Daily Life Tasks Research Articles

The role of the dorsolateral prefrontal cortex in retrieval from long-term memory depends on strategies: a repetitive transcranial magnetic stimulation study

The ability to associate a name to a face is a crucially relevant task in daily life. In this study, we investigated the neuronal basis of face-name retrieval in young subjects using repetitive transcranial magnetic stimulation (rTMS) over the left or right dorsolateral prefrontal cortex (DLPFC). The experimental task was composed of two study phases: an encoding phase and a retrieval phase. During the encoding phase, subjects saw a face (familiar or unfamiliar) followed by a name. During the retrieval phase, they saw the face together with two names and had to choose the name that was correctly associated with the face. rTMS was delivered only during retrieval. In addition, we evaluated the use of memory strategies during the task. Accordingly, subjects were subdivided into two groups: strategy users (SU) and no-strategy users (NSU). No rTMS effects were present for familiar face-name pairs, probably due to a ceiling effect. However, for unfamiliar face-name pairs, the different use of memory strategies resulted in different rTMS effects. The SU group showed a selective interference effect after right DLPFC stimulation, whereas the NSU group showed an effect after left DLPFC stimulation. Importantly, the overall performance of the two groups was comparable. We suggest that during memory retrieval the left DLPFC might be recruited when the subject does not apply deliberately a retrieval strategy whereas there is a shift to the right DLPFC if cognitive control processes that are engaged by strategies are needed to guide episodic retrieval.

Computational intelligent brain computer interaction and its applications on driving cognition

Driving is one of the most common attention demanding tasks in daily life. Driver's fatigue, drowsiness, inattention, and distraction are reported a major causal factor in many traffic accidents. Due to the drivers lost their attention, they had markedly reduced the perception, recognition and vehicle control abilities. In recent years, many computational intelligent technologies were developed for preventing traffic accidents caused by driver's inattention. Driver's drowsiness and distraction related studies had become a major interest research topic in automotive safety engineering. Many researches had investigated the driving cognition in cognitive neuro-engineering, but how to utilize the main findings of driving-related cognitive researches in traditional cognitive neuroscience and integrate with computational intelligence technologies for augmenting driving performance will become a big challenge in the interdisciplinary research area. For this reason, we attempt to integrate the driving cognition for real life application in this study. The implications of the driving cognition in cognitive neuroscience and computational intelligence for daily applications are also demonstrated through two common attention related driving studies: (1) cognitive state monitoring of the driver performing the realistic long-term driving tasks in a simulated realistic driving environment; and (2) to extract the brain dynamic changes of driver's distraction effect during dual task driving. Experimental results of these studies provide new insights into the understanding of complex brain functions of participants actively performing ordinary tasks in natural body positions and situations within real operational environments.

Whole-body isometric force/torque measurements for functional assessment in neuro-rehabilitation: platform design, development and verification

BackgroundOne of the main scientific and technological challenges of rehabilitation bioengineering is the development of innovative methodologies, based on the use of appropriate technological devices, for an objective assessment of patients undergoing a rehabilitation treatment. Such tools should be as fast and cheap to use as clinical scales, which are currently the daily instruments most widely used in the routine clinical practice.MethodsA human-centered approach was used in the design and development of a mechanical structure equipped with eight force/torque sensors that record quantitative data during the initiation of a predefined set of Activities of Daily Living (ADL) tasks, in isometric conditions.ResultsPreliminary results validated the appropriateness, acceptability and functionality of the proposed platform, that has become now a tool used for clinical research in three clinical centres.ConclusionThis paper presented the design and development of an innovative platform for whole-body force and torque measurements on human subjects. The platform has been designed to perform accurate quantitative measurements in isometric conditions with the specific aim to address the needs for functional assessment tests of patients undergoing a rehabilitation treatment as a consequence of a stroke.The versatility of the system also enlightens several other interesting possible areas of application for therapy in neurorehabilitation, for research in basic neuroscience, and more.

A NeuroVR based tool for cognitive assessment and rehabilitation of post-stroke patients: two case studies.

