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Technology-based programs to improve walking behavior of persons with multiple disabilities: two single-case studies.

Giulio E Lancioni1, Nirbhay N Singh, Mark F O'Reilly

  • 1University of Bari, Italy. g.lancioni@psico.uniba.it

Disability and Rehabilitation. Assistive Technology
|April 21, 2012
PubMed
Summary

Technology-based interventions effectively improved walking in individuals with multiple disabilities. These programs reduced toe walking and walking breaks, enhancing mobility and independence.

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Area of Science:

  • Rehabilitation Engineering
  • Assistive Technology
  • Biomedical Engineering

Background:

  • Toe walking and frequent walking breaks present significant mobility challenges for individuals with multiple disabilities.
  • Traditional interventions may not fully address the complex needs of this population.
  • Exploring novel technological solutions is crucial for improving gait and functional mobility.

Observation:

  • Two single-case studies utilized technology-based programs with microprocessor-controlled systems, optic sensors, and preferred stimuli feedback.
  • Study I involved a participant receiving vibrotactile and visual cues for heel-ground contact during walking.
  • Study II provided auditory stimuli upon successful navigation of marked pathways.

Findings:

  • The participant in Study I demonstrated significant increases in heel-strike frequency for both feet (left >85%, right >70%).
  • The participant in Study II exhibited a marked reduction in walking interruptions.
  • Both participants showed positive behavioral changes in walking patterns.

Implications:

  • Technology-assisted interventions show promise for modifying complex gait deviations in individuals with multiple disabilities.
  • These findings support the integration of personalized technology into rehabilitation programs.
  • Further research can explore scalability and long-term effects of such interventions.