Effects of Interactive Technology on Home-Based Rehabilitation for Chronic Stroke Patient

2013 ◽  
Vol 831 ◽  
pp. 446-449
Author(s):  
Chien Yu Lin ◽  
Shu Ling Hsien
Keyword(s):  
Computer Animation ◽  
Visual Analysis ◽  
Low Cost ◽  
Rehabilitation Program ◽  
Chronic Stroke ◽  
Interactive Technology ◽  
Single Subject ◽  
Rehabilitation Training ◽  
Home Based ◽  
The Subject

This study aimed to apply low-cost interactive technology to home-based rehabilitation training for patients suffering from chronic stroke. It also focuses on discussing the results of the integration of interactive computer game training with home-based rehabilitation training in helping these patients. We conducted an experiment following the reversal design of single-subject research, in which a patient suffering with chronic stroke was given home-based rehabilitation training. In addition to interactive computer technology, the experiment also involved the adoption of a low-cost Wii Remote controller as an infrared receiver and a homemade infrared emitter supplemented by computer animation software to investigate the outcome of a home-based rehabilitation program. Data analysis is based on collection of points by the participant throughout the experiment and adopting visual analysis to discuss the outcome of interactive technology integrated with home-based rehabilitation. The results of this research show that the subject was able to stand on one leg for a few seconds longer than prior to the adoption of interactive technology integrated with home-based rehabilitation. Furthermore, parents of this patient and the therapists involved believe that the research and this innovative approach improved the patients performance in rehabilitation. The subject not only showed better motivation with regard to rehabilitation but also greater independence and enhanced capability of integrating into society.

scholarly journals Home-Based Therapy After Stroke Using the Hand Spring Operated Movement Enhancer (HandSOME II)

2021 ◽  
Vol 15 ◽  
Author(s):  
Rafael Casas ◽  
Melissa Sandison ◽  
Diane Nichols ◽  
Kaelin Martin ◽  
Khue Phan ◽  
...  
Keyword(s):  
Functional Connectivity ◽  
Real World ◽  
Brain Plasticity ◽  
Low Cost ◽  
Biomechanical Testing ◽  
Chronic Stroke ◽  
Reaching Task ◽  
Home Based ◽  
Before And After ◽  
Task Practice

We have developed a passive and lightweight wearable hand exoskeleton (HandSOME II) that improves range of motion and functional task practice in laboratory testing. For this longitudinal study, we recruited 15 individuals with chronic stroke and asked them to use the device at home for 1.5 h per weekday for 8 weeks. Subjects visited the clinic once per week to report progress and troubleshoot problems. Subjects were then given the HandSOME II for the next 3 months, and asked to continue to use it, but without any scheduled contact with the project team. Clinical evaluations and biomechanical testing was performed before and after the 8 week intervention and at the 3 month followup. EEG measures were taken before and after the 8 weeks of training to examine any recovery associated brain reorganization. Ten subjects completed the study. After 8 weeks of training, functional ability (Action Research Arm Test), flexor tone (Modified Ashworth Test), and real world use of the impaired limb (Motor Activity Log) improved significantly (p < 0.05). Gains in real world use were retained at the 3-month followup (p = 0.005). At both post-training and followup time points, biomechanical testing found significant gains in finger ROM and hand displacement in a reaching task (p < 0.05). Baseline functional connectivity correlated with gains in motor function, while changes in EEG functional connectivity paralleled changes in motor recovery. HandSOME II is a low-cost, home-based intervention that elicits brain plasticity and can improve functional motor outcomes in the chronic stroke population.

scholarly journals PECS (Picture Exchange Communication System) Terhadap Keterampilan Sosial Anak ADHD (Attention Deficit-Hyperactive Disorder)

2020 ◽  
Vol 16 (1) ◽  
pp. 28-34
Author(s):  
Virgian Ferda Sari ◽  
Ni Wayan Sukerti
Keyword(s):  
Social Skills ◽  
Social Skill ◽  
Visual Analysis ◽  
Picture Exchange Communication System ◽  
Single Subject ◽  
Single Subject Design ◽  
Attention Deficit Hyperactive Disorder ◽  
Subject Design ◽  
The Social ◽  
The Subject

This research aimed to identify the effects of PECS on the social skills of a student with ADHD, who experienced delayed in communication and social interaction. This research used Single Subject Design, with A-B-A design as the research design. The data were presented using graphics and analyzed using visual analysis. The subject of this research was a first grader with ADHD in an Inclusive Elementary School.  The result of this research showed that there was an effect on the implementation of PECS on the social skill of a student with ADHD; the student’s tendency to refuse the invitation to play together with others decreased. Moreover, the implementation of PECS enabled the student to understand the kinds of social skills that could be done together through PECS’s interactive pictures. Furthermore, it was found that PECS could optimize the student’s communicative and cognitive aspects.

