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

Development and Evaluation of Tongue Operated Robotic Rehabilitation Paradigm for Stroke Survivors with Upper Limb Paralysis

Stroke is a devastating condition that may cause upper limb paralysis. Robotic rehabilitation with self-initiated and assisted movements is a promising technology that could help restore upper limb function. The objective of this research is to develop and evaluate a tongue-operated exoskeleton that will harness the intention of stroke survivors with upper limb paralysis via tongue motion to control robotic exoskeleton during rehabilitation to achieve functional restoration and improve quality of life. Specifically, a tongue operated assistive technology called the Tongue Drive System is used to harness the tongue gesture to generate commands. And, the generated command is used to control rehabilitation robot such as wrist-based exoskeleton Hand Mentor ProTM (HM) and upper limb-based exoskeleton KINARMTM. Through a pilot experiment with 3 healthy participants, we have demonstrated the functionality of an enhanced TDS-HM with pressure-sensing capability. The system can add a programmable load force to increase the exercise intensity in isotonic mode. Through experiments with healthy and stroke subjects, we have demonstrated that the TDS-KINARM system could accurately translate tongue commands to exoskeleton arm movements, quantify function of the upper limb and perform rehabilitation training. Specifically, all healthy subjects and stroke survivors successfully performed target reaching and tracking tasks in all control modes. One of the stroke patients showed clinically significant improvement. We also analyzed the arm reaching kinematics of healthy subjects in 4 modes (active, active viscous, discrete tongue, and proportional tongue) of TDS-KINARM operation. The results indicated that the proportional tongue mode was a better candidate than the discrete tongue mode for the tongue assisted rehabilitation. This study also provided initial insights into possible kinematic similarities between tongue-operated and voluntary arm movements. Furthermore, the results showed that the viscous resistance to arm motion did not affect kinematics of arm reaching movements significantly. Finally, through a 6 healthy subject experiment, we observed a tendency of a facilitatory effect of adding tongue movement to limb movement on event-related desynchronization in EEG, implying enhanced brain excitability. This effect may contribute to enhanced rehabilitation outcome in stroke survivors using TDS with motor rehabilitation.Ph.D

Applications of aerospace technology in the public sector

Current activities of the program to accelerate specific applications of space related technology in major public sector problem areas are summarized for the period 1 June 1971 through 30 November 1971. An overview of NASA technology, technology applications, and supporting activities are presented. Specific technology applications in biomedicine are reported including cancer detection, treatment and research; cardiovascular diseases, diagnosis, and treatment; medical instrumentation; kidney function disorders, treatment, and research; and rehabilitation medicine

The development of a SmartAbility Framework to enhance multimodal interaction for people with reduced physical ability.

Assistive technologies are an evolving market due to the number of people worldwide who have conditions resulting in reduced physical ability (also known as disability). Various classification schemes exist to categorise disabilities, as well as government legislations to ensure equal opportunities within the community. However, there is a notable absence of a process to map physical conditions to technologies in order to improve Quality of Life for this user group. This research is characterised primarily under the Human Computer Interaction (HCI) domain, although aspects of Systems of Systems (SoS) and Assistive Technologies have been applied. The thesis focuses on examples of multimodal interactions leading to the development of a SmartAbility Framework that aims to assist people with reduced physical ability by utilising their abilities to suggest interaction mediums and technologies. The framework was developed through a predominantly Interpretivism methodology approach consisting of a variety of research methods including state- of-the-art literature reviews, requirements elicitation, feasibility trials and controlled usability evaluations to compare multimodal interactions. The developed framework was subsequently validated through the involvement of the intended user community and domain experts and supported by a concept demonstrator incorporating the SmartATRS case study. The aim and objectives of this research were achieved through the following key outputs and findings: - A comprehensive state-of-the-art literature review focussing on physical conditions and their classifications, HCI concepts relevant to multimodal interaction (Ergonomics of human-system interaction, Design For All and Universal Design), SoS definition and analysis techniques involving System of Interest (SoI), and currently-available products with potential uses as assistive technologies. - A two-phased requirements elicitation process applying surveys and semi-structured interviews to elicit the daily challenges for people with reduced physical ability, their interests in technology and the requirements for assistive technologies obtained through collaboration with a manufacturer. - Findings from feasibility trials involving monitoring brain activity using an electroencephalograph (EEG), tracking facial features through Tracking Learning Detection (TLD), applying iOS Switch Control to track head movements and investigating smartglasses. - Results of controlled usability evaluations comparing multimodal interactions with the technologies deemed to be feasible from the trials. The user community of people with reduced physical ability were involved during the process to maximise the usefulness of the data obtained. - An initial SmartDisability Framework developed from the results and observations ascertained through requirements elicitation, feasibility trials and controlled usability evaluations, which was validated through an approach of semi-structured interviews and a focus group. - An enhanced SmartAbility Framework to address the SmartDisability validation feedback by reducing the number of elements, using simplified and positive terminology and incorporating concepts from Quality Function Deployment (QFD). - A final consolidated version of the SmartAbility Framework that has been validated through semi-structured interviews with additional domain experts and addressed all key suggestions. The results demonstrated that it is possible to map technologies to people with physical conditions by considering the abilities that they can perform independently without external support and the exertion of significant physical effort. This led to a realisation that the term ‘disability’ has a negative connotation that can be avoided through the use of the phrase ‘reduced physical ability’. It is important to promote this rationale to the wider community, through exploitation of the framework. This requires a SmartAbility smartphone application to be developed that allows users to input their abilities in order for recommendations of interaction mediums and technologies to be provided

