Tuesday, December 21, 2010

Adapted Wii Games for Students with Orthopedic Impairments


Wii games can be adapted for exercise and play for those with severe orthopedic impairments. As we have been developing Wii therapy for students, our work has been more limited in the area of severe orthopedic impairment but we have developed the use of a game mat with a game called Outdoor Challenge and we have set the accompanying game pad on a rocker board and have folded it around triple thick cardboard custom cut to fit the width of the mat and support a student. We fold it so the middle row with the right and left arrows (like on a dance pad) are across the cardboard and rocker board. We then carefully set the student on the pad and have one person support from behind while others do the hand over hand assist to steer and press. It involves three people so to release 3 para-pros to work with one student is a luxury many teachers don't have. Because of this it is harder to get class time at school when it can be done as a daily therapy tool. We have also set the cardboard and pad on a laptray on a wheelchair and supported the student to use arms and hands to press the arrows down while arms rest on the tray.
The Outdoor Challenge game has a pipe slider activity that allows the player to sit on a sled and slide down a large tube. By patting with the left or right hand on the pad, the player can steer down the pipe slide to run over target arrows lit up in blue that shoot them down the tube faster.

Pipe Slide:


We have used hand over hand assist to work with students that have poor muscle tone and are stiff. We have found that the activity is exciting for the students and allows their mind to be entertained. The distraction helps relax the hand/wrist/arm during the manipulation/assist. We have seen the rocker board help in creating the leaning motion and assist in balance goals.
The game is getting harder to find but can still be found online if you do a search. It is Active Life Outdoor Challenge for Wii.
I have seen recently a switch controller for Guitar Hero. It would be a fun adaption for those with limited hand movement or with a head array. You can see one at Enabling Devices.
Another game a nurse colleague uses with her son who is in a wheelchair is Let's Tap. See the You tube video below:







There are some great games that help strengthen and work on muscle tone as well as have fun, all at the same time. Check them out, but remember to use care and caution when moving and working with children who have orthopedic impairments. If you have any doubts about what you can do or limitations, consult a doctor, specialist, OT or PT before starting any of these on your own.

All the best to you!
Lon

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Monday, December 6, 2010

The Wii, Kinect and Gaming Technique for Therapy and Disabilities



The Wii has been a great tool for us to use in therapy with students in our school districts. Now we see the new sensor controller-less systems hitting the market and they are all over the TV and their sales are hot this Christmastime. What are the differences in these two kind of systems when looking at therpeutic uses?
An occupational therapist team member and I have been busy at work on building and expanding trials for our therapeutic model for using the Wii with students with disabilities. We have broken it down into 3 domains, physical, cognitive and social/communication. As we have done trials with students, we have found that the game play/strategy that is involved in correcting upper body movements and body/eye coordination, build balance and strengthen cognitive abilities for problem solving and strategizing on even basic levels. We are excited as we further develop our data collection and break down the skills and objectives that the active Wii games can strengthen.

Kinect in the mix - some initial thoughts:
The other day as we were going over some of our notes and findings, we got on the topic of the new Kinect add-on to the X Box for controller-less game play while moving the body like with the Wii. I can see the new sensor systems that bypass hardware you hold as being the new frontier, but the handheld Wii controllers give you the opportunity to still develop the hand and wrist movements in a way that these new systems cannot. It is also more fun than stringing beads and other conventional activities that can get mundane for kids. I am sure that the new Kinect games work areas of upper and lower body awareness, space, coordination, balance and build on cognitive process for problem solving and stragy building. They also require hand movements, but don't have something you hold for grip and movement stregthening. There is also something important about the tangible stepping up on a fit board and balancing that is lost just standing in place on the floor.

Ablegamers has put out a 2 part series on the Kinect and have reviewed the system's strengths and weaknesses for those in the disabled community. It doesn't address the ramifications of the new controller-less sensor systems on therapeutic applications, but is a great review of the system and how Microsoft to them into consideration in the research and development.

We are in our second year of trials at 2 new schools and hopefully we will have a manual, data collection forms and an objective/skill-based grid that spans the three domains sometime next year. This is taking time but we want to do it right. Check back now and then and we will keep you posted and let you know when something is ready. Hopefully our model it will be general enough so that it can apply across multiple game systems - we will keep the Kinect in mind as we press on.

