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

Pametne uredske stolice sa senzorima za otkrivanje položaja i navika sjedenja – pregled literature

The health consequences of prolonged sitting in the office and other work chairs have recently been tried to be alleviated or prevented by the application of modern technologies. Smart technologies and sensors are installed in different parts of office chairs, which enables monitoring of seating patterns and prevents positions that potentially endanger the health of users. The aim of this paper is to provide an overview of previous research in the field of the application of smart technologies and sensors built into office and other types of chairs in order to prevent diseases. The articles published in the period 2010-2020 and indexed in WoS CC, Scopus, and IEEE Xplore databases, with the keywords “smart chair” and “sensor chair” were analysed. 15 articles were processed, with their research being based on the use of different types of sensors that determine the contact pressures between the user’s body and stool parts and recognise different body positions when sitting, which can prevent negative health consequences. Analysed papers prove that the use of smart technology and a better understanding of sitting, using various sensors and applications that read body pressure and determine the current body position, can act as preventive health care by detecting proper heart rate and beats per minute, the activity of individual muscle groups, proper breathing and estimates of blood oxygen levels. In the future research, it is necessary to compare different types of sensors, methods used and the results obtained in order to determine which of them are most suitable for the future development of seating furniture for work.Posljedice dugotrajnog sjedenja na uredskim i drugim radnim stolicama u posljednje se vrijeme pokušavaju ublažiti ili spriječiti primjenom suvremenih tehnologija. U različite dijelove uredskih stolica ugrađuju se pametne tehnologije i senzori, što omogućuje praćenje rasporeda sjedenja i izbjegavanje položaja koji potencijalno ugrožavaju zdravlje korisnika. Cilj ovog rada jest davanje pregleda dosadašnjih istraživanja u području primjene suvremenih pametnih tehnologija i senzora ugrađenih u uredske i ostale vrste stolica radi prevencije obolijevanja korisnika. Analizirani su članci objavljeni u razdoblju od 2010. do 2020. i indeksirani su u bazama podataka WoS CC, Scopus i IEEE Xplore, a izdvojeni su prema ključnim riječima pametna stolica i senzorska stolica. Obrađeno je 15 članaka u kojima su se istraživanja temeljila na primjeni različitih vrsta senzora koji određuju kontaktne tlakove između korisnikova tijela i dijelova stolice te raspoznaju različite položaje tijela pri sjedenju, čime se mogu prevenirati negativne posljedice za zdravlje. U analiziranim istraživanjima autori su dokazali da primjena pametne tehnologije i bolje razumijevanje sjedenja uporabom različitih senzora i aplikacija kojima se očitava pritisak tijela i određuje njegov trenutačni položaj može preventivno djelovati zahvaljujući praćenju rada srca i broja otkucaja u minuti, aktivnosti pojedinih mišićnih skupina, pravilnog disanja, procjene razine kisika u krvi i sl. U budućim istraživanjima potrebno je usporediti različite tipove senzora, primijenjene metode i dobivene rezultate kako bi se uočilo koji su od njih najprikladniji za budući razvoj radnog namještaja za sjedenje

