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Lancioni GE, Desideri L, Singh NN, O'Reilly MF, Sigafoos J, De Caro MF, Taurisano P. Use of technology to sustain mobility in older people with cognitive impairment and dementia: a scoping review. Disabil Rehabil Assist Technol 2021:1-15. [PMID: 33751919 DOI: 10.1080/17483107.2021.1900935] [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: 10/21/2022]
Abstract
PURPOSE This paper provides a review of studies that evaluated technology devices to sustain various forms of mobility in older people with cognitive impairment or dementia and mobility problems (e.g., inability to ambulate or difficulties to orient with consequent failures to reach relevant destinations). METHODS A literature search was performed for English language articles indexed in PubMed, PsycINFO, and Web of Science. This search was then supplemented with an ancestral and forward search. The search covered the period ranging between January 2010 and October 2020. RESULTS Twenty-seven articles were included in the review. They were divided into four groups according to whether they aimed to promote (a) supported ambulation, (b) use of safe power wheelchair, (c) ambulation guided by orientation cues, and (d) ambulation with GPS-based assistance. The studies were coded in terms of the objective pursued, technology used, participants involved, strategies applied to assess the technology, and outcome reported. CONCLUSION A variety of technology devices are available to address the mobility problems of older people with cognitive impairment or dementia. The devices' accessibility and usability differ widely. Data on their impact are still largely preliminary and new systematic research is needed.IMPLICATIONS FOR REHABILITATIONA variety of mobility problems may afflict older people with cognitive impairment or dementia and curtail their opportunities to freely move indoor or outdoor.Technology devices have been developed to (a) promote forms of supported ambulation, (b) facilitate safe use of power wheelchairs, (c) deliver orientation/navigation cues, and (d) ensure tracking and possible assistance.The technology devices differ in terms of accessibility and affordability, with some of them readily available and others at a developmental stage.Data on the effectiveness of the various technology devices in reducing the impact of the mobility problems are still largely preliminary and new systematic research is needed.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | | | - Nirbhay N Singh
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin, Austin, TX, USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington, Wellington, New Zealand
| | - Maria F De Caro
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Paolo Taurisano
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
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Cambetis S, Richmond J, Chew A. Motorized Mobility Scooter Use and Knowledge of the Rules And Etiquette: A Survey. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2019. [DOI: 10.1080/02703181.2019.1699634] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Sophie Cambetis
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
| | - Janet Richmond
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
| | - Angela Chew
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
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Alqahtani S, Joseph J, Dicianno B, Layton NA, Toro ML, Ferretti E, Tuakli-Wosornu YA, Chhabra H, Neyedli H, Lopes CR, Alqahtani MM, Van de Vliet P, Kumagaya SI, Kim JB, McKinney V, Yang YS, Goldberg M, Cooper R. Stakeholder perspectives on research and development priorities for mobility assistive-technology: a literature review. Disabil Rehabil Assist Technol 2019; 16:362-376. [DOI: 10.1080/17483107.2019.1650300] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Saleh Alqahtani
- Human Engineering Research Laboratories, University of Pittsburgh, Pittsburgh, PA, USA
| | - James Joseph
- Human Engineering Research Laboratories, University of Pittsburgh, Pittsburgh, PA, USA
- VA Pittsburgh Healthcare System, HERL, Pittsburgh, PA, USA
| | - Brad Dicianno
- Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Natasha Ann Layton
- Living with Disability Research Centre/Summer Foundation, LaTrobe University, Bundoora, Australia
| | | | - Eliana Ferretti
- Department of Science of Human Movement, University of Estacio de Sa – University Center São Paulo, Sao Paulo, Brazil
| | - Yetsa A. Tuakli-Wosornu
- Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, CT, USA
| | | | - Heather Neyedli
- School of Health and Human Performance Department, Dalhousie University, Nova Scotia, Canada
| | - Celia Regina Lopes
- Department of Physical Education, Federal University of Uberlândia – Umuarama Campus, Uberlandia, Brazil
| | - Mazen M. Alqahtani
- Physical Therapy Department, AlMajmaah University, AlMajmaah, Saudi Arabia
| | | | - Shin-Ichiro Kumagaya
- Research Center for Advanced Science and Technology, The University of Tokyo, Bunkyo-ku, Japan
| | - Jong-Bae Kim
- Yonsei University – Wonju Campus, Wonju, the Republic of Korea
| | - Vic McKinney
- Department of Health & Rehabilitation Sciences, University of Cape Town, Rondebosch, South Africa
| | - Yu-Sheng Yang
- Department of Occupational Therapy, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Mary Goldberg
