COLLEGE OF ENGINEERING-CARRT Center for Assistive, Rehabilitative and Robotics Technologies

1. COLLEGE OF ENGINEERING-CARRT Center for Assistive, Rehabilitative and Robotics Technologies

2. Name: Lexander A. Reina, MSBE, RET, ATP Tel: (305) 643-7495 Fax: (305) 643-7498 Email: lreina@usf.edu Education: BSE in Biomedical engineering from Tulane MSBE from University of Miami. Employed as a Rehabilitation Engineer serving VR clients since 1994, including almost 10 with the University of South Florida. Currently transitioning to supervise Statewide services. Private Consultant as Adapted for Access, Inc. providing assessments for other agencies. Licensed by the State of Florida as a Building Contractor and as a Professional Engineer. Certified by RESNA as both an Assistive Technology Practitioner and a Rehabilitation Engineering Technologist. WHO AM I?

3. REHABILITATION TECHNOLOGY SERVICE DELIVERY SYSTEM JACKSONVILLE (Zone 2) Patti Barrett, RE Stephanie McGhee, Technician Holmes Santa Rosa Jackson Nassau Okaloosa Washington Escambia Walton Hamilton Gadsden Jefferson Leon Madison Duval Calhoun Baker Columbia Suwanee Bay Liberty Wakulla Union Taylor Lafayette Clay Bradford St. Johns Gulf PENSACOLA (Zone 1) Connie Pierson, Technician Franklin Gilchrist ORLANDO (Zone 4) Joshua Lujan, RE Vilma Cedoz, Technician Alachua Putnam Flagler Dixie TALLAHASSEE (Zone 1) Gary Sherman, RE Levy Marion Volusia Citrus Lake Seminole Sumter Hernando Orange Pasco Osceola Brevard WEST PALM BEACH (Zone 5) Jeff Daniel, RE Lashara Thomas, Technician Hillsborough TAMPA (Zone 3) Stephen Sundarrao, Lead Engineer Bill Calvin, RE Linda Colon, Technician Polk Pinellas Indian River Hardee Manatee Okeechobee Highlands St. Lucie DeSoto LEGEND VR Customers per County < 100 100-500 500-1000 1000-3000 > 3000 Sarasota Martin Glades Charlotte Hendry Palm Beach Lee Broward Collier Monroe Dade MIAMI (Zone 6) Lex Reina, RE Alberto Garcia-Paz, Technician

4. Integrated Model • RESEARCH & DEVELOPMENT • Standards Development • Testing of Products • Technical Support to A & E • ASSESSMENT & EVALUATION • Individualized Assessment • Coordination and Delivery of products/services • Qualification of Vendors/Service Providers • EDUCATION/TRAINING • Rehabilitation Professionals • Vendors • Curriculum Development • MARKETING / CUSTOMER SERVICES • Identification of Customer Needs • Quality Improvements • Outcome Measurements

5. Schematic Representation Individual Interface Environment Social Disease Vocational Psychology Total Disability

7. What is Rehabilitation Technology The 1992 Amendments to the Rehabilitation Act Defines Rehabilitation Technology as : “the systematic application of technologies, engineering methodologies or scientific principles to meet the needs of and address the barriers confronted by individuals with disabilities in areas which include education, rehabilitation, employment, transportation, independent living and recreation. The term includes rehabilitation engineering, assistive technology devices and assistive technology services.”

8. What is Rehabilitation Engineering? • Rehabilitation engineering • the application of science and technology to improving the quality of life of people with disabilities. • Assistive technology (AT): • products, devices or equipment … that are used to maintain, increase or improve the functional capabilities of individuals with disabilities (1998 Tech Act) Rehabilitation Engineering and Assistive Technology Society of North America

9. AT Goal is to be a Bridge Between the Individual with a Disability and their Environment

10. Primary Users of AT • Congenital and/or developmental special needs conditions such as CP • Acquired disabilities due to accidental trauma, surgery, or illness such as amputees, SCI, BI • Progressive neurological, neuromuscular such as MS, MD, ALS • Temporary conditions such as Guillian-Barre syndrome, surgery, acute trauma • Aging population