Neuropsychological disorders are common in stroke patients, ranging from an isolated impairment to impairment in multiple cognitive functions. The cognitive domains affected are in particular executive functions. These comprise planning, organising, conducting, assessing and controlling actions. Dual task abilities, that is the ability to perform successive or simultaneous tasks, are not easy to be evaluated and recovered by traditional paper and pencil methods, due to their ecological and contextual nature. NeuroVR 1.5 is a cost-free virtual reality platform based on open-source software, allowing professionals to easily modify a virtual world, to best suit the needs of the clinical setting.The present study was designed to develop and test a NeuroVR based tool for the rehabilitation of shifting of attention and action planning functions using tasks reminiscent of daily life tasks. We present the virtual environment and the cognitive procedure we developed, discussing two stroke patients case studies, which underwent an integrated neuropsychological and VR assessment.

Toward the Human–Robot Co-Existence Society: On Safety Intelligence for Next Generation Robots

Technocrats from many developed countries, especially Japan and South Korea, are preparing for the human–robot co-existence society that they believe will emerge by 2030. Regulators are assuming that within the next two decades, robots will be capable of adapting to complex, unstructured environments and interacting with humans to assist with the performance of daily life tasks. Unlike heavily regulated industrial robots that toil in isolated settings, Next Generation Robots will have relative autonomy, which raises a number of safety issues that are the focus of this article. Our purpose is to describe a framework for a legal system focused on Next Generation Robots safety issues, including a Safety Intelligence concept that addresses robot Open-Texture Risk. We express doubt that a model based on Isaac Asimov’s Three Laws of Robotics can ever be a suitable foundation for creating an artificial moral agency ensuring robot safety. Finally, we make predictions about the most significant Next Generation Robots safety issues that will arise as the human–robot co-existence society emerges.

HRP-2W: A humanoid platform for research on support behavior in daily life environments

We introduce a concept of a real-world-oriented humanoid robot that can support humans’ activities in daily life. In such environments, robots have to watch humans, understand their behavior, and support their daily life tasks. In particular, these robots must be capable of such real-world behavior as handling tableware and delivering daily commodities by hand. We developed a humanoid robot, HRP-2W, which has an upper body of HRP-2 [K. Kaneko, F. Kanehiro, S. Kajita, H. Hirukawa, T. Kawasaki, M. Hirata, K. Akachi, T. Isozumi, Humanoid Robot HRP-2, in: Proceedings of the 2004 IEEE International Conference on Robotics & Automation, 2004, pp. 1083–1090] and a wheel module instead of legs, as a research platform to fulfill this aim. We also developed basic software configuration in order to integrate our platform with other research groups. Through experiments, we demonstrated the feasibility of the humanoid robot platform and the potential of the software architecture.

Antipsychotic drug use among elderly nursing home residents in the United States

Background: Antipsychotic utilization in elderly nursing home residents has increased substantially in recent years, primarily due to the use of atypical antipsychotic agents. However, few studies have examined antipsychotic utilization patterns in nursing home residents in the United States since the introduction of atypical agents in the 1990s. Objective: The goal of this study was to examine the prevalence of and the factors associated with antipsychotic drug use among elderly nursing home residents in the United States. Methods: This study involved a cross-sectional analysis of prescription and resident data files from the 2004 National Nursing Home Survey (NNNHS). The analysis focused on the use of 11 typical and 6 atypical antipsychotic agents among a nationally representative sample of elderly patients (aged ≥65 years). Descriptive weighted analysis was performed to examine antipsychotic prevalence patterns. Multiple logistic regression analysis within the conceptual framework of the Andersen behavioral model was used to examine the factors associated with antipsychotic drug use among the elderly nursing home residents. Results: According to the 2004 NNHS, 0.32 million elderly nursing home residents received antipsychotic medications, for an overall prevalence of 24.82%. Most received atypical agents (23.45%), while 1.90% received typical agents. Frequently reported diagnoses among the elderly using an antipsychotic agent were dementia (70%), depression (41%), and anxiety (18%). Among the predisposing characteristics, female gender and age (≥85 years) were negatively associated with antipsychotic drug use. Need factors such as increasing dependence in decision-making ability regarding tasks of daily life, depressed mood indicators, behavioral symptoms, history of falls, and bowel incontinence were positively associated with antipsychotic drug use. In addition to the use of antipsychotic agents in schizophrenia and bipolar mania, this study found high use in conditions such as dementia, anxiety, depression, and parkinsonism in the elderly. Conclusions: Nearly 1 in 4 elderly nursing home residents in the United States received antipsychotic agents. Predisposing and need factors played a vital role in determining the use of antipsychotic agents in these elderly patients. Overall, the study findings suggest that there is a need to monitor antipsychotic drug use by elderly patients in US nursing homes in light of recent efficacy and safety data on atypical agents.

