Every person is an individual: physical therapist clinical reasoning used in inpatient rehabilitation for walking assistive device prescription in patients with stroke and brain injury.
Conclusions: Results from this study revealed complexity in the clinical reasoning process used in physical therapy practice to determine the best walking assistive device for patients with stroke and brain injury during inpatient rehabilitation. Information from this study can inform post-acute physical therapy practice and education, and may reduce device abandonment. Implications for rehabilitation Clinical reasoning (CR) is a complex process in which a clinician must consider multiple factors, which requires non-linear and iterative thinking, and involves many people, making it shared among the patient, caregivers, and...
Source: Disability and Rehabilitation. Assistive Technology. - August 20, 2019 Category: Rehabilitation Authors: O'Brien SR, Durr K, Laubisch E, Losi L, Parrillo V, Pericozzi S, Poirier B, Poirier L, Ray K, Sackett A, Simoneau D Tags: Disabil Rehabil Assist Technol Source Type: research

A commentary on influences on selection of assistive technology for young children in South Africa: perspectives from rehabilitation professionals.
Abstract This commentary explores the issues raised in the original article and seeks to suggest how the systems and processes that the professionals utilize shape the challenges and issues they face. Furthermore, it asks the question as to the extent to which self-determination in the selection of many forms of assistive technology would address and resolve the barriers identified. IMPLICATIONS FOR REHABILITATION The implications of the study and experiences of the professionals are highly relevant for the planning of future rehabilitation services. With increasing global demand for service, and an associated und...
Source: Disability and Rehabilitation. Assistive Technology. - August 20, 2019 Category: Rehabilitation Authors: Banes D Tags: Disabil Rehabil Assist Technol Source Type: research

Effectiveness of using assistive technology for time orientation and memory, in older adults with or without dementia.
Conclusion and Significance: Using the electric calendar was effective in improving global cognitive function and daily activities. The target users are older people, who (1) might have mild dementia, (2) have difficulties in daily activities, (3) can be supported by caregivers, and (4) have positive motivation to new technologies. IMPLICATIONS FOR REHABILITATION An electric calendar is effective on grovel cognitive function, and activities of daily living related to healthcare in older adults, as well as reality orientation therapy. The electric calendar can be useful for older people with mild dementia or mild cognitive ...
Source: Disability and Rehabilitation. Assistive Technology. - August 19, 2019 Category: Rehabilitation Authors: Nishiura Y, Nihei M, Nakamura-Thomas H, Inoue T Tags: Disabil Rehabil Assist Technol Source Type: research

The inter-rater reliability of the Wheelchair Interface Questionnaire.
Conclusion: The WIQ is a reliable tool that can meet the need for a professional assessment of the wheelchair-user interface. The reliability of this questionnaire is important because the tool can be used to evaluate the interface between a wheelchair user and their wheelchair, strengthening evidence-based practice in wheelchair provision. Implications for Rehabilitation Based on the score of a specific wheelchair interface, a rehabilitation professional could recommend more assessment, seating modification, or wheelchair replacement in order to maximize rehabilitation benefit for a client The WIQ could provide evidence-b...
Source: Disability and Rehabilitation. Assistive Technology. - August 16, 2019 Category: Rehabilitation Authors: Davis AB, Sheafer V, Rispin K, Layton N Tags: Disabil Rehabil Assist Technol Source Type: research

Effects of assistive technology for students with reading and writing disabilities.
Conclusions: The use of assistive technology seems to have transfer effects on reading ability and to be supportive, especially for students with the most severe difficulties. In addition, it increases motivation for overall schoolwork. Our experience also highlights the obstacles involved in measuring the ability to assimilate and communicate text. Implications for rehabilitations Assistive technology (AT) can be useful for children with reading disabilities to assimilating text as well as boosting their reading. Children with reading disability using AT increased reading performance as much as a norm group, i.e. the stud...
Source: Disability and Rehabilitation. Assistive Technology. - August 16, 2019 Category: Rehabilitation Authors: Svensson I, Nordström T, Lindeblad E, Gustafson S, Björn M, Sand C, Almgren/Bäck G, Nilsson S Tags: Disabil Rehabil Assist Technol Source Type: research

3D printing and amputation: a scoping review.
Conclusions: The use of 3D printing technology has a number of benefits for improving the manufacturing process of devices for people with lower and upper limb loss. However, more research and technological advancements are required to fully understand the impact of this technology on patients and how it will affect their daily life. The long-term effects of this technology will also need to be investigated in order to produce a more sustainable alternative to traditional prostheses. IMPLICATIONS FOR REHABILITATION The use of 3D printing technology for the fabrication of prosthetics for persons with limb-loss has a number ...
Source: Disability and Rehabilitation. Assistive Technology. - August 16, 2019 Category: Rehabilitation Authors: Ribeiro D, Cimino SR, Mayo AL, Ratto M, Hitzig SL Tags: Disabil Rehabil Assist Technol Source Type: research