11. Assistive technology plays a critical role in the lives of people with disabilities. “If you were not able to use the assistive technology you use any more for some reason, how would this affect your daily activities?” Would lose access to information/ educational materials Wouldn’t be able to attend social gatherings as often Would be less productive at work Wouldn’t be able to keep current job Wouldn’t affect daily activities Would be less involved In hobbies/ interests Wouldn’t be able to take care of myself at home Wouldn’t be able to get around outside of my home Note: The 2004 National Organization on Disability/Harris Survey of Americans with Disabilities

12. Reasonable Accommodations • Make existing facilities readily accessible • Job restructuring • Modifying work schedules • Modifying equipment • Developing custom aids and devices

13. Range of Services We Provide • Adapted Computers ** • Communication Devices ** • Work Site Assessments: Work Stations and Chairs** • Wheelchair Assessments • Home Modifications • Lifts and Medical Equipment • Vehicle Modifications • OTHER

14. Computer Use for Learning Disabilities • Reading Pen: • Digital book readers • Kurzweil 3000, WYNN, Read and Write Gold, Nuance Speak & See…all come from products for the blind. All based on document scan, OCR to text, then voice synthesizer reads. • Find the book on disk, call the publisher. Avoid the time consuming scanning.

15. Voice Activation and Dictation • Dragon Naturally Speaking up to Version 11 • Windows Vista and 7 has included a pretty good one. • Not just for those who cannot type. Useful for students with grammar difficulties, as it is able to understand context and eliminate errors for some with disorders of written expression and other learning disabilities. Extra bundles help more (Speak and See). • Excellent means of transcription for the TEACHER to avoid need for note-takers. • Issues: Background Noise, voice quality, training…

16. FM link (Can be hardwire) Receiver/Amplifier Induction Loop Telecoil on HA

18. SPEECH AIDS Speech Easy: Choral speech device minimizes stuttering by fooling auditory centers into thinking others are speaking. Speech Enhancer: Augments low voice and can filter some dis-arthric speech.

19. COMMUNICATION

20. MOUSE ALTERNATIVES

22. ADAPTED KEYBOARDS

23. Computer Use for Learning Disabilities • Reading Pen: • Digital book readers • Kurzweil 3000, WYNN, Read and Write Gold, Nuance Speak & See…all come from products for the blind. All based on document scan, OCR to text, then voice synthesizer reads. • Find the book on disk, call the publisher. Avoid the time consuming scanning.

24. Voice Activation and Dictation • Dragon Naturally Speaking up to Version 11 • Windows Vista and 7 has included a pretty good one. • Not just for those who cannot type. Useful for students with grammar difficulties, as it is able to understand context and eliminate errors for some with disorders of written expression and other learning disabilities. Extra bundles help more (Speak and See). • Excellent means of transcription for the TEACHER to avoid need for note-takers. • Issues: Background Noise, voice quality, training…

25. VISUAL IMPAIRMENTS • Scan And Read Software Packages (JAWS, Kurzweil, Read & Write) • Magnification (Zoom Text) • Braille • IF AT ALL POSSIBLE, GET BOOKS ON DISK AND/OR AUDIO BOOKS INSTEAD!!!

26. TEXT, TEXT, TEXT!!! Biggest issues I am called in on involve: • Inability to write fast enough • Note taking • Participating in Class • Reading and writing issues ALL MUST BE ADDRESSED BY DEALING WITH TEXT IN AND TEXT OUT ISSUES.

27. IF UNIVERSAL DESIGN WAS APPLIED TO TRADITIONAL CLASSROOM INSTRUCTION…

28. OTHER EXAMPLES OF OUR WORK:

32. Custom Workstation to Increase Accessibility & ROM

35. Currency Collection Device for use in a Drive-Thru Window

36. MOBILITY INDEPENDENCE

39. HEAD CONTROLS ALLOW FIRST TIME SELF PROPULSION FOR COLLEGE STUDENT WITH CEREBRAL PALSY

40. STAIR CLIMBING WHEELCHAIR-iBOT

41. Construction Modifications

44. BATHROOMS & ROLL-IN SHOWERS

45. KITCHENS

46. ELECTRONIC AIDS TO DAILY LIVING: ENVIRONMENTAL CONTROLS

47. LIFTS

48. VAN CONVERSION FOR MEDICAL EQUIPMENT SUPPLIER WITH QUADRIPLEGIA