Article

OBJECTIVE: To assess a voice-sensitive microswitch for a 67-year-old man with
amyotrophic lateral sclerosis (ALS) who had difficulties continuing to use an
optic microswitch through small chin movements. METHOD: The man used the
microswitches in combination with a computer-aided program to (a) access
preferred songs and videos or make requests, and (b) operate a messaging system
to communicate with his wife and sons. To assess the man's performance with the
two microswitches, we alternated sessions with one microswitch with sessions with
the other. RESULTS: The man's performance with the new microswitch was apparently
more efficient (i.e. he could generally activate the new microswitch with a
single attempt while he needed a mean of about two attempts for each activation
of the optic microswitch). The man also developed a clear preference for the new
microswitch. CONCLUSION: Technology updates are critical within programs for
persons with motor degeneration. IMPLICATIONS FOR REHABILITATION: A microswitch
that can be used efficiently and without effort is critically important for a
person with ALS. The microswitch can be used with programs that allow the person
to manage leisure stimulus events, request opportunities and/or text messaging
communication. The microswitch needs to be updated (changed) in relation to the
person's physical deterioration.

Langue : ANGLAIS