Technology-aided leisure and communication support in extensive neuro-motor and communication impairments

BACKGROUND: Individuals with extensive neuro-motor impairment and lack of speech are known to remain fairly isolated and rely on others. Yet, there is only limited evidence as to how one can help them to reach a level of independence in relevant areas such as leisure and communication. This study assessed a program based on everyday technology to support leisure and communication engagement in six of those individuals. CASE REPORT: The six cases (adults) were non-ambulatory and had no speech or functional active communication. Their neurological damage was due to extensive left hemispheric hemorrhagic or ischemic lesion and to critical illness polyneuropathy aggravating a condition of neonatal encephalopathy. A smartphone-based program was developed and successfully used to enable them to access leisure activities (e.g.. listening to music) and communication (e.g., sending text messages or calling the caregiver). CLINICAL REHABILITATION IMPACT: Cases like those presented in this study may reach independent and functional engagement if supported via specific, technology-aided intervention programs.