title: Client-centred development of an infrared thermal access switch for a young adult with severe spastic quadriplegic cerebral palsy.
abstract: OBJECTIVE
  This study reports a client-centred development of a non-contact access switch based on an infrared thermal imaging of mouth opening-closing activity of an individual with severe spastic quadriplegic cerebral palsy.
  
  
  METHODS
  Over a 6-month period, the client participated in five test sessions to inform the development of an infrared thermal switch. The client completed eight stimulus-response trials (switch test) and eight word-matching trials (scan test) using the infrared thermal switch and provided subjective feedback throughout.
  
  
  RESULTS
  For the switch test, the client achieved an average correct activation rate of 90% and average response time of 2.4 s. His mean correct activation rate on the scan test improved from 65 to 80% over the course of system development, with an average response time of 11.7 s.
  
  
  CONCLUSIONS
  An infrared thermography switch tuned to a client's extant orofacial gestures is a practical non-invasive access solution and warrants further research in clients with severe physical disability.
authors.affiliation: Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Negar
authors.initials: N
authors.lastname: Memarian
authors.forename: Anastasios N
authors.initials: AN
authors.lastname: Venetsanopoulos
authors.forename: Tom
authors.initials: T
authors.lastname: Chau
mesh_terms: D000328:Adult; D002547:Cerebral Palsy / Q000150:complications / Q000534:rehabilitation*; D003142:Communication; D006801:Humans; D007259:Infrared Rays; D008297:Male; D011782:Quadriplegia / Q000209:etiology / Q000534:rehabilitation*; D014584:User-Computer Interface