How a Diverse Research Ecosystem Has Generated New Rehabilitation Technologies: Review of NIDILRR’s Rehabilitation Engineering Research Centers

Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challenging needs remain. Within the US, a major effort aimed at the creation and evaluation of rehabilitation technology has been the Rehabilitation Engineering Research Centers (RERCs) sponsored by the National Institute on Disability, Independent Living, and Rehabilitation Research. As envisioned at their conception by a panel of the National Academy of Science in 1970, these centers were intended to take a “total approach to rehabilitation”, combining medicine, engineering, and related science, to improve the quality of life of individuals with a disability. Here, we review the scope, achievements, and ongoing projects of an unbiased sample of 19 currently active or recently terminated RERCs. Specifically, for each center, we briefly explain the needs it targets, summarize key historical advances, identify emerging innovations, and consider future directions. Our assessment from this review is that the RERC program indeed involves a multidisciplinary approach, with 36 professional fields involved, although 70% of research and development staff are in engineering fields, 23% in clinical fields, and only 7% in basic science fields; significantly, 11% of the professional staff have a disability related to their research. We observe that the RERC program has substantially diversified the scope of its work since the 1970’s, addressing more types of disabilities using more technologies, and, in particular, often now focusing on information technologies. RERC work also now often views users as integrated into an interdependent society through technologies that both people with and without disabilities co-use (such as the internet, wireless communication, and architecture). In addition, RERC research has evolved to view users as able at improving outcomes through learning, exercise, and plasticity (rather than being static), which can be optimally timed. We provide examples of rehabilitation technology innovation produced by the RERCs that illustrate this increasingly diversifying scope and evolving perspective. We conclude by discussing growth opportunities and possible future directions of the RERC program

Overcoming barriers and increasing independence: service robots for elderly and disabled people

This paper discusses the potential for service robots to overcome barriers and increase independence of elderly and disabled people. It includes a brief overview of the existing uses of service robots by disabled and elderly people and advances in technology which will make new uses possible and provides suggestions for some of these new applications. The paper also considers the design and other conditions to be met for user acceptance. It also discusses the complementarity of assistive service robots and personal assistance and considers the types of applications and users for which service robots are and are not suitable

Future bathroom: A study of user-centred design principles affecting usability, safety and satisfaction in bathrooms for people living with disabilities

Research and development work relating to assistive technology 2010-11 (Department of Health) Presented to Parliament pursuant to Section 22 of the Chronically Sick and Disabled Persons Act 197

Inventory of ATT system requirements for elderly and disabled drivers and travellers

This Inventory of ATT System Requirements for Elderly and Disabled Drivers and Travellers is the product of the TELSCAN project’s Workpackage 3: Identification and Updating of User Requirements of Elderly and Disabled Travellers. It describes the methods and tools used to identify the needs of elderly and disabled (E&D) travellers. The result of this investigation is a summary of the requirements of elderly and disabled travellers using different modes of transport, including private cars, buses/trams, metros/trains, ships and airplanes. It provides a generic user requirements specification which can guide the design of all transport telematics systems. However, it is important to stress that projects should also capture a more detailed definition of user requirements for their specific application area or system

Updating of user requirements of elderly and disabled drivers and travellers

The user requirements have been reassessed in the light of the results from the collaborative evaluations with other Transport Telematics Projects, as well as data and expertise gathered from the literature and other experts in the field. The user requirements identified are also the fundamental base for the development of different parts of the TELSCAN project. User requirements cover, of course, a multitude of different aspects, and to demonstrate how they have been integrated into the project’s output, they have been grouped into the following categories: • System function requirements • Interface requirements • Information requirements • Protocol requirements

Rural Community Park Accessibility

Title: Rural Community Park Accessibility Background: Play is a primary occupation for children and is critical for development (Yogman et al., 2018). School readiness and relationships with others can be impacted when opportunity for play is limited. Play also benefits adults by reestablishing their passion for activities and reducing stress responses to everyday events (Yogman et al., 2018). Lynch et al. (2019) found that when playgrounds were not accessible, children and parents with disabilities felt odd and experienced increased stress due to limited opportunities. It is important for children and their families to have access to accessible parks and spaces for play. Purpose: The purpose of this project was to develop a guide and provide recommendations for park board members to assist in ensuring accessibility at parks throughout a rural county in Minnesota (MN). Methodology: An extensive literature review was conducted to better understand accessibility and what may be needed to increase accessibility throughout rural parks. Various databases and resources were utilized including, but not limited to, CINAHL Complete, State of MN, government and community of Isanti County resources and experts in the field. The Ecology of Human Performance (EHP) model (Dunn 2017; Dunn et al., 1994) was used to guide the development of the product. EHP is an occupational therapy model that defines interactions between the person, context, and task, and is used by interprofessional teams. Results: Throughout the literature review, main concepts that arose include benefits and barriers to accessibility, importance of community values, possible accessibility modifications, and possible funding sources. Overall, it was found that access to accessible parks is valuable for development, relationships, well-being, and health (P&TC, 2018; Petrunoff et al., 2021; Xie et al., 2018; Yogman et al., 2018). Based on information gathered, a quick access guide and recommendations for increased accessibility were developed to provide to the agency. Conclusion: Availability of accessible parks and spaces can have many benefits, however, there can be many barriers to accessibility, such as time and funding. The quick access guide can assist in a more efficient way of finding and ensuring regulations are being met throughout the parks. This gives the opportunity to improve accessibility and the experience of park goers

Design for Accessibility: A Cultural Administrator's Handbook

Contains a guide for integrating older adults and people with disabilities into all aspects of an arts organization -- from planning and design to marketing and technical assistance