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Vihriälä TA, Raisamo R, Ihalainen T, Virkki J. Towards E-textiles in augmentative and alternative communication - user scenarios developed by speech and language therapists. Disabil Rehabil Assist Technol 2024; 19:1626-1636. [PMID: 37402238 DOI: 10.1080/17483107.2023.2225556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 06/07/2023] [Accepted: 06/10/2023] [Indexed: 07/06/2023]
Abstract
PURPOSE E-textiles have been the focus of interest in health technology, but little research has been done so far on how they could support persons with complex communication needs. A global estimate is that 97 million people may benefit from Augmentative and Alternative Communication (AAC). Unfortunately, despite the growing body of research, many persons with complex communication needs are left without functional means to communicate. This study aimed to address the lack of research in textile-based AAC and to build a picture of the issues that affect novel textile-based technology development. MATERIALS AND METHODS We arranged a focus group study for altogether 12 speech and language therapists to elicit user scenarios to understand needs, activities, and contexts when implementing a novel, textile-based technology in a user-centred approach. RESULTS AND CONCLUSION As a result, we present six user scenarios that were created for children to enhance their social interaction in everyday life when using textile-based technology that recognizes touch or detects motion. The persistent availability and the individual design to meet a person's capability along with ease of use and personalization were perceived important requirements. Through these scenarios, we identified technological constraints regarding the development of e-textile technology and its use in the AAC field, such as issues regarding sensors and providing power supply. Resolving the design constraints will lead to a feasible and portable e-textile AAC system.
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Affiliation(s)
- Tanja A Vihriälä
- Faculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland
| | - Roope Raisamo
- Faculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland
| | - Tiina Ihalainen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Johanna Virkki
- Faculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland
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2
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Vihriӓlӓ TA, Ihalainen T, Elo C, Lintula L, Virkki J. Possibilities of intelligent textiles in AAC - perspectives of speech and language therapists. Disabil Rehabil Assist Technol 2024; 19:1019-1031. [PMID: 36371798 DOI: 10.1080/17483107.2022.2141900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 10/25/2022] [Indexed: 11/15/2022]
Abstract
PURPOSE The growth of new high-technology devices in the field of augmentative and alternative communication (AAC) has been rapid. However, a vast number of individuals with complex communication needs are left without functional means to communicate in their lives. Intelligent textiles are one of the growing industries in health technologies yet to be explored for the possibility of implementation as an AAC solution. This study aimed to investigate the potential of intelligent textiles and their functions in daily life perceived by experienced speech and language therapists and to obtain data, which will offer direction on how to proceed with prototype development. MATERIALS AND METHODS Focus group discussions were conducted remotely within two groups of experienced speech and language therapists (n = 12). The data obtained from the discussions were analysed thematically. RESULTS AND CONCLUSION According to the stakeholders in question, intelligent textiles were perceived most useful for individuals with motor disabilities and those with severe intellectual disabilities. The most prominent themes for the purpose of using the intelligent textiles were social interaction and accessing meaningful activities independently. The participants also described how this technology could be used in terms of the textile, the input needed and the output the technology provides. The versatile results are discussed along with directions for future research.
