title: Further evaluation of microswitch clusters to enhance hand response and head control in persons with multiple disabilities.
abstract: This study was a further evaluation of microswitch clusters (combinations of two microswitches) to improve adaptive responding together with correct head position in two persons with multiple disabilities. The two participants were 19.7 and 6.6 yr. old and had profound intellectual disabilities, spastic tetraparesis, and visual impairment. They were initially taught an adaptive hand response that activated a pressure microswitch and produced favorite stimulation. Thereafter, their performance of the hand response produced favorite stimulation only when it was combined with a correct head position (detected through a mercury microswitch). Analysis showed that both participants increased the frequency of the hand response and, subsequently, the percentage of times they emitted this response in combination with correct (upright) head position. In essence, they were able to coordinate constructive occupation with exercise of appropriate posture. Performance was maintained at a 2-mo. postintervention check.
authors.affiliation: Department of Psychology, University of Bari, Italy. g.lancioni@psico.uniba.it
authors.forename: G E
authors.initials: GE
authors.lastname: Lancioni
authors.forename: M F
authors.initials: MF
authors.lastname: O'Reilly
authors.forename: N N
authors.initials: NN
authors.lastname: Singh
authors.forename: D
authors.initials: D
authors.lastname: Oliva
authors.forename: L
authors.initials: L
authors.lastname: Scalini
authors.forename: C M
authors.initials: CM
authors.lastname: Vigo
authors.forename: J
authors.initials: J
authors.lastname: Groeneweg
mesh_terms: D000328:Adult; D002648:Child; D006233:Persons with Disabilities / Q000193:education / Q000534:rehabilitation*; D004519:Education, Special / Q000379:methods; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006225:Hand / Q000502:physiology*; D006257:Head / Q000502:physiology*; D006801:Humans; D008297:Male; D009068:Movement / Q000502:physiology*; D017063:Outcome Assessment, Health Care; D011187:Posture / Q000502:physiology*; D012656:Self-Help Devices / Q000592:standards*; D014159:Transducers / Q000592:standards