Les troubles précoces de la mémoire épisodique dans la maladie d’Alzheimer

Patients with Alzheimer's disease (AD) show early episodic memory impairments. Such deficits reflect specific impairments affecting one or several stages of encoding, storage and retrieval processes. However, AD patients not only have great difficulty retrieving memories and information but also suffer from distortions of memory, as intrusions and false recognitions. Intrusions can be defined as the unintentional recall of inappropriate information in a laboratory-learning tasks such as word-list recall and story recall. False recognition refers to the erroneous recognition of information that was not previously presented. The first objective of this review is to present studies from the litterature that allowed a better understanding of the nature of episodic memory deficits in AD, and to examine recent research on false memories. The second part of this review is aimed at presenting recent research conducted on prospective memory (PM) in Alzheimer's disease. Prospective memory situations involve forming intentions and then realizing those intentions at some appropriate time in the future. Everyday examples of prospective memory include remembering to buy bread on the way home from work, remembering to give friends a message upon next encountering them, and remembering to take medication. Patients suffering from AD show difficulties in performing prospective tasks in daily life, according to the complaints of their care givers, and these difficulties are massively present at the first stages of the disease. Nevertheless, very few studies have been dedicated to this subject, although the evaluation of PM could be helpful for the early diagnosis of AD.

Digital Visual Literacy

Like other literacies (textual literacy, numeracy), digital visual literacy (DVL) is the ability both to create and to understand certain types of information, in this case visual materials created with a computer. DVL is now essential in many daily life and workplace tasks, from looking critically at newspaper images or TV evening news to using a digital camera, making a Web site, creating presentations, and modeling and visualizing data in virtually all of the sciences. DVL is, of course, also now essential in all visually oriented disciplines. Defining the underlying principles of DVL and integrating it into established curricula presents many challenges. This article describes some of these and the authors' responses, using experiences from an innovative course at Brown University and a larger-scale community-college-based project, Digital Visual Literacy.

The Krukenberg plasty and the provision of additional prostheses and technical aids

In case of bilateral forearm stumps or anomalies the Krukenberg plasty is indicated on at least one side. It aims at creating a tactile grasping organ. The coordination of Krukenberg on one side and a myoelektric prosthesis an the other side is an optimal solution for the person without hands. A blind person without hands may not miss the Krukenberg arm. The operation technique and the different modifications are discussed together with the anatomic and physiological principles, and especially the technique modified by E. Marquardt is described in detail. Due to this technique the grasping surface and the ends of the branches can be covered with skin of tactile sensation preserving all forearm muscles. By this technique two branches are created which are strong and well supplied with blood and which have tactile and well padded grasping surfaces. The post-operative physical and occupational treatment including self-help training are an important part of treatment and aim at providing the newly created grasping organ with the capability and skill that are always required for all tasks in daily life. For functional and cosmetic reasons we provide the Krukenberg arm with an electromechanical prosthesis; the advantages of this treatment compared with other possibilities are discussed.