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Affiliation(s)
- Tanja A Vihriӓlӓ
- Faculty of Information Technology and Communication Sciences, Tampere, Finland
| | - Tiina Ihalainen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Charlotta Elo
- Faculty of Information Technology and Communication Sciences, Tampere, Finland
| | - Lotta Lintula
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Johanna Virkki
- Faculty of Information Technology and Communication Sciences, Tampere, Finland
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3
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Kang LJ, Lin PY, Granlund M, Chen CL, Sung WH, Chiu YL. Development and usability of an app-based instrument of participation in children with disabilities. Scand J Occup Ther 2023; 30:322-333. [PMID: 35701083 DOI: 10.1080/11038128.2022.2083014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Picture My Participation (PmP) is a picture-supported child-report instrument of participation of children with disabilities. AIMS This study described the development of a mobile application of the PmP Traditional Chinese version (PmP-C) and evaluated its usability. METHODS The PmP-C App includes features that allow the input of a child's demographics, identification of frequency and involvement of 22 culturally appropriate activities, selection of the three most important activities and the specification of the environmental facilitators and barriers. The usability test was conducted with 10 healthcare workers, who interviewed 10 children with disabilities aged 6-12 years. The healthcare workers completed a usability questionnaire and were asked to provide feedback on the ease of use, learning, satisfaction and perceived usefulness. RESULTS The mean score for the usability questionnaire ranged from 2.7 to 4.6 out of 5.0. The feedback indicated that the interface was simple to operate by the healthcare workers and was attractive and motivating to children. Improvements of layout design, operation instructions and technical problems were recommended, which contributed to the app program optimization. CONCLUSIONS The PmP-C App provides a practical tool with initial support for usability to enable active engagement and communication of children with disabilities with healthcare providers.
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Affiliation(s)
- Lin-Ju Kang
- Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan, Taiwan
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Pei-Yi Lin
- Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Mats Granlund
- CHILD, Swedish Institute of Disability Research, Jönköping University, Jönköping, Sweden
- Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway
| | - Chia-Ling Chen
- Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taoyuan, Taiwan
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Wen-Hsu Sung
- Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Ya-Lan Chiu
- Department of Physical Therapy, China Medical University, Taichung, Taiwan
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4
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Floreani ED, Orlandi S, Chau T. A pediatric near-infrared spectroscopy brain-computer interface based on the detection of emotional valence. Front Hum Neurosci 2022; 16:938708. [PMID: 36211121 PMCID: PMC9540519 DOI: 10.3389/fnhum.2022.938708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 09/05/2022] [Indexed: 11/27/2022] Open
Abstract
Brain-computer interfaces (BCIs) are being investigated as an access pathway to communication for individuals with physical disabilities, as the technology obviates the need for voluntary motor control. However, to date, minimal research has investigated the use of BCIs for children. Traditional BCI communication paradigms may be suboptimal given that children with physical disabilities may face delays in cognitive development and acquisition of literacy skills. Instead, in this study we explored emotional state as an alternative access pathway to communication. We developed a pediatric BCI to identify positive and negative emotional states from changes in hemodynamic activity of the prefrontal cortex (PFC). To train and test the BCI, 10 neurotypical children aged 8–14 underwent a series of emotion-induction trials over four experimental sessions (one offline, three online) while their brain activity was measured with functional near-infrared spectroscopy (fNIRS). Visual neurofeedback was used to assist participants in regulating their emotional states and modulating their hemodynamic activity in response to the affective stimuli. Child-specific linear discriminant classifiers were trained on cumulatively available data from previous sessions and adaptively updated throughout each session. Average online valence classification exceeded chance across participants by the last two online sessions (with 7 and 8 of the 10 participants performing better than chance, respectively, in Sessions 3 and 4). There was a small significant positive correlation with online BCI performance and age, suggesting older participants were more successful at regulating their emotional state and/or brain activity. Variability was seen across participants in regards to BCI performance, hemodynamic response, and discriminatory features and channels. Retrospective offline analyses yielded accuracies comparable to those reported in adult affective BCI studies using fNIRS. Affective fNIRS-BCIs appear to be feasible for school-aged children, but to further gauge the practical potential of this type of BCI, replication with more training sessions, larger sample sizes, and end-users with disabilities is necessary.
