A Further Evaluation of Microswitch-Aided Intervention for Fostering Responding and Stimulation Control in Persons in a Minimally Conscious State

Lancioni, Giulio E.; O’Reilly, Mark F.; Sigafoos, Jeff; D’Amico, Fiora; Buonocunto, Francesca; Devalle, Guya; Trimarchi, Pietro Davide; Navarro, Jorge; Lanzilotti, Crocifissa

doi:10.1007/s41252-018-0064-6

Cited by 7 publications

(11 citation statements)

References 51 publications

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“…For example, technology resources such as voice recorders, voice recorder software for iPod Touch or Windows Mobile, as well as cue cards and colored index cards were listed as tools to curb the disabling effects of TBI on memory. Lancioni et al (2018b) reported two studies with individuals in a minimally conscious state (MCS). The first study extended the assessment of a microswitch-based intervention program for helping MCS individuals increase functional responding as a way to control environmental stimulation.…”

Section: Articles Included In This Special Issuementioning

confidence: 99%

Assistive Technology Programs to Support Persons with Neurodevelopmental Disorders

Lancioni

2018

Adv Neurodev Disord

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Section: Articles Included In This Special Issuementioning

confidence: 99%

Assistive Technology Programs to Support Persons with Neurodevelopmental Disorders

Lancioni

2018

Adv Neurodev Disord

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“…Lancioni et al [71] carried out a replication of the studies described above with a group of 10 MCS patients (aged 25 to 81 years) who had CRS-R scores of 10 to 14. The responses selected as stimulation targets included protracted or repeated eyelid closures and head, hand/finger, foot or lip movements.…”

Section: Illustrative Studies (With One Response Targeted)mentioning

confidence: 99%

“…The acquisition of such an active role and the underlying learning process may be viewed as highly valuable phenomena/experiences with relevant therapeutic implications for the advancement of the patients' recovery process [15,50,51,53,55,[66][67][68]. The application of this strategy in the treatment of MCS patients has been reported in 14 studies including a total of 64 patients [50][51][52][53][54]64,[69][70][71][72][73][74][75][76]. Some of those studies are summarized below as a way to clarify how the strategy is set up and how it can work with the patients.…”

Section: Introductionmentioning

confidence: 99%

A Behavioral Approach to Treatment and Assessment of People with Disorders of Consciousness: The Response-contingent Stimulation Strategy

Lancioni¹,

Belardinelli²,

Singh³

et al. 2022

J. Integr. Neurosci.

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Response-contingent stimulation is a behavioral strategy used to improve the situation of patients with disorders of consciousness. Such strategy involves the presentation of brief periods (e.g., 10 to 15 s) of stimulation considered preferred by the patients, contingent on (immediately after) the emission of specific patients' responses. The aim is to help the patients learn the link between their responding and the preferred stimulation and thus learn to use their responding to access the stimulation in a self-determined/independent manner. Achieving these goals is considered important for the patients' recovery process and thus the response-contingent stimulation strategy that promotes such an achievement can be considered a valuable treatment approach. The same strategy combined with the use of periods of non-contingent stimulation (i.e., stimulation delivered independent of responding) may also serve as an assessment supplement with patients with apparent unresponsive wakefulness. The patients' increase in responding during the response-contingent stimulation and decline in responding during the non-contingent stimulation could be taken as a sign of discrimination between conditions, and possibly a sign of awareness of the immediate environmental situation, compatible with a diagnosis of minimally conscious state. This paper analyzes a number of studies aimed at using the response-contingent stimulation as a treatment strategy and a number of studies aimed at combining response-contingent stimulation with non-contingent stimulation for treatment and assessment purposes. The results of the studies are discussed in terms of the effectiveness, accessibility and affordability of the strategy. The need for new research (i.e., replication studies) is also pointed out.

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“…Six recent studies are summarized in this section of the paper to provide (a) illustrative examples of the support tools available for fostering small responses and functional body movements, and (b) an informative basis for commenting on those support tools (12, 16, 44–46). Two of the six studies were specifically directed at individuals who could only produce small responses (12, 45), while the other four studies were directed at individuals who could perform functional body movements (see Table 1).…”

Section: Support Tools To Promote Adaptive Responsesmentioning

confidence: 99%

“…The second study (45) focused on the application and assessment of a microswitch-based support tool similar to that described above with 10 participants who were in a minimally conscious state and presented with extensive motor impairment and lack of speech or any other functional communication following brain injury and coma. Their responses included eyelid closures, and small head, hand/finger, foot, or lip movements.…”

Section: Support Tools To Promote Adaptive Responsesmentioning

confidence: 99%

Recent Technology-Aided Programs to Support Adaptive Responses, Functional Activities, and Leisure and Communication in People With Significant Disabilities

et al. 2019

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This paper presents an overview of recent technology-aided programs (i. e., technology-aided support tools) designed to help people with significant disabilities (a) engage in adaptive responses, functional activities, and leisure and communication, and thus (b) interact with their physical and social environment and improve their performance/achievement. In order to illustrate the support tools, the paper provides an overview of recent studies aimed at developing and assessing those tools. The paper also examines the tools' accessibility and usability, and comments on possible ways of modifying and advancing them to improve their impact. The tools taken into consideration concern, among others, (a) microswitches linked to computer systems, and aimed at promoting (i.e., through positive stimulation) minimal responses or functional body movements in individuals with intellectual disabilities and motor impairments; (b) computer systems, tablets, or smartphones aimed at supporting functional activity engagement of individuals with intellectual disabilities or Alzheimer's disease; and (c) microswitches with computer-aided systems, elaborate communication devices, and specifically arranged smartphones or tablets, directed at promoting leisure, communication, or both.

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A Further Evaluation of Microswitch-Aided Intervention for Fostering Responding and Stimulation Control in Persons in a Minimally Conscious State

Cited by 7 publications

References 51 publications

Assistive Technology Programs to Support Persons with Neurodevelopmental Disorders

Assistive Technology Programs to Support Persons with Neurodevelopmental Disorders

A Behavioral Approach to Treatment and Assessment of People with Disorders of Consciousness: The Response-contingent Stimulation Strategy

Recent Technology-Aided Programs to Support Adaptive Responses, Functional Activities, and Leisure and Communication in People With Significant Disabilities

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