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Influence of training protocols on text input speed on a computer in individuals with cervical spinal cord injury: a randomised controlled trial

Study design Randomised controlled trial. Objectives To evaluate the impact of two different word prediction software (WPS) training protocols on text input speed (TIS) in people with tetraplegia and to determine which was the most effective. Setting Rehabilitation department, Garches, France. Metho...

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Published in:Spinal cord 2019-08, Vol.57 (8), p.636-643
Main Authors: Pouplin, Samuel, Bensmail, Djamel, Vaugier, Isabelle, Gelineau, Axelle, Pottier, Sandra, Roche, Nicolas
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Bensmail, Djamel
Vaugier, Isabelle
Gelineau, Axelle
Pottier, Sandra
Roche, Nicolas
description Study design Randomised controlled trial. Objectives To evaluate the impact of two different word prediction software (WPS) training protocols on text input speed (TIS) in people with tetraplegia and to determine which was the most effective. Setting Rehabilitation department, Garches, France. Methods Participants with neurological levels between C6 and C8 were allocated to one of three different groups. The REHAB group underwent training with an occupational therapist. The SELF group carried out a standardised home self-training with a written training guide. The CONTROL group had no training. Participants were assessed at day 15 (D15) and day 30 (D30). The primary outcome was a copying task with and without WPS (WITH and WITHOUT). Results Forty-two participants (mean age ± SD of 39.8 ± 12) were included and 38 completed the study. At D30, the mean (95% confidence interval) difference in TIS between the CONTROL and SELF groups was 3.8 [−1.7 to 9.4] characters per minute (cpm) ( p  = 0.23), between the REHAB and SELF groups was 12.9 [7.4 to 18.4] cpm ( p  
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Objectives To evaluate the impact of two different word prediction software (WPS) training protocols on text input speed (TIS) in people with tetraplegia and to determine which was the most effective. Setting Rehabilitation department, Garches, France. Methods Participants with neurological levels between C6 and C8 were allocated to one of three different groups. The REHAB group underwent training with an occupational therapist. The SELF group carried out a standardised home self-training with a written training guide. The CONTROL group had no training. Participants were assessed at day 15 (D15) and day 30 (D30). The primary outcome was a copying task with and without WPS (WITH and WITHOUT). Results Forty-two participants (mean age ± SD of 39.8 ± 12) were included and 38 completed the study. At D30, the mean (95% confidence interval) difference in TIS between the CONTROL and SELF groups was 3.8 [−1.7 to 9.4] characters per minute (cpm) ( p  = 0.23), between the REHAB and SELF groups was 12.9 [7.4 to 18.4] cpm ( p  &lt; 0.001), and between the REHAB and CONTROL groups was 9.1 [3.5 to 14.6] cpm ( p  &lt; 0.001). Conclusions The results of this study showed that occupational therapist-supervised training improved TIS but word prediction software did not increase TIS. These results suggest that supervised training should be provided to all individuals who are prescribed with devices and systems to facilitate computer access in order to increase their TIS.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/s41393-019-0265-5</identifier><identifier>PMID: 30814669</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/700/1719 ; 692/700/565/491 ; Adult ; Anatomy ; Biomedical and Life Sciences ; Biomedicine ; Cervical Cord - injuries ; Communication Aids for Disabled ; Computer programs ; Confidence intervals ; Copying ; Female ; Follow-Up Studies ; Human Physiology ; Humans ; Male ; Microcomputers ; Middle Aged ; Neurochemistry ; Neuropsychology ; Neurosciences ; Occupational Therapy - methods ; Protocol (computers) ; Quadriplegia - etiology ; Quadriplegia - physiopathology ; Quadriplegia - rehabilitation ; Randomization ; Rehabilitation ; Software ; Spinal cord injuries ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - physiopathology ; Spinal Cord Injuries - rehabilitation ; Training</subject><ispartof>Spinal cord, 2019-08, Vol.57 (8), p.636-643</ispartof><rights>International Spinal Cord Society 2019</rights><rights>2019© International Spinal Cord Society 