Information communication technology-enabled instrumental activities of daily living: a paradigm shift in functional assessment.
Abstract Purpose: Information Communication Technology, such as smartphones, apps, the internet, etc., has become all-pervasive in our society. To learn the impact of Information Communication Technology (ICT) on everyday functioning, specifically Instrumental Activities of Daily Living (IADL), an exploratory review was undertaken. Methods: We identified how many primary IADL domains were substantially influenced by ICT, by examining primary IADL domains, in terms of traditional and ICT-enabled ways of completing these common tasks. The study further explored the implications of the pervasiveness of ICT and the IC...
Source: Disability and Rehabilitation. Assistive Technology. - August 16, 2019 Category: Rehabilitation Authors: Quamar AH, Schmeler MR, Collins DM, Schein RM Tags: Disabil Rehabil Assist Technol Source Type: research

"The fact that I can be in front of others, I am used to being a bit behind": how assistive activity technology affects participation in everyday life.
Conclusions: How technology provides opportunities for social interaction influences the informants' experiences and motivation to use technology. LTPA through the use of AAT promotes mastery and personal dignity, thereby revealing a new aspect of participation as being involved in an independent activity. IMPLICATIONS FOR REHABILITATION The allocation system for assistive activity technology requires knowledge about personal motivation for assistive activity technology use and the connection between leisure-time physical activity and social participation. Additional education about and understanding of motivational factor...
Source: Disability and Rehabilitation. Assistive Technology. - August 14, 2019 Category: Rehabilitation Authors: Pedersen H, Söderström S, Kermit PS Tags: Disabil Rehabil Assist Technol Source Type: research

Testing of a 3D printed hand exoskeleton for an individual with stroke: a case study.
Conclusion: The inexpensive 3D printed exoskeleton was effective in assisting the participant with stroke during the functional assessments and has the potential to be used to help regain function of the hand in the home setting of an individual with stroke. IMPLICATIONS FOR REHABILITATION A 3D printed passive hand exoskeleton may assist to accomplish rehabilitation outcomes by increasing function of the affected hand of patients with stroke. The use of this hand exoskeleton may be used to improve gross hand dexterity and assist with functional grasps during rehabilitation sessions with a lower patient's level of perceived...
Source: Disability and Rehabilitation. Assistive Technology. - August 6, 2019 Category: Rehabilitation Authors: Dudley DR, Knarr BA, Siu KC, Peck J, Ricks B, Zuniga JM Tags: Disabil Rehabil Assist Technol Source Type: research

Good practices in assistive technology service delivery for children: a commentary on van Niekerk et  al. study.
Good practices in assistive technology service delivery for children: a commentary on van Niekerk et al. study. Disabil Rehabil Assist Technol. 2019 Aug 06;:1-2 Authors: Desideri L PMID: 31386816 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation. Assistive Technology.)
Source: Disability and Rehabilitation. Assistive Technology. - August 6, 2019 Category: Rehabilitation Authors: Desideri L Tags: Disabil Rehabil Assist Technol Source Type: research

Public transport planning tool for users on the autism spectrum: from concept to prototype.
Conclusions: This study defined the challenges of public transport use for autistic individuals and proposed a technological solution. The findings can also inform innovators, public transport providers and policymakers to improve public transport accessibility. Implications for rehabilitation People on the autism spectrum heavily rely on other individuals, namely family and friends, for their transportation needs. This dependence results in immobility for the autistic individuals and significant time and economical sacrifice for the person responsible for the transportation. Public transport, a cheap and widely available ...
Source: Disability and Rehabilitation. Assistive Technology. - August 5, 2019 Category: Rehabilitation Authors: Rezae M, McMeekin D, Tan T, Krishna A, Lee H, Falkmer T Tags: Disabil Rehabil Assist Technol Source Type: research

Assessment of a novel, smartglass-based control device for electrically powered wheelchairs.
Conclusions: Smartglass control enables safe maneuverability for people with various diseases. Implications for rehabilitation Munevo DRIVE© is a novel, smartglass-based, head control device for electrically powered wheelchairs. Smartglass control is slower as hand joystick control but enables safe maneuverability. Smartglass control is an alternative for people with impaired or lost upper limb function, for example, those currently using chin joysticks or similar devices. PMID: 31381862 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation. Assistive Technology.)
Source: Disability and Rehabilitation. Assistive Technology. - August 5, 2019 Category: Rehabilitation Authors: Penkert H, Baron JC, Madaus K, Huber W, Berthele A Tags: Disabil Rehabil Assist Technol Source Type: research

Traumatic quadruple amputee rehabilitation: from amputation to prosthetic functionality: a case report.
Conclusions: The patient's age, psychological status, and family and personal support, in addition to technical and economic resources used for next-generation prostheses adapted to this clinical case, were crucial for his progress. IMPLICATIONS FOR REHABILITATION The use of next-generation myoelectric and microprocessor prostheses makes it possible to achieve greater end functionality in quadruple amputees. Proximal amputation levels present greater difficulty in achieving good functionality. Early and intensive rehabilitation could favour and contribute towards improving psychological states. Age, psychological status, a...
Source: Disability and Rehabilitation. Assistive Technology. - August 2, 2019 Category: Rehabilitation Authors: Monné Cuevas P, Borrás Correa A, Vidal Fortuny E, Ángeles Diaz Vela M, Calvo Sanz J Tags: Disabil Rehabil Assist Technol Source Type: research