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Affiliation(s)
- Erica D. Floreani
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
- *Correspondence: Erica D. Floreani
| | - Silvia Orlandi
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- Department of Biomedical Engineering, University of Bologna, Bologna, Italy
| | - Tom Chau
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
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5
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Orlandi S, House SC, Karlsson P, Saab R, Chau T. Brain-Computer Interfaces for Children With Complex Communication Needs and Limited Mobility: A Systematic Review. Front Hum Neurosci 2021; 15:643294. [PMID: 34335203 PMCID: PMC8319030 DOI: 10.3389/fnhum.2021.643294] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 05/18/2021] [Indexed: 11/13/2022] Open
Abstract
Brain-computer interfaces (BCIs) represent a new frontier in the effort to maximize the ability of individuals with profound motor impairments to interact and communicate. While much literature points to BCIs' promise as an alternative access pathway, there have historically been few applications involving children and young adults with severe physical disabilities. As research is emerging in this sphere, this article aims to evaluate the current state of translating BCIs to the pediatric population. A systematic review was conducted using the Scopus, PubMed, and Ovid Medline databases. Studies of children and adolescents that reported BCI performance published in English in peer-reviewed journals between 2008 and May 2020 were included. Twelve publications were identified, providing strong evidence for continued research in pediatric BCIs. Research evidence was generally at multiple case study or exploratory study level, with modest sample sizes. Seven studies focused on BCIs for communication and five on mobility. Articles were categorized and grouped based on type of measurement (i.e., non-invasive and invasive), and the type of brain signal (i.e., sensory evoked potentials or movement-related potentials). Strengths and limitations of studies were identified and used to provide requirements for clinical translation of pediatric BCIs. This systematic review presents the state-of-the-art of pediatric BCIs focused on developing advanced technology to support children and youth with communication disabilities or limited manual ability. Despite a few research studies addressing the application of BCIs for communication and mobility in children, results are encouraging and future works should focus on customizable pediatric access technologies based on brain activity.
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Affiliation(s)
- Silvia Orlandi
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Sarah C. House
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Petra Karlsson
- Cerebral Palsy Alliance, The University of Sydney, Sydney, NSW, Australia
| | - Rami Saab
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Tom Chau
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- Institute of Biomedical Engineering (BME), University of Toronto, Toronto, ON, Canada
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6
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Sanchez C, Costa V, Garcia-Carmona R, Urendes E, Tejedor J, Raya R. Evaluation of Child-Computer Interaction Using Fitts' Law: A Comparison between a Standard Computer Mouse and a Head Mouse. SENSORS (BASEL, SWITZERLAND) 2021; 21:3826. [PMID: 34073142 PMCID: PMC8197934 DOI: 10.3390/s21113826] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 05/20/2021] [Accepted: 05/26/2021] [Indexed: 11/17/2022]
Abstract
This study evaluates and compares the suitability for child-computer interaction (CCI, the branch within human-computer interaction focused on interactive computer systems for children) of two devices: a standard computer mouse and the ENLAZA interface, a head mouse that measures the user's head posture using an inertial sensor. A multidirectional pointing task was used to assess the motor performance and the users' ability to learn such a task. The evaluation was based on the interpretation of the metrics derived from Fitts' law. Ten children aged between 6 and 8 participated in this study. Participants performed a series of pre- and post-training tests for both input devices. After the experiments, data were analyzed and statistically compared. The results show that Fitts' law can be used to detect changes in the learning process and assess the level of psychomotor development (by comparing the performance of adults and children). In addition, meaningful differences between the fine motor control (hand) and the gross motor control (head) were found by comparing the results of the interaction using the two devices. These findings suggest that Fitts' law metrics offer a reliable and objective way of measuring the progress of physical training or therapy.
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Affiliation(s)
- Cristina Sanchez
- Departamento de Tecnologías de la Información, Escuela Politécnica Superior, Universidad San Pablo-CEU, CEU Universities, 28668 Madrid, Spain; (V.C.); (R.G.-C.); (E.U.); (J.T.); (R.R.)
