Gargot Thomas, Asselborn Thibault, Zammouri Ingrid, Brunelle Julie, Johal Wafa, Dillenbourg Pierre, Archambault Dominique, Chetouani Mohamed, Cohen David, Anzalone Salvatore M
Department of Child and Adolescent Psychiatry, APHP, Sorbonne Université, Hôpital de la Pitié-Salpêtrière-Charles Foix, Assistance Publique Hôpitaux de Paris, Paris, France.
CHART EA 4004, THIM, Paris 8 University, Saint Denis, France.
Front Psychiatry. 2021 Feb 23;12:596055. doi: 10.3389/fpsyt.2021.596055. eCollection 2021.
Writing disorders are frequent and impairing. However, social robots may help to improve children's motivation and to propose enjoyable and tailored activities. Here, we have used the scenario in which a child is asked to teach a robot how to write via demonstration on a tablet, combined with a series of games we developed to train specifically pressure, tilt, speed, and letter liaison controls. This setup was proposed to a 10-year-old boy with a complex neurodevelopmental disorder combining phonological disorder, attention deficit/hyperactivity disorder, dyslexia, and developmental coordination disorder with severe dysgraphia. Writing impairments were severe and limited his participation in classroom activities despite 2 years of specific support in school and professional speech and motor remediation. We implemented the setup during his occupational therapy for 20 consecutive weekly sessions. We found that his motivation was restored; avoidance behaviors disappeared both during sessions and at school; handwriting quality and posture improved dramatically. In conclusion, treating dysgraphia using child-robot interaction is feasible and improves writing. Larger clinical studies are required to confirm that children with dysgraphia could benefit from this setup.
书写障碍很常见且具有损害性。然而,社交机器人可能有助于提高儿童的积极性,并提供有趣且量身定制的活动。在此,我们采用了这样一种场景:要求一名儿童通过在平板电脑上进行示范来教机器人如何书写,并结合我们开发的一系列专门训练压力、倾斜度、速度和字母连写控制的游戏。我们将此设置应用于一名患有复杂神经发育障碍的10岁男孩,该障碍合并了语音障碍、注意力缺陷多动障碍、诵读困难以及伴有严重书写障碍的发育协调障碍。尽管在学校接受了两年的特殊支持以及专业的言语和运动康复治疗,但其书写障碍仍然严重,限制了他参与课堂活动。我们在他连续20周的职业治疗期间实施了该设置。我们发现他的积极性得以恢复;在治疗期间和学校里,回避行为都消失了;书写质量和姿势有了显著改善。总之,利用儿童与机器人的互动来治疗书写障碍是可行的,并且能改善书写情况。需要开展更大规模的临床研究来证实患有书写障碍的儿童能够从这种设置中受益。