Naturalistic Speech-Generating Device Interventions for Children With Complex Communication Needs: A Systematic Review of Single-Subject Studies

2018 ◽  
Vol 27 (3) ◽  
pp. 1073-1090 ◽  
Author(s):  
Cindy Gevarter ◽  
Claudia Zamora
Keyword(s):  
Systematic Review ◽  
Visual Analysis ◽  
Future Research ◽  
Single Subject ◽  
Complex Communication Needs ◽  
Positive Effects ◽  
Home Based ◽  
Minimum Requirements ◽  
Practical Guidelines ◽  
Communication Needs

Purpose This article presents a systematic review that aimed to synthesize single-subject–design studies that have examined naturalistic interventions for teaching the expressive use of speech-generating devices (SGDs) to children with complex communication needs. Specifically, this review describes what intervention strategies are most commonly applied in studies with positive effects and minimal methodological flaws and examines the populations and outcomes for which these strategies have been effective. Method A systematic approach was used to qualitatively code variables of interest to this review. Results were summarized via both visual analysis and effect size methods, and a certainty of evidence methodology was adopted to describe the quality of the evidence. Results Thirty-two unique studies met inclusion criteria, with 19 having consistent positive results and meeting minimum requirements for certainty of evidence. Although studies used a variety of titles to describe intervention packages (e.g., milieu teaching, interaction strategies), certain strategies were common across studies. These included (a) creating and capturing communication opportunities via methods such as time delay and questioning; (b) providing feedback via methods such as reinforcement of requests, praise, or expansions; (c) prompting (verbal, physical, gestural); (d) modeling; and (e) training communication partners. Conclusions Findings regarding these intervention components help to provide practical guidelines for naturalistic SGD intervention. Limitations of the current body of research (e.g., need to include more home-based studies and more intermediate to advanced SGDs, need to critically analyze the most critical intervention components) provide suggestions for future research. Supplemental Material https://doi.org/10.23641/asha.6615332

Comparative Effects of High-Tech Visual Scene Displays and Low-Tech Isolated Picture Symbols on Engagement From Students With Multiple Disabilities

2019 ◽  
Vol 50 (4) ◽  
pp. 693-702 ◽  
Author(s):  
Christine Holyfield ◽  
Sydney Brooks ◽  
Allison Schluterman
Keyword(s):  
Language Learning ◽  
Augmentative And Alternative Communication ◽  
Visual Analysis ◽  
Multiple Disabilities ◽  
Visual Scene ◽  
Future Research ◽  
High Tech ◽  
Single Subject ◽  
Wide Range ◽  
The Difference

Purpose Augmentative and alternative communication (AAC) is an intervention approach that can promote communication and language in children with multiple disabilities who are beginning communicators. While a wide range of AAC technologies are available, little is known about the comparative effects of specific technology options. Given that engagement can be low for beginning communicators with multiple disabilities, the current study provides initial information about the comparative effects of 2 AAC technology options—high-tech visual scene displays (VSDs) and low-tech isolated picture symbols—on engagement. Method Three elementary-age beginning communicators with multiple disabilities participated. The study used a single-subject, alternating treatment design with each technology serving as a condition. Participants interacted with their school speech-language pathologists using each of the 2 technologies across 5 sessions in a block randomized order. Results According to visual analysis and nonoverlap of all pairs calculations, all 3 participants demonstrated more engagement with the high-tech VSDs than the low-tech isolated picture symbols as measured by their seconds of gaze toward each technology option. Despite the difference in engagement observed, there was no clear difference across the 2 conditions in engagement toward the communication partner or use of the AAC. Conclusions Clinicians can consider measuring engagement when evaluating AAC technology options for children with multiple disabilities and should consider evaluating high-tech VSDs as 1 technology option for them. Future research must explore the extent to which differences in engagement to particular AAC technologies result in differences in communication and language learning over time as might be expected.

PENERAPAN TEKNIK SELF MANAGEMENT TERHADAP KEPATUHAN BEROBAT PENDERITA HIV DI YOGYAKARTA

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Yuliati Hasanah
Keyword(s):  
Medication Adherence ◽  
Behavioral Approach ◽  
Self Management ◽  
Single Subject ◽  
Single Subject Design ◽  
Self Monitoring ◽  
Self Evaluation ◽  
Subject Design ◽  
Management Techniques ◽  
The Subject

