Gamified Virtual Environment and Interaction Design for Activities of Daily Living Training

2022 ◽  
pp. 707-736
Author(s):  
Isabel Cristina Siqueira da Silva ◽  
Luan Carlos Nesi ◽  
Viviane da Silva Machado

Ludic games and gamification processes can extend functional skills in players as they integrate different intelligences and stimulate the cognitive, perceptual, and motor activities. Play can facilitate the work of occupational therapist since provides better cooperation of the patient, besides helping in its development, increasing its behavioral repertoire, mainly in the accomplishment of activities of daily living. This chapter addresses these issues, discussing the design of a gamified virtual environment that helps occupational therapists to develop the potential of children and adolescents with mild, moderate, and severe neuropsychomotor disorder. For that, the authors present an investigation of the use of a gamified virtual environment and interaction devices in the training of activities of daily living. As result, they note that games as assistive technology can encourage the integration of education, rehabilitation, and habilitation of people in situations of vulnerability and social risk, providing access and inclusion through playful and challenging activities.

Author(s):  
Isabel Cristina Siqueira da Silva ◽  
Luan Carlos Nesi ◽  
Viviane da Silva Machado

Ludic games and gamification processes can extend functional skills in players as they integrate different intelligences and stimulate the cognitive, perceptual, and motor activities. Play can facilitate the work of occupational therapist since provides better cooperation of the patient, besides helping in its development, increasing its behavioral repertoire, mainly in the accomplishment of activities of daily living. This chapter addresses these issues, discussing the design of a gamified virtual environment that helps occupational therapists to develop the potential of children and adolescents with mild, moderate, and severe neuropsychomotor disorder. For that, the authors present an investigation of the use of a gamified virtual environment and interaction devices in the training of activities of daily living. As result, they note that games as assistive technology can encourage the integration of education, rehabilitation, and habilitation of people in situations of vulnerability and social risk, providing access and inclusion through playful and challenging activities.


Author(s):  
Kathy de Domingo

Physical and occupational therapists commonly provide services that incorporate prosthetic and orthotic devices such as crutches, canes, reachers, and ankle–foot orthoses to support mobility and activities of daily living (ADLs). Likewise, speech-language pathologists provide services incorporating prosthetic devices to support communication such as an electrolarynx, microcomputers, and mobile devices and apps with voice output capability. Assistive technology for cognition (ATC) includes the use of personal digital assistants (PDAs), tablets, and smart phones — cognitive prostheses — to compensate for cognitive challenges following acquired brain injury (ABI). Whereas funding sources for devices and services that support/compensate for mobility, ADLs, and communication challenges are generally well established, funding for ATC devices and services is relatively new to the field of speech-language pathology. This article explores the funding aspect of ATC devices and services.


2021 ◽  
Vol 11 (15) ◽  
pp. 7130
Author(s):  
Jose M. Catalan ◽  
Andrea Blanco ◽  
Arturo Bertomeu-Motos ◽  
Jose V. Garcia-Perez ◽  
Miguel Almonacid ◽  
...  

Robotics to support elderly people in living independently and to assist disabled people in carrying out the activities of daily living independently have demonstrated good results. Basically, there are two approaches: one of them is based on mobile robot assistants, such as Care-O-bot, PR2, and Tiago, among others; the other one is the use of an external robotic arm or a robotic exoskeleton fixed or mounted on a wheelchair. In this paper, a modular mobile robotic platform to assist moderately and severely impaired people based on an upper limb robotic exoskeleton mounted on a robotized wheel chair is presented. This mobile robotic platform can be customized for each user’s needs by exploiting its modularity. Finally, experimental results in a simulated home environment with a living room and a kitchen area, in order to simulate the interaction of the user with different elements of a home, are presented. In this experiment, a subject suffering from multiple sclerosis performed different activities of daily living (ADLs) using the platform in front of a group of clinicians composed of nurses, doctors, and occupational therapists. After that, the subject and the clinicians replied to a usability questionnaire. The results were quite good, but two key factors arose that need to be improved: the complexity and the cumbersome aspect of the platform.


2021 ◽  
pp. 000841742110342
Author(s):  
Mireille Gagnon-Roy ◽  
Nathalie Bier ◽  
Stéphanie Boulé-Riley ◽  
Heidi Keurentjes ◽  
Priscilla Lam Wai Shun ◽  
...  

Background. Occupational therapists play a major role in identifying the assistance needs of individuals living with a traumatic brain injury. However, to obtain an accurate assessment, verbal assistance should be provided only when necessary, according to the person's needs. Purpose. This study aimed to understand (1) how verbal assistance is provided during an evaluation of Instrumental Activities of Daily Living and (2) why it is provided in this manner. Method. Interviews were conducted with three expert occupational therapists using their own videotaped evaluation and a “think-aloud” method to explore their clinical reasoning when providing verbal assistance. Data were analyzed using thematic analysis. Findings. The process of providing verbal assistance was recognized as flexible and nonlinear, and influenced by various factors including the participants’ level of understanding of the client's abilities. Implications. This information will help therapists better understand how and when to provide verbal assistance when assessing their clients.