- Human Engineering Research Laboratories, University of Pittsburgh, Pittsburgh, PA, USA
| | - Rory Cooper
- VA Pittsburgh Healthcare System, HERL, Pittsburgh, PA, USA
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Daniele K, Marcucci M, Cattaneo C, Borghese NA, Zannini L. How Prefrail Older People Living Alone Perceive Information and Communications Technology and What They Would Ask a Robot for: Qualitative Study. J Med Internet Res 2019; 21:e13228. [PMID: 31389341 PMCID: PMC6701159 DOI: 10.2196/13228] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2018] [Revised: 04/03/2019] [Accepted: 04/20/2019] [Indexed: 11/13/2022] Open
Abstract
Background In the last decade, the family system has changed significantly. Although in the past, older people used to live with their children, nowadays, they cannot always depend on assistance of their relatives. Many older people wish to remain as independent as possible while remaining in their homes, even when living alone. To do so, there are many tasks that they must perform to maintain their independence in everyday life, and above all, their well-being. Information and communications technology (ICT), particularly robotics and domotics, could play a pivotal role in aging, especially in contemporary society, where relatives are not always able to accurately and constantly assist the older person. Objective The aim of this study was to understand the needs, preferences, and views on ICT of some prefrail older people who live alone. In particular, we wanted to explore their attitude toward a hypothetical caregiver robot and the functions they would ask for. Methods We designed a qualitative study based on an interpretative phenomenological approach. A total of 50 potential participants were purposively recruited in a big town in Northern Italy and were administered the Fried scale (to assess the participants’ frailty) and the Mini-Mental State Examination (to evaluate the older person’s capacity to comprehend the interview questions). In total, 25 prefrail older people who lived alone participated in an individual semistructured interview, lasting approximately 45 min each. Overall, 3 researchers independently analyzed the interviews transcripts, identifying meaning units, which were later grouped in clustering of themes, and finally in emergent themes. Constant triangulation among researchers and their reflective attitude assured trustiness. Results From this study, it emerged that a number of interviewees who were currently using ICT (ie, smartphones) did not own a computer in the past, or did not receive higher education, or were not all young older people (aged 65-74 years). Furthermore, we found that among the older people who described their relationship with ICT as negative, many used it in everyday life. Referring to robotics, the interviewees appeared quite open-minded. In particular, robots were considered suitable for housekeeping, for monitoring older people’s health and accidental falls, and for entertainment. Conclusions Older people’s use and attitudes toward ICT does not always seem to be related to previous experiences with technological devices, higher education, or lower age. Furthermore, many participants in this study were able to use ICT, even if they did not always acknowledge it. Moreover, many interviewees appeared to be open-minded toward technological devices, even toward robots. Therefore, proposing new advanced technology to a group of prefrail people, who are self-sufficient and can live alone at home, seems to be feasible.
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Affiliation(s)
- Katia Daniele
- Department of Computer Science, University of Milan, Milan, Italy.,Geriatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Maura Marcucci
- Geriatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Cesarina Cattaneo
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | | | - Lucia Zannini
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
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Abstract
The design of medical devices is a complex and crucial process to ensure patient safety. It has been shown that improperly designed devices lead to errors and associated accidents and costs. A key element for a successful design is incorporating the views of the primary and secondary stakeholders early in the development process. They provide insights into current practice and point out specific issues with the current processes and equipment in use. This work presents how information from a user-study conducted in the early stages of the RAFS (Robot Assisted Fracture Surgery) project informed the subsequent development and testing of the system. The user needs were captured using qualitative methods and converted to operational, functional, and non-functional requirements based on the methods derived from product design and development. This work presents how the requirements inform a new workflow for intra-articular joint fracture reduction using a robotic system. It is also shown how the various elements of the system are developed to explicitly address one or more of the requirements identified, and how intermediate verification tests are conducted to ensure conformity. Finally, a validation test in the form of a cadaveric trial confirms the ability of the designed system to satisfy the aims set by the original research question and the needs of the users.