Task as a Context of Information Seeking: An Investigation of Daily Life Tasks on the Web

This study examines how tasks influence information seeking behavior in the World Wide Web. There are three primary reasons for considering this issue: to understand the nature of people's information seeking tasks, to investigate the ways in which they attempt to execute tasks in their user-system interactions, and to facilitate the development and design of a system that serves people's task goals and supports their task-related information seeking behavior. Thirty students with backgrounds in library and information science participated in this study in a laboratory setting. Three different types of tasks were assigned. Significant differences were found in searching behavior on the Web among task types. Furthermore, the relationship of searching behavior with task difficulty, prior knowledge, and searchers' demographic characteristics varied by task types. The results suggest that information systems should be structured in ways that support users' tasks. Future study should focus on such issues and then propose how information systems and services can be tailored to the task in context.

Associations of Gait Speed and Other Measures of Physical Function With Cognition in a Healthy Cohort of Elderly Persons

Recent evidence suggests that physical decline and slower gait may be associated with early signs of dementia, but more information on healthy older adults is needed. We determined associations between cognitive function, gait speed, and self-reported measures of physical function in 3035 healthy mobile participants of the Ginkgo Evaluation of Memory Study evaluated in 2000-2001. Gait speed was measured over a 15-foot course with participants walking at both their usual and rapid pace. Self-reported difficulties with Activities of Daily Living (ADLs) and other physical function tasks were also collected. Results of the Modified Mini-Mental State Examination (3MSE) determined cognitive function. The average age of the cohort was 78.6 years (standard deviation [SD] 3.3), and 53.9% of participants were men. Mean gait speed was 0.95 (SD 0.23) m/s at a usual pace and 1.35 (SD 0.58) m/s at a rapid pace. More than three-fourths of participants had 3MSE scores > 90. In multiple logistic models adjusted for demographics and comorbidities, risk of low cognition (defined as 3MSE score of 80-85) was almost twice as great for participants in the slowest quartile of the rapid-paced walking task than for the fastest walkers (odds ratio: 1.96, 95% confidence interval, 1.25-3.08). Associations between cognition and usual-paced walking were borderline, and no relationships were found with self-reported measures of physical function, including ADLs. In very healthy older adults, performance-based measures better predict early cognitive decline than do subjective measures, and tasks requiring greater functional reserve, such as fast-paced walking, appear to be the most sensitive in assessing these relationships.

The Client-Clinician Assessment Protocol (C-CAP): Evaluation of its Psychometric Properties for Use with People Aging with Disabilities in Need of Home Modifications

The objective of this study was to evaluate aspects of the validity and reliability of the Client-Clinician Assessment Protocol (C-CAP) Part I. C-CAP data for 103 people aging with disabilities in need of home modification services were analyzed using the Rasch rating scale model. The C-CAP Part I consists of a client self-report of ability in daily life tasks comprising three scales (independence, difficulty, and safety). The analysis demonstrated support for internal scale validity, person response validity, and person separation reliability of the C-CAP Part I, although the results differed among the three scales. The results of this study indicated that the C-CAP Part I has psychometric strengths and limitations. The instrument has the potential to be used in the home environment with people who are aging with disabilities. The C-CAP could complement already existing tools that are used to assess functioning in activities of daily living, especially regarding the focus on the clients' self-report of difficulty and safety in daily life at home and in the community.

Functional improvement after unicompartmental knee replacement: a follow-up study with a performance based knee test

In literature no reports appear on functional recovery of unicompartmental knee replacement using both subjective and objective methods. Functional aspects are especially of importance, since prosthetic replacement is considered more often in younger patients, who require an optimal knee function for activities such as sports. In a prospective study on 38 patients with a mean age of 62.2 years functional improvement was measured. Using Knee Society Score (KSS) as a clinician based score and the Dynaport Knee Test as a functional test measurements were performed at preoperative, 3 and 6 months, 1 and 2 years, after surgery. The Dynaport Knee Test is an accelerometer-based system that objectively measures functional aspects of gait during various tasks of daily life. It consists of four sub scores. The KSS assesses pain and function. Both scores range from 0 to 100. The mean KSS preoperative was 44.0 and improved significantly to 81.7 at 3 months (P<0.001) and to 87.4 (P=0.025) at 6 months. No significant differences were noted after 6 months. The mean preoperative Dynaport Knee Test score was 35.8 and at 3 months 43.6 (P<0.001), 48.6 at 6 months (P<0.001). No significant differences were noted after 6 months follow-up. Of the Dynaport sub scores, the low demanding tasks Lift and Move and Locomotion, cease to improve beyond 6 months. The high demanding task Transfers only improved up to 3 months. However, the other high demanding tasks Rise and Descend showed improvement beyond 1 year after surgery, since the improvement from 6 months to 2 years was significant (P=0.023). This study has found that functional recovery continues beyond 6 months and even up to 2 years. It seems only more challenging tests can discriminate on improvement beyond a point where questionnaires cease to improve. The use of objective measurement methods is advocated next to the clinician based scores and self reported questionnaires.