2005 ◽  
Vol 68 (7) ◽  
pp. 307-314 ◽  
Author(s):  
Ruth Cutajar ◽  
Anne Roberts

Various research studies have explored the factors that predispose people with spinal cord injuries to pressure sore development. Two hundred risk factors have been associated with pressure sore occurrence. One of the variables commonly reported to affect pressure sore occurrence is a decreased level of activity (Vidal and Sarrias 1991, Fuhrer et al 1993). This concurs with the philosophy of occupational therapy that a reduction in activity can generate pathology (Miller et al 1988). This research study investigated whether decreased participation in occupational activities (work, leisure and activities of daily living) was related to pressure sore occurrence in paraplegic men. The sample was selected randomly from the occupational therapy discharge files of a rehabilitation facility in Saudi Arabia. The data were collected by means of a telephone questionnaire from a total of 58 men, over a 3-month period. The study showed that there was a large increase in unemployment in paraplegic men following injury (from 10% to 59%) and, as might be expected, manual workers were more vulnerable than office workers. The study found no significant association between pressure sore occurrence and whether or not the individual was employed. However, it showed a statistically significant association between unemployment and pressure sores severe enough to lead to hospitalisation. The study also found a statistically significant association between individuals' independence in activities of daily living and the number of pressure sores that they had reported in the last 2 years. These findings indicate the potential importance of clients remaining occupationally active for their wellbeing and the significant contribution that occupational therapists can make by enabling rehabilitation of occupational activities.


Author(s):  
Laura Delgado-Lobete ◽  
Rebeca Montes-Montes ◽  
Berdien W. van der Linde ◽  
Marina M. Schoemaker

The DCDDaily-Q is an instrument that aims to comprehensively assess motor performance in a broad range of activities of daily living (ADL) and to identify risk of Developmental Coordination Disorder (DCD) in children. The aim of this study was to cross-culturally adapt the DCDDaily-Q into European Spanish (DCDDaily-Q-ES) and to test its psychometric properties in Spanish 5 to 10 year old children. The DCDDaily-Q was translated and cross-culturally adapted into Spanish following international guidelines. Two-hundred and seventy-six parents of typically developing Spanish children completed the final version of the DCDDaily-Q-ES (M = 7.5 years, SD = 1.7; girls = 50%). Confirmatory Factor Analysis (CFA), internal consistency, and corrected item-total correlations were conducted to test construct validity, internal consistency, and homogeneity of the DCDDaily-Q-ES. The DCDDaily-Q-ES achieved good semantic, conceptual, and cultural equivalence. CFA supported construct validity of the DCDDaily-Q-ES. Reliability values were also good (Cronbach’s alpha = 0.703–0.843; corrected item-total correlations = 0.262–0.567). This is the first study to cross-culturally adapt and examine the DCDDaily-Q outside the Netherlands. The findings suggest that the DCDDaily-Q-ES is a reliable and valid measure to assess learning, participation, and performance in a broad range of ADL.


2013 ◽  
Vol 21 (2) ◽  
pp. 484-491 ◽  
Author(s):  
Daniel Marinho Cezar da Cruz ◽  
Maria Luisa Guillaumon Emmel

OBJECTIVE: to verify whether there are associations among occupational roles, independence to perform Activities of Daily Living, purchasing power, and assistive technology for individuals with physical disabilities. METHOD: 91 individuals with physical disabilities participated in the study. The instruments used were: Role Checklist, Brazilian Economic Classification Criterion, Barthel Index, and a Questionnaire to characterize the subjects. RESULTS: an association with a greater number of roles was found among more independent individuals using a lower number of technological devices. Higher purchasing power was associated with a lower functional status of dependence. CONCLUSION: even though technology was not directly associated with independence, the latter was associated with a greater number of occupational roles, which requires reflection upon independence issues when considering the participation in occupational roles. These findings support interdisciplinary actions designed to promote occupational roles in individuals with physical disabilities.


