Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Wong SY (1), Ho CME (1), Au KMB (1)
Affiliation :
(1)Occupational Therapy Department, Tai Po Hospital
Introduction :
Patients suffering from spinal cord injury (SCI) at the cervical level usually have limited upper limb function, leading to difficulties in most activities of daily living (ADL) and social participation. Besides, studies showed that speech and voice deficits after SCI can further impact functional communication, contributing to reduced quality of life and increased risk of depression. Advancements in technology have provided various options and methods to assist SCI patients in overcoming these challenges.
Objectives :
This project aims at exploring and using different types of technology to address problems in communication and limited social participation commonly encountered by SCI patients.
Methodology :
A patient with C5 tetraplegia was recruited in Tai Po Hospital. To facilitate his communication with family members and other people, mobile devices, including mobile phone, computer and tablet, were used. Different types of technology were considered, including (1) 3D scanning and printing for tailor-making an assistive device to control a mobile phone; (2) Eye tracer device for computer control and (3) Android app for tablet control. Functional training sessions were provided, focusing on typing words and using WhatsApp for text and call communication with family. Feedback was collected from the patient.
Result & Outcome :
A customized head pointer was created using 3D scanning and printing technology, allowing the patient to control his mobile phone by using head movements. The patient reported ease in learning to use the head pointer, although complex functions and extended use posed challenges.
The Tobii Eye Tracker, utilizing an infrared sensor for eye movement detection, enabled computer access. While setup and the glare control found difficult, the patient reported that it was very useful for various computer functions, though mastering its use presented a learning curve.
Last but not least, we also explored the Android app “Open Sesame” for tablet and mobile phone access. The app utilized the built-in camera to detect the patient’s facial and head movements. Setup was easy, and the patient could use it for contacting family through WhatsApp and engaging in leisure activities such as watching online videos.
To conclude, different types of technology demonstrated the ability to assist a SCI patient in communication and social participation. Each technology had its advantages and limitations, necessitating exploration and application based on individual patient needs and abilities.