DEVELOPMENT AND ASSESSMENT OF ADVANCED ASSISTIVE ROBOTIC MANIPULATORS USER INTERFACES

Text BoxAssistive Robotic Manipulators (ARM) have shown improvement in self-care and increased independence among people with severe upper extremity disabilities. With an ARM mounted on the side of an electric powered wheelchair, an ARM may provide manipulation assistance, such as picking up object, eating, drinking, dressing, reaching out, or opening doors. However, existing assessment tools are inconsistent between studies, time consuming, and unclear in clinical effectiveness. Therefore, in this research, we have developed an ADL task board evaluation tool that provides standardized, efficient, and reliable assessment of ARM performance. Among powered wheelchair users and able-bodied controls using two commercial ARM user interfaces – joystick and keypad, we found that there were statistical differences between both user interface performances, but no statistical difference was found in the cognitive loading. The ADL task board demonstrated highly correlated performance with an existing functional assessment tool, Wolf Motor Function Test. Through this study, we have also identified barriers and limits in current commercial user interfaces and developed smartphone and assistive sliding-autonomy user interfaces that yields improved performance. Testing results from our smartphone manual interface revealed statistically faster performance. The assistive sliding-autonomy interface helped seamlessly correct the error seen with autonomous functions. The ADL task performance evaluation tool may help clinicians and researchers better access ARM user interfaces and evaluated the efficacy of customized user interfaces to improve performance. The smartphone manual interface demonstrated improved performance and the sliding-autonomy framework showed enhanced success with tasks without recalculating path planning and recognition

Book of Abstracts 15th International Symposium on Computer Methods in Biomechanics and Biomedical Engineering and 3rd Conference on Imaging and Visualization

In this edition, the two events will run together as a single conference, highlighting the strong connection with the Taylor & Francis journals: Computer Methods in Biomechanics and Biomedical Engineering (John Middleton and Christopher Jacobs, Eds.) and Computer Methods in Biomechanics and Biomedical Engineering: Imaging and Visualization (JoãoManuel R.S. Tavares, Ed.). The conference has become a major international meeting on computational biomechanics, imaging andvisualization. In this edition, the main program includes 212 presentations. In addition, sixteen renowned researchers will give plenary keynotes, addressing current challenges in computational biomechanics and biomedical imaging. In Lisbon, for the first time, a session dedicated to award the winner of the Best Paper in CMBBE Journal will take place. We believe that CMBBE2018 will have a strong impact on the development of computational biomechanics and biomedical imaging and visualization, identifying emerging areas of research and promoting the collaboration and networking between participants. This impact is evidenced through the well-known research groups, commercial companies and scientific organizations, who continue to support and sponsor the CMBBE meeting series. In fact, the conference is enriched with five workshops on specific scientific topics and commercial software.info:eu-repo/semantics/draf

A review of the effectiveness of lower limb orthoses used in cerebral palsy

To produce this review, a systematic literature search was conducted for relevant articles published in the period between the date of the previous ISPO consensus conference report on cerebral palsy (1994) and April 2008. The search terms were 'cerebral and pals* (palsy, palsies), 'hemiplegia', 'diplegia', 'orthos*' (orthoses, orthosis) orthot* (orthotic, orthotics), brace or AFO