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  • 1.
    Adolfsson, P.
    et al.
    Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Lindstedt, H.
    Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Pettersson, I.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Hermansson, L. N.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Janeslätt, G.
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Perception of the influence of environmental factors in the use of electronic planning devices in adults with cognitive disabilities2016In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, no 6, p. 493-500Article in journal (Refereed)
    Abstract [en]

    Background: Adults with cognitive disabilities often have difficulties in dealing with the complexity of everyday life. With cognitive assistive technology (e.g. electronic planning devices [EPDs] and individual support), they can bring order to their often chaotic life. Assumptions are that environmental factors influence with non-use of EPDs.

    Objective: To explore how adults with cognitive disabilities perceive the influence of environmental factors in the use of EPDs.

    Methods: A reference group with experience of use of EPDs assisted the researchers. Twelve adults with cognitive disabilities and experience of using EPDs participated. An interview guide was implemented covering environmental factors according to the International Classification of Functioning, Disability and Health. Qualitative content analysis was applied in the analyses.

    Results: Five categories and two themes emerged, which were integrated into a model of facilitating factors influencing the use of EPDs. Measures to prevent or eliminate negative influences of the device use are important to be taken.

    Conclusions: Professionals need more knowledge about EPDs, while users need individual adaption of the EPDs. EPDs need to be user-friendly, manageable and work in any seasons.

    Implications for Rehabilitation: The users should have access to specially trained prescribers. There is a need for development of user-friendly and manageable products to function in any climate. Knowledge is lacking on how to implement the users in all stages of the prescribing process. Prescribers should increase knowledge in the use of EPDs to influence the attitudes of the social environment.

  • 2.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Prosthetist/Orthotist Educational Experience & Professional Development in Pakistan2009In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 4, no 6, p. 385-392Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To explore areas in which the education at the Pakistan Institute of Prosthetic & Orthotic Science (PIPOS) could be improved or supplemented to facilitate clinical practice of graduates. To describe educational opportunities PIPOS graduates have had since their graduation and explore their further educational needs.

    METHOD: 15 graduates from PIPOS participated in semi-structured interviews. A qualitative content analysis was applied to the transcripts.

    FINDINGS: Respondents indicated a need to upgrade the education at PIPOS. This should include upgrading of resources such as literature and internet access as well as providing staff with the opportunity to further their own education. Females experienced inequality throughout their education but were supported by management. Upon entering the workforce graduates reported that they were supported by senior staff but experienced difficulties in determining appropriate prescriptions. They further indicated that a multidisciplinary approach to patient care is lacking. Graduates knowledge of workshop management was identified as a problem when entering the workforce. Limited awareness of the prosthetics and orthotics profession by both the general community and the medical community was also identified as a problem. If offered the opportunity to continue their studies the respondents would like to specialize. "Brain drain" was noted as a risk associated with post graduate education. Interaction from international collaborators and networking within the country was desired.

    CONCLUSION: The education at PIPOS meets a need in the country. Graduates indicated that P&O services for Pakistan can be better provided by modifying program content, upgrading teachers' knowledge, improving access to information and addressing issues of gender equality. PIPOS graduates have had limited opportunities for professional development and have a desire for further education.

  • 3.
    Möller, Saffran
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. 0000-0002-5360-7776.
    Hagberg, Kerstin
    Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Samuelsson, Kersti
    Department of Rehabilitation Medicine and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Perceived self-efficacy and specific self-reported outcomes in persons with lower-limb amputation using a non-microprocessor-controlled versus a microprocessor-controlled prosthetic knee2018In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 13, no 3, p. 220-225Article in journal (Refereed)
    Abstract [en]

    Purpose: To measure self-efficacy in a group of individuals who have undergone a lower-limb amputation and investigate the relationship between self-efficacy and prosthetic-specific outcomes including prosthetic use, mobility, amputation-related problems and global health. A second purpose was to examine if differences exist in outcomes based upon the type of prosthetic knee unit being used.

    Method: Cross-sectional study using the General Self-Efficacy (GSE) Scale and the Questionnaire for Persons with a Transfemoral Amputation (Q-TFA). Forty-two individuals participated in the study. Twenty-three used a non-microprocessor-controlled prosthetic knee joint (non-MPK) and 19 used a microprocessor-controlled prosthetic knee joint (MPK).

