Lega ro Research Center

Osimo, Italy

Lega ro Research Center

Osimo, Italy
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Lancioni G.E.,University of Bari | Bosco A.,University of Bari | Belardinelli M.O.,University of Rome La Sapienza | Singh N.N.,Georgia Regents University | And 3 more authors.
Frontiers in Human Neuroscience | Year: 2014

Post-coma persons in a minimally conscious state and with extensive motor impairment or emerging/emerged from such a state, but affected by lack of speech and motor impairment, tend to be passive and isolated. A way to help them develop functional responding to control environmental events and communication involves the use of intervention programs relying on assistive technology. This paper provides an overview of technology-based intervention programs for enabling the participants to (a) access brief periods of stimulation through one or two microswitches, (b) pursue stimulation and social contact through the combination of a microswitch and a sensor connected to a speech generating device (SGD) or through two SGD-related sensors, (c) control stimulation options through computer or radio systems and a microswitch, (d) communicate through modified messaging or telephone systems operated via microswitch, and (e) control combinations of leisure and communication options through computer systems operated via microswitch. Twenty-six studies, involving a total of 52 participants, were included in this paper. The intervention programs were carried out using single-subject methodology, and their outcomes were generally considered positive from the standpoint of the participants and their context. Practical implications of the programs are discussed. © 2014 Lancioni, Bosco, Olivetti Belardinelli, Singh, O'Reilly, Sigafoos and Oliva.


PubMed | Lega ro Research Center, Georgia Regents University, Victoria University of Wellington, University of Texas at Austin and University of Bari
Type: Journal Article | Journal: Perceptual and motor skills | Year: 2016

Motor impairments such as lack of standing and/or independent ambulation are common among persons with multiple disabilities. These two studies assessed technology-aided programs for persons with those impairments. Specifically, Study I assessed a program to teach two non-ambulatory adults to hand reach a stimulation-linked object by standing up. Study II assessed a program to teach a child and a man to ambulate while holding a rail or following a corridor wall. Standing increased from below 15% to about or over 80% of the session duration in Study I. The participants of Study II managed to complete brief ambulation trials independent of guidance. These performance achievements were discussed in relation to the technology-aided programs employed in the studies and the programs applicability in daily contexts.


Perilli V.,University of Bari | Lancioni G.E.,University of Bari | Hoogeveen F.,The Hague University of Applied Sciences | Caffo A.,University of Bari | And 5 more authors.
American Journal of Alzheimer's Disease and other Dementias | Year: 2013

Background/Aim: Two studies assessed the effectiveness of video prompting as a strategy to support persons with mild and moderate Alzheimer's disease in performing daily activities. Methods: In study I, video prompting was compared to an existing strategy relying on verbal instructions. In study II, video prompting was compared to another existing strategy relying on static pictorial cues. Video prompting and the other strategies were counterbalanced across tasks and participants and compared within alternating treatments designs. Results: Video prompting was effective in all participants. Similarly effective were the other 2 strategies, and only occasional differences between the strategies were reported. Two social validation assessments showed that university psychology students and graduates rated the patients' performance with video prompting more favorably than their performance with the other strategies. Conclusion: Video prompting may be considered a valuable alternative to the other strategies to support daily activities in persons with Alzheimer's disease.


Lancioni G.E.,University of Bari | Singh N.N.,American Health and Wellness Institute | O'Reilly M.F.,University of Texas at Austin | Ferlisi G.,ffaele Care Center | And 4 more authors.
Developmental Neurorehabilitation | Year: 2012

Objective: To assess a technology-aided programme for promoting leisure engagement and communication in a man with amyotrophic lateral sclerosis (ALS). Method: The programme involved a laptop computer equipped with a Clicker 5 software package, an optic microswitch and an interface device. The participant could choose between two leisure options (i.e. songs and videos), could write requests and general messages through a virtual keyboard and a microswitch and could have the written text read out to caregivers and staff. Results: The use of the programme increased the mean frequency of words written to about 15 per 20-minute session during the second intervention phase. Those words were used by the participant for formulating a mean of over two requests/messages per session. The participant also listened to songs and watched videos. Conclusion: A simple technology-aided programme may allow ALS patients to manage leisure engagement and communication.


Lancioni G.E.,University of Bari | Singh N.N.,American Health and Wellness Institute | O'Reilly M.F.,University of Texas at Austin | Green V.A.,Victoria University of Wellington | And 2 more authors.
Developmental Neurorehabilitation | Year: 2013

Objective: To assess whether two persons with multiple disabilities could learn a work activity (i.e., assembling trolley wheels) with the support of a technology system. Method: After an initial baseline, the study compared the effects of intervention sessions relying on the technology system (which called the participants to the different workstations and provided feedback and final stimulation) with the effects of intervention sessions carried out without technology. The two types of intervention sessions were conducted according to an alternating treatments design. Eventually, only intervention sessions relying on the technology system were used. Results: Both participants managed to assemble wheels independently during intervention sessions relying on the technology system while they failed during sessions without the system. Their performance was strengthened during the final part of the study, in which only sessions with the system occurred. Conclusion: Technology may be critical in helping persons with multiple disabilities manage multi-step work activities. © 2013 Informa UK Ltd. All rights reserved.


