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Automatically Delivered Stimulation for Walker-Assisted Step Responses: Measuring its Effects in Persons with Multiple Disabilities

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The present two studies evaluated the effects of automatically delivered stimulation for walker-assisted step responses with four persons with multiple disabilities. In Study I, the participants (two children) wore two optic sensors at their heels, which were activated by the performance of steps. Each sensor activation produced a 2.5-s stimulation during the intervention and post-intervention periods. In Study II, the participants (two adults) wore a single optic sensor at their right leg. Sensor activation produced 5 or 6 s of stimulation during the intervention phases. Data were satisfactory with both technical arrangements (i.e., with one or two sensors); all four participants had significant increases in step responses and indices of happiness during the intervention phases. The two children of Study I retained these effects at a 1-month post-intervention check programmed for them. The effects of the stimulation procedure on aberrant behavior (assessed only in Study I) were mixed. These data support and extend previous findings in the area and suggest that the reported approach could be quite useful for application in daily contexts.

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REFERENCES

  • Barlow, D. H., Andrasik, F., and Hersen, M. (2006). Single-Case Experimental designs (3rd ed.), Allyn & Bacon, New York.

    Google Scholar 

  • Bartlett, D. J., and Palisano, R. J. (2002). Physical therapists’ perceptions of factors influencing the acquisition of motor abilities of children with cerebral palsy: Implications for clinical reasoning. Phys. Ther. 82: 237–248.

    PubMed  Google Scholar 

  • Broadbent, J., Woollam, P. J., Major, R. E., and Stallard, J. (2000). A rear support walking frame for severely disabled children with cerebral palsy: Initial development. Prosthet. Orthot. Int. 24: 233–240.

    PubMed  Google Scholar 

  • Caouette, M., and Reid, G. (1991). Influence of auditory stimulation on the physical work output of adults who are severely retarded. Educ. Train. Ment. Ret. 26: 43–52.

    Google Scholar 

  • Crawford, M. R., and Schuster, J. W. (1993). Using microswitches to teach toy use. J. Dev. Phy. Disabil. 5: 349–368.

    Article  Google Scholar 

  • Favell, J. E., Realon, R. E., and Sutton, A. K. (1996). Measuring and increasing the happiness of people with profound mental retardation and physical handicaps. Behav. Intervent. 11: 47–58.

    Article  Google Scholar 

  • Felce, D., and Perry, J. (1995). Quality of life: Its definition and measurement. Res. Dev. Disabil. 16: 51–74.

    Article  PubMed  Google Scholar 

  • Green, C. W., Gardner, S. M., and Reid, D. H. (1997). Increasing indices of happiness among people with profound multiple disabilities: A program replication and component analysis. J. Appl. Behav. Anal. 30: 217–228.

    Article  Google Scholar 

  • Green, C. W., and Reid, D. H. (1999). A behavioral approach to identifying sources of happiness and unhappiness among individuals with profound multiple disabilities. Behav. Modif. 23: 280–293.

    PubMed  Google Scholar 

  • Horton, S. V., and Taylor, D. C. (1989). The use of behavior therapy and physical therapy to promote independent ambulation in a preschooler with mental retardation and cerebral palsy. Res. Dev. Disabil. 10: 363–375.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E. (2001). Behavior Modification in Applied Settings (6th ed.), Wadsworth, London.

    Google Scholar 

  • Ketelaar, M., Vermeer, A., Hart, H., van Petegem-van Beek, E., and Helders, P. J. (2001). Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys. Ther. 81: 1534–1545.

    PubMed  Google Scholar 

  • Lalli, J. S., Mauk, J. E., Goh, H., and Merlino, J. (1994). Successful behavioral intervention to treat children who are reluctant to ambulate. Dev. Med. Child Neurol. 36: 625–629.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., Oliva, D., and O’Reilly, M. F. (1997). Ambulation, object manipulation, and multiple disabilities: Extending the applicability of a robot. J. Vis. Impair. Blin. 91: 53–60.

    Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Oliva, D., and Groeneweg, J. (2002). Impact of stimulation versus microswitch-based programs on indices of happiness of people with profound multiple disabilities. Res. Dev. Disabil. 23: 149–160.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Oliva, D., Piazzolla, G., and Groeneweg, J. (2004a). Assessing influence of stimulation on mood and aberrant behavior of persons with multiple disabilities during brief treadmill sessions. Percept. Motor Skill. 99: 931–936.

    Article  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Campodonico, F., Oliva, D., and Vigo, C. M. (2005a). Promoting walker-assisted step responses by an adolescent with multiple disabilities through automatically delivered stimulation. J. Vis. Impair. Blin. 99: 109–113.

    Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Campodonico, F., Piazzolla, G., Scalini, L., and Oliva, D. (2005b). Impact of favorite stimuli automatically delivered on step responses of persons with multiple disabilities during their use of walker devices. Res. Dev. Disabil. 26: 71–76.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Oliva, D., and Basili, G. (2005c). An overview of research on increasing indices of happiness of people with severe/profound intellectual and multiple disabilities. Disabil. Rehabil. 27: 83–93.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Oliva, D., Scalini, L., and Groeneweg, J. (2004b). Improving assisted ambulation in a man with multiple disabilities through the use of a microswitch cluster. Behav. Cogn. Psychoth. 32: 245–249.

    Article  Google Scholar 

  • Mattsson, E., and Andersson, C. (1997). Oxygen cost, walking speed, and perceived exertion in children with cerebral palsy when walking with anterior and posterior walkers. Dev. Med. Child Neurol. 39: 671–676.