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7
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Karlsson P, Griffiths T, Clarke MT, Monbaliu E, Himmelmann K, Bekteshi S, Allsop A, Pereksles R, Galea C, Wallen M. Stakeholder consensus for decision making in eye-gaze control technology for children, adolescents and adults with cerebral palsy service provision: findings from a Delphi study. BMC Neurol 2021; 21:63. [PMID: 33568101 PMCID: PMC7874479 DOI: 10.1186/s12883-021-02077-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 01/25/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Limited research exists to guide clinical decisions about trialling, selecting, implementing and evaluating eye-gaze control technology. This paper reports on the outcomes of a Delphi study that was conducted to build international stakeholder consensus to inform decision making about trialling and implementing eye-gaze control technology with people with cerebral palsy. METHODS A three-round online Delphi survey was conducted. In Round 1, 126 stakeholders responded to questions identified through an international stakeholder Advisory Panel and systematic reviews. In Round 2, 63 respondents rated the importance of 200 statements generated by in Round 1. In Round 3, 41 respondents rated the importance of the 105 highest ranked statements retained from Round 2. RESULTS Stakeholders achieved consensus on 94 of the original 200 statements. These statements related to person factors, support networks, the environment, and technical aspects to consider during assessment, trial, implementation and follow-up. Findings reinforced the importance of an individualised approach and that information gathered from the user, their support network and professionals are central when measuring outcomes. Information required to support an application for funding was obtained. CONCLUSION This Delphi study has identified issues which are unique to eye-gaze control technology and will enhance its implementation with people with cerebral palsy.
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Affiliation(s)
- Petra Karlsson
- Cerebral Palsy Alliance Research Institute, Discipline of Child and Adolescent Health, The University of Sydney, Frenchs Forest, PO Box 6427, Sydney, NSW, 2086, Australia.
| | - Tom Griffiths
- Cambridge University Hospital, NHS Foundation Trust, Cambridge, UK
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Michael T Clarke
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Elegast Monbaliu
- KU Leuven - University of Leuven, Department of Rehabilitation Sciences Campus Bruges, Bruges, Belgium
| | - Kate Himmelmann
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Saranda Bekteshi
- KU Leuven - University of Leuven, Department of Rehabilitation Sciences Campus Bruges, Bruges, Belgium
| | - Abigail Allsop
- Cerebral Palsy Alliance Research Institute, Discipline of Child and Adolescent Health, The University of Sydney, Frenchs Forest, PO Box 6427, Sydney, NSW, 2086, Australia
| | | | - Claire Galea
- Cerebral Palsy Alliance Research Institute, Discipline of Child and Adolescent Health, The University of Sydney, Frenchs Forest, PO Box 6427, Sydney, NSW, 2086, Australia
| | - Margaret Wallen
- School of Allied Health, Australian Catholic University, Sydney, Australia
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8
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Tegler H, Pless M, Blom Johansson M, Sonnander K. Caregivers', teachers', and assistants' use and learning of partner strategies in communication using high-tech speech-generating devices with children with severe cerebral palsy. Assist Technol 2021; 33:17-25. [PMID: 30843763 DOI: 10.1080/10400435.2019.1581303] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Communication with speech generating devices (SGDs) with children with severe physical, communicative and cognitive impairments, such as children with cerebral palsy (CP), can be difficult. Use of partner strategies facilitates the communication and instructional approaches such as feedback and role play facilitate communication partners' learning in how to use partner strategies. To describe communication partners' use and learning about partner strategies in SGD-mediated communication with children with severe CP. Questionnaires (n = 65) were sent to caregivers (n = 30), teachers (n = 17), and teaching or personal assistants (n = 18) of children with severe CP. Response rate was 80%. To ask open-ended questions was the most frequently used partner strategy and aided augmented input the least frequently used partner strategy. Most commonly, participants learned partner strategies from speech and language pathologists (SLPs) who used verbal instructions when teaching partner strategies but seldom or never feedback, role play or video examples. Communication partners' learning about partner strategies in SGD-mediated communication is inadequate and needs to be improved. SLPs, who are the main prescribers of SGDs and responsible for training and support in using them, should consider using instructional approaches when teaching communication partners about partner strategies in communication with an SGD.
