Lancioni Giulio E, Singh Nirbhay N, O'Reilly Mark F, Sigafoos Jeff, Alberti Gloria, Perilli Viviana, Campodonico Francesca
University of Bari, Bari, Italy.
Medical College of Georgia, Augusta University, Augusta, GA, United States.
Front Public Health. 2017 Aug 10;5:205. doi: 10.3389/fpubh.2017.00205. eCollection 2017.
People with severe/profound multiple (e.g., intellectual, motor, or sensory-motor) disabilities are frequently restricted to a situation of inactivity and dependence, which may be modified by promoting functional activity engagement through assistive technology.
This study assessed the possibility of promoting functional activity engagement microswitch-aided programs with nine participants with multiple disabilities between 10 and 29 years of age. Functional activity consisted of constructive interaction with the immediate environment (e.g., reaching/touching or putting away objects) through the use of response schemes considered practical and beneficial for the participants' physical exercise and general condition. Microswitch-aided programs were used to monitor the participants' responses and to automatically provide stimulation opportunities contingent on those responses.
All participants had a large/significant increase in their activity engagement (i.e., response frequencies) during the microswitch-aided programs, when compared to the baseline periods. These data, which are in line with previous findings in the area, indicate that the programs targeted activity and responses suitable for the participants and ensured contingent stimulation effective to motivate them.
People with severe/profound multiple disabilities can engage in functional activity with the help of microswitch-aided programs.
患有严重/极重度多重（如智力、运动或感觉运动）残疾的人常常处于不活动和依赖的状态，而通过辅助技术促进功能活动参与可能会改变这种状况。
本研究评估了使用微动开关辅助程序促进9名年龄在10至29岁之间的多重残疾参与者进行功能活动参与的可能性。功能活动包括通过使用被认为对参与者体育锻炼和总体状况实用且有益的反应模式与直接环境进行建设性互动（如伸手/触摸或摆放物品）。微动开关辅助程序用于监测参与者的反应，并根据这些反应自动提供刺激机会。
与基线期相比，所有参与者在微动开关辅助程序期间的活动参与度（即反应频率）都有大幅/显著增加。这些数据与该领域先前的研究结果一致，表明这些程序针对适合参与者的活动和反应，并确保了能有效激励他们的偶然刺激。
患有严重/极重度多重残疾的人可以在微动开关辅助程序的帮助下参与功能活动。
