Lancioni Giulio, O'Reilly Mark, Singh Nirbhay, D'Amico Fiora, Ricci Irene, Buonocunto Francesca
Department of Psychology, University of Bari, Bari, Italy.
Dev Neurorehabil. 2011;14(1):60-4. doi: 10.3109/17518423.2010.526170.
To evaluate microswitch-cluster technology to help a post-coma man with multiple disabilities increase adaptive responding and reduce head forward tilting.
The intervention programme initially focused on promoting a simple adaptive response (i.e. manipulating and moving a wobbling, ball-like device), which produced brief periods of preferred stimulation. Subsequently, this response produced the stimulation only if performed in the presence of head upright. Moreover, the stimulation lasted the scheduled time only if the head upright was maintained.
Data showed that the programme was successful in increasing the frequency of adaptive responses and in reducing the unhealthy posture of head forward tilting. Toward the end of the programme, the participant performed virtually all responses with his head upright and kept this posture through nearly the entire length of the sessions.
Microswitch-cluster technology might help post-coma persons with multiple disabilities improve adaptive engagement and head posture simultaneously.
评估微动开关集群技术，以帮助一名患有多种残疾的昏迷后男子增加适应性反应并减少头部前倾。
干预计划最初侧重于促进一种简单的适应性反应（即操纵和移动一个摇晃的球状装置），这会产生短暂的偏好刺激。随后，这种反应只有在头部直立时才会产生刺激。此外，只有保持头部直立，刺激才会持续预定的时间。
数据显示该计划成功增加了适应性反应的频率，并减少了头部前倾的不健康姿势。在计划接近尾声时，参与者几乎所有反应都是头部直立进行的，并且在几乎整个疗程中都保持了这种姿势。
微动开关集群技术可能有助于患有多种残疾的昏迷后患者同时改善适应性参与和头部姿势。
