Post-coma persons with motor and communication/consciousness impairments choose among environmental stimuli and request stimulus repetitions via assistive technology. | |
MedLine Citation:
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PMID: 20206471 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study assessed whether a program based on microswitch and computer technology would enable three post-coma participants (adults) with motor and communication/consciousness impairments to choose among environmental stimuli and request their repetition whenever they so desired. Within each session, 16 stimuli (12 preferred and 4 non-preferred) were scheduled for the participants. For each stimulus, a computer system provided a sample of a 3-s duration. During the intervention, participants' responding (e.g., eye blinking and hand closure) in relation to a stimulus sample activated a microswitch and led the computer system to turn on that stimulus for 20 s. Participants' lack of responding led the computer system to pause briefly and then present the next scheduled stimulus sample. When participants responded immediately after (i.e., within 6s from) the end of a stimulus presentation, that stimulus was repeated. Intervention data showed response increases, which were very consistent for two participants and moderate for the third one. All participants asked for the repetition of preferred stimuli and showed minimal responding in relation to non-preferred stimuli. The results were discussed in light of their possible implications for new, person-centered rehabilitation programs for post-coma persons with multiple disabilities. |
Authors:
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Giulio E Lancioni; Nirbhay N Singh; Mark F O'Reilly; Jeff Sigafoos; Francesca Buonocunto; Valentina Sacco; Fabio Colonna; Jorge Navarro; Crocifissa Lanzilotti; Doretta Oliva; Gianfranco Megna |
Publication Detail:
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Type: Journal Article Date: 2010-03-04 |
Journal Detail:
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Title: Research in developmental disabilities Volume: 31 ISSN: 1873-3379 ISO Abbreviation: Res Dev Disabil Publication Date: 2010 May-Jun |
Date Detail:
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Created Date: 2010-04-05 Completed Date: 2010-06-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8709782 Medline TA: Res Dev Disabil Country: United States |
Other Details:
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Languages: eng Pagination: 777-83 Citation Subset: IM |
Copyright Information:
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2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Psychology, University of Bari, Via Quintino Sella 268, 70100 Bari, Italy. g.lancioni@psico.uniba.it |
Export Citation:
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MeSH Terms | |
Descriptor/Qualifier:
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Acoustic Stimulation Aged, 80 and over Choice Behavior* Coma / rehabilitation* Communication Aids for Disabled* Communication Barriers Computers Consciousness Disorders / rehabilitation* Female Humans Male Middle Aged Motor Skills Disorders / rehabilitation* Movement Music Patient Preference Software Speech Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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