    Article  PubMed  Google Scholar 

  • Miltenberger, R. G. (2004). Behavior Modification: Principles and Procedures (3rd ed.), Wadsworth, London.

    Google Scholar 

  • O’Brien, Y., Glenn, S., and Cunningham, C. (1994). Contingency awareness in infants and children with severe and profound learning disabilities. Int. J. Disabil Dev. Educ. 41: 231–243.

    Google Scholar 

  • Parette, H. P. (1997). Assistive technology devices and services. Educ. Train. Ment. Ret. Dev. Disabil. 32: 267–280.

    Google Scholar 

  • Pfister, A. A., Roberts, A. G., Taylor, H. M., Noel-Spaudling, S., Damian, M. M., and Charles, P. H. (2003). Spasticity in adults living in a developmental center. Arch. Phys. Med. Rehab. 84: 1808–1812.

    Article  Google Scholar 

  • Reid, D. H., and Green, C. W. (2006). Life enjoyment, happiness, and antecedent behavior support. In Luiselli, J. K. (ed.), Antecedent Assessment and Intervention, Paul H. Brookes, Baltimore, pp. 249–268.

    Google Scholar 

  • Richards, S. B., Taylor, R. L., Ramasamy, R., and Richards, R. Y. (1999). Single Subject Research: Applications in Educational and Clinical Settings, Wadsworth, London.

    Google Scholar 

  • Saunders, M. D., Timler, G. R., Cullinan, T. B., Pilkey, S., Questad, K. A., and Saunders, R. R. (2003). Evidence of contingency awareness in people with profound multiple impairments: Response duration versus response rate indicators. Res. Dev. Disabil. 24: 231–245.

    Article  PubMed  Google Scholar 

  • Schalock, R., Brown, I., Brown, R., Cummins, R. A., Felce, D., Matikka, L., Keith, K. D., and Parmenter, T. (2002). Conceptualization, measurement, and application of quality of life for persons with intellectual disabilities: Reports of an international panel of experts. Ment. Retard. 40: 457–470.

    Article  PubMed  Google Scholar 

  • Scherer, M. J., Sax, C., Vanbiervliet, A., Cushman, L. A., and Scherer, J. V. (2005). Predictors of assistive technology use: The importance of personal and psychological factors. Disabil. Rehab. 27: 1321–1331.

    Article  Google Scholar 

  • Schlosser, R. W. (1999). Social validation of interventions in augmentative and alternative communication. AAC: Augmentative and Alternative Communication 15: 234–247.

    Article  Google Scholar 

  • Siegel, S., and Castellan, N. J. (1988) Nonparametric Statistics (2nd. ed.), McGraw-Hill, New York.

    Google Scholar 

  • Sigafoos, J. (2000). Communication development and aberrant behavior in children with developmental disabilities. Educ. Train. Ment. Ret. Dev. Disabil. 35: 168–176.

    Google Scholar 

  • Stallard, J., Major, R. E., and Farmer, S. E. (1996). The potential for ambulation by severely handicapped cerebral palsy patients. Prosthet. Orthot. Int. 20: 122–128.

    PubMed  Google Scholar 

  • Strawbridge, L. A., Drnach, M., Sisson, L. A., and Van Hasselt, V. B. (1989). Behavior therapy combined with physical therapy to promote walker use by a child with multiple handicaps. Educ. Train. Ment. Ret. 24: 239–247.

    Google Scholar 

  • Sullivan, M. W., and Lewis, M. (1993). Contingency, means-end skills, and the use of technology in infant intervention. Infant. Young Child. 5: 58–77.

    Article  Google Scholar 

  • Tarnowski, K. J., and Drabman, R. S. (1985). The effects of ambulation training on the self-stimulatory behavior of a multiply handicapped child. Behav. Ther. 16: 275–285.

    Article  Google Scholar 

  • Trudeau, S. A., Biddle, S., and Volicer, L. (2003). Enhanced ambulation and quality of life in advanced Alzheimer's disease. J. Am. Geriatr. Soc. 51: 429–431.

    Article  PubMed  Google Scholar 

  • Vermeer, A., Lijnse, M., and Lindhout, M. (2004). Measuring perceived competence and social acceptance in individuals with intellectual disabilities. Eur. J. Spec. Needs Educ. 19: 283–300.

    Article  Google Scholar 

  • Wilder, D. A., Fisher, W. W., Anders, B. M., Cercone, J. J., and Neidert, P. L. (2001). Operative mechanisms of noncontingent reinforcement at various magnitude and schedules. Res. Dev. Disabil. 22: 117–124.

    Article  PubMed  Google Scholar 

  • Wilder, D. A., Kellum, K. K., and Carr, J. E. (2000). Evaluation of satiation-resistant head rocking. Behav. Interv. 15: 71–78.

    Article  Google Scholar 

  • Yu, D. C. T., Spevack, S., Hiebert, R., Martin, T. L., Goodman, R., Martin, T. G., Harapiak, S., and Martin, G. L. (2002). Happiness indices among persons with profound and severe disabilities during leisure and work activities: A comparison. Educ. Train. Ment. Ret. Dev. Disabil. 37: 421–426.

    Google Scholar 

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Correspondence to Giulio E. Lancioni.

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Lancioni, G.E., Singh, N.N., O’Reilly, M.F. et al. Automatically Delivered Stimulation for Walker-Assisted Step Responses: Measuring its Effects in Persons with Multiple Disabilities. J Dev Phys Disabil 19, 1–13 (2007). https://doi.org/10.1007/s10882-006-9030-8

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