DONATE

Publications

by Keyword: Experience

Verschure, PFMJ, Wierenga, S, (2022). Future memory: a digital humanities approach for the preservation and presentation of the history of the Holocaust and Nazi crimes Holocaust Studies 28, 331-357

We describe the concepts, methodology, technology, and practice of a user-centric and historical space-oriented approach towards Historical and Cultural Learning (HCL). The Future Memory project pursues the unifying hypothesis that physical space can play a critical role in the authentication and education of this singular historical event, or space as a frame for memory formation and a source of authentication. We illustrate these aspects in the context of concrete Future Memory projects realized over the last ten years in collaboration with several memorial sites, museums, and archives. Based on these experiences, we subsequently analyze the lessons learned and future challenges.

JTD Keywords: Augmented reality, Behavior, Commemoration, Design, Digital heritage, Experience, Framework, Future memory, Mobile, Navigation, Place cells, Post-wtiness era, Space, Virtual reality


Hirsch, T, Barthel, M, Aarts, P, Chen, YA, Freivogel, S, Johnson, MJ, Jones, TA, Jongsma, MLA, Maier, M, Punt, D, Sterr, A, Wolf, SL, Heise, KF, (2021). A First Step Toward the Operationalization of the Learned Non-Use Phenomenon: A Delphi Study Neurorehabilitation And Neural Repair 35, 383-392

© The Author(s) 2021. Background: The negative discrepancy between residual functional capacity and reduced use of the contralesional hand, frequently observed after a brain lesion, has been termed Learned Non-Use (LNU) and is thought to depend on the interaction of neuronal mechanisms during recovery and learning-dependent mechanisms. Objective: Albeit the LNU phenomenon is generally accepted to exist, currently, no transdisciplinary definition exists. Furthermore, although therapeutic approaches are implemented in clinical practice targeting LNU, no standardized diagnostic routine is described in the available literature. Our objective was to reach consensus regarding a definition as well as synthesize knowledge about the current diagnostic procedures. Methods: We used a structured group communication following the Delphi method among clinical and scientific experts in the field, knowledge from both, the work with patient populations and with animal models. Results: Consensus was reached regarding a transdisciplinary definition of the LNU phenomenon. Furthermore, the mode and strategy of the diagnostic process, as well as the sources of information and outcome parameters relevant for the clinical decision making, were described with a wide range showing the current lack of a consistent universal diagnostic approach. Conclusions: The need for the development of a structured diagnostic procedure and its implementation into clinical practice is emphasized. Moreover, it exists a striking gap between the prevailing hypotheses regarding the mechanisms underlying the LNU phenomenon and the actual evidence. Therefore, basic research is needed to bridge between bedside and bench and eventually improve clinical decision making and further development of interventional strategies beyond the field of stroke rehabilitation.

JTD Keywords: diagnosis, experience-dependent non-use, perceptual disorders, rehabilitation, sensorimotor learning, Diagnosis, Experience-dependent non-use, Perceptual disorders, Rehabilitation, Sensorimotor learning


Costa, JD, Ballester, BR, Verschure, PFMJ, (2021). A Rehabilitation Wearable Device to Overcome Post-stroke Learned Non-use. Methodology, Design and Usability Communications In Computer And Information Science 1538, 198-205

After a stroke, a great number of patients experience persistent motor impairments such as hemiparesis or weakness in one entire side of the body. As a result, the lack of use of the paretic limb might be one of the main contributors to functional loss after clinical discharge. We aim to reverse this cycle by promoting the use of the paretic limb during activities of daily living (ADLs). To do so, we describe the key components of a system composed of a wearable bracelet (i.e., a smartwatch) and a mobile phone, designed to bring a set of neurorehabilitation principles that promote acquisition, retention and generalization of skills to the home of the patient. A fundamental question is whether the loss in motor function derived from learned–non–use may emerge as a consequence of decision–making processes for motor optimization. Our system is based on well-established rehabilitation strategies that aim to reverse this behaviour by increasing the reward associated with action execution and implicitly reducing the expected cost of using the paretic limb, following the notion of reinforcement–induced movement therapy (RIMT). Here we validate an accelerometer-based measure of arm use and its capacity to discriminate different activities that require increasing movement of the arm. The usability and acceptance of the device as a rehabilitation tool is tested using a battery of self–reported and objective measurements obtained from acute/subacute patients and healthy controls. We believe that an extension of these technologies will allow for the deployment of unsupervised rehabilitation paradigms during and beyond hospitalization time. © 2021, Springer Nature Switzerland AG.

JTD Keywords: adls, hemiparesis, learned non-use, wearables, Activities of daily living, Adls, Functional loss, Generalisation, Hemiparesis, Learned non-use, Motor impairments, Neurorehabilitation [], Patient experiences, Stroke, Wearable devices, Wearable technology, Wearables