Evidence map›Paper›PMID 41302376›Full record

ArticleHealthcare (Basel, Switzerland)2025

Noncontact Gesture-Based Switch Improves Communication Speed and Social Function in Advanced Duchenne Muscular Dystrophy: A Case Report.

Daisuke Nishida, Takafumi Kinoshita, Tatsuo Hayakawa, Takashi Nakajima, Yoko Kobayashi, Takatoshi Hara, Ikushi Yoda, Katsuhiro Mizuno

Abstract readCase Reports
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daisuke NishidaDepartment of Rehabilitation Medicine, Tokai University School of Medicine, Isehara 259-1193, Japan.ORCID 0000-0002-5716-5274
Takafumi KinoshitaDepartment of Physical Rehabilitation, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan.
Tatsuo HayakawaDepartment of Rehabilitation Medicine, NHO Niigata National Hospital, Kashiwazaki 945-8585, Japan.
Takashi NakajimaDepartments of Neurology and Rehabilitation Medicine, NHO Niigata National Hospital, Kashiwazaki 945-8585, Japan.
Yoko KobayashiDepartments of Rehabilitation Medicine, National Hospital Organization Hakone Hospital, Odawara 250-0032, Japan.ORCID 0000-0002-7925-0963
Takatoshi HaraDepartment of Physical Rehabilitation, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo 187-8551, Japan.
Ikushi YodaHuman Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology, Tsukuba 305-8566, Japan.
Katsuhiro MizunoDepartment of Rehabilitation Medicine, Tokai University School of Medicine, Isehara 259-1193, Japan.ORCID 0000-0001-9324-495X

Funding

Council for Science, Technology and Innovation JPJ012347
6 · The paper itself

Abstract

Augmentative and alternative communication (AAC) enables digital access for individuals with severe motor impairment. Conventional contact-based switches rely on residual voluntary movement, limiting efficiency. We report the clinical application of a novel, researcher-developed noncontact assistive switch, the Augmentative Alternative Gesture Interface (AAGI), in a 39-year-old male with late-stage Duchenne Muscular Dystrophy (DMD) retaining minimal motion. The AAGI converts subtle, noncontact gestures into digital inputs, enabling efficient computer operations. Before intervention, the participant used a conventional mechanical switch, achieving 12 characters per minute (CPM) in a 2 min text entry task and was unable to perform high-speed ICT tasks such as gaming or video editing. After 3 months of AAGI use, the input speed increased to 30 CPM (+2.5-fold), and previously inaccessible tasks became feasible. The System Usability Scale (SUS) improved from 82.5 to 90.0, indicating enhanced usability, whereas the Short Form 36 (SF-36) Social Functioning (+13) and Mental Health (+4) demonstrated meaningful gains. Daily living activities remained stable. This case demonstrates that the AAGI system, developed by our group can substantially enhance communication efficiency, usability, and social engagement in advanced DMD, highlighting its potential as a practical, patient-centered AAC solution that extends digital accessibility to individuals with severe motor disabilities.

Indexed as

AACassistive technologyaugmentative alternative communicationduchenne muscular dystrophygesture interfacenoncontact switchSystem Usability

Identifiers

PMID41302376
PMCPMC12652835

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.