Thursday, September 17, 2015

Pros and Cons Disabled Human User of Assistive Technologies


Piaget’s Stages of Human Development

Jean Piaget was a well-known name in the field of developmental psychology due to his enormous contribution to both psychology and education. Piaget's theory of cognitive development focuses on how a child perceives the environment and how he/she processes the information. Being a developmental psychologist, he essentially studied how the intellectual development in children takes place and how they transform from children to adults. Based on his observations and various experiments, he found out that children are as intelligent as their older counterparts, the only difference being their thinking process, which is quite different. Piaget's theory consists of four stages of cognitive development, where each stage is characterized by different behavior.

Early Object Manipulation and Tool Use in Typically Development Children During the Sensorimotor Period of Development (Birth to 2 Years)

From his observation of children, Piaget understood that children were creating ideas. They were not limited to receiving knowledge from parents or teachers; they actively constructed their own knowledge. Piaget's work provides the foundation on which constructionist theories are based. Constructionists believe that knowledge is constructed and learning occurs when children create products or artifacts. They assert that learners are more likely to be engaged in learning when these artifacts are personally relevant and meaningful.

In studying the cognitive development of children and adolescents, Piaget identified four major stages: sensorimotor, preoperational, concrete operational and formal operational. Piaget believed all children pass through these phases to advance to the next level of cognitive development. In each stage, children demonstrate new intellectual abilities and increasingly complex understanding of the world. Stages cannot be "skipped"; intellectual development always follows this sequence. The ages at which children progress through the stages are averages--they vary with the environment and background of individual children. At any given time a child may exhibit behaviors characteristic of more than one stage.

Characteristics of the Preoperational Child That Influence Assistive Technology Use

Jean Piaget called early childhood the preoperational stage of cognitive development because children this age are not yet ready to engage in logical mental operations, as they will be in the stage of concrete operations in middle childhood. However, the preoperational stage, which lasts from approximately ages 2 to 7, is characterized by a great expansion in the use of symbolic thought, or representational ability, which first emerged during the sensorimotor stage. Preoperational children commonly think as if they were watching a slide show with a series of static frames: they focus on successive states, said Piaget, and do not recognize transformations from one state to another. In the conservation experiment, they focus on the water as it stands in each glass rather than on the water being poured from one glass to another, and so they fail to realize that the amount of water is the same. During this time stable concepts form, mental reasoning emerges, egocentrism begins, and magical beliefs are constructed. Thought is flawed and not organized. This stage involves a transition from primitive to more sophisticated use of symbols. Children still do not yet think in an operational way.

Early Development of Language

There is perhaps nothing more remarkable than the emergence of language in children. Have you ever marveled at how a child can go from saying just a few words to suddenly producing full sentences in just a short matter of time? Researchers have found that language development begins before a child is even born, as a fetus is able to identify the speech and sound patterns of the mother's voice. By the age of four months, infants are able to discriminate sounds and even read lips.

Researchers have actually found that infants are able to distinguish between speech sounds from all languages, not just the native language spoken in their homes. However, this ability disappears around the age of 10 months and children begin to only recognize the speech sounds of their native language. By the time a child reaches age three, he or she will have a vocabulary of approximately 3,000 words.

Early Communicative Intents With Discourse Functions

Communicative grammar is based on the communicative approach to the teaching of second/foreign languages. Language structures must not be taught in isolation but integrated to the four skills of language: listening, speaking, reading and writing. In this way a structure is practiced orally and written form. Grammatical patterns must not only be learned at the utterance level but at the discourse level; the main objective focuses on the development of communicative grammatical competence, which is understood as the ability to use and understand a structure in a variety of situations spontaneously. The approach calls for a certain balance between pre-communicative and communicative activities: the first prepare the learner to handle the language rules for actual communication and the latter enable him to use the structures in real communication. The students must not only do drills and precommunicative exercises in class, but they must interact and communicate with other speakers when they use the patterns they are studying. Classes are planned in a way that the students use the structures naturally and not artificially, and they require time and practice to internalize those patterns by using a process in which grammatical structures are recycled with more complex variations.

