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• W2013852123 abstract "Chen C-L, Chen H-C, Cheng P-T, Chen C-Y, Chen H-C, Chou S-W. Enhancement of operational efficiencies for people with high cervical spinal cord injuries using a flexible integrated pointing device apparatus. Objective To investigate the effectiveness of a universal integrated pointing device apparatus (IPDA), which can integrate numerous commercial pointing devices and can be controlled by various combinations of available movements, for people with cervical spinal cord injury (SCI) who cannot operate standard computer pointing devices. Design An exploratory quasi-experimental design. All subjects were required to perform specific mouse-operating (continuous-clicking, target-acquisition, drag-and-drop) tasks. People with SCI received clinical assessments and were classified into 2 groups based on pointing device used: group A, who used standard mouse devices, and group B (IPDA combinations), who were unable to use standard mouse devices. The measures of group A and group B were compared. Setting Rehabilitation science center of a medical institution. Participants Thirty-seven people with high cervical SCI and 30 able-bodied subjects. Intervention The IPDA. Main Outcome Measures The efficiency of the people with SCI in each mouse-operation task was expressed as a percentage of that for able-bodied subjects (%NL). Results Group B displayed similar operational efficiency in performing the drag-and-drop tasks (≈30% NL) to group A, although they exhibited worse efficiency than group A in performing the other tasks (P<.05). Operational efficiencies of all tasks had negative relationships with age by using linear regression analysis (adjusted r2>.36, P<.001). The use of pointing devices was associated with American Spinal Injury Association Impairment Scale (P<.001), completeness (P<.001), and muscle strength (P<.01), particularly finger flexor muscle strength, but not with neurologic level or muscle tone. Conclusions The IPDA could help most people with high cervical SCI who could not use commercial mouse devices to achieve acceptable operational efficiencies. Pointing devices were assigned based on the underlying SCI severity and muscle strength, particularly finger flexor muscle strength." @default.
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• W2013852123 date "2006-06-01" @default.
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• W2013852123 title "Enhancement of Operational Efficiencies for People With High Cervical Spinal Cord Injuries Using a Flexible Integrated Pointing Device Apparatus" @default.
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• W2013852123 doi "https://doi.org/10.1016/j.apmr.2006.02.025" @default.
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