Smart system for aircraft passenger neck support

Air travel is becoming increasingly more accessible to people due to the availability of low cost air travel. However, long distance air travel is not a normal activity for human. During air travel, people experience different levels of physiological and psychological discomfort. The discomfort may affect the passenger’s health and feeling. With the rapid development of technology, the comfort of service has become an important issue. Nowadays, comfort is an attribute which is highly demanded by aircraft passengers. The comfort of aircraft passengers depends on different features and the cabin environment during air travel. Seat is one of the important features for the passengers and in which a passenger spends almost all their time during air travel. Different seat aspects have to be seen and taken into account in the comfort model. The research has five goals. First goal, literature research starts with the study on the state of the art and recent development of vehicle seat design which is available in current literature and products. The literature review gives a general idea about the research and the measurement method related to seating comfort and discomfort. Second goal, four surveys were conducted to identify the comfort factor of economy class aircraft passenger, body discomfort for truck driver, body discomfort for economy class aircraft passenger and relationship between seat location and sitting posture. The first survey is to identify and investigate the comfort factors for economy class aircraft passenger seat. Subsequently, survey on the body back sitting discomfort over travel time was conducted for truck driver and economy class aircraft passenger. The third survey is to investigate the relationship of the seat location and sitting posture of passengers in the economy class aircraft cabin. The postures of subjects were observed and recorded based on seven predefined sitting postures. Third goal, we contributed to develop a smart neck support system for economy class aircraft passenger. Our system aims to support and reduce neck muscle stress. A functional and working prototype was built to demonstrate the design concept and to perform experimental validation. Forth goal, we developed a low cost aircraft cabin simulator and we utilized it to validate our developed smart neck support system. The aircraft cabin simulator was built with motion platform and it is able to simulate a broad range of flight procedures. Next, a calibration experiment was conducted to investigate SCM muscle stress in relation to different support conditions, time interval and head rotation angle. Fifth goal, a validation experiment was conducted in the aircraft cabin simulator to evaluate the smart neck support system. The objective and subjective results show that the smart neck support system is able to reduce SCM muscle stress adaptively in a fully automate manner

VR Haptics at Home: Repurposing Everyday Objects and Environment for Casual and On-Demand VR Haptic Experiences

This paper introduces VR Haptics at Home, a method of repurposing everyday objects in the home to provide casual and on-demand haptic experiences. Current VR haptic devices are often expensive, complex, and unreliable, which limits the opportunities for rich haptic experiences outside research labs. In contrast, we envision that, by repurposing everyday objects as passive haptics props, we can create engaging VR experiences for casual uses with minimal cost and setup. To explore and evaluate this idea, we conducted an in-the-wild study with eight participants, in which they used our proof-of-concept system to turn their surrounding objects such as chairs, tables, and pillows at their own homes into haptic props. The study results show that our method can be adapted to different homes and environments, enabling more engaging VR experiences without the need for complex setup process. Based on our findings, we propose a possible design space to showcase the potential for future investigation.Comment: CHI 2023 Late-Breaking Wor

Bath-Ambience-A mechatronic system for assisting the caregivers of bedridden people

The health of older people is receiving special attention and dedication nowadays, with the aim of increasing their general wellbeing and quality of life. Studies into different aspects of the care of the elderly have found that emphasis should be given to solving problems related to bathing in different situations and environments. In particular, it is important to develop new assistive technologies to streamline and ease the burden of a caregiver's daily tasks. Generally-speaking, in the case of bedridden patients, bathing is typically carried out manually by a caregiver, using towels, sponges, and a water basin. Nevertheless, this apparently simple task needs some precautions in order to avoid the risk of microbial infections, falls and other injuries. With that in mind, this paper presents the design of a portable washing system, called Bath-Ambience, which enables bedridden patients to be bathed efficiently without having to be moved from their position. This portable system can be installed in different situations, both in a domestic setting, and in specialized institutions, and allows the caregiver to perform the bathing tasks without compromising health and safety, thereby making it possible to offer a comfortable and hygienic procedure to patients, improving their quality of life. This paper presents the design of the portable Bath-Ambience washing system, which provides efficient assistance for bathing bedridden patients without moving them to another place. This system is mainly dedicated for integration a smart home application in to allow bathing everywhere.info:eu-repo/semantics/publishedVersio

Painting the ideal home: using art to express visions of technologically supported independent living for older people in North East England

This paper describes the investigation of the development of future technological products to support older people in everyday living through the agency of a community art group. Recent research has identified a number of challenges facing designers seeking to use traditional participatory design approaches to gather technology requirements data from older people. Here, a project is described that sought to get a group of older people to think creatively about their needs and desires for technological support through the medium of paint. The artistic expression technique described in this article allowed the identification of issues that had also been found by previous research that used a range of different techniques. This indicates that the approach shows promise, as it allows information to be gathered in an environment that is comfortable and familiar using methods already known by the participants and which they find enjoyable. It provides a complement (or possible alternative) to standard protocols and has the potential benefit of extracting even richer information as the primary task for participants is enjoyable in its own right and is not associated with an interrogative process. Furthermore, it is argued that some of the key risks of traditional approaches are lessened or removed by the naturalistic setting of this approach