Reaction Times Related to Stages of Human Processing

Mental chronometry is the use of response time in perceptual-motor tasks to infer the content, duration, and temporal sequencing of cognitive operations. Mental chronometry is one of the core paradigms of experimental and cognitive psychology, and has found application in various disciplines including cognitive psychophysiology, cognitive neuroscience, and behavioral neuroscience to elucidate mechanisms underlying cognitive processing. Mental chronometry is studied using the measurements of reaction time (RT). Reaction time is the elapsed time between the presentation of a sensory stimulus and the subsequent behavioral response. In psychometric psychology it is considered to be an index of speed of processing. That is, it indicates how fast the thinker can execute the mental operations needed by the task at hand. In turn, speed of processing is considered an index of processing efficiency. The behavioral response is typically a button press but can also be an eye movement, a vocal response, or some other observable behavior.

Effector Characteristics

Neural, muscular, skeletal body elements that provide movement or motor output, under control of central processing, in response to sensory input. Often AT controlled by hand movements but many other control sites are possible. Postural control and reflexes contribute

to the generation of motor output. Motor outputs for stabilization, control, large muscles of trunk and pelvis. Control effectors for manipulation. Hand or fingers, shoulders, arm, head, eyes, eyelids, eyebrows, mouth, tongue, leg, foot. Respiration (flow of air, sip, puff) and phonation (sound production, whistling, speech). Oculomotor control (via PCA, or AT device) and approach, grasp, manipulation, release.

Primitive reflexes (usually gone by ~6 mos.), tonic labyrinthine reflex (TLR): stiffening of back and leg muscles when head tilts back. Asymmetrical tonic neck reflex (ATNR): extension/ bending of arm, leg when head turns to side. May be pronounced with neurological damage. Righting and equilibrium reactions. Implications for upright posture, stable seating. Muscle tone (flaccidity, spasticity, rigidity). Fluctuation throughout the day.

Motions and Functions Available at Different Levels of Spinal Cord Injury

People who survive a spinal cord injury often have medical complications resulting in bladder, bowel, and sexual dysfunction. They may also develop chronic pain, autonomic dysfunction, and spasticity (increased tone in and contractions of muscles of the arms and legs) but this is highly variable and poorly understood. Higher levels of injury may have an increased susceptibility to respiratory and heart problems. Once someone has survived the injury and begins to cope psychologically and emotionally, the next concern is how to live with disabilities. Doctors are now able to predict with reasonable accuracy the likely long-term outcome of spinal cord injuries. This helps people experiencing SCI set achievable goals for themselves, and gives families and loved ones a realistic set of expectations for the future.

 

Reflections Disabled Human User of Assistive Technologies


Reflections

·         Sensory Function As Related To Assistive Technology Use

Sensory functions play an essential role in the design and selection of assistive technology systems. One view of the role of the sensory system is to provide information regarding “Where the body ends and where the world begins.” As the major interface for many assistive devices, the sensory system plays a critical role in determining the effectiveness of assistive technology interventions.
 
·         Perceptual Function As Related To Assistive Technology Use

Perceptual adds meaning to sensory data. Assistive technology can affect perceptual experience in many ways, some positive and some negative. Because the use of technologies is often a new experience, a novice user who a difficulty is likely to have significantly different perceptions of events and device interactions than do either more experienced users or nondisabled assistive technology practitioners.

·         Cognitive Function and Development As Related To Assistive Technology Use

Cognitive performance plays an important role in the use of assistive technologies. There are several problems associated with adequately assessing the cognitive abilities necessary for the control of assistive technology systems. The most important of these is that the assistive technology often provides a function for which the person has no experience base.