The effects of domestic mechanical knee joints on pelvic motion in transfemoral amputees.
Abstract Purpose: Pelvic asymmetry in the sagittal and horizontal planes among prosthesis users is related to the strength of the abdominal and back muscles. Considering that lumbosacral pathologies and pain in long-term transfemoral prosthesis users can cause asymmetric pelvic motion, it is necessary to investigate pelvic asymmetry caused by prosthetic components. The aim was to compare the gait symmetry of the pelvis of active transfemoral amputees using different types of prosthetic knee joints (Non-microprocessor-controlled prostheses (NMCPs) and microprocessor-controlled prostheses (MCP) knees). Methods: The ...
Source: Disability and Rehabilitation. Assistive Technology. - August 1, 2019 Category: Rehabilitation Authors: Alsancak S, Guner S, Celebi F Tags: Disabil Rehabil Assist Technol Source Type: research

Application of upper-limb dynamic pseudoelastic splinting in the treatment of stroke chronic patient: a pilot assessment.
Conclusions: Pseudoelastic orthoses could be a comfortable and useful adjunct in the long-term management of stroke. Broader trials will have to confirm these preliminary observations. Implications for rehabilitation Use of new materials in neuromuscular rehabilitation. Customised and adjustable therapeutic action obtained with dynamic personalised orthoses. Non-invasive interventions could be of help for patients with chronic disability. PMID: 31368833 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation. Assistive Technology.)
Source: Disability and Rehabilitation. Assistive Technology. - August 1, 2019 Category: Rehabilitation Authors: Garavaglia L, Gasperini G, Lazzari F, Molteni F, Pittaccio S Tags: Disabil Rehabil Assist Technol Source Type: research

Correction.
Authors: PMID: 31322038 [PubMed - in process] (Source: Disability and Rehabilitation. Assistive Technology.)
Source: Disability and Rehabilitation. Assistive Technology. - July 21, 2019 Category: Rehabilitation Tags: Disabil Rehabil Assist Technol Source Type: research

Thinking outside the cardboard box: insights from a course to train rural Kenyans to make postural support devices from appropriate paper-based technology (APT) for children with cerebral palsy.
Conclusions: Training people in low-income communities to make bespoke assistive devices for children with CP is straightforward, and the course was positively evaluated. However, maintaining device production is limited without local group support and stable leadership, ideally as part of an existing programme. Implications for rehabilitation Assistive devices are often unobtainable for children with cerebral palsy (CP) in low-income countries. APT is a cost effective way of fulfilling this need and it is relatively straightforward to train people who care for or work with those with CP to make devices using APT. Feedback...
Source: Disability and Rehabilitation. Assistive Technology. - July 19, 2019 Category: Rehabilitation Authors: Lindoewood R, Bracegirdle C, Samia P, Westmacott J, Lindoewood P Tags: Disabil Rehabil Assist Technol Source Type: research

American and Canadian therapists' perspectives of age and cognitive skills for paediatric power mobility: a qualitative study.
Conclusions: Data indicate wide variability in respondents' views related to the provision of power mobility. Additional research is needed to explore both therapists' reasoning regarding power mobility use for children and how to best facilitate knowledge translation in this area. Implications for Rehabilitation Wide variability exists related to the provision of power mobility for children. Children's age or stage in life influences therapists' consideration of power mobility. Many respondents considered cognitive skills when trialling power mobility but some did not. PMID: 31299867 [PubMed - as supplied by publishe...
Source: Disability and Rehabilitation. Assistive Technology. - July 12, 2019 Category: Rehabilitation Authors: Kenyon LK, Jones M, Breaux B, Tsotsoros J, Gardner T, Livingstone R Tags: Disabil Rehabil Assist Technol Source Type: research

Lower limb rehabilitation using multimodal measurement of sit-to-stand and stand-to-sit task.
Conclusions: Trunk flexion together with VL showed an earlier onset in sit-to-stand task, which might form an important modality for detecting human intention to perform the activity. However, for stand-to-sit task, some other muscle group in conjunction to BF may be useful for detecting the human intention. The understanding from the study could be used as a first step in devising multimodal control for assistive devices aiding sit-to-stand and stand-to-sit transfers. That would be a novel approach to fuse the data of postural deviation into the EMG signal to achieve lower limb rehabilitation or in prosthetic control. Imp...
Source: Disability and Rehabilitation. Assistive Technology. - July 10, 2019 Category: Rehabilitation Authors: Bhardwaj S, Khan AA, Muzammil M Tags: Disabil Rehabil Assist Technol Source Type: research

A review of cable-driven rehabilitation devices.
Conclusions: Each category of CDRDs has its own advantages and shortcomings. The selection of a CDRD highly depends on the specific application. Regarding the convenience of setting up a CDRD for rehabilitation, parallel CDRDs usually have better adaptability than serial ones. However, uncertainties come with parallel CDRDs, which makes the control of parallel CDRDs more challenging. Moreover, the strategy of inherent safety has a great potential to further improve the safety of CDRDs. Implications for rehabilitation CDRDs (and general RRDs) can deliver high-intensity training while therapists usually cannot. With up-to-da...
Source: Disability and Rehabilitation. Assistive Technology. - July 9, 2019 Category: Rehabilitation Authors: Xiong H, Diao X Tags: Disabil Rehabil Assist Technol Source Type: research

