Lancioni Giulio E, Singh Nirbhay N, O'Reilly Mark F, Sigafoos Jeff, D'Amico Fiora, Addante Luigi M, Ferlisi Gabriele, Zullo Valeria, Oliva Doretta, Megna Marisa
University of Bari, Italy.
Medical College of Georgia, Georgia Regents University, Augusta, USA.
Res Dev Disabil. 2014 Mar;35(3):611-8. doi: 10.1016/j.ridd.2014.01.002. Epub 2014 Jan 25.
These two studies were aimed at extending the assessment of technology-aided programs to enhance leisure occupation or communication with persons with extensive neuro-motor impairment and lack of speech. Specifically, Study I implemented the program for leisure occupation with two post-stroke patients. Study II implemented the program for communication with two persons affected by amyotrophic lateral sclerosis (ALS). In Study I, a computer system presented the participants with a variety of stimuli. The participants could select/access those stimuli by microswitch activation or could bypass them by abstaining from microswitch responses. In Study II, the participants used a computer-aided telephone system that allowed them to choose via microswitch activation the persons to call. On the computer screen, they also had words and phrases that they could activate during the calls to influence the conversation with the persons called. Data from both studies were largely positive. The post-stroke patients showed high levels of stimulus selection (access) and extended engagement. The patients with ALS were able to make phone calls and to select the words/phrases to influence the conversations. The relevance of technology-aided programs for leisure occupation and communication of persons with extensive multiple disabilities was discussed.
这两项研究旨在扩大对技术辅助项目的评估，以促进重度神经运动障碍且无法言语者的休闲活动或交流。具体而言，研究一针对两名中风后患者实施了休闲活动项目。研究二则针对两名肌萎缩侧索硬化症（ALS）患者实施了交流项目。在研究一中，一个计算机系统向参与者呈现各种刺激。参与者可以通过微动开关激活来选择/获取这些刺激，也可以通过不进行微动开关响应来绕过它们。在研究二中，参与者使用了一个计算机辅助电话系统，该系统允许他们通过微动开关激活来选择要拨打的人。在电脑屏幕上，他们还有一些单词和短语，在通话过程中可以激活这些内容来影响与被呼叫者的对话。两项研究的数据大多是积极的。中风后患者表现出高水平的刺激选择（获取）和延长的参与度。ALS患者能够打电话并选择单词/短语来影响对话。文中还讨论了技术辅助项目对于重度多重残疾者休闲活动和交流的相关性。