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Rushton PW, Mortenson BW, Viswanathan P, Wang RH, Miller WC, Hurd Clarke L. Intelligent power wheelchair use in long-term care: potential users' experiences and perceptions. Disabil Rehabil Assist Technol 2016; 12:740-746. [PMID: 27982717 DOI: 10.1080/17483107.2016.1260653] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
PURPOSE Long-term care (LTC) residents with cognitive impairments frequently experience limited mobility and participation in preferred activities. Although a power wheelchair could mitigate some of these mobility and participation challenges, this technology is often not prescribed for this population due to safety concerns. An intelligent power wheelchair (IPW) system represents a potential intervention that could help to overcome these concerns. The purpose of this study was to explore a) how residents experienced an IPW that used three different modes of control and b) what perceived effect the IPW would have on their daily lives. MATERIALS AND METHODS We interviewed 10 LTC residents with mild or moderate cognitive impairment twice, once before and once after testing the IPW. Interviews were conducted using a semi-structured interview guide, audio recorded and transcribed verbatim for thematic analyses. RESULTS Our analyses identified three overarching themes: (1) the difference an IPW would make, (2) the potential impact of the IPW on others and (3) IPW-related concerns. CONCLUSIONS Findings from this study confirm the need for and potential benefits of IPW use in LTC. Future studies will involve testing IPW improvements based on feedback and insights from this study. Implications for rehabilitation Intelligent power wheelchairs may enhance participation and improve safety and feelings of well-being for long-term care residents with cognitive impairments. Intelligent power wheelchairs could potentially have an equally positive impact on facility staff, other residents, and family and friends by decreasing workload and increasing safety.
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Affiliation(s)
- Paula W Rushton
- a School of Rehabilitation , Université de Montréal , Montréal , Québec , Canada.,b CHU Sainte-Justine Research Center , Montréal , Québec , Canada
| | - Ben W Mortenson
- c Department of Occupational Science and Occupational Therapy , University of British Columbia , Vancouver , British Columbia , Canada.,d International Collaboration on Repair Discoveries , Vancouver , British Columbia , Canada.,e Rehabilitation Research Program, GF Strong Rehabilitation Research Lab , Vancouver , British Columbia , Canada
| | - Pooja Viswanathan
- f Department of Occupational Science and Occupational Therapy , Intelligent Assistive Technology and Systems Lab, University of Toronto , Toronto , Ontario , Canada.,g Toronto Rehabilitation Institute , Toronto , Ontario , Canada
| | - Rosalie H Wang
- f Department of Occupational Science and Occupational Therapy , Intelligent Assistive Technology and Systems Lab, University of Toronto , Toronto , Ontario , Canada.,g Toronto Rehabilitation Institute , Toronto , Ontario , Canada
| | - William C Miller
- c Department of Occupational Science and Occupational Therapy , University of British Columbia , Vancouver , British Columbia , Canada.,d International Collaboration on Repair Discoveries , Vancouver , British Columbia , Canada.,e Rehabilitation Research Program, GF Strong Rehabilitation Research Lab , Vancouver , British Columbia , Canada.,h Vancouver Coastal Health Research Institute , Vancouver , British Columbia , Canada
| | - Laura Hurd Clarke
- h Vancouver Coastal Health Research Institute , Vancouver , British Columbia , Canada.,i School of Kinesiology , University of British Columbia , Vancouver , British Columbia , Canada
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Korman M, Weiss PL, Kizony R. Living Labs: overview of ecological approaches for health promotion and rehabilitation. Disabil Rehabil 2015; 38:613-9. [PMID: 26138020 DOI: 10.3109/09638288.2015.1059494] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE The term "Living Lab" was coined to reflect the use of sensors to monitor human behavior in real life environments. Until recently such measurements had been feasible only within experimental laboratory settings. The objective of this paper is to highlight research on health care sensing and monitoring devices that enable direct, objective and accurate capture of real-world functioning. METHOD Selected articles exemplifying the key technologies that allow monitoring of the motor-cognitive activity of persons with disabilities during naturally occurring daily experiences in real-life settings are discussed in terms of (1) the ways in which the