·         Psychosocial Function As Related To Assistive Technology Use

Psychological factors have a significant influence on assistive technology usage. Psychological function is composed of both intrinsic and extrinsic factors. The intrinsic psychological characteristics of an individual are hard to separate from the influences of the person’s social environment.

·         Motor Control As Related To Assistive Technology Use

Many aspects of motor control are important in the use of assistive technologies. I order to perform a control task, the human operator must be able to locate a target, plan, a movement to that target, and produce a desired action once the target is reached. This process involves both sensory and motor components. Motor control refers to all the central processing functions that led to planned, coordinated motor outputs.

·         Effector Function As Related To Assistive Technology Use

The human operator controls the assistive technology through various effectors and they enable manipulation of the environment in a variety of ways. Several factors are important to keep in mind when considering effectors use for the purpose of controlling assistive technologies.

 

Glossary of Terms Disabled Human User of Assistive Technologies


Glossary of Terms
Definitions
Examples
Abandonment
Abandonment of a device can be attributed to an individual who is depressed, angry, embarrassed to use the device, withdrawn, or resistant; has low self-esteem or poor socialization and coping skills; or lack the skills and or training to use the device.
Being aware of the psychological factors that affect assistive technology use can facilitate the matching process for the ATP and optimize use of assistive technology.
Apraxia
Is the inability to execute learned purposeful movements, despite having the desire and the physical capacity to perform the movements.
Apraxia is an acquired disorder of motor planning, but is not caused by incoordination, sensory loss, or failure to comprehend simple commands (which can be tested by asking the person to recognize the correct movement from a series).
Central Processing
Is the Human functions of perception, cognition, neuromuscular control and psychological factors.
Motor planning is used to describe the process by which purposeful movements are executed to accomplish a purposeful task.
Cognition
The process of understanding and knowing which involves the skills of attention, memory, problem solving, decision making, learning, language, and other related tasks.
The use of a powered wheelchair requires several types of cognitive function. The human operator must visually scan the environment, process the sensory data, make decisions as to the direction of movement desired, and activate the corresponding effector to cause the motion of the wheelchair in the desired direction.
Development
The combination of growth and learning leading to changes in a child.
The work of Jean Piaget is particularly useful because its emphasis on object manipulation in the early years and the consideration of alternative methods of problem solving as the child grows into an adult.
Effectors
The neutral, muscular, and skeletal elements of the human body that provide movement or motor input.
Powered wheelchairs typically employ joystick control activated by hand movements, and hand and finger movements for keyboard use.
Engram
A preprogrammed pattern of muscular activity represented centrally.
They develop when there are many repetitions of a specific movement or activity. With repeated, consistent movement, the conscious effort of the person is reduced and the movements become more automatic.
Growth
Changes that occur in a child as a result of physical development of the central nervous system.
Development is a function of growth.
Intrinsic Enablers
General underlying abilities that individuals use to perform activities and tasks.
Inputs from sensors is necessary for obtaining data from the environment, and limitations can arise in both the sensitivity and range able variation in size, amplitude, or magnitude of the sensory.
Learning
Changes that occur in a person because of contact with some environmental influence.
Development is a function of learning.
Memory
Often considered to have three components:
sensory memory, (2) short-term memory, and
(3) long-term memory, each playing a role in assistive technology.
Somatosensory long-term memory plays a role in many aspects of assistive technology application. Tactile memory is also important in seating and positioning systems.
Morphology
The rules for organizing the smallest meaningful units of language, called morphemes.
Words are articulated sounds or series of sounds that are used alone as units of language and symbolize, communicate and have no meaning.
Motivation
Any influence that give rise to performance.
Motivation may result from the human, activity, context, or assistive technology components of the system.
Motor control
The result of the integration of sensory, perceptual, and cognitive components into a motor pattern that is executed by the effectors.