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c367t-e31df6b490aa8c3d5121b2ac62624c8a0068ef110c9058a2966d9c64de28af2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30814669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pouplin, Samuel</creatorcontrib><creatorcontrib>Bensmail, Djamel</creatorcontrib><creatorcontrib>Vaugier, Isabelle</creatorcontrib><creatorcontrib>Gelineau, Axelle</creatorcontrib><creatorcontrib>Pottier, Sandra</creatorcontrib><creatorcontrib>Roche, Nicolas</creatorcontrib><title>Influence of training protocols on text input speed on a computer in individuals with cervical spinal cord injury: a randomised controlled trial</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design Randomised controlled trial. Objectives To evaluate the impact of two different word prediction software (WPS) training protocols on text input speed (TIS) in people with tetraplegia and to determine which was the most effective. Setting Rehabilitation department, Garches, France. Methods Participants with neurological levels between C6 and C8 were allocated to one of three different groups. The REHAB group underwent training with an occupational therapist. The SELF group carried out a standardised home self-training with a written training guide. The CONTROL group had no training. Participants were assessed at day 15 (D15) and day 30 (D30). The primary outcome was a copying task with and without WPS (WITH and WITHOUT). Results Forty-two participants (mean age ± SD of 39.8 ± 12) were included and 38 completed the study. At D30, the mean (95% confidence interval) difference in TIS between the CONTROL and SELF groups was 3.8 [−1.7 to 9.4] characters per minute (cpm) ( p  = 0.23), between the REHAB and SELF groups was 12.9 [7.4 to 18.4] cpm ( p  &lt; 0.001), and between the REHAB and CONTROL groups was 9.1 [3.5 to 14.6] cpm ( p  &lt; 0.001). Conclusions The results of this study showed that occupational therapist-supervised training improved TIS but word prediction software did not increase TIS. 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Objectives To evaluate the impact of two different word prediction software (WPS) training protocols on text input speed (TIS) in people with tetraplegia and to determine which was the most effective. Setting Rehabilitation department, Garches, France. Methods Participants with neurological levels between C6 and C8 were allocated to one of three different groups. The REHAB group underwent training with an occupational therapist. The SELF group carried out a standardised home self-training with a written training guide. The CONTROL group had no training. Participants were assessed at day 15 (D15) and day 30 (D30). The primary outcome was a copying task with and without WPS (WITH and WITHOUT). Results Forty-two participants (mean age ± SD of 39.8 ± 12) were included and 38 completed the study. At D30, the mean (95% confidence interval) difference in TIS between the CONTROL and SELF groups was 3.8 [−1.7 to 9.4] characters per minute (cpm) ( p  = 0.23), between the REHAB and SELF groups was 12.9 [7.4 to 18.4] cpm ( p  &lt; 0.001), and between the REHAB and CONTROL groups was 9.1 [3.5 to 14.6] cpm ( p  &lt; 0.001). Conclusions The results of this study showed that occupational therapist-supervised training improved TIS but word prediction software did not increase TIS. These results suggest that supervised training should be provided to all individuals who are prescribed with devices and systems to facilitate computer access in order to increase their TIS.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>30814669</pmid><doi>10.1038/s41393-019-0265-5</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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1476-5624
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subjects 692/700/1719
692/700/565/491
Adult
Anatomy
Biomedical and Life Sciences
Biomedicine
Cervical Cord - injuries
Communication Aids for Disabled
Computer programs
Confidence intervals
Copying
Female
Follow-Up Studies
Human Physiology
Humans
Male
Microcomputers
Middle Aged
Neurochemistry
Neuropsychology
Neurosciences
Occupational Therapy - methods
Protocol (computers)
Quadriplegia - etiology
Quadriplegia - physiopathology
Quadriplegia - rehabilitation
Randomization
Rehabilitation
Software
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - physiopathology
Spinal Cord Injuries - rehabilitation
Training
title Influence of training protocols on text input speed on a computer in individuals with cervical spinal cord injury: a randomised controlled trial
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