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A technology-based programme to help a post-coma man with profound multiple disabilities manage stimulation access and posture improvement

LANCIONI G; O'REILLY M; SINGH N; DE OLIVA FONTE BOA PM; D'AMICO F; MEGNA G; BUONOCUNTO F; SACCO V
DEV NEUROREHABIL , 2010, vol. 13, n° 3, p. 212-216
Doc n°: 145831
Localisation : Accès réservé

D.O.I. : http://dx.doi.org/DOI:10.3109/17518421003652858
Descripteurs : AF3 - TRAUMATISME CRANIEN

OBJECTIVE: To evaluate a technology-based programme to help a post-coma man with
multiple disabilities access stimulation and control head posture (i.e. reduce
head forward tilting). METHOD: The response targeted within the programme was
closing the sweater's zipper. This response (which could be repeated since the
zipper tended to reopen automatically) was selected, as it led the man to raise
his head spontaneously. The programme relied on microswitch sensors to monitor
the response and turn on preferred stimuli following response occurrences. The
programme was assessed via an ABAB design. RESULTS: Data showed that the man had
significant increases in response frequencies during the intervention phases of
the study with multiple occasions of stimulation access and head raising.
CONCLUSION: Technology-assisted programmes may represent a useful strategy for
providing post-coma persons with multiple disabilities an active (self-control)
role.

Langue : ANGLAIS

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