    Results: The study sample had quite high GSE scores (32/40). GSE scores were significantly correlated to the Q-TFA prosthetic use, mobility and problem scores. High GSE scores were related to higher levels of prosthetic use, mobility, global scores and negatively related to problem score. No significant difference was observed between individuals using a non-MPK versus MPK joints. Conclusions: Individuals with high self-efficacy used their prosthesis to a higher degree and high self-efficacy was related to higher level of mobility, global scores and fewer problems related to the amputation in individuals who have undergone a lower-limb amputation and were using a non-MPK or MPK knee. Implications for rehabilitationPerceived self-efficacy has has been shown to be related to quality of life, prosthetic mobility and capability as well as social activities in daily life. Prosthetic rehabilitation is primary focusing on physical improvement rather than psychological interventions. More attention should be directed towards the relationship between self-efficacy and prosthetic related outcomes during prosthetic rehabilitation after a lower-limb amputation. 

  • 4.
    Rezae, Mortaza
    et al.
    Cooperative Research Centre for Living with Autism, Brisbane, Australia.
    McMeekin, David
    Cooperative Research Centre for Living with Autism, Brisbane, Australia.
    Tan, Tele
    Cooperative Research Centre for Living with Autism, Brisbane, Australia.
    Krishna, Aneesh
    School of Electrical Engineering, Computing and Mathematical Sciences, Curtin University, Perth, Australia.
    Lee, Hoe
    Cooperative Research Centre for Living with Autism, Brisbane, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Cooperative Research Centre for Living with Autism, Brisbane, Australia.
    Public transport planning tool for users on the autism spectrum: from concept to prototype2019In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Article in journal (Refereed)
    Abstract [en]

    Purpose: This research explored the challenges of public transport use for individuals on the autism spectrum. It, subsequently, proposed a mobile application solution, coproduced by individuals on the autism spectrum, to facilitate public transport use.

    Methods: We, first, conducted a review of the literature to highlight the challenges people on the autism spectrum face when utilizing public transport. We, then, designed a list of mobile application functionalities that address the identified problems. To validate these functionalities, 27 young autistic adults and 19 families of autistic individuals were employed. Finally, based on the findings, we designed a mobile application that helps facilitate public transport use for those on the autism spectrum.

    Results: We found that the most prevalent concerns, in public transport use, amongst autistic individuals and their families are safety and spatial awareness. Specific problems include finding one’s way to the bus stop, boarding the correct service and disembarking at the correct stop. Interestingly, anxiety about unexpected events was also a barrier. Sensory sensitivity, similarly, was found to be an obstacle.

    Conclusions: This study defined the challenges of public transport use for autistic individuals and proposed a technological solution. The findings can also inform innovators, public transport providers and policymakers to improve public transport accessibility.

    Implications for rehabilitation:

    • People on the autism spectrum heavily rely on other individuals, namely family and friends, for their transportation needs. This dependence results in immobility for the autistic individuals and significant time and economical sacrifice for the person responsible for the transportation.
    • Public transport, a cheap and widely available form of transportation, has not yet been clearly studied with individuals on the autism spectrum.
    • We clearly define the challenges of using public transport and put forward a trip planner mobile application, coproduced by autistic individuals, that facilitate it.
    • In the long term, this enhanced travel independence can lead to greater education and employment opportunities and an overall improved quality of life. 
  • 5.
    Rusaw, David
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Adaptations from the prosthetic and intact limb during standing on a sway referenced support surface for transtibial prosthesis users2019In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 14, no 7, p. 682-691Article in journal (Refereed)
    Abstract [en]

    Purpose: To investigate the bilateral postural adaptations as a result of standing on an increasingly unstable sway-referenced support surface with both the intact and prosthetic limb for transtibial prosthesis users (TPUs).

    Method: TPUs (n = 14) and matched controls (n = 14) stood quietly in multiple foot placement conditions (intact foot, prosthetic foot and both feet) on a sway-referenced support surface which matched surface rotation to the movement of the centre of pressure (CoP). Force and motion data were collected and used to analyse CoP mean position, displacement integral and force components under intact and prosthetic limbs.

    Results: Significant differences were found between prosthesis users and controls in CoP mean position in anteroposterior (1.5 (95% CI, 1.2–1.8) cm) and mediolateral directions (3.1 (95% CI, 0.5–5.7) cm. CoP displacement integrals were significantly different greater for prosthesis user group in the anteroposterior direction. Force components differences were found in all planes (anteroposterior: 0.6 (95% CI, 0.4–0.8 N); mediolateral: 0.1 (95% CI, 0.0–0.2 N & 0.3 (95% CI, 0.2–0.4) N, inferosuperior: 2.2 (95% CI, 1.4–3.0) N).