Iterative processes: a review of semi-supervised machine learning in rehabilitation science.
Conclusions: A semi-supervised approach to machine learning has potential to enhance our understanding of complex data sets in rehabilitation science. SSML mirrors the iterative process of rehabilitation, making this approach ideal for calibrating devices, classifying activities or identifying just-in-time interventions. Rehabilitation scientists who are interested in conducting SSML should collaborate with data scientists to advance the application of this approach within our field. Implications for rehabilitation Semi-supervised machine learning applications may be a feasible approach for analyses of complex data sets in...
Source: Disability and Rehabilitation. Assistive Technology. - July 8, 2019 Category: Rehabilitation Authors: Kringle EA, Knutson EC, Engstrom C, Terhorst L Tags: Disabil Rehabil Assist Technol Source Type: research

An analytical model of the demand for propulsion torque during manual wheelchair propelling.
Conclusions: Presented the mathematical model can be applied during work related to the design of manually propelled wheelchairs. Implications for Rehabilitation Work related to development of innovative designs of manual wheelchairs is important because the physical activity associated with propelling is enriching the rehabilitation process. Wheelchairs equipped with electric drive do not have this advantage. The developed dependences and results of conducted work, described in this article, are an added value in the area of both, theoretical research and practical engineering design concerning wheelchairs and their drive...
Source: Disability and Rehabilitation. Assistive Technology. - July 3, 2019 Category: Rehabilitation Authors: Kukla M, Wieczorek B, Warguła Ł, Berdychowski M Tags: Disabil Rehabil Assist Technol Source Type: research

To tilt or not to tilt; the decision-making process.
Conclusions: The knowledge generated from this research contributes to the advancement of understanding of how the decision to use tilt is integrated in daily life occupations. The theory can inform clinical practice related to individualizing power tilt use within the context of the person's own reality of daily life. IMPLICATIONS FOR REHABILITATION The decision to use tilt or not use tilt at any point during the day, is made contingent on the iterative transaction between environmental, functional and personal contexts at that point in time. Feedback from each experience where power tilt was used generates learning and k...
Source: Disability and Rehabilitation. Assistive Technology. - July 3, 2019 Category: Rehabilitation Authors: Titus LC, Miller-Polgar J Tags: Disabil Rehabil Assist Technol Source Type: research

A review of computer vision for semi-autonomous control of assistive robotic manipulators (ARMs).
Conclusions: A re-occurring issue in the reviewed systems was the inability to handle arbitrary objects. This makes the systems unlikely to perform well outside a controlled environment, such as a lab. This issue could be addressed by having the systems recognize good grasping points or primitive shapes instead of specific pre-defined objects. Most of the reviewed systems did also use a rather simple strategy for the semi-autonomous control, where they switch either between full manual control or full automatic control. An alternative could be a control scheme relying on adaptive blending which could provide a more seamles...
Source: Disability and Rehabilitation. Assistive Technology. - July 3, 2019 Category: Rehabilitation Authors: Bengtson SH, Bak T, Andreasen Struijk LNS, Moeslund TB Tags: Disabil Rehabil Assist Technol Source Type: research

Effective factors on brace compliance in idiopathic scoliosis: a literature review.
Conclusions: Compliance can be augmented by considering factors in the design and delivery of the brace. Superior appearance and comfortable within the brace can improve psychological acceptance and improve the compliance. Lower age, involving the patient in treatment procedure, considering the child habits, and improved family awareness of the treatment plan of idiopathic scoliosis can also improve overall compliance of the brace. Implications for rehabilitation This article reviews factors that affect compliance with orthotic treatment in idiopathic scoiliosis. PMID: 31248292 [PubMed - as supplied by publisher] (Sou...
Source: Disability and Rehabilitation. Assistive Technology. - June 28, 2019 Category: Rehabilitation Authors: Rahimi S, Kiaghadi A, Fallahian N Tags: Disabil Rehabil Assist Technol Source Type: research

Design of the user interface for "Stappy", a sensor-feedback system to facilitate walking in people after stroke: a user-centred approach.
Conclusions: The study offers a structured methodology resulting in deliverables and key observations, which can be used to (re)design meaningful user interfaces for people after stroke. Additionally, the study provides a technique that may promote "empathy" through the creation of the character Stappy. The description may provide guidance for health care professionals, researchers or designers in future user interface design projects in which existing products are redesigned for people after stroke. Implications for rehabilitation The case study provides a structured methodology and seven deliverables that may c...
Source: Disability and Rehabilitation. Assistive Technology. - June 28, 2019 Category: Rehabilitation Authors: Jie LJ, Jamin G, Smit K, Beurskens A, Braun S Tags: Disabil Rehabil Assist Technol Source Type: research