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Affiliation(s)
- Helena Tegler
- Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University , Uppsala, Sweden.,Health and Habilitation Services, Uppsala County Council , Uppsala, Sweden
| | - Mia Pless
- Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University , Uppsala, Sweden
| | - Monica Blom Johansson
- Department of Neuroscience, Speech-Language Pathology, Uppsala University , Uppsala, Sweden
| | - Karin Sonnander
- Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University , Uppsala, Sweden
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10
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Abstract
Smaller, smarter, more portable rehabilitation technology has the potential to improve the ability of individuals with cerebral palsy to perform activities and increase participation. Robotics and virtual reality may improve movement by maximizing exercise dose, providing feedback, and motivating users. Augmentative and alternative communication technology is facilitating communication. Robots can help with self-care and provide encouragement and instruction in rehabilitation programs. Mobile applications can provide education and resources. Conducting high-quality research to validate technological advances in our field has been a major focus of researchers and advocacy groups.
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11
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Coiner B, Pan H, Bennett ML, Bodien YG, Iyer S, O'Neil-Pirozzi TM, Leung L, Giacino JT, Stern E. Functional neuroanatomy of the human eye movement network: a review and atlas. Brain Struct Funct 2019; 224:2603-2617. [PMID: 31407103 DOI: 10.1007/s00429-019-01932-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Accepted: 07/30/2019] [Indexed: 12/13/2022]
Abstract
The human eye movement network is a complex system that requires the integration of sensory, motor, attentional, and executive processes. Here, we review the neuroanatomy of the eye movement network with an emphasis on functional neuroimaging applications. We consolidate the literature into a concise resource designed to be immediately accessible and applicable to diverse research interests, and present the novel Functional Oculomotor System (FOcuS) Atlas-a tool in stereotaxic space that will simplify and standardize the inclusion of the eye movement network in future functional neuroimaging studies. We anticipate this review and the FOcuS Atlas will facilitate increased examination of the eye movement network across disciplines leading to a thorough understanding of how eye movement network function contributes to higher-order cognition and how it is integrated with other brain networks. Furthermore, functional examination of the eye movement network in patient populations offers the potential for deeper insight into the role of eye movement circuitry in functional network activity, diagnostic assessments, and the indications for augmentative communication systems that rely on eye movement control.
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Affiliation(s)
- Benjamin Coiner
- Department of Psychiatry, Brigham and Women's Hospital, 221 Longwood Avenue, BLI442, 75 Francis St, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.,Eskind Family Biomedical Library and Learning Center, Vanderbilt University School of Medicine, 2209 Garland Avenue, Nashville, TN, 37240, USA
| | - Hong Pan
- Department of Psychiatry, Brigham and Women's Hospital, 221 Longwood Avenue, BLI442, 75 Francis St, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA
| | - Monica L Bennett
- Department of Psychiatry, Brigham and Women's Hospital, 221 Longwood Avenue, BLI442, 75 Francis St, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA
| | - Yelena G Bodien
- Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.,Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.,Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, 300 First Ave, Charlestown, MA, 02129, USA
| | - Swathi Iyer
- Department of Psychiatry, Brigham and Women's Hospital, 221 Longwood Avenue, BLI442, 75 Francis St, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.,The MathWorks, Inc, 1 Apple Hill Drive, Natick, MA, 01760, USA
