Abstract: Engagement is one of the most important factors in determining successful outcomes and deep learning in students. Existing approaches to detect student engagement involve periodic human observations that are subject to inter-rater reliability. Our solution uses real-time multimodal multisensor data labeled by objective performance outcomes to infer the engagement of students. The study involves four students with a combined diagnosis of cerebral palsy and a learning disability who took part in a 3-month trial over 59 sessions. Multimodal multisensor data were collected while they participated in a continuous performance test. Eye gaze, electroencephalogram, body pose, and interaction data were used to create a model of student engagement through objective labeling from the continuous performance test outcomes. In order to achieve this, a type of continuous performance test is introduced, the Seek-X type. Nine features were extracted including high-level handpicked compound features. Using leave-one-out cross-validation, a series of different machine learning approaches were evaluated. Overall, the random forest classification approach achieved the best classification results. Using random forest, 93.3% classification for engagement and 42.9% accuracy for disengagement were achieved. We compared these results to outcomes from different models: AdaBoost, decision tree, k-Nearest Neighbor, naïve Bayes, neural network, and support vector machine. We showed that using a multisensor approach achieved higher accuracy than using features from any reduced set of sensors. We found that using high-level handpicked features can improve the classification accuracy in every sensor mode. Our approach is robust to both sensor fallout and occlusions. The single most important sensor feature to the classification of engagement and distraction was shown to be eye gaze. It has been shown that we can accurately predict the level of engagement of students with learning disabilities in a real-time approach that is not subject to inter-rater reliability, human observation or reliant on a single mode of sensor input. This will help teachers design interventions for a heterogeneous group of students, where teachers cannot possibly attend to each of their individual needs. Our approach can be used to identify those with the greatest learning challenges so that all students are supported to reach their full potential.
Abstract: The article is concerned in the issue of social support and quality of life of youth suffering from cerebral palsy, who are temporarily orphaned due to the emigration of a parent. Migration causes multi-aspect consequences in various spheres of life. They are particularly severe for the functioning of families. Temporal parting of parents and children, especially the disabled, is a difficult situation. In this case, the family structure is changed, as well as the quality of life of its members. Children can handle migration parting in a better or worse way; these can be divided into properly functioning and manifesting behaviour disorders. In conditions of the progressing phenomenon of labour migration of Poles and a wide spectrum of consequences for the whole social life, it is essential to undertake actions aimed at support of migrants and their families. This article focuses mainly on social support and quality of families members, of which, are the labour migrants perceived by youth suffering from cerebral palsy. The quantitative method was used in this study. In the study, the Satisfaction with Life Scale (SWLS) by Diener, was used. The analysed group consisted of 50 persons (37 girls and 13 boys), aged 16 years to 18 years, whose parents are labour migrants. The results indicate that the quality of life and social support for youth suffering from cerebral palsy who are temporarily orphaned is at a low and average level.
Abstract: Cerebral palsy is primarily reflected in the disorder of the development of movement and posture, which may be accompanied by sensory disturbances, disturbances of perception, cognition and communication, behavioural disorders and epilepsy. According to current inclusive attitudes towards people with disabilities implies that full social participation of children with cerebral palsy means inclusion in all activities in family, peer, school and leisure environments in the same scope and to the same extent as is the case with the children of proper development and without physical difficulties. Due to the fact that it has been established that the quality of children's participation in primary school is directly related to their social inclusion in future life, the aim of the paper is to identify predictors of social participation, respectively, and in particular, factors that could to improve the quality of social participation of children with cerebral palsy, in the primary school environment in Czech Republic. The study includes children with cerebral palsy (n = 75) in the Czech Republic, aged between six and 12 years who attend mainstream or special primary schools to the sixth grade. The main instrument used was the first and third part of the School function assessment questionnaire. It will also take into account the type of damage assessed according to a scale the Gross motor function classification system, five–level classification system for cerebral palsy. The research results will provide detailed insight into the degree of social participation of children with cerebral palsy and the factors that would be a potential cause of their levels of participation, in regular and special primary schools, in different socioeconomic environments in Czech Republic.
Abstract: The purpose of study was to examine the effects of external and internal focus of attention in the motor learning of children with cerebral palsy. The study involved 30 boys (7 to 12 years old) with CP type 1 who practiced throwing beanbags. The participants were randomly assigned to the internal focus, external focus, and control groups, and performed six blocks of 10-trial with attentional focus reminders during a practice phase and no reminders during retention and transfer tests. Analysis of variance (ANOVA) with repeated measures on the last factor was used. The results show that significant main effects were found for time and group. However, the interaction of time and group was not significant. Retention scores were significantly higher for the external focus group. The external focus group performed better than other groups; however, the internal focus and control groups’ performance did not differ. The study concluded that motor skills in Spastic Hemiparetic Cerebral Palsy (SHCP) children could be enhanced by external attention.
