Bailey D M
Tufts University, Boston School of Occupational Therapy, Medford, Massachusetts 02155.
Am J Occup Ther. 1994 Apr;48(4):341-5. doi: 10.5014/ajot.48.4.341.
Three persons with severe physical and cognitive impairments, residents of a facility for persons with mental retardation, learned to use switch-controlled assistive devices. Previous case reports have described the technology and techniques used to enable these women to explore their surroundings. Material was collected, organized, and analyzed in three sections: clients, powered devices, and treatment approaches. The purpose was to affirm tenets that often provide the basis for treatment when powered activities are used in occupational therapy with adults with severe impairments. Client enthusiasm, responsiveness, and stamina can be predictive of success in using technology. Powered devices can elicit a client's drive for competence, aid therapists in assessing the cognitive level of adults with extreme physical disability, and allow persons with multiple impairments to interact with objects in their environment. When clients learn to use powered devices, success will be self-perpetuating. Persons with multiple impairments using powered devices are well served by conditional clinical reasoning.
三名患有严重身体和认知障碍的智障人士学会了使用开关控制的辅助设备。此前的病例报告描述了用于帮助这些女性探索周围环境的技术和方法。材料分为三个部分收集、整理和分析：客户、电动设备和治疗方法。目的是确认在对严重受损的成年人进行职业治疗时使用电动活动时通常作为治疗基础的原则。客户的热情、反应能力和耐力可以预测使用技术的成功与否。电动设备可以激发客户对能力的追求，帮助治疗师评估极重度身体残疾成年人的认知水平，并使多重障碍患者能够与周围环境中的物体进行互动。当客户学会使用电动设备时，成功将自我延续。使用电动设备的多重障碍患者通过条件性临床推理能得到很好的治疗。
