Education Commons^™

Muscle Assessment System And Method, Steven M. Barlow, Jacob L. Greenwood

Department of Special Education and Communication Disorders: Faculty Publications

A system and method are described for assessing muscle parameters (e.g., force(s) exerted, force dynamics, strength, voluntary muscle movement, etc.) in a diagnostic or therapeutic environment. The muscle parameter assessment system includes a force-gauging device and a computing device. The force-gauging device includes at least one pressure-sensing component (e.g., transducer, pressure sensor, etc.) configured to respond to a force applied by a subject and produce one or more output signals. The force gauging device can further include electronic circuitry con figured to convert the output signals into data indicative of a muscle parameter. The computing device is configured to build …

Strategies For Highlighting Items Within Visual Scene Displays To Support Augmentative And Alternative Communication Access For Those With Physical Impairments, Kevin Pitt, John W. Mccarthy

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: In contrast to the traditional grid-based display, visual scene displays (VSDs) offer a new paradigm for aided communication. For individuals who cannot select items from an AAC display by direct selection due to physical impairments, AAC access can be supported via methods such as item scanning. Item scanning sequentially highlights items on a display until the individual signals for selection. How items are highlighted or scanned for AAC access can impact performance outcomes. Further, the effectiveness of a VSD interface may be enhanced through consultation with experts in visual communication. Therefore, to support AAC access for those with physical …

Evaluating The Perspectives Of Those With Severe Physical Impairments While Learning Bci Control Of A Commercial Augmentative And Alternative Communication Paradigm, Kevin Pitt, Jonathan S. Brumberg

Department of Special Education and Communication Disorders: Faculty Publications

Augmentative and alternative communication (AAC) techniques can provide access to communication for individuals with severe physical impairments. Brain–computer interface (BCI) access techniques may serve alongside existing AAC access methods to provide communication device control. However, there is limited information available about how individual perspectives change with motor-based BCI-AAC learning. Four individuals with ALS completed 12 BCI-AAC training sessions in which they made letter selections during an automatic row-column scanning pattern via a motor-based BCI-AAC. Recurring measures were taken before and after each BCI-AAC training session to evaluate changes associated with BCI-AAC performance, and included measures of fatigue, frustration, mental effort, …

Evaluating Person-Centered Factors Associated With Brain–Computer Interface Access To A Commercial Augmentative And Alternative Communication Paradigm, Kevin Pitt, Jonathan S. Brumberg

Department of Special Education and Communication Disorders: Faculty Publications

Current BCI-AAC systems largely utilize custom-made software and displays that may be unfamiliar to AAC stakeholders. Further, there is limited information available exploring the heterogenous profiles of individuals who may use BCI-AAC. Therefore, in this study, we aimed to evaluate how individuals with amyotrophic lateral sclerosis (ALS) learned to control a motor-based BCI switch in a row-column AAC scanning pattern, and person-centered factors associated with BCI-AAC performance. Four individuals with ALS completed 12 BCI-AAC training sessions, and three individuals without neurological impairment completed 3 BCI-AAC training sessions. To assess person-centered factors associated with BCI-AAC performance, participants completed both initial and …

Interpretation Of Ambiguous Pronouns In Adults With Intellectual Disabilities, Kara Hawthorne, Susan J. Loveall

Department of Special Education and Communication Disorders: Faculty Publications

Background — Pronouns are referentially ambiguous (e.g. she could refer to any female), yet they are common in everyday conversations. Individuals with typical development (TD) employ several strategies to avoid pronoun interpretation errors, including the subject bias — an assumption that a pronoun typically refers to the subject (or, with the closely related order-of-mention bias, the first-mentioned character) of the previous sentence. However, it is unknown if adults with intellectual disability (ID) share this strategy or the extent to which the subject bias is associated with non-verbal abilities or receptive vocabulary.