    Conclusions: TPUs have bilateral static and dynamic postural adaptations when standing on a sway-referenced support surface that is different to controls, and between prosthetic and intact sides. Results further support evidence highlighting importance of the intact limb in maintenance of postural control in prosthesis users. Differences indicate clinical treatment should be directed towards improving outcomes on the intact side.

    Implications for rehabilitation:

    • Prosthesis users have bilateral adaptations when standing on a sway referenced support surface

    • These adaptations are different to controls, and between prosthetic and intact sides.

    • The intact limb is the major contributor to maintenance of postural control in prosthesis users.

    • Clinical treatment should account for this when interventions are designed.

  • 6.
    Rusaw, David
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    The validity of forceplate data as a measure of rapid and targeted volitional movements of the center of mass in transtibial prosthesis users2017In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 12, no 7, p. 686-693Article in journal (Refereed)
    Abstract [en]

    Purpose: To validate outcome variables from the Limits of Stability protocol that are derived from the center of pressure with those same variables derived from the center of mass during rapid, volitional responses in transtibial prosthesis users.

    Method: Prosthesis users (n=21) and matched controls (n=21) executed movements while force and motion data were collected.  Correlation coefficients were used to investigate relationships between center of pressure and center of mass for: x/y coordinates positions, Limits of Stability outcome variables and muscular reaction times. 

    Results: Significant differences were seen in correlation between x/y coordinate positions toward the intact limb (mean effect size of differences: r = 0.38).  Limits of Stability variables were positively correlated (reaction time and maximum excursion range rs: 0.585 – 0.846; directional control and mean velocity range rs: 0.307 – 0.472).  Muscular reaction times correlated weakly with those from center of pressure (mean rs prosthesis users – 0.186 and controls –  0.101). 

    Conclusions: Forceplate measures are valid in describing rapid, volitional movements in unilateral transtibial prosthesis users.  Limits of Stability outcomes extracted from center of pressure and center of mass are highly correlated but can be sensitive to direction.  Muscular reaction time correlates very little with reaction times extracted from the other variables.

  • 7.
    Saeed, Nazish
    et al.
    Jönköping University, Jönköping International Business School, JIBS, Informatics.
    Manzoor, Mirfa
    Jönköping University, Jönköping International Business School, JIBS, Informatics. Department of Computer Science, Sardar Bahadur Khan Women’s University, Quetta, Pakistan.
    Khosravi, Pouria
    Business School, Queensland University of Technology, Brisbane, Australia.
    An exploration of usability issues in telecare monitoring systems and possible solutions: A systematic literature review2020In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 15, no 3, p. 271-281Article, review/survey (Refereed)
    Abstract [en]

    BACKGROUND: The idea of product usability has been discussed in several research areas including product research and development. Usability, in telecare monitoring systems, determines how much the system is effective and efficient for the telecare users. Usability has been considered an important factor in the acceptance of telecare monitoring systems by individuals who encounter challenges in the use of such systems and who possess a limited knowledge of their use.

    OBJECTIVES: The purpose of this study is to explore the relevant usability issues and identify possible solutions to improve the usability of telecare monitoring systems.

    METHOD: The study is based on eight research questions and to find the answers to those research questions, a systematic literature is performed.

    RESULTS: The research findings highlight various usability issues, including the complexity of the interface, difficulty in reading the text, and insufficient provision of instructions. These studies have also suggested solutions to enhance the usability of systems, including development of the technical skills of users, explanations of usability evaluation techniques for telecare monitoring systems, and engaging the appropriate users during the development of telecare monitoring systems. Implications for rehabilitation Successful implementation of telecare monitoring systems can increase the chances of acceptance of telecare monitoring systems by the users. Implementing an efficient and effective system will make telecare users more independent at their homes. The development of usable telecare monitoring systems can significantly contribute to a basis for clinical and home-based implementation of the telehealth technology to promote remote monitoring for elderly and people with disabilities. Considering the usability issues and solutions identified in this study, it will go a long way towards aiding subsequent researchers and developers in the implementation of more usable and valid telecare monitoring systems.

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