The Cambridge Workshops on Universal Access and Assistive Technology (CWUAAT) is one of the few gatherings where people interested in inclusive design, across different fields, including designers, computer scientists, engineers, architects, ergonomists, ethnographers, policymakers and user communities, meet, discuss, and collaborate. CWUAAT has also become an international workshop, representing diverse cultures including Portugal, Germany, Trinidad and Tobago, Canada, Australia, China, Norway, USA, Belgium, UK, and many more. The workshop has five main themes based on barriers identified in the developing field of design for inclusion: I Breaking Down Barriers between Disciplines II Breaking Down Barriers between Users, Designers and Developers III Removing Barriers to Usability, Accessibility and Inclusive Design IV Breaking Down Barriers between People with Impairments and Those without V Breaking Down Barriers between Research and Policy-making In the context of developing demographic changes leading to greater numbers of older people and people living with impairments, the general field of inclusive design research strives to relate the capabilities of the population to the design of products, services, and spaces. CWUAAT has always had a successful multidisciplinary focus, but if genuine transdisciplinary fields are to evolve from this, the final barriers to integrated research must be identified and characterised. Only then will benefits be realised in an inclusive society. Barriers do not arise from impairments themselves, but instead, are erected by humans, who often have not considered a greater variation in sensory, cognitive and physical user capabilities. Barriers are not only technical or architectural, but they also exist between different communities of professionals. Our continual goal with the CWUAAT workshop series is to break down barriers in technical, physical, and architectural design, as well as barriers between different professional communities.

The book provides readers with a comprehensive overview of the state of the art in the field of gait and balance rehabilitation. It describes technologies and devices together with the requirements and factors to be considered during their application in clinical settings. The book covers physiological and pathophysiological basis of locomotion and posture control, describes integrated approaches for the treatment of neurological diseases and spinal cord injury, as well as important principles for designing appropriate clinical studies. It presents computer and robotic technologies currently used in rehabilitation, such as exoskeleton devices, functional electrical stimulation, virtual reality and many more, highlighting the main advantages and challenges both from the clinical and engineering perspective. Written in an easy-to-understand style, the book is intended for people with different background and expertise, including medical and engineering students, clinicians and physiotherapists, as well as technical developers of rehabilitation systems and their corresponding human-compute interfaces. It aims at fostering an increased awareness of available technologies for balance and gait rehabilitation, as well as a better communication and collaboration between their users and developers.

This expansive text offers a comprehensive mind/body/spirit framework for relieving individual patients of the debilitating effects of long-term disease while reducing the public burden of chronic illness. It introduces the patient-centered Pathways Model, featuring a robust scientific base for psychotherapy, complementary and alternative modalities, and a religious/spiritual element, in progressive levels of treatment from self-help to professional help. Chapters spotlight component skills of the model, including treatment planning, patient rapport, and choosing therapies for optimal well-being. The authors advocate for interventions ranging from lifestyle change to mindfulness, and biofeedback to pastoral counseling. In addition, in-depth case studies detail memorable patient journeys from diagnosis and referral to assessment, engagement in treatment and outcome. Among the topics covered: * Mind, body, and spirit in chronic illness. * The need for an integrative model to support comprehensive health-supportive change. * Chronic disease from a functional medicine perspective. * Mechanisms by which religious engagement and religion-based variables affect health. * Complementary and integrative medicine for the Pathways Model. * PLUS: Pathways approaches to chronic pain, caregiver stress, diabetes, mood disorders, PTSD, brain injury, heart disease, cancer, and more. Emphasizing patient individuality and clinician creativity, Integrative Pathways models a compassionate approach to lessening persistent suffering for use by health psychologists, physicians, counselors, health coaches, and other practitioners involved in complementary and integrative medicine, pain medicine, and rehabilitation. "The Pathway Model addresses what clinical researchers in the field have been calling for, a research-based approach to health and wellness that clearly explains important concepts and provides an optimal foundation from which to approach health interventions." Patrick R. Steffen, PhD, BCB, Brigham Young University