Bimanual wheelchair propulsion by people with severe hemiparesis after stroke.
Conclusions: Individuals with severe arm impairment in the chronic stage of stroke retain sufficient strength and coordination with their paretic arm to manoeuvre bimanual, lever-driven wheelchairs. We suggest bimanual, lever-driven propulsion should be explored in stroke rehabilitation practice as an alternative to compensatory wheelchair propulsion, as it has the potential to exercise healthy movement synergies, which may in turn help drive use-dependent motor recovery. Implications for rehabilitation Severe arm impairment arising after stroke does not generally eliminate the motor dexterity needed to bimanually propel a...
Source: Disability and Rehabilitation. Assistive Technology. - June 28, 2019 Category: Rehabilitation Authors: Smith BW, Bueno DR, Zondervan DK, Montano L, Reinkensmeyer DJ Tags: Disabil Rehabil Assist Technol Source Type: research

Do active assist transfer devices improve transfer safety for patients and caregivers in hospital and community settings? A scoping review.
Abstract Background: Safe patient handling practices reduce injury risk for healthcare workers (HCW) and patients, but may conflict with goals of rehabilitation and person-centred care by minimizing (a) active participation in transfers and (b) autonomy and dignity while using mechanical lifts. Active assist transfer devices (AATDs) have potential to address both safety and support needs for appropriate clients. Purpose: What is the scope and nature of the evidence to support the use of AATD for improving transfer safety for patients and caregivers in both hospital and community settings? Methods: Scoping review o...
Source: Disability and Rehabilitation. Assistive Technology. - June 28, 2019 Category: Rehabilitation Authors: Tang K, Diaz J, Lui O, Proulx L, Galle E, Packham T Tags: Disabil Rehabil Assist Technol Source Type: research

Prototyping of manual wheelchair with alternative propulsion system.
Conclusion: The prototyping allowed the analysis of the project parameters and their influence on the kinematic characteristics of the prototype and the biomechanical characteristics of the gesture. The same propulsion's system can be adopted on wheelchairs devoted to sport activities, representing the starting point for a future prototype of racing wheelchairs. In this regard, the wheelchair's braking system has been redesigned in order to improve efficiency and safety. Implication for rehabilitation The use of the Handwheelchair.q may have positive impacts in terms of the quality of life, in order to reduce the shoulder ...
Source: Disability and Rehabilitation. Assistive Technology. - June 28, 2019 Category: Rehabilitation Authors: Cavallone P, Bonisoli E, Quaglia G Tags: Disabil Rehabil Assist Technol Source Type: research

"I've had a love-hate, I mean mostly hate relationship with these PODD books": parent perceptions of how they and their child contributed to AAC rejection and abandonment.
"I've had a love-hate, I mean mostly hate relationship with these PODD books": parent perceptions of how they and their child contributed to AAC rejection and abandonment. Disabil Rehabil Assist Technol. 2019 Jun 28;:1-11 Authors: Moorcroft A, Scarinci N, Meyer C Abstract Purpose: The introduction of augmentative and alternative communication (AAC) systems can enhance the participation of young children with complex communication needs. However, existing literature suggests that the knowledge, skills, and attitudes of the child's parent may prevent ongoing use of the AAC system. Therefore, t...
Source: Disability and Rehabilitation. Assistive Technology. - June 28, 2019 Category: Rehabilitation Authors: Moorcroft A, Scarinci N, Meyer C Tags: Disabil Rehabil Assist Technol Source Type: research

An exploration of the experiences of Brazilian hemiplegic manual wheelchair users.
Conclusion: The findings confirm that current manual wheelchair provision, both new and secondhand, for this group of users is inadequate and they highlighted the issues and problems arising from the current provision. A novel finding was the identification of heteronomy that resulted from the provision of unsuitable equipment. Implication for rehabilitation Adding into physiotherapy and occupational therapy education, the importance of matching technology to the user in their environment. The importance of involving the user in decisions made about wheelchair provision. Sharing findings with wheelchair manufacturers to im...
Source: Disability and Rehabilitation. Assistive Technology. - June 22, 2019 Category: Rehabilitation Authors: Mandy A, Chesani F, Mezadri T Tags: Disabil Rehabil Assist Technol Source Type: research

Geospatial assistive technologies: potential usability criteria identified from manual wheelchair users.
Conclusion: The results obtained using a user-centric approach yielded useful data to improve GATs and broaden the concept of compatibility among users and specific-use situations to ensure usability. Implications for rehabilitation  For manual wheelchair users paired with a geospatial assistance technology: • The smart phone is preferred (compared to the smart watch, augmented reality glasses or virtual reality helmet) for both plan and navigation tasks. Actual use, comfort, ease of use, familiarity, features and informative content are important criteria and the smart phone as mobile device for GATs is per...
Source: Disability and Rehabilitation. Assistive Technology. - June 21, 2019 Category: Rehabilitation Authors: Prémont MÉ, Vincent C, Mostafavi MA Tags: Disabil Rehabil Assist Technol Source Type: research