Efficacy of Resistance and Task-Specific Exercise in Older Adults Who Modify Tasks of Everyday Life

The purpose of this study was to determine the efficacy of 10 weeks of resistance (RT), functional (FT), or functional plus resistance (FRT) training in older adults who modify tasks of everyday life and are at risk for subsequent disability. Thirty-two older adults (75.8 +/- 6.7 years) were tested following a control period and training. The primary outcome of the study was the number of task modifications and timed performance on eight tasks of daily life. Secondary outcomes included knee and elbow strength (extension and flexion), body composition, self-reported physical function, single-leg balance time, walking speed, and time to vacuum a carpet. The RT group performed progressive intensity training, and the FT group performed task-specific exercises 2 days per week. The FRT group performed 1 day of each training type. No changes occurred in the control period. All three training groups reduced the need to modify tasks of everyday life (RT: 21%, FRT: 26%, and FT: 28%) and improved self-rated function and time to vacuum a carpet. Individuals who performed FT either 1 or 2 days per week also reduced their timed performance (RT: 2.5% [p = 0.48], FRT: 18.5%, and FT: 23%). Strength gains were primarily found in groups that performed RT either 1 or 2 days per week (RT and FRT). No significant changes occurred in walking speed, single-leg balance, or body composition. The benefits of exercise are dependent on tasks performed during training. Exercise recommendations for low-functioning older adults should reflect task-specific exercise to prevent the onset of disability.

Occupational Therapy Outcomes for Clients With Traumatic Brain Injury and Stroke Using the Canadian Occupational Performance Measure

The purpose of this study was to determine whether 155 ethnically diverse clients with traumatic brain injury (TBI) and stroke (cerebrovascular accident; CVA) who received occupational therapy services perceived that they reached self-identified goals related to tasks of daily life as measured by the Canadian Occupational Performance Measure (COPM). This study found that a statistically and clinically significant change in self-perceived performance and satisfaction with tasks of daily life occurred at the end of a client-centered occupational therapy program (p < .001). There were no significant differences in performance and satisfaction between the TBI and CVA groups. However, the group with right CVA reported a higher level of satisfaction with performance in daily activities than the group with left CVA (p = .03). The COPM process can effectively assist clients with neurological impairments in identifying meaningful occupational performance goals. The occupational therapist also can use the COPM to design occupation-based and client-centered intervention programs and measure occupational therapy outcomes.

Physiology and pathology of eye–head coordination

Human head movement control can be considered as part of the oculomotor system since the control of gaze involves coordination of the eyes and head. Humans show a remarkable degree of flexibility in eye-head coordination strategies, nonetheless an individual will often demonstrate stereotypical patterns of eye-head behaviour for a given visual task. This review examines eye-head coordination in laboratory-based visual tasks, such as saccadic gaze shifts and combined eye-head pursuit, and in common tasks in daily life, such as reading. The effect of the aging process on eye-head coordination is then reviewed from infancy through to senescence. Consideration is also given to how pathology can affect eye-head coordination from the lowest through to the highest levels of oculomotor control, comparing conditions as diverse as eye movement restrictions and schizophrenia. Given the adaptability of the eye-head system we postulate that this flexible system is under the control of the frontal cortical regions, which assist in planning, coordinating and executing behaviour. We provide evidence for this based on changes in eye-head coordination dependant on the context and expectation of presented visual stimuli, as well as from changes in eye-head coordination caused by frontal lobe dysfunction.