This book presents a journey into how language is put together for speaking and understanding and how it can come apart when there is injury to the brain. The goal is to provide a window into language and the brain through the lens of aphasia, a speech and language disorder resulting from brain injury in adults. This book answers the question of how the brain analyzes the pieces of language, its sounds, words, meaning, and ultimately puts them together into a unitary whole. While its major focus is on clinical, experimental, and theoretical approaches to language deficits in aphasia, it integrates this work with recent technological advances in neuroimaging to provide a state-of-the-art portrayal of language and brain function. It also shows how current computational models that share properties with those of neurons allow for a common framework to explain how the brain processes language and its parts and how it breaks down according to these principles. Consideration will also be given to whether language can recover after brain injury or when areas of the brain recruited for speaking, understanding, or reading are deprived of input, as seen with people who are deaf or blind. No prior knowledge of linguistics, psychology, computer science, or neuroscience is assumed. The informal style of this book makes it accessible to anyone with an interest in the complexity and beauty of language and who wants to understand how it is put together, how it comes apart, and how language maps on to the brain.

This book comprises the proceedings of the second International Conference, AsiaHaptics 2016, held in Kashiwanoha, Japan. The book treats the state of the art of the diverse haptics (touch)-related research, including scientific research of haptics perception and illusion, development of haptics devices, and applications to a wide variety of fields such as education, medicine, telecommunication, navigation, and entertainment. This work helps not only active haptic researchers, but also general readers to understand what is going on in this interdisciplinary area of science and technology.

Suicide risk after disabling neurological conditions is up to five times higher than for the general population; however, knowledge about the extent of the problem, associated risk factors, and effective evidence-informed suicide prevention approaches are limited and fragmented. Suicide Prevention after Neurodisability focuses on the challenges faced by eight different types of neurodisability, namely stroke, spinal cord injury, traumatic brain injury, amyotrophic lateral sclerosis, epilepsy, Huntington's disease, multiple sclerosis, and Parkinson's disease. It pulls together the current knowledge about this risk, detailing a complex interplay between neuropathological, psychiatric, psychological, and psychosocial factors that in part account for this increased presence of suicidal thoughts and behaviors. Despite the challenges, suicide is often preventable. The best available evidence-informed approaches to suicide prevention in neurodisability are outlined, including clinical approaches to screening, suicide risk assessment, psychotherapeutic interventions, and psychosocial management. The reader-friendly approach will help make suicide prevention after neurodisability everyone's business.

This book focuses on the key technologies in developing biomechatronic systems for medical rehabilitation purposes. It includes a detailed analysis of biosignal processing, biomechanics modelling, neural and muscular interfaces, artificial actuators, robot-assisted training, clinical setup/implementation and rehabilitation robot control. Encompassing highly multidisciplinary themes in the engineering and medical fields, it presents researchers' insights into the emerging technologies and developments that are being utilized in biomechatronics for medical purposes. Presenting a detailed analysis of five key areas in rehabilitation robotics: (i) biosignal processing; (ii) biomechanics modelling; (iii) neural and muscular interfaces; (iv) artificial actuators and devices; and (v) the use of neurological and muscular interfaces in rehabilitation robots control, the book describes the design of biomechatronic systems, the methods and control systems used and the implementation and testing in order to show how they fulfil the needs of that specific area of rehabilitation. Providing a comprehensive overview of the background of biomechatronics and details of new advances in the field, it is especially useful for researchers, academics and graduates new to the field of biomechatronics engineering, and is also of interest to researchers and clinicians in the medical field who are not engineers.

Summary Description This book is primarily a celebration of the qualitative work undertaken internationally by a number of experienced researchers. It also focuses on developing the use of qualitative research for health and rehabilitative practitioners by recognizing its value methodologically and empirically. We find that the very nature of qualitative research offers an array of opportunities for researchers in being able to understand the social world around us. Further, through experience and discussion, this book identifies the multifaceted use of qualitative methods in the healthcare and rehabilitative setting. This book touches on the role of the researcher, the participants involved, and the research environment. In short, we see how these three central elements can affect the nature of qualitative work in attempts to offer originality. This text speaks to a number of audiences. Students who are writing undergraduate dissertations and research proposals, they may find the myriad of examples stimulating and may support the rationale for methodological decisions in their own work. For academics, practitioners, and prospective qualitative researchers this book also aims to demonstrate an array of opportunism in the field of qualitative research and how they may resonate with arguments proffered. It is anticipated that readers will find this collection of qualitative examples not only useful for informing their own research, but we also hope to enlighten new discussions and arguments regarding both methodological and empirical use of qualitative work internationally. Features Encompasses the importance of qualitative research and how it can be used to facilitate healthcare and rehabilitation across a wide range of health conditions. Evaluates empirical data whilst critically applying it to contemporary practices. Provides readers with an overview with future directions and influence policy makers in order to develop practice. Focuses on an array of health conditions that can affect groups of the population, coincided with life issues and the care and family support received. Offers innovative methodological insights for prospective researchers in order to add to the existing evidence base.