A study on the efficacy of AFO stiffness prescriptions.
Conclusions: Quantification of AFO stiffness may help to understand why certain orthotic interventions are successful (unsuccessful) and ultimately lead to better AFO prescriptions. Implications for rehabilitation AFO ankle stiffness is key characteristic that determines how much support or restraint an AFO can provide. In a typical clinical setting, AFO ankle stiffness is not quantified. AFO has to meet individual patient's biomechanical needs. More objective AFO prescription and more controlled AFO production methods are needed to increase AFO success rate. PMID: 31226898 [PubMed - as supplied by publisher] (Source:...
Source: Disability and Rehabilitation. Assistive Technology. - June 21, 2019 Category: Rehabilitation Authors: Vasiliauskaite E, Ielapi A, De Beule M, Van Paepegem W, Deckers JP, Vermandel M, Forward M, Plasschaert F Tags: Disabil Rehabil Assist Technol Source Type: research

Advancement to higher communicative functions with transition to iPad app - a case report.
Abstract Children with complex communication needs (CCN) develop severe limitation in communication functioning due to restricted access to environment, limited interactions with their communication partners, and few opportunities for communication (Light, 1997). In order to overcome these challenges and to enhance communication abilities, Augmentative Alternative Communication (AAC) can be introduced in intervention. This single case study reports the improvements in communication skills when the child made a transition from a communication book to an iPad speech generating app. Participant was a 7 year old child...
Source: Disability and Rehabilitation. Assistive Technology. - June 21, 2019 Category: Rehabilitation Authors: Sreekumar S, G S S, Mathew BS Tags: Disabil Rehabil Assist Technol Source Type: research

Centre of pressure displacements produced in sitting during virtual reality training in younger and older adults and patients who have had a stroke.
Conclusions: Some VRT games were more likely to push participants to challenge their limits of stability. Others required less displacement but more trunk stability. These results can guide which VRT games are used for the rehabilitation of sitting balance after stroke. Implications for rehabilitation Some virtual reality training games produce greater displacements of the centre of pressure in sitting than others, suggesting that careful matching between game challenge and desired therapeutic outcome is necessary when selecting games. Virtual reality training performed in sitting with feet on the floor challenges sitting ...
Source: Disability and Rehabilitation. Assistive Technology. - June 20, 2019 Category: Rehabilitation Authors: Sheehy L, Taillon-Hobson A, Finestone H, Bilodeau M, Yang C, Hafizi D, Sveistrup H Tags: Disabil Rehabil Assist Technol Source Type: research

Feasibility of an iterative rehabilitation intervention for stroke delivered remotely using mobile health technology.
Conclusions: Strategy training can be adapted for delivery using mobile health technology, with careful consideration to methods for training participants on new technology and the intervention delivery. Future research should establish the efficacy and effectiveness of integrating mobile health in delivery of interventions that promote engagement in client-selected activities and community participation. Implications for rehabilitation Translating the strategy training intervention from face-to-face to remote delivery required thoughtful adaptation of the intervention protocol. Strategies for training clients to use mobil...
Source: Disability and Rehabilitation. Assistive Technology. - June 19, 2019 Category: Rehabilitation Authors: Kringle EA, Setiawan IMA, Golias K, Parmanto B, Skidmore ER Tags: Disabil Rehabil Assist Technol Source Type: research

Exploring the lived experience of people using ultralight wheelchairs with on-the-fly adjustable seating function.
Conclusions: Our study indicates that adjustable seating can have a significant impact on ultralight wheelchair users. Results may help with prescription of this class of wheelchair, and may also provide potential users and therapists some insight into the range of applications and benefits of on-the-fly adjustment features. Implications for rehabilitation Functional ability can be improved through the use of on-the-fly adjustable seating functions, leading to heightened participation at home and in the community. Users of wheelchairs with adjustable seating experience psychosocial benefits including increased social inter...
Source: Disability and Rehabilitation. Assistive Technology. - June 17, 2019 Category: Rehabilitation Authors: Mattie J, Aitken-Mundhenk L, Bicknell L, Mortenson WB, Borisoff J Tags: Disabil Rehabil Assist Technol Source Type: research

The effect of a semi-rigid thoracolumbosacral orthosis (TLSO) on foot pressure in elderly subjects presenting with spinal hyperkyphosis.
Conclusion: This study showed that using a TLSO can be beneficial for elderly people with hyperkyphosis. Implications for rehabilitation The ageing process can be accompanied by a degeneration of the spine and increase the risk of thoracic hyperkyphosis. The use of corrective orthotic bracing has been shown to improve spinal posture, and increase stability and balance amongst the elderly. Using a TLSO decreases forefoot pressures in stasis, and around the first metatarsal, as well as pressures relating to the second to fifth metatarsals under dynamic conditions. PMID: 31204547 [PubMed - as supplied by publisher] (Sour...
Source: Disability and Rehabilitation. Assistive Technology. - June 17, 2019 Category: Rehabilitation Authors: Ebrahim Mousavi M, Ahmadi Bani M, Aboutorabi A, Zare H, Head J, Movahedi Yeghaneh M, Ahmadi E Tags: Disabil Rehabil Assist Technol Source Type: research

