Disability and Rehabilitation: Assistive Technology 

About: Disability and Rehabilitation: Assistive Technology is an academic journal published by Informa. The journal publishes majorly in the area(s): Wheelchair & Medicine. It has an ISSN identifier of 1748-3107. Over the lifetime, 1525 publications have been published receiving 23946 citations. The journal is also known as: Disability and rehabilitation. Assistive technology.

Consumer design priorities for upper limb prosthetics

Abstract: Purpose. To measure consumer satisfaction with upper limb prosthetics and provide an enumerated list of design priorities for future developments.Methods. A self-administered, anonymous survey collected information on participant demographics, history of and goals for prosthesis use, satisfaction, and design priorities. The questionnaire was available online and in paper format and was distributed through healthcare providers, community support groups, and one prosthesis manufacturer; 242 participants of all ages and levels of upper limb absence completed the survey.Results. Rates of rejection for myoelectric hands, passive hands, and body-powered hooks were 39%, 53%, and 50%, respectively. Prosthesis wearers were generally satisfied with their devices while prosthesis rejecters were dissatisfied. Reduced prosthesis weight emerged as the highest priority design concern of consumers. Lower cost ranked within the top five design priorities for adult wearers of all device types. Life-like appearance is a pri...

3D-printed upper limb prostheses: a review.

Abstract: Goal: This paper aims to provide an overview with quantitative information of existing 3D-printed upper limb prostheses. We will identify the benefits and drawbacks of 3D-printed devices to enable improvement of current devices based on the demands of prostheses users.Methods: A review was performed using Scopus, Web of Science and websites related to 3D-printing. Quantitative information on the mechanical and kinematic specifications and 3D-printing technology used was extracted from the papers and websites.Results: The overview (58 devices) provides the general specifications, the mechanical and kinematic specifications of the devices and information regarding the 3D-printing technology used for hands. The overview shows prostheses for all different upper limb amputation levels with different types of control and a maximum material cost of $500.Conclusion: A large range of various prostheses have been 3D-printed, of which the majority are used by children. Evidence with respect to the user accep...

Prosthesis rejection in acquired major upper-limb amputees: a population-based survey.

Abstract: Purpose: To estimate the rates of primary and secondary prosthesis rejection in acquired major upper-limb amputees (ULAs), to describe the most frequently reported reasons for rejection and to estimate the influence of background factors on the risk of rejection. Method: Cross-sectional study analysing population-based questionnaire data (n = 224). Effects were analysed by logistic regression analyses and Cox regression analyses. Results: Primary prosthesis rejection was found in 4.5% whereas 13.4% had discontinued prosthesis use. The main reasons reported for primary non-wear were a perceived lack of need and discrepancies between perceived need and the prostheses available. The main reasons reported for secondary prosthesis rejection were dissatisfaction with prosthetic comfort, function and control. Primary prosthesis rejection was more likely in ULAs amputated at high age and in ULAs with proximal amputations. Secondary prosthesis rejection was more likely in proximal ULAs and in women. Conclusions: C...

A framework for modelling the selection of assistive technology devices (ATDs).

Abstract: Purpose. The previously published ‘Framework for the conceptual modelling of assistive technology device (ATD) outcomes’ assumes antecedent factors that inform it and influence its component variables. This paper proposes a model of factors influencing consumer predispositions and provider practices related to procuring a particular ATD, which is the starting point in the framework.Method. The relevant literature on a variety of factors that influence specific ATD selection is summarized.Results. The decision that a particular ATD is an appropriate and desirable support for an individual is the result of a process which is affected by a broader societal climate that determines, in part, unique personal climates which then foster unique provider and consumer perspectives predisposing each to the selection of a particular ATD.Conclusions. The proposed ‘Framework for modelling the selection of ATDs’ can contribute to clinical practice and outcomes research by highlighting factors important to consider prior ...

Virtual reality rehabilitation of balance: assessment of the usability of the Nintendo Wii ® Fit Plus

Abstract: Purpose: The aim of this study was to investigate the usability of the Nintendo Wii Fit Plus® (NWFP) in the treatment of balance impairment in vestibular and other neurological disease. Methods: This was a cross-sectional, quasi-experimental study. Participants (n = 26; mean age 43 ± 14, M13:F13) with quantified balance impairment took part in a 30-minute session on the NWFP using exercises and games that challenge balance. Outcomes included the System Usability Scale (SUS), a numerical rating scale of enjoyment and a post treatment questionnaire. Results: The mean SUS score was high (mean 82 ± 18%) with only two participants rating below 50%. There was a negative correlation of age with SUS scores (r = −0.54; p = 0.004). Mean numerical rating scale score (/10) for enjoyment of the NWFP session was 8.4 ± 3. Of the participants, 88.5% said that they would like to use the NWFP in future treatment. Seventy-three percent reported more enjoyment and motivation than usual physiotherapy. No falls occurred during...