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Cueing Device. {. Jessica Hoffman, Meghan Olson, Rosalie Shaw. Our Inspiration. 70-78% of those with Parkinson’s have sialorrhea Decreased muscle control Not due to excess saliva Due to a build up of saliva. Drooling. Degenerative disease of the brain
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Cueing Device { Jessica Hoffman, Meghan Olson, Rosalie Shaw
70-78% of those with Parkinson’s have sialorrhea • Decreased muscle control • Not due to excess saliva • Due to a build up of saliva Drooling
Degenerative disease of the brain • Kills dopamine producing nerve cells • Decreased muscle control Background
Vibrations • Reminders • Timing Cueing
Over 50 years of age • Designed for certain extremes • Face large medical expenses User Demographics
Constant reminder • Eliminate drooling • Easy to put on and take off • Inconspicuous • Limited/simple interface • Empowering Product/Usability Goals
Slap Bracelet • Soft Silicon • Accelerometer • Powered by movement Usability
Light Blue • Lightweight • Wide band Aesthetics
Handkerchief • Anticholinergic Drugs • NH004 • Behavioral/Physical Therapy Current Market
Steel Bracelet • Silicone Coating • Accelerometer • Eccentric Weight • Motor • Computer Chip Components
Steel: extrude • Components: solder onto the steel • Silicone: injection molded around the steel and components Manufacturing
Other power supplies • Thermo electrics • Quartz Crystal • Closer to the skin Future Iterations
Design for the extreme? • The extreme of who can use it, not those with very severe Parkinson’s. • Drooling isn’t as much of an embarrassment for those people, as they aren’t socializing. Appendix 1
Appendix 2 Kate Kelsall • Shake, Rattle, and Roll Blogger
Appendix 3 Mary Spremulli Voice Aerobics™ LLC
Appendix 4 • Medications to boost dopamine • Serious side effects • Effectiveness on patient decreases over time • Botox to dry up saliva • Surgery – not a cure • Deep Brain Stimulation • Very expensive • Physical Therapy • Recommended for all, can reduce tremors **all very costly! Standard Treatments
Tactile feedback technology that takes advantage of a user's sense of touch by applying forces, vibrations, or motions to the user. Haptic technology (haptics) Appendix 5
Appendix 7: Living with Parkinson’s: User Needs • Basic needs for daily living activities • Balance problems (propensity to fall) • Motor fluctuations (postural hypotension and confusion) • Postural hypotension – difficulties controlling blood pressure as a direct result of the disease, or as a side effect of medication • Minimize effects via fitting elastic stockings, raising head end of the bed • Erratic motor control • Spontaneous agitation, anxiety, and depression (often result of medications) • Hallucinations, occasionally • Dementia effects up to 25% of persons in the later stages of Parkinson’s • Speech difficulties (affect ability to communicate) • Need to be able to communicate to caregivers and friends, otherwise loose the will to communicate and socialize • Muscle rigidity interferes with facial expression, can lead to lack of body language • May cause the individual to be perceived as disinterested or showing a lack of understanding, when they are really just unable to show their emotions via body language • Difficulty with movement and mobility • May be at risk of pressure sores • Isolation and loneliness • lose social contacts because of mobility problems or their embarrassment because of tremor, loss of facial expression, or other features of the disease
In the later stages of Parkinson’s disease, the muscles used in swallowing may work less efficiently and lead to difficulties with swallowing and chewing. In these cases, food and saliva may collect in the mouth and back of the throat, which can result in choking or drooling; these problems also may make it difficult to get adequate nutrition. Since speech-language therapists, occupational therapists, and dieticians can often help with these problems, our team consulted with Mary Spremulli, a medical speech pathologist and a licensed nurse and President of Voice Aerobics™ LLC, based in South West Florida. Appendix 9: Why they drool
- remarkably stable polymer - moisture/water-resistant material - low moisture absorption. - excellent stress relief capacities - can withstand a significant amount of stress and wear. - highly resistant to the damaging effects of age, sunlight, moisture, and chemical exposure. Appendix 10: Silicone