Methods — We tested 22 adults with mixed-aetiology ID …

Finding A Voice For Individuals With Asd Who Are Minimally Verbal Through Comprehensive Communication Assessment, Shelley Lund, Kristy Weissling, Wendy Quach, Miechelle L. Mckelvey

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: Many, but not all, children with autism spectrum disorder (ASD) have a difficult time communicating in conventional ways to express their decisions, preferences, and ideas. Augmentative and alternative communication (AAC) can fulfill many purposes of communication and support a child to achieve maximal self-determination and agency. The goal of assessment is not to fit the child to a particular device or communication strategy—but rather to identify the strategies that enhance the child’s strengths to maximize their independent communication and ultimately their ability to exert control over their world.

Method: Our method was to combine results from our scoping review …

Applying Implementation Science To Support Active Collaboration In Noninvasive Brain–Computer Interface Development And Translation For Augmentative And Alternative Communication, Kevin Pitt, Aimee Dietz

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: The purpose of this article is to consider how, alongside engineering advancements, noninvasive brain–computer interface (BCI) for augmentative and alternative communication (AAC; BCI-AAC) developments can leverage implementation science to increase the clinical impact of this technology. We offer the Consolidated Framework for Implementation Research (CFIR) as a structure to help guide future BCI-AAC research. Specifically, we discuss CFIR primary domains that include intervention characteristics, the outer and inner settings, the individuals involved in the intervention, and the process of implementation, alongside pertinent subdomains including adaptability, cost, patient needs and recourses, implementation climate, other personal attributes, and the process of …

Changes In Sensorimotor Cortical Activation In Children Using Prostheses And Prosthetic Simulators, Christopher Copeland, Mukul Mukherjee, Yingying Wang, Kaitlin Fraser, Jorge M. Zuniga

Department of Special Education and Communication Disorders: Faculty Publications

This study aimed to examine the neural responses of children using prostheses and prosthetic simulators to better elucidate the emulation abilities of the simulators. We utilized functional near-infrared spectroscopy (fNIRS) to evaluate the neural response in five children with a congenital upper limb reduction (ULR) using a body-powered prosthesis to complete a 60 s gross motor dexterity task. The ULR group was matched with five typically developing children (TD) using their non-preferred hand and a prosthetic simulator on the same hand. The ULR group had lower activation within the primary motor cortex (M1) and supplementary motor area (SMA) compared to …

Brain Lateralization In Children With Upper‑Limb Reduction Deficiency, Jorge Zuniga, James E. Pierce, Christopher Copeland, Claudia Cortes‑Reyes, David Salazar, Yingying Wang, K. M. Arun, Theodore Huppert

Department of Special Education and Communication Disorders: Faculty Publications

Background: The purpose of the current study was to determine the influence of upper-limb prostheses on brain activity and gross dexterity in children with congenital unilateral upper-limb reduction deficiencies (ULD) compared to typically developing children (TD). Methods: Five children with ULD (3 boys, 2 girls, 8.76 ± 3.37 years of age) and five age- and sex-matched TD children (3 boys, 2 girls, 8.96 ± 3.23 years of age) performed a gross manual dexterity task (Box and Block Test) while measuring brain activity (functional near-infrared spectroscopy; fNIRS). Results: There were no significant differences (p = 0.948) in gross dexterity …

What’S In A Photograph? The Perspectives Of Composition Experts On Factors Impacting Visual Scene Display Complexity For Augmentative And Alternative Communication And Strategies For Improving Visual Communication, Kevin Pitt, John W. Mccarthy

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: Visual scene displays (VSDs) can support augmentative and alternative communication (AAC) success for children and adults with complex communication needs. Static VSDs incorporate contextual photographs that include meaningful events, places, and people. Although the processing of VSDs has been studied, their power as a medium to effectively convey meaning may benefit from the perspective of individuals who regularly engage in visual storytelling. The aim of this study was to evaluate the perspectives of individuals with expertise in photographic and/or artistic composition regarding factors contributing to VSD complexity and how to limit the time and effort required to apply principles …