Lancioni G.E.,University of Bari | Bellini D.,Lega ro Research Center | Oliva D.,Lega ro Research Center | Singh N.N.,American Health and Wellness Institute | And 3 more authors.
Journal of Intellectual and Developmental Disability | Year: 2012

Background A camera-based microswitch technology was recently developed to monitor small facial responses of persons with multiple disabilities and allow those responses to control environmental stimulation. This study assessed such a technology with 2 new participants using slight variations of previous responses. Method The technology involved a computer with a CPU using a 2GHz clock, a USB video camera with 16-mm lens, and special software. Small colour spots were used under the lower lip of one participant and on the eyelid of the other participant to aid the camera and computer to detect their mouth and eyelid responses. The study involved an ABAB design and included a 3-week post-intervention check. Results The participants' mouth and eyelid responses increased during the intervention (B) phases and post-intervention check (i.e., when the technology allowed them to control stimulation). Conclusions Camera-based microswitch technology can help persons with multiple disabilities control stimulation with small responses. © 2012 Australasian Society for the Study of Intellectual Disability, Inc.


Lancioni G.E.,University of Bari | O'Reilly M.F.,University of Texas at Austin | Singh N.N.,American Health and Wellness Institute | Green V.A.,Victoria University of Wellington | And 4 more authors.
Developmental Neurorehabilitation | Year: 2013

Objective: Assessing the effectiveness of technology-aided programs to help three children with multiple disabilities exercise adaptive head or leg-foot and hands responses independently. Method: The response selected for the two children included in Study I was head rotation (i.e. movements of at least 25 degrees to the left that could start from a full right position as well as from other positions). The responses selected for the child included in Study II involved forward movement of the left leg-foot and forward movement of his hand(s) to touch objects. Tilt or optic microswitches were used to monitor the responses and a computer system regulated the stimuli contingent on them. Results: The responses targeted in the two studies showed large frequency increases during the intervention phases of the studies (i.e. when followed by stimulation). Conclusion: Technology-aided programs can be a useful resource to help children with multiple disabilities exercise relevant responses independently. © 2013 Informa UK Ltd.


Lancioni G.E.,University of Bari | O'Reilly M.F.,University of Texas at Austin | Singh N.N.,American Health and Wellness Institute | Oliva D.,Lega ro Research Center
Developmental Neurorehabilitation | Year: 2011

Objective: To assess whether two women with blindness and additional disabilities could make independent phone calls through a computer-aided telephone system. Method: For each participant, the study involved an ABAB design, in which the A represented baseline phases and the B represented intervention phases with the special telephone system (involving among others a net-book computer with specific software, a global system for mobile communication modem and a microswitch). Results: Both participants learned to use the system and made phone calls independently to a variety of partners such as family members, friends and staff personnel. Conclusion: The system assessed in this study might represent a useful means for enabling persons with blindness and additional disabilities to manage phone calls on their own. © 2011 Informa UK Ltd All rights reserved.


Lancioni G.E.,University of Bari | O'Reilly M.F.,University of Texas at Austin | Singh N.N.,American Health and Wellness Institute | Green V.A.,Victoria University of Wellington | And 4 more authors.
Developmental Neurorehabilitation | Year: 2012

Objective: To expand recently-developed text messaging systems with new technology-based solutions so as to allow persons with multiple disabilities to write messages. Method: Two case studies were conducted. In Study I, the new technology-based solution involved vocal scanning of the alphabet letters to allow letter selection/writing and was assessed with a woman with blindness and extensive motor disability. In Study II, the new technology-based solution involved a touch-screen superimposed on letter symbols arranged alphabetically and was assessed with a man with acquired brain injury, motor disability and lack of speech. Each study involved an ABAB design. Results: Participants learned to write their messages, to send them out and to listen to incoming messages during intervention sessions of nearly 30 and 20 minutes, respectively. Conclusion: Text messaging systems can be developed that allow participants with multiple disabilities to write messages. © 2012 Informa UK Ltd. All rights reserved.


Lancioni G.E.,University of Bari | Singh N.N.,ONE Research Institute | O'Reilly M.F.,University of Texas at Austin | Sigafoos J.,Victoria University of Wellington | Oliva D.,Lega ro Research Center
Clinical Case Studies | Year: 2011

A new verbal-instruction system, which ensured the presentation of step instructions automatically, was used to help a woman with moderate intellectual disability and blindness perform food- and drink-preparation tasks. During Part I of the study, this system was compared with a system requiring the woman to seek instructions on her own. Two tasks were used, one with each system. During Part II of the study, the new system was applied with four additional tasks. The results of Part I showed the following: (a) the woman's level of correct performance on the task carried out with the new system was higher than the level on the other task and (b) performance of this latter task improved when the new system was used with it. The results of Part II showed satisfactory performance with all four tasks carried out with the new system. The implications of these data were discussed. © The Author(s) 2011.

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