Providing paediatric power wheelchairs in the USA then and now: a survey of providers.
Conclusions: Findings of the current survey suggest that barriers exist to a child, especially a younger child, obtaining a PWC. Implications for Rehabilitation Findings of the current (2018) survey suggest that barriers exist to a child obtaining a PWC. Respondents reported that the primary reasons for not recommending a paediatric PWC included cognitive, physical and behavioural factors. Respondents reported that the primary reasons a paediatric PWC was not obtained for a child who qualified to receive a PWC related to family support, transportation and home environment. Differences between responses to 2018 survey and t...
Source: Disability and Rehabilitation. Assistive Technology. - June 8, 2019 Category: Rehabilitation Authors: Kenyon LK, Schmitt J, Otieno S, Cohen L Tags: Disabil Rehabil Assist Technol Source Type: research

Rehabilitation evaluation of the newly developed polymeric based passive polycentric knee joint.
Conclusions: The improved HRQL and G of prosthetic performance confirmed the enhanced performance of the prosthesis. It is concluded that the developed passive polycentric knee joint could be explored in large scale for the TF amputees. Implications for rehabilitation The above knee (AK) amputation is a surgical interference that severs the thigh segment between the knee and hip joints. The above knee prosthesis consists of a socket, knee joint, pylon and foot. The artificial prosthetic knee joint imitates the functions of human knee to achieve the flexion-extension motion of the above knee amputee. The satisfaction of the...
Source: Disability and Rehabilitation. Assistive Technology. - June 7, 2019 Category: Rehabilitation Authors: Arun S, Marbaniang B, Borgohain B, Kanagaraj S Tags: Disabil Rehabil Assist Technol Source Type: research

FriWalk robotic walker: usability, acceptance and UX evaluation after a pilot study in a real environment.
Conclusions: Usability results do not qualify FriWalk as above average; the reasons explaining this have been identified and point out to the prototypical stage of the hardware. Acceptance and UX were positively evaluated and allowed the research team to propose a new organizational model to deliver the FriWalk-based prevention program. FriWalk will be soon evolved. Implications for rehabilitation FriWalk showed in a randomized clinical trial a positive relationship with improvement in physical performance, basic activities of daily living execution and frailty status. In terms of usability, user experience (UX) and accept...
Source: Disability and Rehabilitation. Assistive Technology. - June 7, 2019 Category: Rehabilitation Authors: Pérez-Rodríguez R, Moreno-Sánchez PA, Valdés-Aragonés M, Oviedo-Briones M, Divan S, García-Grossocordón N, Rodríguez-Mañas L Tags: Disabil Rehabil Assist Technol Source Type: research

Assistive technology self-management intervention for older Hispanics: a feasibility study.
Conclusion: The intervention was feasible and acceptable and is promising in decreasing performance difficulties in daily activities as well as in having a positive impact in older Hispanics' quality of life. IMPLICATIONS FOR REHABILITATION Older Hispanics living in Puerto Rico experience a high prevalence of disabilities in independent living. In a relative small sample this study shows that an assistive technology (AT) and disability self-management intervention for older Hispanics living in Puerto Rico is feasible to be delivered in a group format and in the community context. Older Hispanics living in Puerto Rico can p...
Source: Disability and Rehabilitation. Assistive Technology. - June 7, 2019 Category: Rehabilitation Authors: Orellano-Colón EM, Harrison-Cruz S, López-Lugo E, Ramos-Peraza S, Meléndez-Ortiz A, Ortiz-Torres J, Rodríguez-Marrero J Tags: Disabil Rehabil Assist Technol Source Type: research

Design of a modular wheelchair with posture transformation capabilities from sitting to standing.
The objective is to further increase the posture transformation capabilities in terms of cost, user effort, maintenance and life. The modular wheelchair allows the user to use his/her own energy and bodyweight to shift from sitting to standing position and back, in single smooth movement with zero dependency on electrical/electronic parts. Detailed design of links, mechanisms and load calculations were performed as per standard requirements. Prototype of the proposed design was also made and successfully tested for all its design features and capabilities as per the design standards and conditions of physically challenged ...
Source: Disability and Rehabilitation. Assistive Technology. - June 7, 2019 Category: Rehabilitation Authors: Dawar G, Kejariwal A, Kumar D Tags: Disabil Rehabil Assist Technol Source Type: research

Does the purchase of a mobility scooter alter physical activity levels in older adults?
Conclusions: It is unlikely that changes in physical activity were related to the ageing process given the relatively short time span of the study. Thus it can be inferred that participants viewed their mobility scooter as a vehicle for maintaining their lifestyle rather than as a means to seek out additional activities. Improvements to perceived quality of life may be attributed to continuing or furthering community and social engagement, and a sense of retained independence. Implications for rehabilitation An awareness of possible changes in physical activity associated with the purchase of a mobility scooter is needed. ...
Source: Disability and Rehabilitation. Assistive Technology. - June 3, 2019 Category: Rehabilitation Authors: Sullivan SJ, Handcock P, Jackson DS Tags: Disabil Rehabil Assist Technol Source Type: research

