Meeting the Needs of People With Severe Quadriplegia in the 21st Century: The Case for Implanted Brain–Computer Interfaces.

Background: In recent decades, there has been a widespread adoption of digital devices among the non-disabled population. The pervasive integration of digital devices has revolutionized how the majority of the population manages daily activities. Most of us now depend on digital platforms and servic...

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Publicado en:Neurorehabilitation & Neural Repair Vol. 38; no. 11/12; pp. 877 - 887
Autores principales: Sawyer, Abbey, Cooke, Lily, Breyman, Erica, Spohn, Steve, Edelman, Sandy, Saravanan, Krisha, Putrino, David
Formato: pictorial tables/charts Journal Article
Publicado: Sage Publications Inc. Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 38
      iid: 11/12
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Meeting the Needs of People With Severe Quadriplegia in the 21st Century: The Case for Implanted Brain–Computer Interfaces.
      aug:
        au:
          Sawyer, Abbey
          Cooke, Lily
          Breyman, Erica
          Spohn, Steve
          Edelman, Sandy
          Saravanan, Krisha
          Putrino, David
        affil: Icahn School of Medicine at Mount Sinai, New York, NY, USA
      sug:
        subj:
          Quadriplegia Rehabilitation
          Alternative and Augmentative Communication
          Assistive Technology Devices Utilization
          Brain-Computer Interfaces Utilization
          Needs Assessment
          Healthcare Disparities
          Digital Technology Utilization
          Patient Autonomy Evaluation
          Digital Divide
          Social Isolation
          Digital Technology Ethical Issues
          Ambulation Aids Utilization
          Patient Safety
          Psychological Well-Being
          Activities of Daily Living
      ab: Background: In recent decades, there has been a widespread adoption of digital devices among the non-disabled population. The pervasive integration of digital devices has revolutionized how the majority of the population manages daily activities. Most of us now depend on digital platforms and services to conduct activities across the domains of communication, finance, healthcare, and work. However, a clear disparity exists for people who live with severe quadriplegia, who largely lack access to tools that would enable them to perform daily tasks digitally and communicate effectively with their environment. Objectives: The purpose of this piece is to (i) highlight the unmet needs of people with severe quadriplegia (including cases for medical necessity and perspectives from the community), (ii) present the current landscape of assistive technology for people with severe quadriplegia, (iii) make the case for implantable BCIs (how they address needs and why they are a good solution relative to other assistive technologies), and (iv) present future directions. Results: There are technologies that are currently available to this population, but these technologies are certainly not usable with the same level of ease, efficiency, or autonomy as what has been designed for the non-disabled community. This hinders the ability of people with severe quadriplegia to achieve digital autonomy, perpetuating social isolation and limiting the expression of needs, opinions, and preferences. Conclusion: Most importantly, the gap in digital equality fundamentally undermines the basic human rights of people with severe quadriplegia.
      pubtype: Academic Journal
      doctype:
        pictorial
        tables/charts
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      ougenre: Article
    language: English
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