| | - Therese M O'Neil-Pirozzi
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, 300 First Ave, Charlestown, MA, 02129, USA.,Department of Communication Sciences and Disorders, Northeastern University, 360 Huntington Ave, Boston, MA, 02115, USA
| | - Lorene Leung
- Department of Psychiatry, Brigham and Women's Hospital, 221 Longwood Avenue, BLI442, 75 Francis St, Boston, MA, 02115, USA.,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.,Boston University School of Medicine, 72 E Concord St, Boston, MA, 02118, USA
| | - Joseph T Giacino
- Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.,Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, 300 First Ave, Charlestown, MA, 02129, USA
| | - Emily Stern
- Department of Psychiatry, Brigham and Women's Hospital, 221 Longwood Avenue, BLI442, 75 Francis St, Boston, MA, 02115, USA. .,Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA. .,Department of Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
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12
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Ball LJ, Chavez S, Perez G, Bharucha-Goebel D, Smart K, Kundrat K, Carruthers L, Brady C, Leach M, Evans S. Communication skills among children with spinal muscular atrophy type 1: A parent survey. Assist Technol 2019; 33:38-48. [DOI: 10.1080/10400435.2019.1586788] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Affiliation(s)
- Laura J. Ball
- Center for Translational Science, Children’s National Health System, Washington DC, USA
- Department of Physical Medicine and Rehabilitation, Children’s National Health System, Washington DC, USA
| | - Stephen Chavez
- Department of Nutrition, Children’s National Health System, Washington DC, USA
| | - Geovanny Perez
- Department of Pulmonology, Children’s National Health System, Washington DC, USA
| | | | - Kathleen Smart
- Department of Neurology, Children’s National Health System, Washington DC, USA
| | - Katherine Kundrat
- Department of Physical Medicine and Rehabilitation, Children’s National Health System, Washington DC, USA
| | - Lauren Carruthers
- Department of Physical Medicine and Rehabilitation, Children’s National Health System, Washington DC, USA
| | - Caitlin Brady
- Department of Physical Medicine and Rehabilitation, Children’s National Health System, Washington DC, USA
| | - Meganne Leach
- Department of Pediatrics, Oregon Health Science University, Portland, Oregon, USA
| | - Sally Evans
- Department of Physical Medicine and Rehabilitation, Children’s National Health System, Washington DC, USA
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13
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Karlsson P, Allsop A, Dee-Price BJ, Wallen M. Eye-gaze control technology for children, adolescents and adults with cerebral palsy with significant physical disability: Findings from a systematic review. Dev Neurorehabil 2018; 21:497-505. [PMID: 28862491 DOI: 10.1080/17518423.2017.1362057] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
PURPOSE The primary objective of this systematic review was to examine the effectiveness of eye-gaze control technology for facilitating communication across different social contexts for people with cerebral palsy and significant physical disability. METHODS Systematic review. RESULTS The search identified 756 potentially eligible articles, of which two, low level articles were eligible. One study reported positive results for achieving communication goals for children with cerebral palsy. The second concluded that eye-gaze control technology resulted in greater quality of life and less depression for adults with late stage amyotrophic lateral sclerosis when compared to non-users. DISCUSSION Research regarding the effectiveness of eye-gaze control technology used to access a laptop, tablet or computer on communication outcomes, participation, quality of life and self-esteem in children, adolescents and adults with cerebral palsy and significant physical disability is sparse. A scoping review to fully identify issues to inform clinical practice and future research is required.