Abstract Self management is a strategy in which the cognitive behavioral approach in the application, subject to the expected full attendance during the intervention process. NAP is an HIV patient and had undergone antiretroviral therapy. Saturation, fatigue experienced by NAP during the ARV therapy, so found some times subject medical leave provisions. Healthy behavior in a sick person (in this case a person suffering from HIV) one of which is adherent to treatment that must be endured. This research aims to gain result the applying of self management techniques against medication adherence of NAP patient with HIV in the Balai Rehabilitasi Sosial Pamardi PutraYogyakarta. This study focuses on the application of self-management techniques that include self-monitoring, self reinforcement and self evaluation of medication adherence that includes aspects of belief, accept and act on the subject. Researchers used quantitative approach by using the method of single subject design N = 1 model A-B-A now where the measurements and observations made in each phase. The subject in this study as many as one person with initials NAP. The purpose of this study is to look at the effect of applying the self management technique against NAP’s medication adherence. The results of this study indicate that the application of self-management techniques have a positive effect in improving NAP’s medication adherence with skor of 2SD smaller than skor of the mean phase difference A2 and A1. Stages through the application of this technique is extracting and determining value, set goals, formulate an action plan, the implementation of self-monitoring, self reinforcement and self evaluation. Based on the analysis of the results of the study concluded that the motivation, participation and discipline will determine the effectiveness of the intervention. Support of family members is also important to support the commitment of the subjects in this therapy.Keywords: behavior modification, HIV, medication adherence, self-management AbstrakManusia dapat memutuskan dan menentukan dirinya sendiri. Berdasarkan asumsi tersebut teknik self management merupakan salah satu teknik modifikasi perilaku yang memfokuskan pada regulasi diri. Self management merupakan salah satu strategi dalam pendekatan perilaku kognitif dimana dalam penerapannya, subjek diharapkan kehadiran penuh selama proses intervensi. NAP adalah seorang penderita HIV dan telah menjalani terapi ARV. Kejenuhan, kelelahan dialami NAP selama mengikuti terapi ARV, sehingga ditemukan beberapa kali subjek meninggalkan ketentuan-ketentuan medis. Perilaku sehat pada orang sakit (dalam kasus ini seseorang yang menderita HIV) salah satunya adalah patuh terhadap pengobatan yang harus dijalani. Penelitian ini bertujuan untuk memperoleh hasil dari penerapan teknik self management terhadap kepatuhan berobat subjek NAP sebagai penderita HIV di Balai Rehabilitasi Sosial Pamardi Putra Yogyakarta. Penelitian ini menitikberatkan pada penerapan teknik self management yang mencakup self monitoring, self reinforcement dan self evaluation terhadap kepatuhan berobat yang mencakup aspek mempercayai (belief), menerima (accept) dan tindakan (act) pada subjek. Peneliti menggunakan pendekatan kuantitatif dengan menggunakan metode single subject design N=1 dengan model A-B-A dinama pengukuran dan pengamatan dilakukan di setiap fase. Subjek dalam penelitian ini sebanyak satu orang dengan inisial NAP. Tujuan penelitian ini adalah untuk melihat pengaruh penerapan teknik self management terhadap kepatuhan berobat subjek NAP. Hasil penelitian ini menunjukkan bahwa penerapan teknik self management mempunyai pengaruh positif dalam meningkatkan kepatuhan berobat subjek NAP dengan nilai 2SD lebih kecil dari selisih mean fase A2 dan A1. Tahapan yang dilalui dalam penerapan teknik ini adalah penggalian dan penentuan value, menetapkan goals, merumuskan rencana tindakan, pelaksanaan self monitoring, self reinforcement dan self evaluation. Berdasarkan analisa hasil penelitian disimpulkan bahwa motivasi, peran serta dan kedisiplinan akan menentukan efektifitas intervensi. Dukungan anggota keluarga juga penting untuk mendukung komitmen subjek dalam terapi ini.Kata kunci:  HIV, kepatuhan berobat, modifikasi perilaku, self management

IMPLEMENTASI MODEL TASK-CENTERED PADA RESPONDEN YANG MEMILIKI GANGGUAN KEJIWAAN SKIZOAFEKTIF, POST-PARTUM PSYCHOSIS DAN BABYBLUES SYNDROME DI KOTA BANDUNG

2017 ◽  
Vol 15 (2) ◽  
Author(s):  
Umi Salamah
Keyword(s):  
Standard Deviation ◽  
Action Research ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Positive Emotion ◽  
Visual Analysis ◽  
Single Subject ◽  
Cognitive Behavior ◽  
Single Subject Design ◽  
Subject Design