All the best to you!

Lon

Thursday, November 4, 2010

Windows 7 and Office 2010: Accessibilty Options and Screen Magnification

Windows 7 and Office 2010 have some great accessibility options you should check out. In an article on accessibility options from Microsoft, they explain that with our economy in decline, older employees are choosing to work instead of retire which means that vision and accessibility are a more important issue for accessibility on computers in the workplace. Read about their accessibility checker and screen magnifier as well as a college student taking advantage of them.
All the best!
Lon


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Monday, October 25, 2010

Teens Shy to use AAC in Public? Check out Selena Gomez!

To all of you out there struggling to learn and teach the use of dynamic devices for AAC:

Here is a must-see for any hesitant users that are teens and think it is “uncool” to use a Dynavox – Selena Gomez of Disney’s “Wizards of Waverly Place” just blew that theory all to pieces – check out this video – gave me goose bumps to see a device used conversationally – from the Dynavox Website.
Dynavox used by Selena Gomez video
Here are more videos of successful users by health diagnosis category.
Thanks to all of you that are helping kids communicate everyday!

All the best,
Lon

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Monday, October 11, 2010

Reading Bookshare Files on the iPad

I recently needed to find out if Bookshare files could be read on an iPad. Since Bookshare itself does not list the iPad as a tool to read their books I asked help from my friends at OTAP (Oregon Technology Access Program). The link below from "I Can Work This Thing" tells you how.
Will this transfer the images from NIMAS file textbooks too? Anyone know? Let us know if you find out.

Bookshare Books on the iPad


There is a link on the tutorial to epub2go - the link is dead so go there through this one instead: epub2go sorry for any confusion.

All the best...
Lon

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Friday, September 24, 2010

Never Under-estimate where Financial Support will Show up for AT!

I am excited today that I am getting ready to deliver a brand new Dell laptop loaded with Clicker 5 and a new scanner donated for a middle school student I serve. I can't give out any name or location but I can share his story.
He trialed a laptop and we used a scanner to scan text and worksheets as text files. We pasted the text into Clicker 5 (free trial download) for him to hear and to fill in questions and worksheets. He uses a mouse and the on-screen keyboard in Clicker 5 to input his work. The assistants were excited because he was finally able to access the text and write answers independently without them having to do it for him. The catch was funding a laptop, software and scanner.
I told the school that we would look outside their funding first and do all we could to find a way to purchase one. I wanted it to be HIS laptop to take with him wherever he might go.
I submitted a request with a children's hospital fund but it didn't go through. About mid-summer I had to let the family know that I would still be looking but our resources weren't panning out.
Of all places, I was at a BBQ with friends and an old friend, retired military was in town and we got to talking about my work, AT kids needs etc. Out of the blue he asked, "Do you have any particular projects you are looking at for kids right now that I could help with?"
"You bet!" I said. I told him about the need to purchase a laptop, Clicker 5 and a scanner.
"I'll get a check off in the mail to you in a week or so." he replied.

Sure enough a check arrived, I ordered the equipment, got everything loaded and we are taking it out next week! Never underestimate where you can find channels for money for kid's equipment. I share needs all the time. I am so grateful for those wonderful people who are generous givers to kid's causes. This post goes out as a thanks to my friend - you know who you are... Thanks SO much!

All the best to you!
Lon

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Friday, September 10, 2010

Dr. Brian Friedlander: Don Johnston Sponsors Free Webinar

A year into ARRA funding, and
only a year left. Now what?
Don Johnston has invited Dr. Brian Friedlander to share stories of districts in New Jersey who have used ARRA funding in creative ways to build their AT programs.
The webinar will also help you answer these questions:
√ What are some of the misconceptions about ARRA funding?
√ How can I advocate for ARRA funding?
√ What has worked for other districts?
√ What kind of implementation plan should I present to my special ed director?
√ Once I have the funding, how can I use it most effectively?

Wed September 22nd
or
Wed September 29th

12:00 PM CDT
1:00 PM Eastern
10:00 AM Pacific

Sign up now


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