Co-morbidity, functionality and time since diagnosis as predictors of physical activity in individuals with type 1 or type 2 diabetes

Physical activity plays a key role in diabetes management, and in reducing the risk factors related to the development of co-morbid conditions. This study examined predictors of physical activity (Static Model) and activity change (Change Model) for individuals with type 1 (T1D) or type 2 diabetes (T2D) in a population sample of 1662 adults (510 type 1; 1152 type 2) using self-reported measures of co-morbidities, perceived difficulties in performing tasks of daily living (TDL), time since diagnosis, and selected demographic factors. Since the motivation for physical activity could be influenced by the initial diagnosis of diabetes, analyses were conducted separately for newly diagnosed individuals (diagnosed with diabetes ≤1 year), and those that have been diagnosed for sometime (diagnosed with diabetes >1 year). In the Static Model, a younger age ( β = −.11, p < .05) and having less perceived difficulties in performing TDL ( β = −.12, p < .05) were associated with a higher physical activity in individuals with type 1 diabetes. The presence of difficulties in TDL ( β = −.08, p < .05) and co-morbidities ( β = −.08, p < .05) were associated with physical activity participation in type 2 individuals diagnosed for >1 year, but not in newly diagnosed individuals. A shorter duration of disease ( β = −.07, p < .05), a higher body mass index (BMI) ( β = .09, p < .05) and female gender ( β = .07, p < .05) was associated with physical activity increase in individuals with type 2 diabetes. A higher BMI predicted physical activity change in both newly diagnosed individuals and those diagnosed for sometime. However, both genders were equally likely to increase their physical activity among newly diagnosed individuals. Although the magnitude of the study results are relatively modest, they could potentially guide and encourage future investigations in this area that could lead to useful insights in designing PA intervention programs for these specific populations.

Learning to imitate novel motion sequences

Many imitative behaviors entail complex sequences of component actions that must be recalled and performed in the proper order. It is well known that imitation of complex actions tends to improve with repeated opportunities to observe and execute the target behavior. But what actually makes this practice-based improvement possible? To address this question, we had subjects view and then reproduce sequences of connected, randomly directed motions of a disc. Even a single repetition of a motion sequence substantially reduced errors in reproduction. Improvement seemed to follow a power law, with accuracy in reproducing each motion segment improving by an amount proportional to the current error for that segment. Analysis of the pauses separating a reproduction's segments suggests that with learning, multiple segments in memory are grouped into more compact representations. To test overt performance's contribution to repetition-based improvement, we compared subjects' performance when they reproduced the stimulus trajectory after each repetition to when they did so only once, after the final repetition. Performance was similar following the final repetition in both conditions, indicating that seeing the model, without actual imitation, was sufficient for learning--even in the absence of an explicit error signal. In another experiment, subjects viewed three presentations of each model, with the second presentation given in forward (start to end) or backward (end to start) order. Performance was significantly better when all three presentations were in the same, consistent order, suggesting that repetition reinforced some temporal aspects of a trajectory as it was being learned, and not merely a better representation of the static shape traced by the motion of the disc. These results provide a first look into explicit learning of sequential, nonverbal material, which is central to many tasks of daily life.

Short-term Trends in Functional Limitation and Disability Among Older Asians: A Comparison of Five Asian Settings

The objective of this paper is to examine short-term trends in the prevalence of limitation in Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL) and Nagi physical functioning tasks among persons age 60 years or older in five Asian settings: Indonesia, the Philippines, Singapore, Taiwan and the Beijing Municipality. The data come from recent panel surveys of older adults that span a period of 3-4 years during the mid to late 1990s. Results suggest a general trend toward an increase in functional limitation in four of the five settings, with the most pronounced increases occurring for the Nagi functioning tasks. Compositional differences in the population accounted for little of the increase. The paper discusses the potential implications of these results and places them in the context of past and current trends in functional limitation observed in the United States.