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Updated: Jun 3, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Post-coma persons with extensive multiple disabilities use microswitch technology to access selected stimulus events
Giulio E Lancioni1, Nirbhay N Singh, Mark F O'Reilly
1Department of Psychology, University of Bari, and Bari University Hospital, Via Quintino Sella 268, 70100 Bari, Italy. g.lancioni@psico.uniba.it
Microswitch technology empowers individuals in a minimally conscious state with multiple disabilities to interact with their environment. These studies show improved engagement and preference expression through assistive devices.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Assistive Technology
Background:
- Post-coma individuals with disorders of consciousness and multiple disabilities face challenges in environmental interaction.
- Microswitch technology offers a potential avenue for enhancing communication and engagement in this population.
Purpose of the Study:
- To investigate the efficacy of microswitch technology for post-coma individuals with multiple disabilities.
- To assess if microswitches can facilitate access to stimuli and control of devices.
Main Methods:
- Study I: Three adults in a minimally conscious state used microswitches to access selected stimuli.
- Study II: One adult, emerged from a minimally conscious state, used a microswitch to control a radio device.
Main Results:
- Participants in Study I showed a significant increase in microswitch responding.
- The participant in Study II learned to operate the radio and demonstrated program preferences.
Conclusions:
- Microswitch technology is a valuable tool for improving environmental engagement in post-coma individuals with multiple disabilities.
- These findings highlight the potential for assistive technology to enhance quality of life and autonomy.
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