Service Delivery

Assisting patients with disabilities to actively perform occupational activities using battery-free wireless mice to control environmental stimulation.

Shih et al. (2012) · Research in developmental disabilities 2012
★ The Verdict

A ten-dollar wireless mouse and free software quadrupled occupational responses in two stroke survivors.

✓ Read this if BCBAs serving adults with brain injury or stroke in day-hab or outpatient clinics.
✗ Skip if Clinicians who only treat fully verbal clients with no motor limits.

01Research in Context

01

What this study did

Two stroke survivors with brain injury tried a $10 battery-free wireless mouse.

The mouse ran free OLDP software that turned any click into a toy, lamp, or music.

Researchers used an ABAB design: baseline, mouse on, mouse off, mouse on again.

They counted how many times each person reached, pressed, or stacked blocks.

02

What they found

When the mouse could turn on music or a fan, both adults worked four times harder.

Reaching, stacking, and button presses jumped the moment the stimulation returned.

The effect vanished when the mouse was unplugged and came right back when it returned.

03

How this fits with other research

Lancioni et al. (2009) saw the same jump in kids with walkers: a microswitch that made toys beep tripled their steps.

Popple et al. (2016) and Gerow et al. (2021) also used cheap tech—video clips and Zoom—to boost daily skills at home.

All four studies show one rule: give a person instant control over something fun and effort shoots up, no matter the age or diagnosis.

04

Why it matters

You can buy the mouse for the price of a coffee and load the free OLDP program tonight.

Try it with any client who has limited arm or hand use.

Plug a lamp, radio, or bubble machine into a cheap switch, let the client click, and watch engagement rise while you collect clean data.

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→ Action — try this Monday

Plug a wireless mouse into a laptop running OLDP, connect a lamp or radio as the reinforcer, and count target arm movements across ten-minute trials.

02At a glance

Intervention
augmentative alternative communication
Design
reversal abab
Sample size
2
Population
traumatic brain injury
Finding
positive
Magnitude
large

03Original abstract

The latest studies have adopted software technology to turn the battery-free wireless mouse into a high performance object location detector using a newly developed object location detection program (OLDP). This study extended OLDP functionality to assess whether two patients recovering from cerebral vascular accidents would be able to actively perform occupational activities by controlling their favorite environmental stimulation using battery-free wireless mice and OLDP software. Using an ABAB design we found substantial increases in both participants' target responses (i.e. the performance of occupational activities) to activate the control system to produce environmental stimulation during intervention phrases. The practical and developmental implications of the findings are discussed.

Research in developmental disabilities, 2012 · doi:10.1016/j.ridd.2012.06.010