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Affiliation(s)
- Petra Karlsson
- a Cerebral Palsy Alliance , The University of Sydney , Sydney , NSW , Australia
| | - Abigail Allsop
- a Cerebral Palsy Alliance , The University of Sydney , Sydney , NSW , Australia
| | - Betty-Jean Dee-Price
- a Cerebral Palsy Alliance , The University of Sydney , Sydney , NSW , Australia.,b Southgate Institute for Health, Society and Equity , Flinders University , Adelaide , Australia
| | - Margaret Wallen
- a Cerebral Palsy Alliance , The University of Sydney , Sydney , NSW , Australia.,c Australian Catholic University, Sydney , Australia
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14
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Lampe R, Blumenstein T, Turova V, Alves-Pinto A. Mobile communication jacket for people with severe speech impairment. Disabil Rehabil Assist Technol 2017; 13:280-286. [PMID: 28447491 DOI: 10.1080/17483107.2017.1319427] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE Cerebral palsy is a movement disorder caused by damage to motor control areas of the developing brain during early childhood. Motor disorders can also affect the ability to produce clear speech and to communicate. The aim of this study was to develop and to test a prototype of an assistive tool with an embedded mobile communication device to support patients with severe speech impairments. METHODS A prototype was developed by equipping a cycling jacket with a display, a small keyboard, a LED and an alarm system, all controlled by a microcontroller. Functionality of the prototype was tested in six participants (aged 7-20 years) with cerebral palsy and global developmental disorder and three healthy persons. A patient questionnaire consisting of seven items was used as an evaluation tool. RESULTS A working prototype of the communication jacket was developed and tested. The questionnaire elicited positive responses from participants. Improvements to correct revealed weaknesses were proposed. Enhancements like voice output of pre-selected phrases and enlarged display were implemented. CONCLUSIONS Integration in a jacket makes the system mobile and continuously available to the user. The communication jacket may be of great benefit to patients with motor and speech impairments. Implications for Rehabilitation The communication jacket developed can be easily used by people with movement and speech impairment. All technical components are integrated in a garment and do not have to be held with the hands or transported separately. The system is adaptable to individual use. Both expected and unexpected events can be dealt with, which contributes to the quality of life and self-fulfilment.
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Affiliation(s)
- Renée Lampe
- a Research Unit of the Buhl-Strohmaier-Foundation for Paediatric Neuro-Orthopaedics and Cerebral Palsy of the Clinic for Orthopaedics and Sports Orthopaedics , Clinic 'rechts der Isar' of the Technical University of Munich , Munich , Germany.,b Markus Würth Professor Fellowship , Clinic 'rechts der Isar' of the Technical University of Munich , Munich , Germany
| | - Tobias Blumenstein
- a Research Unit of the Buhl-Strohmaier-Foundation for Paediatric Neuro-Orthopaedics and Cerebral Palsy of the Clinic for Orthopaedics and Sports Orthopaedics , Clinic 'rechts der Isar' of the Technical University of Munich , Munich , Germany
| | - Varvara Turova
- a Research Unit of the Buhl-Strohmaier-Foundation for Paediatric Neuro-Orthopaedics and Cerebral Palsy of the Clinic for Orthopaedics and Sports Orthopaedics , Clinic 'rechts der Isar' of the Technical University of Munich , Munich , Germany
| | - Ana Alves-Pinto
- a Research Unit of the Buhl-Strohmaier-Foundation for Paediatric Neuro-Orthopaedics and Cerebral Palsy of the Clinic for Orthopaedics and Sports Orthopaedics , Clinic 'rechts der Isar' of the Technical University of Munich , Munich , Germany
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Abstract
Cerebral palsy is the most common cause of childhood-onset, lifelong physical disability in most countries, affecting about 1 in 500 neonates with an estimated prevalence of 17 million people worldwide. Cerebral palsy is not a disease entity in the traditional sense but a clinical description of children who share features of a non-progressive brain injury or lesion acquired during the antenatal, perinatal or early postnatal period. The clinical manifestations of cerebral palsy vary greatly in the type of movement disorder, the degree of functional ability and limitation and the affected parts of the body. There is currently no cure, but progress is being made in both the prevention and the amelioration of the brain injury. For example, administration of magnesium sulfate during premature labour and cooling of high-risk infants can reduce the rate and severity of cerebral palsy. Although the disorder affects individuals throughout their lifetime, most cerebral palsy research efforts and management strategies currently focus on the needs of children. Clinical management of children with cerebral palsy is directed towards maximizing function and participation in activities and minimizing the effects of the factors that can make the condition worse, such as epilepsy, feeding challenges, hip dislocation and scoliosis. These management strategies include enhancing neurological function during early development; managing medical co-morbidities, weakness and hypertonia; using rehabilitation technologies to enhance motor function; and preventing secondary musculoskeletal problems. Meeting the needs of people with cerebral palsy in resource-poor settings is particularly challenging.
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