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Assistive Technology for Complex Disability Communication & Control

Assistive Technology for Complex Disability Communication & Control. HC2013 : Wednesday 17 th April 2013 Gary Derwent Joint Head of Assistive and Rehabilitation Technology & Informatics lead Royal Hospital for Neuro-disability. Royal Hospital for Neuro-disability.

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Assistive Technology for Complex Disability Communication & Control

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  1. Assistive Technology for Complex DisabilityCommunication & Control HC2013 : Wednesday 17th April 2013 Gary Derwent Joint Head of Assistive and Rehabilitation Technology & Informatics lead Royal Hospital for Neuro-disability

  2. Royal Hospital for Neuro-disability Based in London, serving all of UK. Rehabilitation & longer term care 230 Patients & Residents with Head Injury, Stroke, MS, HD & a range of other neurological conditions.

  3. Compass : Electronic Assistive Technology Service 6 team members working with High Tech AAC, Computer Access, Environmental Control and Powered Mobility Computer Access Environmental Control Communication Aids Switches & Mounting Powered Mobility

  4. How can someone with certain disabilities operate equipment ? With switches, with their eyes, with their brain ??

  5. Switches

  6. A scanning grid

  7. Scanning Factors Diagram Diagram created by Compass, Royal Hospital for Neuro-disability. Based on terminology and theory by other organisations and individuals, especially the Ace Centre, Oxford, and the Call Centre, Edinburgh. Single Prediction Frequency of use Multiple Input acceptance Words or phrases Rate Enhancement Logical Alpha numeric Other Repeat filtering Familiarity Filtering Number of levels Post acceptance delay Next Item 1 Switch Item order 1) Selection set Cycles 2 Switches Cancellation 8) Other Parameters 2) Layout Additional functions Cancel item More than 2 Extra Switch Scanning Dwell Time 7) Speed Parameters 3) Number of switches Static Directed Scanning Half switches Dynamic Scan Speed 4) Scanning Method 6) Sensory Parameters Dwell Selection Method 5) Scanning Movement User-controlled Pre-set Auditory Switch press AutoScan AutoStart StepScan Visual Switch release Pause Simple Group First Item Delay Beep Verbal UserScan Critical overscan Highlight Custom Cue Feedback Nested Fonts and Colours Grid Hiding Row Column Block Group Column Row Item Outline Dot Fill

  8. Eyegaze Infrared Emitter Gaze Point Reflection to Camera • Diagram Not To Scale • Gaze Point Determined Comparing Eye Position to Saved Eye Positions From Calibration • User Selects Gaze Point by Dwelling or Blinking

  9. Communication devices

  10. Dynamic Screen Fruit Machine • Janet Larcher Hardware Software Vocabulary Symbols Tobii C12 Comm4 Sono Lexis PCS PowerBox The Grid 2 CallTalk Bliss Tellus RollTalk IDV Rebus Sahara Mind Expr GridTalk SymbolStix

  11. Huge variety of layouts

  12. iPads – iPhones - Android Proloquo2go

  13. Environmental control

  14. Move to tablet controllers RSL Steeper Evo Assist Possum Qwayo

  15. Multiple grids - switch & eye-gaze

  16. Powered wheelchair control

  17. Low tech communication Always have low tech means of communication as a backup and often as preference in some situations. E-Tran Manual Listener Scanning

  18. Brain Computer Interfacing

  19. Tobii eye-glasses

  20. The End ?

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