease.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"398-404"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946292","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}
Daniel Prado Campos, José Jair Alves Mendes Junior, Paulo Broniera Junior, André Eugenio Lazzaretti, Larissa Gomes Sartori, Eddy Krueger
{"title":"Non-invasive muscle-machine interface open source project: wearable hand myoelectrical orthosis (MES-FES).","authors":"Daniel Prado Campos, José Jair Alves Mendes Junior, Paulo Broniera Junior, André Eugenio Lazzaretti, Larissa Gomes Sartori, Eddy Krueger","doi":"10.1080/10400435.2024.2382857","DOIUrl":"https://doi.org/10.1080/10400435.2024.2382857","url":null,"abstract":"<p><p>The paper describes the development of an open-source, low-cost, wearable hand myoelectrical orthosis (neuro-orthosis) device for people with hand disabilities. The device uses functional electrical stimulation (FES) driven by myoelectrical signals (MES) to assist hand movements, enabling users to perform daily activities with greater ease and independence. The device comprises a forearm-wearable device developed using the 3D additive manufacturing principle, allowing user customization. Fixed non-disposable electrodes are attached to the myoelectrical orthosis, aiding the correct positioning for the user. The whole control system is stand-alone, and parameters can be controlled by Bluetooth communication, making the device wireless. The paper describes the MES-FES device's design, development, and testing, including its technical specifications, usability, and effectiveness. The open-source project aims to provide an accessible and affordable solution for people with spinal cord lesions while contributing to the growing research on noninvasive muscle-machine interfaces.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-10"},"PeriodicalIF":2.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332157","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":"The efficacy of the Novel Hybrid Passive Spring Damper Ankle Foot Orthosis regard to kinetic and kinematic parameters of patients with Multiple Sclerosis: An intervention study.","authors":"Ensieh Pourhoseingholi, Nahid Tafti","doi":"10.1080/10400435.2024.2392657","DOIUrl":"https://doi.org/10.1080/10400435.2024.2392657","url":null,"abstract":"<p><p>Drop foot is a common consequence of Multiple Sclerosis (MS), which may be improved somewhat by an ankle-foot orthosis (AFO). This study aimed to examine the immediate effect of using the recently developed Novel Hybrid Passive Spring Damper AFO (the novel HPSDAFO) on the kinetic and kinematic parameters of patients with MS (PwMS) in the sagittal plane. Twelve PwMS who suffered a unilateral drop foot participated in this study and fitted with the novel HPSDAFO. They walked with the novel HPSDAFO on the affected side and shoe on the affected side at a self-selected speed. Walking by the novel HPSDAFO, the symmetry of all of the evaluated sagittal kinetic and kinematic parameters improved noticeably. The range of ankle plantarflexion and knee flexion increased significantly at the stance phase. Power generation increased at all three joints. The peak of ankle dorsiflexion at early stances and the first peak of knee extension moments increased significantly but decreased at the hip joint. Changes in sagittal ROM, moment, and power generation in the plane and the improved symmetry revealed a more normal walking by using the novel HPSDAFO on the affected limb of PwMS.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-9"},"PeriodicalIF":2.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300520","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}
Pouya Ahmadian, Robyn E Cardy, Gino De Luca, Azadeh Kushki
{"title":"Usability of an augmented reality bedtime routine application for autistic children.","authors":"Pouya Ahmadian, Robyn E Cardy, Gino De Luca, Azadeh Kushki","doi":"10.1080/10400435.2024.2338277","DOIUrl":"https://doi.org/10.1080/10400435.2024.2338277","url":null,"abstract":"<p><p>Sleep problems are highly prevalent in autism and negatively impact the physical and mental health of children and their caregivers. Sleep education programs are often recommended as a first line-treatment to help parents implement healthy sleeping habits and a bedtime routine at home; however, the accompanying paper-based toolkits used in the bedtime routines have limitations related to engagement and adherence. To address these gaps, we iteratively developed and tested the usability of an augmented reality (AR) bedtime routine application. Our single participant design study (<i>n</i> = 7 child/parent dyads) found 86% compliance with the program and suggested good-excellent usability of the app with a trend toward increased willingness and faster completion of children's bedtime routines. This work supports the feasibility of using technology-based tools in sleep education programs and informs future clinical studies examining the effectiveness of these approaches for mitigating sleep difficulties.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-10"},"PeriodicalIF":2.5,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127190","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 : 2024-09-01Epub Date: 2021-09-30DOI: 10.1080/10400435.2021.1976885
Mohsen Alizadeh Noghani, Drew Browning, Vincent Caccese, Elizabeth DePoy, Stephen Gilson, Ryan Beaumont, Babak Hejrati
{"title":"Design and evaluation of the Afari: A three-wheeled mobility and balance support device for outdoor exercise.","authors":"Mohsen Alizadeh Noghani, Drew Browning, Vincent Caccese, Elizabeth DePoy, Stephen Gilson, Ryan Beaumont, Babak Hejrati","doi":"10.1080/10400435.2021.1976885","DOIUrl":"10.1080/10400435.2021.1976885","url":null,"abstract":"<p><p>This article presents the engineering design and preliminary testing of the Afari<sup>TM</sup> mobility device and the integrated Intrac<sup>TM</sup> activity tracking system. The patented Afari design is a three-wheeled device that assists users of any age with mobility impairments with outdoor exercise and movement in various environments and surfaces. We devised methods for testing of the Afari to ensure safe and flexible mobility assistance and demonstrated a high level of stability and structural integrity suitable for vigorous outdoor exercise. A smartphone-based sensing system, the Intrac, was designed for and integrated with the Afari to monitor the user's interaction forces and important gait parameters. The Intrac offers a graphical user interface for displaying and sharing measurements with users and providers, and the accuracy of its measurements was validated by testing its individual components. A preliminary subject study showed that the participants could use the Afari for various levels of weight compensation during walking, while the Intrac enabled the measurement of interactive forces on their arms and key gait parameters. The results demonstrate the potential of the Afari and Intrac to provide a safe walking experience in a variety of terrains and continuously monitor users' gait.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"378-387"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39413325","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 : 2024-09-01Epub Date: 2021-07-28DOI: 10.1080/10400435.2021.1953192
Abbas H Quamar, Mark R Schmeler, Diane M Collins, Richard M Schein
{"title":"Development and content validation of the Electronic Instrumental activities of daily living Satisfaction Assessment (EISA) outcome tool.","authors":"Abbas H Quamar, Mark R Schmeler, Diane M Collins, Richard M Schein","doi":"10.1080/10400435.2021.1953192","DOIUrl":"10.1080/10400435.2021.1953192","url":null,"abstract":"<p><p>This study describes the development and content validation of the Electronic Instrumental activities of daily living Satisfaction Assessment (EISA), a self-report outcome measure for assessing satisfaction with completing instrumental Activities of Daily Living (IADL) for People With Disabilities (PWD) using internet-Connected Assistive Devices (iCAD). For this study, an iCAD is defined as any information communication technology/electronic device or software that assists with promoting, maintaining, and/or enhancing the ability of a PWD to live independently in society. Phase 1 of development involved generating an initial item pool based on a literature review. Content validity of the EISA was computed in Phase 2 using the Qualtrics on-line research platform. Utilizing the content validity index procedure, EISA demonstrated acceptable content validity: item level (I-CVI of 0.78 or higher) and scale level (S-CVI/Ave of 0.90 or higher). EISA version 1.0 was generated in Phase 3 where it is the first of its kind outcome measure specifically designed for assessing satisfaction with completing IADL for PWD using iCAD.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"360-365"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39160883","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}