2009 ◽  
Vol 72 (8) ◽  
pp. 339-348 ◽  
Author(s):  
Véronique Provencher ◽  
Louise Demers ◽  
Isabelle Gélinas

Background: Older patients are usually assessed by occupational therapists in hospital before going home. However, for many frail older adults, this assessment in an unfamiliar environment might not be as representative of their functional abilities as an assessment at home. The aim of this literature review was to determine if differences exist between home and clinical instrumental activities of daily living (IADL) assessments of frail older adults and identify factors that might explain those differences, if any. Method: The sources of the review data were Medline, CINAHL, AMED, PsycINFO, Embase and Current Content from 1988 to 2008. As few relevant studies concerning frail people were found, the search was extended to mixed-age and older adult populations. Ten articles were retained. Main findings: The results suggest differences in IADL assessment between settings for older adults without dementia. Some factors, such as familiarity with the environment and coping skills, might explain those differences. Based on this review, similar results might be expected with frail older people. Implications for practice: Given the dearth of literature on this topic, further research is needed to compare home and clinical assessments and measure relevant factors in a frail population. Helping occupational therapists to identify frail patients, who may show different abilities in unfamiliar settings, could mean more appropriate services after discharge from hospital.


Author(s):  
Thayane de Cácia Brito Prudente ◽  
Rayssa Béder César Paiva ◽  
Daniela Tavares Gontijo

Introdução: A população em situação de rua caracteriza-se predominantemente pela falta de moradia regular, condição de pobreza extrema e vínculos rompidos ou fragilizados. No entanto, a vida na rua e o acesso aos serviços socioassistenciais tendem a não se configurar da mesma forma para homens e mulheres. Considerando a perspectiva do desempenho ocupacional, os terapeutas ocupacionais se preocupam com os fatores que influenciam o envolvimento dos sujeitos em ocupações. Objetivo: compreender o desempenho ocupacional de mulheres em situação de rua. Métodos: Estudo de abordagem qualitativa, com base na História Oral de Vida. A coleta de dados foi realizada em dois serviços socioassistenciais do Recife que atendem pessoas em situação de rua.  Os dados foram coletados através de entrevistas semiestruturadas e submetidos à Análise de Conteúdo Temática. Resultados/discussão: Foram entrevistadas 8 mulheres com idades entre 20 a 39 anos. A análise resultou em três categorias temáticas: Desempenho Ocupacional na infância, Ida para rua e Desempenho Ocupacional na rua. As categorias forma dividias em: Atividades de Vida Diária (AVDs), Atividades Instrumentais de Vida Diária (AIVDs), Trabalho, Lazer e Participação Social. Observou-se que as mulheres em situação de rua vivenciam um processo de privação ocupacional pela situação de desfiliação em que vivem, com repercussão negativa na qualidade de vida. Conclusão: Neste estudo pode-se observar a dificuldade das mulheres em realizar todas as ocupações, justificando a intervenção da Terapia Ocupacional para favorecer o empoderamento pessoal, a ressignificação do cotidiano e exercício da cidadania.  AbstractIntroduction: The population in street situation is predominantly characterized by a lack of regular housing, an extreme poverty and  weakened or broken bonds. However, street living and access to social assistance services tend not to be configured in the same way for men and women. Considering the perspective of occupational performance, occupational therapists are concerned with factors that influence the subjects' engagement in occupations. Objective: To understand the occupational performance of women who are homeless. Method: A qualitative study based on the Oral Story of Life. The data collection was performed in two social assistance services in the city of Recife that receive people who live on streets. Data were collected through semi-structured interviews and submitted to the Thematic Content Analysis. Results/Discussion: Eight women aged 20 to 39 years were interviewed. The analysis resulted in three thematic categories: Occupational Performance in childhood, Going to the streets and Occupational Performance in the streets. The categories were divided into Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), Work, Leisure and Social Participation. It was observed that homeless women experience a process of occupational deprivation with negative repercussions on the quality of life due to the situation of disaffiliation in which they live. Conclusion: In this study it is possible to observe the women's difficulty to perform all the occupations, justifying the intervention of the Occupational Therapy to favor the personal empowerment, the resignification of the daily life and the exercise of the citizenship.Keywords: Homeless persons, Autobiography, Gender identity, Women, social Vulnerability, Occupational therapy.


Author(s):  
María Antonia Parra-Rizo ◽  
Gema Sanchis-Soler

Studies about the influence of physical activity on life satisfaction, functional ability and subjective well-being in physically active older adults without cognitive impairment are very few for the moment. Therefore, the aim of this research was to evaluate the life satisfaction, functional skills and subjective well-being of physically active older adults based on the level of activity practiced. The IPAQ (International Physical Activity), CUBRECAVI and LSIA (Life Satisfaction Index) scales were tested for a sample of 397 Spanish older adults between 61 and 93 years of age (M = 69.65; SD = 4.71). The results showed that those who performed high physical activity obtained higher scores in functional skills (p < 0.01) and in the activities of daily living (p < 0.01). In addition, subjective well-being (p < 0.01) and the functional autonomy of older adults (p < 0.01) were related to the level of physical activity that they practiced. In conclusion, it could be said that the older adults with a high level of physical activity have more functional skills and less difficulties performing the activities of daily living, and that they value their autonomy and health better.


Sign in / Sign up

Export Citation Format

Share Document