Abstract: The aim of this article is to present a relation between family relationships and styles of approach to coping with stress among young people from migrant families with cerebral palsy. The study involved 70 persons (with cerebral palsy in the standard intellectual capacity) from families, in which at least one of parents is a migrant. To measure the level of communication in the family, the Family Relationships Questionnaire (FRQ) was employed, while the styles of coping with stress was investigated with the CISS Questionnaire. The relation between family relationships and styles of coping with stressful situations of the respondents was investigated. It was shown that there is an affiliation between the emotion-oriented style of coping with the stress and the variable of “communication in my family”. Moreover, it was demonstrated that there is a linkage between the task-oriented style of coping with the stress and the variable of “maternal control in mother-child relationship”. Young people with CP subjected to overprotection and control from their mothers in problem situations tend to focus on their own emotions instead of trying to undertake constructive actions. Excessive control in daily life by mothers results in passivity and a lack of motivation to cope with difficult situations.
Abstract: Periventricular Leukomalacia (PVL) is a White Matter
Injury (WMI) of preterm neonatal brain. Objectives of the study were
to assess the neuro-developmental outcome at one year of age and to
determine a good protocol of cranial ultrasonography to detect PVL.
Two hundred and sixty four preterm neonates were included in the
study. Series of cranial ultrasound scans were done by using a
dedicated neonatal head probe 4-10 MHz of Logic e portable
ultrasound scanner. Clinical history of seizures, abnormal head
growth (hydrocephalus or microcephaly) and developmental
milestones were assessed and neurological examinations were done
until one year of age. Among live neonates, 57% who had cystic PVL
(Grades 2 and 3) manifested as cerebral palsy. In conclusion cystic
PVL has permanent neurological disabilities like cerebral palsy.
Good protocol of real time cranial ultrasonography to detect PVL is
to perform scans at least once a week until one month and at term (40
weeks of gestation).
Abstract: The aim of this study is to survey the incidence, prevalence, types and associated impairments of CP in children at the Tripoli children hospital (T.C.H). The study covered all the cases the hospital had diagnosed in the period between (1.1.2009) and (31.12.2010), during which 38 cases of ages between 2 months to 3 years were diagnosed in the mentioned period. The incidence of CP was (17.42 per one thousand) out of (2143) of different neurological cases and came with a result of 23 cases of spastic CP which represented about (60.53%) out of the total number of cases, and the most associated impairment is convulsion. Medical information was collected from the patients’ files at the registration department from the neurology department. The data has been collected by a questionnaire, which had been set to finely organize the patient’s files.
Abstract: Young patients suffering from Cerebral Palsy are
facing difficult choices concerning heavy surgeries. Diagnosis settled
by surgeons can be complex and on the other hand decision for
patient about getting or not such a surgery involves important
reflection effort. Proposed software combining prediction for
surgeries and post surgery kinematic values, and from 3D model
representing the patient is an innovative tool helpful for both patients
and medicine professionals. Beginning with analysis and
classification of kinematics values from Data Base extracted from
gait analysis in 3 separated clusters, it is possible to determine close
similarity between patients. Prediction surgery best adapted to
improve a patient gait is then determined by operating a suitable
preconditioned neural network. Finally, patient 3D modeling based
on kinematic values analysis, is animated thanks to post surgery
kinematic vectors characterizing the closest patient selected from
patients clustering.
Abstract: The purpose of the research was to determine
effectiveness of habilitation of preschool children with cerebral palsy
in the process of pedagogical support of their families. The author
presents the study of psychology-pedagogical problems of families
with preschool children with cerebral palsy and the universal
program of pedagogical support of families. In the conclusion, the
author determines effectiveness of social adaptation of children with
cerebral palsy and their families.
Abstract: Children with hemiplgic cerebral palsy often walk
with diminished reciprocal arm swing so the purpose of this study
was to describe kinematic characteristics in children with hemiplegic
cerebral palsy (CP) during the gait suphases, and find if there is a
correlation between upper(shoulder and elbow) and lower(hip, knee,
and ankle) limb joints either in involved or uninvolved.48 children
with hemiplegic cerebral palsy (18boys, 30girls) with an average age
of (5.1±0.87) years were selected randomly to evaluate joint angles
during gait by 3D motion analysis system with 6 pro reflex cameras
in a sagittal plane for both sides of the body. The results showed
increased shoulder and elbow flexion, increased hip angular
displacement, decreased knee and ankle arcs during gait cycle, also
there is correlation between shoulder and elbow to hip, knee, and
ankle joints during various subphases of gait.