A preliminary study of clinical assessment of left unilateral spatial neglect using a head mounted display system (HMD) in rehabilitation engineering technology

PURPOSE: Unilateral spatial neglect (USN) is a common syndrome in which a patient fails to report or respond to stimulation from the side of space opposite a brain lesion, where these symptoms are not due to primary sensory or motor deficits. The purpose of this study was to analyze an evaluation process system of USN in various visual fields using HMD in order to understand more accurately any faults of USN operating in the object-centred co-ordinates. METHOD: Eight stroke patients participated in this study and they had Left USN in clinical test, and right hemisphere damage was checked by CT scan. Assessments of USN were performed the BIT common clinical test (the line and the stars cancellation tests) and special tests the zoom-in condition (ZI) condition and the zoom-out condition (ZO) condition. The subjects were first evaluated by the common clinical test without HMD and then two spatial tests with HMD. Moreover, we used a video-recording for all tests to analyze each subject's movements. RESULTS: For the line cancellation test under the common condition, the mean percentage of the correct answers at the left side in the test paper was 94.4%. In the ZI condition, the left side was 61.8.% and the right side was 92.4.%. In the ZO condition, the left side was 79.9% and the right side was 91.7.%. There were significant differences among the three conditions. The results of the stars cancellation test also showed the same tendency as the line bisection test. CONCLUSION: The results showed that the assessment of USN using a technique of HMD system may indicate the disability of USN more than the common clinical tests. Moreover, it might be hypothesized that the three dimensional for USN test may be more related to various damage and occurrence of USN than only the two dimensional test

Maximum listening speeds for the blind

Proceedings of the 9th International Conference on Auditory Display (ICAD), Boston, MA, July 7-9, 2003.Blind people usually use voice output using a computer, however, there is little objective data about how fast or accurately they can obtain information in a fixed amount of time In this paper, we describe the highest and the most suitable listening rate for the blind based on our human factors experiments, aiming at producing a kind of indicator for use by developers. We experimented with the highest and the most suitable listening rates for blind users with objective and subjective test methods. The results showed that the advanced blind testers could listen to the spoken material at speeds 1.6 times faster than the highest rate of the tested TTS (Text-to- Speech) engine. This indicates that the currently available TTS engines should support faster rates. It also showed that the highest rate often changes depending on the difficulty of the sentences and words. These results would be valuable and useful indicators for developers to design applications for the blind and to improve the nonvisual user interfaces

A case study of new assessment and training of unilateral spatial neglect in stroke patients: effect of visual image transformation and visual stimulation by using a head mounted display system (HMD)

<p>Abstract</p> <p>Background</p> <p>Unilateral spatial neglect (USN) is most damaging to an older stroke patient who also has a lower performance in their activities of daily living or those elderly who are still working. The purpose of this study was to understand more accurately pathology of USN using a new HMD system.</p> <p>Methods</p> <p>Two stroke patients (Subject A and B) participated in this study after gaining their informed consent and they all had Left USN as determined by clinical tests. Assessments of USN were performed by using the common clinical test (the line cancellation test) and six special tests by using HMD system in the object-centered coordinates (OC) condition and the egocentric coordinates (EC) condition. OC condition focused the test sheet only by a CCD. EC condition was that CCD can always follow the subject's movement. Moreover, the study focused on the effect of the reduced image condition of real image and the arrows.</p> <p>Results</p> <p>In Patient A who performed the common test and special tests of OC and EC conditions, the results showed that for the line cancellation test under the common condition, both of the percentage of the correct answers at the right and left sides in the test sheet was 100 percent. However, in the OC condition, the percentage of the correct answers at the left side in the test sheet was 44 percent and the right side was 94 percent. In the EC condition, the left side was 61 percent and the right side was 67 percent. In Patient B, according to the result of the use of reduced image condition and the arrows condition by HMD system, these line cancellation scores more increased than the score of the common test.</p> <p>Conclusions</p> <p>The results showed that the assessment of USN using an HMD system may clarify the left neglect area which cannot be easily observed in the clinical evaluation for USN. HMD may be able to produce an artificially versatile environment as compared to the common clinical evaluation and treatment.</p

Analysis and perception of spectral 1/f characteristics of amplitude and period fluctuations in normal sustained vowels

Two kinds of fluctuations are always observed in the steady parts of normal sustained vowels. One is amplitude fluctuation, defined as the cyclic changes of maximum peak amplitudes. The other is period fluctuation, defined as the cyclic changes of pitch periods. The primary purpose of this paper is to present quantitative descriptions of amplitude and period sequences obtained from normal sustained vowels. These fluctuation sequences consisted of maximum peak amplitudes or pitch periods extracted successively from 512 consecutive pitch periods in the steady part. Results of the frequency analysis indicated that their frequency characteristics seemed to be subject to the spectral 1/f power law. In order to investigate the possibility that the frequency characteristics of the fluctuation sequences influence the voice quality of sustained vowels, psychoacoustic experiments were conducted. Amplitude and period sequences evaluated in the experiments were spectral 1/f0 (white noise), 1/f, 1/f2, and 1/f3 sequences, respectively. The experimental results indicated that the subjective voice quality of synthesized sustained vowels could reflect the differences in the frequency characteristics of the fluctuation sequences

Sound-based assistive technology: support to hearing, speaking and seeing

This book "Sound-based Assistive Technology" explains a technology to help speech-, hearing- and sight-impaired people. They might benefit in some way from an enhancement in their ability to recognize and produce speech or to detect sounds in their surroundings. Additionally, it is considered how sound-based assistive technology might be applied to the areas of speech recognition, speech synthesis, environmental recognition, virtual reality and robots. It is the primary focus of this book to provide an understanding of both the methodology and basic concepts of assistive technology rather than listing the variety of assistive devices developed in Japan or other countries. Although this book presents a number of different topics, they are sufficiently independent from one another that the reader may begin at any chapter without experiencing confusion. It should be acknowledged that much of the research quoted in this book was conducted in the author's laboratories both at Hokkaido University and the University of Tokyo. This book offers the reader a better understanding of the number of unsolved problems that still persist in the field of sound-based assistive technology