Cross-cultural adaptation of wheelchair skills test (version 4.3) for wheelchair users and caregivers to the Portuguese language (Brazil).
Conclusions: This instrument was able to evaluate the abilities of wheelchair users and their caregivers in Brazil, as well as being useful for training in rehabilitation programs. Implications for rehabilitation The need to use wheelchair (WC) properly has made clinicians and rehabilitation professionals more concerned with assessing and training users' abilities with their WC. Cross-cultural adaptation allows for the linguistic modification of the original language of the evaluation tool into a new language and enables the comparison of research results in different countries. Immediate use of the instrument for WC users...
Source: Disability and Rehabilitation. Assistive Technology. - May 30, 2019 Category: Rehabilitation Authors: Ossada VAY, Souza JG, Cruz DMC, Campos LCB, Medola FO, Costa VSP Tags: Disabil Rehabil Assist Technol Source Type: research

Undergraduate physiotherapy students' basic wheelchair provision knowledge: a pilot study in two universities in Colombia.
CONCLUSIONS: One-hundred sixteen students took the test and no one passed the test. The highest median domain scores were in Assessment and Process while the lowest were in Fitting and Products. The limitations of this study include that this sample does not represent all physiotherapy programmes or students in Colombia, there may be potential errors in the Spanish translation of the outcome measure, and students encountered Internet connectivity issues during the test that may have impacted their scores. Immediate interventions are required to improve teaching and students' learning outcomes related to basic manual wheelc...
Source: Disability and Rehabilitation. Assistive Technology. - May 16, 2019 Category: Rehabilitation Authors: Toro-Hernández ML, Mondragón-Barrera MA, Torres-Narváez MR, Velasco-Forero SE, Goldberg M Tags: Disabil Rehabil Assist Technol Source Type: research

Assistive technology for students with visual disability in schools for the blind in Delhi.
Abstract BACKGROUND: To understand the awareness and utilization of assistive technology in students at schools for the blind in Delhi. METHODS: A cross sectional study was conducted among 250 students selected randomly from 10 blind schools in Delhi. Binocular distance presenting and pinhole vision acuity were assessed using Snellen "E" chart and a multiple pinhole occluder. Students were also interviewed using a questionnaire about 42 assistive devices to understand their awareness and use. RESULTS: Male participants were 72.8%. Of the total, 27.6% students had best corrected visual acuity
Source: Disability and Rehabilitation. Assistive Technology. - April 23, 2019 Category: Rehabilitation Authors: Senjam SS, Foster A, Bascaran C, Vashist P, Gupta V Tags: Disabil Rehabil Assist Technol Source Type: research

The language and communication attributes of graphic symbol communication aids - a systematic review and narrative synthesis.
CONCLUSIONS: Information from studies reported in the research literature provides a sparse source of information about symbol communication aids from which clinicians, children or family members may make informed decisions. Implications for Rehabilitation This review is the first to systematically appraise the literature to answer the question what evidence exists to inform clinical decision making in relation to the language or communication attributes of graphic symbol based communication aids? The review establishes that there is a paucity of evidence from studies and that these decisions must thus be based on other in...
Source: Disability and Rehabilitation. Assistive Technology. - April 23, 2019 Category: Rehabilitation Authors: Judge S, Randall N, Goldbart J, Lynch Y, Moulam L, Meredith S, Murray J Tags: Disabil Rehabil Assist Technol Source Type: research

Wheelchair Mobility Confidence Scale for Dutch youth using a manual wheelchair.
The objective of this study was to develop a questionnaire to assess confidence in wheelchair mobility in Dutch youth (WheelCon-Mobility Dutch Youth). METHODS: (1) A forward-backward translation process was used to translate the original WheelCon-M from English to Dutch. (2) Items related to wheelchair mobility in Dutch youth were selected and adapted based on focus groups with youth, parents and health care professionals to create the WheelCon-Mobility Dutch Youth. (3) The WheelCon-Mobility Dutch Youth and the Utrecht Pediatric Wheelchair Mobility Skills Test 2.0 (UP-WMST 2.0) were administered to 62 participants to ...
Source: Disability and Rehabilitation. Assistive Technology. - April 23, 2019 Category: Rehabilitation Authors: Sol ME, Bloemen MAT, Verschuren O, Rushton PW, Visser-Meily JMA, de Groot JF Tags: Disabil Rehabil Assist Technol Source Type: research

The aerodynamic impact of a range of prostheses designs when cycling with a trans-tibial amputation.
Abstract Previous studies have proposed that an aerodynamically optimized prosthetic limb could provide performance enhancement for competitive paracyclists. Four different designs of prosthetic limbs were assessed for their impact upon the aerodynamic drag of an elite cyclist with a lower-limb amputation. The pylon area acted as the controlled location for the differences in design between the test prostheses. A validated field test method was used to derive the participant's total aerodynamic drag when using the prostheses designs. The field test method produced a repeatable experimental process and demonstrated...
Source: Disability and Rehabilitation. Assistive Technology. - April 23, 2019 Category: Rehabilitation Authors: Dyer B, Disley BX Tags: Disabil Rehabil Assist Technol Source Type: research