The emotional intelligence of machines

Technologies today claim to be capable of detecting human emotion. When such technologies appear on our everyday objects, how will our interactions be like? Can these objects know when we are frustrated with them? Wouldn’t that radically change the field of user experience design? However, would people be scared of such capability? Born from this curiosity, this thesis project is a speculative and an experimental approach that explores the overlap of the fields of User Experience Design, Affective Technologies, and Artificial Intelligence. This exploration is aimed at investigating its need and illustrating a newly designed adaptive nature of domestic appliances. The purpose of this book is to showcase the range of collaborative explorations that led to the formulation the theory - “Emotional Intelligence of Objects.

A calming hug:Design and validation of a tactile aid to ease anxiety

Anxiety disorders affect approximately one third of people during their lifetimes and are the ninth leading cause of global disability. Current treatments focus on therapy and pharmacological interventions. However, therapy is costly and pharmacological interventions often have undesirable side-effects. Healthy people also regularly suffer periods of anxiety. Therefore, a non-pharmacological, intuitive, home intervention would be complementary to other treatments and beneficial for non-clinical groups. Existing at-home anxiety aids, such as guided meditations, typically employ visual and/or audio stimuli to guide the user into a calmer state. However, the tactile sense has the potential to be a more natural modality to target in an anxiety-calming device. The tactile domain is relatively under-explored, but we suggest that there are manifold physiological and affective qualities of touch that lend it to the task. In this study we demonstrate that haptic technology can offer an enjoyable, effective and widely accessible alternative for easing state anxiety. We describe a novel huggable haptic interface that pneumatically simulates slow breathing. We discuss the development of this interface through a focus group evaluating five prototypes with embedded behaviours (‘breathing’, ‘purring’, ‘heartbeat’ and ‘illumination’). Ratings indicated that the ‘breathing’ prototype was most pleasant to interact with and participants described this prototype as ‘calming’ and ‘soothing’, reminding them of a person breathing. This prototype was developed into an ergonomic huggable cushion containing a pneumatic chamber powered by an external pump allowing the cushion to ‘breathe’. A mixed-design experiment (n = 129) inducing anxiety through a group mathematics test found that the device was effective at reducing pre-test anxiety compared to a control (no intervention) condition and that this reduction in anxiety was indistinguishable from that of a guided meditation. Our findings highlight the efficacy of this interface, demonstrating that haptic technologies can be effective at easing anxiety. We suggest that the field should be explored in more depth to capture the nuances of different modalities in relation to specific situations and trait characteristics

Participative Urban Health and Healthy Aging in the Age of AI

This open access book constitutes the refereed proceedings of the 18th International Conference on String Processing and Information Retrieval, ICOST 2022, held in Paris, France, in June 2022. The 15 full papers and 10 short papers presented in this volume were carefully reviewed and selected from 33 submissions. They cover topics such as design, development, deployment, and evaluation of AI for health, smart urban environments, assistive technologies, chronic disease management, and coaching and health telematics systems

Wellbeing and smart textiles: reflecting on collaborative practices and the design process

This paper reports on an inter-disciplinary, EPSRC funded research project, 'An Internet of Soft Things' (IoSofT) which seeks to bring soft surfaces, smart textiles and wearable technologies to join the Internet of Things debate. The project involves researchers from academic disciplines: design, computing and mental health in collaboration with a project partner, the Nottinghamshire network of the mental health charity, Mind. This paper will reflect upon the research project and specifically the approach the authors have taken to collaborative textile practice and how this has impacted upon the design process. This project was conducted through a number of practical workshop activities with Mind service user groups. The workshops focused upon the crafting of personalized textile objects with soft switches and various output and also recorded the clients' descriptions of their sense of ownership, awareness of their own and others' emotions and behaviours. The workshops included the researchers' reflections and observations to enable further understanding of how this community invests meaning in material things and modes of expressive output. The aim of the research project is to use textile craft practice and smart materials alongside therapeutic approaches to contribute to the development of a wellbeing and mental health toolkit to support future client work for Mind