Influence of Visual Dependence on Inter-Segmental Coordination during Upright Stance in Cerebral Palsy

Abstract

The presence of visual dependence as an influential factor on the development of functional stability in ambulatory individuals with cerebral palsy (CP) was studied in 22 adults with spastic bilateral CP, 11 of whom were considered visually dependent, and 18 healthy adults. Participants stood upright during pitch plane disturbances of the visual field and support surface. Intersegmental coordination behaviors were assessed by fitting trajectories of adjacent body segments to an ellipse. Mixed-model repeated measures ANOVAs were performed on ellipse orientation angle and area. Dissimilar stabilizing strategies adopted by the two groups with CP imply that visual dependence impacts postural control. Postural reorganization in response to visual flow in all groups indicates that we cannot ignore perceptual aspects of postural control when designing therapeutic interventions.     

Designing and evaluating an intelligent augmented reality system for assisting older adults’ medication management

Intelligent Assistive Systems (IASs) provide personalised support to individuals to increase their autonomy and competence in performing activities. The personalisation of such technology represents a particular challenge, for the individuals abilities typically change over time. The aim of this research was to explore a theory-based, activity-centred framework for the development of IASs that both facilitate the active involvement of caregivers and target users and allow for adaptation to the individual over time.Medication management was focused on as a case study. Three older adults and two caregivers were involved in a co-design process of an IAS prototype system, the MED-AR, which uses projection-based augmented reality as the user interface technology. The theoretical framework for the design and evaluation of the MED-AR was activity theory. For the decision-making process of the MED-AR, formal argumentation theory was used. The major contributions of the study are (i) a formal framework for understanding the level of independence in activities and the way an IAS can tailor support to an individual and a situation, including caregivers; and (ii) a model for involving older adults and caregivers in a co-design process in the first phases of developing IASs.     

Reconceptualising parental monitoring within a model of goal-directed parental action

The concept and operationalisation of parental monitoring in adolescent behavioural research is idiosyncratic, and often conflates multiple concepts. This hinders study and understanding of its role in the distinct processes of adolescent development and behaviour. This paper introduces a model of Goal-Directed Parental Action, applied to adolescent crime, in order to situate and thus define the concept of parental monitoring. This model draws on Situational Action Theory to both prioritise motivation and specify a parental action process. This process distinguishes parental goals from the means by which to achieve them and from the knowledge gathering required to evaluate progress towards such goals. Within this framework, parental monitoring is defined as the employment of active information-gathering behaviours by parents to help them to gain knowledge about and evaluate their child's progress towards a range of parentally selected developmental and behavioural goals. In addition to facilitating this definition of parental monitoring, the model of Goal-Directed Parental Action has future potential to clarify other parenting concepts and processes.