Living Lab approach has been used to date, (2) limitations related to clinical assessment in rehabilitation settings and (3) three categories of the instruments most commonly used for this purpose: personal technologies, ambient technologies and external assistive systems. RESULTS Technology's most important influences on clinical practice and rehabilitation are in a shift from laboratory-based to field-centered research and a transition between in-clinic performance to daily life activities. Numerous applications show its potential for real-time clinical assessment. CONCLUSIONS Current technological solutions that may provide clinicians with objective, unobtrusive measurements of health and function, as well as tools that support rehabilitation on an individual basis in natural environments provide an important asset to standard clinical measures. IMPLICATIONS FOR REHABILITATION Until recently objective clinical assessment could not be readily performed in a client's daily functional environment. Novel technologies enable health care sensing and monitoring devices that enable direct, objective and accurate capture of real-world functioning. Such technologies are referred to as a "Living Lab" approach since they enable the capture of objective and non-obtrusive data that clinicians can use to assess performance. Research and development in this field help clinicians support maintain independence and quality of life for people who have disabilities or who are aging, and to promote more effective methods of long-term rehabilitation and maintenance of a healthy life style.
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Affiliation(s)
- M Korman
- a Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences , University of Haifa , Haifa , Israel and
| | - P L Weiss
- a Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences , University of Haifa , Haifa , Israel and
| | - R Kizony
- a Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences , University of Haifa , Haifa , Israel and.,b Department of Occupational Therapy , Sheba Medical Center , Tel Hashomer , Israel
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Wästlund E, Sponseller K, Pettersson O, Bared A. Evaluating gaze-driven power wheelchair with navigation support for persons with disabilities. ACTA ACUST UNITED AC 2015; 52:815-26. [DOI: 10.1682/jrrd.2014.10.0228] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 06/12/2015] [Indexed: 11/05/2022]
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Rushton PW, Kairy D, Archambault P, Pituch E, Torkia C, El Fathi A, Stone P, Routhier F, Forget R, Pineau J, Gourdeau R, Demers L. The potential impact of intelligent power wheelchair use on social participation: perspectives of users, caregivers and clinicians. Disabil Rehabil Assist Technol 2014; 10:191-7. [DOI: 10.3109/17483107.2014.907366] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Exploring powered wheelchair users and their caregivers' perspectives on potential intelligent power wheelchair use: a qualitative study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:2244-61. [PMID: 24566051 PMCID: PMC3945596 DOI: 10.3390/ijerph110202244] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2013] [Revised: 01/30/2014] [Accepted: 02/10/2014] [Indexed: 11/17/2022]
Abstract
Power wheelchairs (PWCs) can have a positive impact on user well-being, self-esteem, pain, activity and participation. Newly developed intelligent power wheelchairs (IPWs), allowing autonomous or collaboratively-controlled navigation, could enhance mobility of individuals not able to use, or having difficulty using, standard PWCs. The objective of this study was to explore the perspectives of PWC users (PWUs) and their caregivers regarding if and how IPWs could impact on current challenges faced by PWUs, as well as inform current development of IPWs. A qualitative exploratory study using individual interviews was conducted with PWUs (n = 12) and caregivers (n = 4). A semi-structured interview guide and video were used to facilitate informed discussion regarding IPWs. Thematic analysis revealed three main themes: (1) “challenging situations that may be overcome by an IPW” described how the IPW features of obstacle avoidance, path following, and target following could alleviate PWUs’ identified mobility difficulties; (2) “cautious optimism concerning IPW use revealed participants” addresses concerns regarding using an IPW as well as technological suggestions; (3) “defining the potential IPW user” revealed characteristics of PWUs that would benefit from IPW use. Findings indicate how IPW use may help overcome PWC difficulties and confirm the importance of user input in the ongoing development of IPWs.
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