In order to control task, the human operator must be able to locate a target, plan a movement to that target, and produce a desired action once the target is reached.
Muscle Tone
The resistance to stretch provided by neural activity, viscoelastic properties of muscle and joints, and sensory feedback to the CNS.
Muscle tone is high enough so that the individual can resist gravity and low enough to allow movement. Tone varies with age, level of activity, stress, and other factors. Muscle tone in infants is generally decreased, or hypotonic, and they begin to develop more normal tone as their nervous system develops.
Optimal Use
The use of an assistive technology that is the greatest possible given the user’s skills.
It is predicted that those individuals who are unmotivated; intimidated by technology; embarrassed to use the device; impatient or impulsive; or have low self-esteem, unrealistic expectations, or limitations in the skills needed may become partial.
Paralysis
Significantly reduced (or absent) muscle strength preventing the use of certain effectors; muscle weakness caused by partial paralysis that make it difficult to move but does not prevent movement is called paresis.
An adapted door handle could be used to require less force to be applied in order to turn the doorknob.
Perception
The interpretation and assignment of meaning to data received from biological sensors; involves an interaction between information derived from sensed data and information stored in memory based on previous sensory experience.
It is a combination and interpretation of data from all our sensory systems that provide a meaningful picture of the environment and our interaction with it.
Phonology
The sounds used in any particular language and the rules for their organization.
To produce English speech using an electronic speech synthesizer.
Pragmatics
The relationship between language and language users.
By understanding the rules of pragmatics, a user of language is able to observe social conventions.
Primitive Reflexes
Characterized by immediate and automatic movement performed at a subconscious level, usually imitated by sensory stimulation.
They are usually initiated by sensory stimulation. Present at birth or shortly thereafter, these reflexes are inhibited or integrated into volitional movement patterns as the infant develops.
Psychosocial Function
Consists of self-identity, self-protection, and motivation.
These factors are related to the person’s acceptance of a disability, the approach a person takes to the assistive technology, and the ultimate effectiveness of the assistive technology for the person.
Range
Maximal extent movement of an effector.
The use of push rims on a manual wheelchair requires a relatively large range of movement, whereas the use as a computer mouse requires a relatively small range.
Recall
The type of memory that relies exclusively on the person’s abilities to retrieve information with no assistance.
The task of recalling information relies exclusively on the person’s abilities, with no assistance from the system.
Recognition
The type of memory that requires the person to identify the proper or desired item from a list.
List or identify
Reluctant Users
Individuals who are unmotivated, intimidated by technology, embarrassed to use the device, impatient or impulsive, have low self-esteem, unrealistic expectations, or limitations in the AT skills needed.
Characteristics of the person who avoids using a device may include someone who does not have the skills to use the device and someone who is depressed, unmotivated, embarrassed to use the device, uncooperative, withdrawn, or intimidated by technology.
Resolution
The smallest separation between two objects that the effector can reliably control.
The spacing of individual keys on a keyboard requires relatively fine motor control and an effector with good resolution.
Semantics
The relationship between words and their meaning.
The word gold may mean the color, the metal, or the concept of wealth.
Sensors
Intrinsic enablers that obtain data from the environment; characterized by sensitivity and range.
Reading and mobility systems for the visually impaired and hearing aids for individuals with auditory impairment are designed to compensate for these specific loses.
Spasticity
Increased muscle tone; also referred to as hypertonicity.
Several types of disorders can result in spasticity. Increased muscle tone is often accompanied by exaggerated reflexes and imbalances between antagonist muscle pairs controlling joints.
Syntax
The rules for organizing words into meaningful utterances.
Various grammatical rules are used by linguistics to describe language usage and by designers of argumentative communication systems to enhance communicative ability.
Visual Accommodation
The process by which the ciliary muscles change the curvature of the lens and hence the focal point of the eye.
If a person is using a keyboard device with a visual display, the separation of these two system components may require constant accommodation as visual gaze is directed at the keyboard and then at the display and back to the keyboard.