1. Assistive Technology and Occupational Therapy

2. What is Assistive Technology (AT)? No Tech Solution Low Tech Solution High Tech Solution

3. Rehabilitation Technology means: the systematic application of technologies, engineering methodologies, or scientific principles to meet the needs of and address the barriers confronted by individuals with disabilities in areas which include education, rehabilitation, employment, transportation, independent living, and recreation. The term includes rehabilitation engineering, assistive technology devices, and assistive technology services. as defined by the Rehabilitation Act of 1973

4. What’s the difference between a low tech device and a high tech device? Give some examples... Low TechHigh Tech

5. What we’ll talk about Environmental control Computer access Augmentative communication Driving April 8, Apr 29, May 6 Apr 15 (no class-AOTA conference) Apr 22 Disability Rights- date may change

6. Choosing AT Importance of Choosing Optimal Device –Better task performance –Lower cost –Better satisfaction

7. Preferred Sequence of Determining Intervention with AT improve the person’s ability to perform the task change or eliminate the task (no tech) use a mass market product (lower cost, easier to maintain and fix- ex from radioshack) -adaptations- ex keygaurd foto feel keys better. use a specialty device (high tech computer access if someone cant use body part) Adapt specialty device- modify already existing fabricate a new device- the person who made it is only one who knows how to fix it etc.

8. Performing an AT Evaluation A.Determine the Activity or Activities to be Performed and is having trouble doing it B.Evaluate the Person –Sensory Motor Performance –Psycho-social Issues (including cognitive issues) C.Evaluate the Task (task analysis) D.Evaluate the Environment, support system E.Evaluate the Device

9. What about the device do you consider?

10. After the device is selected, what then? A.Funding B.Receipt of Device C.Training D.Follow-up

11. A Few General Concepts… Direct versus indirect selection –Direct Direct selection Coded access –Indirect Scanning –Traditional scanning –Inverse scanning –Row/column (http://www.youtube.com/watch?v=DoL_pX1kE- M&feature=related)http://www.youtube.com/watch?v=DoL_pX1kE- M&feature=related –(partner assisted scanning- http://www.youtube.com/watch?v=l_P8OG04wqc) http://www.youtube.com/watch?v=l_P8OG04wqc

12. General Concepts (continued) Switch output –Momentary –Latched –Proportional control

13. AT to manipulate the Environment

14. Low-tech Devices (ie. mouthstick, reacher, etc.) can be used for multiple purposes Typing aid- can be used as pointer/poker Universal Cuff

15. Special Purpose Devices Low Tech Devices with single function- These are designed for a specific use but are still low tech

16. Special Purpose Devices Electro-mechanical Aids Feeders- two functions –location of the particle –moving it to mouth Page Turners –separate the page to be turned from other pages –physically move the page from one side to the other (forward or backward )

17. Environmental Control Units A means to purposefully manipulate and interact with the environment by alternately accessing one or more electrical devices via switches, voice activation, remote control, computer interface, and other technological adaptations. The purpose of an ECU is to maximize functional ability and independence in the home, school, work, and leisure environments. Bain, DiSalvi, Gold, Kollodge, Schein, 1991

18. Quartet system http://www.youtube.com/watch?v=cp_ 1xOQz92g http://www.youtube.com/watch?v=cp_ 1xOQz92g KEO http://www.youtube.com/watch?v=Cjx7 PwNqqk8&feature=relatedhttp://www.youtube.com/watch?v=Cjx7 PwNqqk8&feature=related KEO bluetooth http://www.youtube.com/watch?v=hhA KfKPO4MA&feature=relatedhttp://www.youtube.com/watch?v=hhA KfKPO4MA&feature=related

19. Transmission Methods Direct Wiring Remote Control –House wiring- part of most remote systems –Ultrasound Transmission –Infrared Transmission (IR) –Radio Frequency Transmission (RF)

20. Telephone Control Communication is paramount –Emergency –Social –vocational