This book presents an emerging rehabilitation program for improving the reading abilities of individuals with low vision who undergo therapy for visual impairment. Its interdisciplinary framework for visual training through reading skills development aligns its goals with those of special education programs and features anatomical and psychological background chapters, diverse perspectives on rehabilitation, and empirical supporting data. Program details span theoretical bases, strategies and planning, pedagogical considerations, use of assistive technologies, and assessment of client progress and program efficacy. And by locating rehabilitation in the psychosocial experience of visual disability, the program can be used as a means of building confidence and motivation, contributing to improved quality of life. Included in the coverage: Visual impairment and its impact on development. Rehabilitation of individuals with visual impairment in the Czech Republic. Innovative vision rehabilitation system: theoretical postulates, meanings, and objectives. Reading as a main objective of vision rehabilitation. Verification of effectiveness of the reading performance experimental rehabilitation program. Reading Rehabilitation for Individuals with Low Vision is an essential resource for researchers, clinicians/practitioners, and graduate students in varied fields such as cognitive psychology, rehabilitation, literacy, special education, child and school psychology, visual therapy, and public health.

The book reports on advanced topics in the areas of wearable robotics research and practice. It focuses on new technologies, including neural interfaces, soft wearable robots, sensors and actuators technologies, and discusses important regulatory challenges, as well as clinical and ethical issues. Based on the 2nd International Symposium on Wearable Robotics, WeRob2016, held October 18-21, 2016, in Segovia, Spain, the book addresses a large audience of academics and professionals working in government, industry, and medical centers, and end-users alike. It provides them with specialized information and with a source of inspiration for new ideas and collaborations. It discusses exemplary case studies highlighting practical challenges related to the implementation of wearable robots in a number of fields. One of the focus is on clinical applications, which was encouraged by the colocation of WeRob2016 with the International Conference on Neurorehabilitation, INCR2016. Additional topics include space applications and assistive technologies in the industry. The book merges together the engineering, medical, ethical and political perspectives, thus offering a multidisciplinary, timely snapshot of the field of wearable technologies.

This book presents current innovative, alternative and creative approaches that challenge traditional mechanisms in and across disciplines and industries targeting societal impact. A common thread throughout the book is human-centered, uni and multi-modal strategies across the range of human technologies, including sensing and stimuli; virtual and augmented worlds; games for serious applications; accessibility; digital-ethics and more. Focusing on engaging, meaningful, and motivating activities that at the same time offer systemic information on human condition, performance and progress, the book is of interest to anyone seeking to gain insights into the field, be they students, teachers, practicing professionals, consultants, or family representatives. By offering a wider perspective, it addresses the need for a core text that evokes and provokes, engages and demands and stimulates and satisfies.

This book presents the development of a new multimodal human-robot interface for testing and validating control strategies applied to robotic walkers for assisting human mobility and gait rehabilitation. The aim is to achieve a closer interaction between the robotic device and the individual, empowering the rehabilitation potential of such devices in clinical applications. A new multimodal human-robot interface for testing and validating control strategies applied to robotic walkers for assisting human mobility and gait rehabilitation is presented. Trends and opportunities for future advances in the field of assistive locomotion via the development of hybrid solutions based on the combination of smart walkers and biomechatronic exoskeletons are also discussed.