Abstract Task-Centered Models include Cognitive-Behavior Therapy (CBT) and Task-Centered Therapy begins with light Cognitive Therapy  focuses on thoughts, next Behavioral Therapy focus on act and reward application. Behavioural therapy also as a preface into task-centered therapy as conditioning. Comorbid symptoms of anxiety, aggression, and depression are target of changes. Using methods of action research, with Single Subject Design with pattern model of A-B at one baseline period (control) and two intervention period (treatments phase). The purpose of this study is to proof main hypothesis H1 = Task-Centered Models can reduce symptoms of anxiety, aggression and depression of  respondent Y or H0 = Task-Centered Models can not reduce symptoms of anxiety, aggression and depression of respondent Y. Related with research setting, qualitative analysis of the research subjects should also be included. Hypothesis is tested by using the formula of 2 standard deviation (2 SD), visual analysis within and between conditions. Test result shows that the entire hypothesis is accepted  with  and fulfill criterias of visual analysis significant. Its concluded that intervention effectiveness define by motivation, participation and discipline,parent commitment is vital for therapy that demands action and consistency, maintaining cognitive of respondent are essential for reducing stressors of recurrence through recreational activity and positive emotion building.Key words: Psychiatric Social Worker, Psychiatric Disorder, Cognitive-Behavior Therapy, Task- Centered TherapyAbstrak Model Task-Centered meliputi Cognitive-Behaviour Therapy (CBT) dan Terapi Berpusat Tugas (Task-Centered), dimulai oleh Terapi Kognitif ringan yang fokus pada pikiran, kemudian Terapi Behavioral fokus pada kegiatan (tindakan) tujuan dan penentuan bentuk imbalan (rewards). Terapi Behavioural menjadi pengantar terapi berpusat-tugas yang bersifat conditioning. Gejala penyerta anxiety (kegelisahan), aggression (agresifitas), dan depression (depresi) merupakan target perubahan. Pilihan metode penelitian yaitu penelitian tindakan (action research) dengan Desain Subjek Tunggal (Single Subject Design) dengan pola A-B dalam satu periode baseline (kontrol) dan dua periode intervensi (treatment phase). Tujuan penelitian ini adalah untuk membuktikan hipotesis utama; H1= task-centered model dapat menurunkan gejala anxiety, aggression dan depression responden Y atau H0= task-centered model tidak dapat menurunkan gejala anxiety, aggression dan depression responden Y. Berkaitan dengan setting penelitian, penjelasan kualitatif cukup penting untuk dilakukan. Secara kuantitatif, pengujian hipotesis dilakukan dengan menggunakan rumus 2 standard deviation (2 SD) dan analisis visual dalam kondisi. Berdasarkan hasil pengujian, diperoleh hasil bahwa hipotesis diterima ( ) dan memenuhi kriteria signifikansi dalam analisis visual. Kesimpulan penelitian adalah efektifitas intervensi ditentukan motivasi, peran serta dan tingkat kedisiplinan, komitmen orangtua penting dalam terapi yang menuntut aksi dan konsistensi responden, penekanan kognitif responden menurunkan stressor kekambuhan melalui kegiatan rekreatif dan positive emotion building.Kata kunci: Pekerja Sosial Medis Setting Kesehatan Mental, Gangguan Kejiwaan, Terapi Kognitif-Behavior, Terapi Berpusat Tugas

Effectiveness of mHealth Interventions on Physical Activity and Physical Fitness in Outpatient and Home-Based Cardiac Rehabilitation Programs: A Systematic Review (Preprint)

2019 ◽  
Author(s):  
Sheeba Nadarajah ◽  
Susan Buchholz ◽  
Kristen Dickins
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Physical Fitness ◽  
Cardiac Rehabilitation ◽  
Text Messaging ◽  
English Language ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Mixed Effect ◽  
Home Based

BACKGROUND Globally, cardiovascular disease is the leading cause of death. Cardiovascular mortality can be decreased by participation in cardiac rehabilitation. Researchers are exploring the use of mHealth technology in cardiac rehabilitation. OBJECTIVE The aim of this systematic review is to examine the effectiveness of randomized controlled trials that use a mHealth intervention as a part of an outpatient and/or home-based cardiac rehabilitation program on improving physical activity and physical fitness outcomes. METHODS For this systematic review, mHealth interventions were limited to text messaging, mobile apps, and use of a mobile phone network for data transmission, used to deliver cardiac rehabilitation program. Using six databases, the search strategy included published English language studies through 2016. Data was extracted independently by two reviewers, and then synthesized. RESULTS The initial search yielded 149 articles, of which 15 articles that represented nine studies met inclusion criteria. Articles were published from 2010 to 2016 and came from two continents. The majority (84%) of participants were male. Generally, the participant mean age was late 50s to early 60s. Text messaging was the most frequently used intervention. The results of the physical activity and physical fitness findings were mixed. Effect sizes for intervention as measured by the 6-minute walk test ranged from 0.46 to 0.58 and peak VO2 ranged from 0.03 to 1.35. CONCLUSIONS Globally, use of mHealth in outpatient and/or home-based cardiac rehabilitation is being studied with greater attention. However, these studies are limited by geography, gender, and age. Therefore, further research in the area of cardiac rehabilitation and mHealth is recommended, especially in developing countries, among women, and older adults.

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