This unique, user-friendly text distills essential and up-to-date guidelines for students and practitioners of child and adolescent counseling. Featuring concise, step-by-step protocols supported by evidence-based practice, the book is organized in a logical sequence, from setting the stage for the counseling process to the essentials of active counseling. The second edition is distinguished by a more holistic approach to counseling that focuses on the client's narrative, goal-setting as a partnership between counselor and client, and heightened sensitivity to all forms of diversity. This includes new content about LBTQIA clients and those suffering from trauma or substance abuse. The second edition focuses on strategies for fostering growth and self-inquiry and presents new information on teaching tools for stress tolerance, negotiating social conflict, and the importance of monitoring progress. Key concepts such as using developmentally appropriate language and activities are addressed, and as are critical issues such as collaborating with parents and other professionals, responding to crisis situations, and counselor self-awareness and self-care. Case examples of client/counselor dialogues along with summary and questions at the end of each chapter illustrate foundational concepts and facilitate critical thinking. An instructor manual is also included. New to the Second Edition: Promotes goal-setting as a partnership between counselor and client Fosters sensitivity to LBTQIA clients and other forms of diversity Includes updated section on crisis intervention and effective referral skills Focuses on strategies for facilitating client growth and self-inquiry Distills new tools for stress tolerance Teaches skills for negotiating social conflict and addressing technology use Key Features: Distills essential, practical skills for counseling children and adolescents Based on a proven teaching format Includes the most current evidence-based interventions Offers a holistic approach to counseling Advocates a strong focus on the client narrative

This book emerged out of research done during the period between 2004 and 2016 on the topic of mobile and wearable computing. It did not solely focus on technical solutions and the search for a general approach but also on the question how people can live with this technology. Thus social and organizational aspects were also part of the research. The findings demonstrate the opportunities of serious games and reveal the need of clinical studies when targeting at solutions that are to become part of any kind of therapy. The result is a comprehensive presentation of research findings covering different important aspects in the domain of wearable and pervasive computing for a better life.

Every year, around the world, between 250,000 and 500,000 people suffer a spinal cord injury (SCI). Those with an SCI are two to five times more likely to die prematurely than people without a spinal cord injury, with worse survival rates in low- and middle-income countries. Dynamic aerobic requires integrated physiologic responses across the musculoskeletal, cardiovascular, autonomic, pulmonary, thermoregulatory, and immunologic systems. Moreover, regular aerobic exercise beneficially impacts these same systems, reducing the risk for a range of diseases and maladies. This book will present comprehensive information on the unique physiologic effects of SCI and the potential role of exercise in treating and mitigating these effects. In addition, it will incorporate work from scientists across a number of disciplines and have contributors at multiple levels of investigation and across physiologic systems. Furthermore, SCI can be considered an accelerated form of aging due to the severely restricted physical inactivity imposed, usually at an early age. Therefore, the information presented may have a broader importance to the physiology of aging as it relates to inactivity. Lastly, the need for certain levels of regular aerobic exercise to engender adaptations beneficial to health is not altered by the burden of an SCI. Indeed, the amounts of exercise necessary may be even greater than the able-bodied due to 'passive' ambulation. This book will also address the potential health benefits for those with an SCI that can be realized if a sufficient exercise stimulus is provided.

This book offers a personal insight into the experience of Alex Jelly, a professional fundraiser who developed a rare brain tumour, a papillary meningioma, which was successfully removed. She was left with Supplementary Motor Area Syndrome and associated problems including motor and speech impairments and a temporary psychosis. Discussing Alex's struggles and triumphs throughout her rehabilitation, this book offers an honest account of her journey from diagnosis to recovery. Part I introduces Alex's early life and employment, symptom onset and diagnosis, treatment and rehabilitation. Part II presents her neurosurgeon, Adel Helmy, and a clinical neuropsychologist, Barbara A. Wilson. Adel provides a medical context by explaining Alex's successful surgery and her post-operative experience. Finally, Barbara concludes with a comprehensive view of Alex's recovery and gives a voice to the therapists and psychologists who worked with Alex throughout her in and outpatient rehabilitation journey. This book provides support, understanding and hope for patients who have suffered a brain tumour, and their families. It is valuable reading for any professional involved in neurorehabilitation, studemts of clinical neuropsychology and those touched by brain injury.

This book represents the first interdisciplinary text on the emerging field of rehabilitative surgery, in which state of the art procedures from multiple surgical specialties are combined. It proposes a completely new framework for understanding, coordinating, and providing treatment for paralyzed or severely neurologically impaired patients and explains the potentially critical impact of surgery in creating a new baseline of functional status, thereby improving the patient's daily life. Every major aspect of reconstructive surgical treatment is considered, including anesthesia, orthopedic surgery, plastic surgery, neurosurgery, general surgery, vascular surgery, and otolaryngology. The most up-to-date and evidence-based surgeries are clearly described and evaluated, with coverage of treatment of pressure sores, placement of feeding tubes, and upper extremity interventions to improve function and hygiene. Cutting-edge protocols are presented for the surgical treatment of severe nerve injuries, spinal cord injuries, and stroke or cerebrovascular accidents, and a first description and evaluation of phrenic nerve repair to assist weaning of paralyzed patients from ventilators is provided. Both surgical and nonsurgical readers will find this book to be an ideal guide and reference.

Sarah Klamroth describes a novel treadmill training device, which applies additional perturbations to the walking surface and thereby simulating an uneven surface. In a pilot study the author investigated the immediate effects on gait and postural control in patients with Parkinson's Disease after a single training session of perturbation treadmill training. The results show that perturbation treadmill training is feasible for mildly to moderately affected Parkinson patients, and that one training session led to improvements in overground walking speed and gait variability in these patients.

Between Sickness and Health is about illness rather than disease, and recovery rather than cure. The book argues that illness is an experience, represented by the feeling that 'I am not myself'. From the book's phenomenological point of view, feelings of illness cannot be 'unreal' or 'fake', whatever their biological basis, nor need they be categorised as 'physical', 'psychosomatic' or 'psychiatric'. The book challenges the disease-centred ethos of medicine and medical education. It demonstrates that a clearer conception of illness, as distinct from disease, is therapeutic. The feeling that 'I am once again myself' can return, in some degree, whatever state the body is in. Resilience becomes more available when it is seen as a set of personal skills that can be developed, rather than as an inborn trait. Possibilities of wellness are enhanced by recognising that medical and other therapies can either support or impede recovery, as can human relationships and the socio-political environment. The book's many clinical examples are drawn from the author's broad experience as a neurologist, rehabilitation physician and systemic family therapist. Between Sickness and Health will be useful for students, practitioners and academics, and also for anyone who has been or might one day be ill.

This book constitutes the thoroughly refereed proceedings of the Third International Workshop on ICTs for Improving Patients Rehabilitation Research Techniques, REHAB 2015, held in Lisbon, Portugal, in October 2015. The 15 revised full papers presented were carefully reviewed and selected from 59 submissions. The papers explore how technology can contribute toward smarter and effective rehabilitation methods.

From the Foreword: "Addiction is a disorder in self-regulation. Individuals who become dependent on addictive substances cannot regulate their emotions, self-care, self-esteem, and relationships. In this monumental and illuminating text Philip Flores covers all the reasons why this is so. But it is the domain of interpersonal relations that he makes clear why individuals susceptible to substance use disorders (SUDs) are especially vulnerable. His emphasis on addiction as an attachment disorder is principally important because he provides extensive scholarly and clinical insights as to why certain vulnerable individuals so desperately need to substitute chemical solutions and connections for human ones. The strength of Flores's paradigm of addiction as an attachment disorder is that it is a theory that effectively and wisely guides treatment, but at the same time, when properly implemented or practiced, the treatment resonates with and further enhances the theory. Flores's work here is an extraordinary one because, in parsimonious and clear language, he makes a major contribution to the literature and practice of effective psychotherapy in general and effective psychotherapy for the addictions in particular. He fills in all the gaps between theory and practice covering wide and ranging issues of what practice and empirical findings have to teach about the critical ingredients of AA, group therapy, and individual psychotherapy. This is a job well done because it helps students and experienced clinicians alike to always be mindful of how they bring their humanity to the distress and suffering of others. His theory of addiction as an attachment disorder makes it particularly clear how especially important this is for those suffering with addictive disorders. " Edward J. Khantzian, M.D., clinical professor of psychiatry, Harvard Medical School A Jason Aronson Book"

Therapeutic exercises can be found spread out amongst numerous texts, handouts, card boxes, and websites, which has sent clinicians, practitioners, and trainers searching for reliable, evidence-based exercises for the entire body, all packaged into a single, all-inclusive manual. To that end, The Comprehensive Manual of Therapeutic Exercises: Orthopedic and General Conditions was written as a fundamental resource on exercise theory and techniques, and as a comprehensive guide for designing exercise programs. Dr. Elizabeth Bryan has compiled thousands of clinically relevant exercises to create a text that will teach students theory and proper application that they will then return to again and again in their career as a reference to aid in designing evidence-based exercise programs for their clients or patients. Introductory chapters cover exercise parameters, exercise progression, the importance of form, muscle soreness, and a reference for body position terminology, then subsequent chapters are organized by body area to cover most of the clinical exercises in use today. Each exercise includes photographs, a list of muscle systems that will be affected, specific substitutions to look for, and detailed instructions directed at students and clinicians. Also included are sections devoted to protocols and specialty exercises including yoga and tai chi. Embracing the principles of evidence-based practice, "Where's the Evidence?" boxes are prominently featured throughout the text to support the exercises and theory with up-to-date, relevant, sufficient, valid, and reliable studies. Combining theory with practice, The Comprehensive Manual of Therapeutic Exercises: Orthopedic and General Conditions is an essential tool for students as well as clinicians, practitioners, or trainers to find the most appropriate exercises for their client's or patient's needs and apply them properly.

Biomechanics of Injury, Third Edition, explains the biomechanical principles of injury and how injuries affect the normal function of human anatomy. With a clear, accessible writing style and nearly 400 full-color photos and anatomy illustrations, it guides readers through the mechanical concepts of injuries without a heavy emphasis on mathematics. Previously titled Biomechanics of Musculoskeletal Injury, this third edition expands coverage of injuries beyond those of the musculoskeletal system to include the head, neck, and spine. Joining noted biomechanists Ronald Zernicke and William Whiting is concussion expert and athletic trainer Steven Broglio, who offers insights on head trauma and other neurological injuries. Unique in its evaluation of and appreciation for the intricacies of injury mechanisms, Biomechanics of Injury, Third Edition, comprehensively examines these issues: The mechanical aspects of injury and the concept of injury as a stimulus for beneficial tissue adaptations The effects of injury on the normal function of the human anatomy and joint mechanics Mechanical parameters such as force, stress and strain, stiffness, and elasticity and their application to tissue mechanics and injury How connective tissues respond to mechanical loading and how those tissues are studied to quantify their mechanical behavior Factors such as age, gender, nutrition, and exercise, with an emphasis on how lifestyle choices might lessen the chance or severity of injury How the principles of mechanical load and overload, use and overuse, level and progression of injury, and the many contributory factors involved in injury combine to form a backdrop for viewing specific injuries Updated sidebars present a detailed analysis of anterior cruciate ligament injuries, rotator cuff pathologies, and concussion. In addition, the text discusses topics of current concern such as falls in older populations, throwing-related rotator cuff pathologies, and youth injuries from carrying backpacks. Biomechanics of Injury, Third Edition, also employs learning aids to help readers understand and retain information. Objectives at the start of each chapter highlight the main concepts. Key terms appear in bold in the text and are defined in the glossary. Key Points at the end of each chapter summarize central concepts. Questions to Consider appear at the end of each chapter to test readers’ understanding and ability to apply the information presented. Updated Suggested Readings are included at the end of each chapter for readers who wish to dive deeper into selected topics. Knowledge of the biological responses of tissues to mechanical loading improves our understanding of injury and its consequences. Biomechanics of Injury, Third Edition, will enable students and health professionals to reduce the likelihood that clients, patients, or athletes will experience painful and debilitating physical injury.

After a discussion of current theory and research findings relating to rehabilitation of brain injury, this book presents 20 case studies of adults with severe brain injuries sustained several years earlier. The causes of their brain damage include traumatic head injuries, encephalitis, stroke and hypoxia. Problems that follow such injuries including loss of self-care skills, memory impairment, language, reading, visuoperceptual and behavioural difficulities, are analysed in detail. The book describes the premorbid lifestyle of each of the 20 individuals, the onset of their brain damage, subsequent symptoms, neuropsychological assessment, rehabilitation, and long-term outcome. Most chapters include a report by the patient and/or family member, thus providing an extra dimension that helps to increase the reader's understanding of the predicaments faced by brain-injured individuals as they learn to cope with traumatic changes in lifestyle. Although improvement for most brain-injured people is slow and limited, all those described in this book made some progress after their admission to rehabilitation services. The exhaustive analysis of each case and step-by-step description of treatment will encourage professionals and other care-givers that much can be done for this severely injured group. For students of neuropsychology and rehabilitation, the book should serve as an inspiring and informative supplementary text.