An official website of the United States government
A novel wheelchair called PURE ( Personalized Unique Rolling Experience) that uses hands hands-free (HF) torso leanlean-to -steer control has been developed for manual wheelchair users (mWCUs). PURE addresses limitations of current wheelchairs, such as the in ability to use both hands for life experiences instead of propulsion. PURE uses a ball ball-based robot drivetrain to offer a compactcompact, selfself- balancing , omnidirectional mobile device. A custom sensor system convertconverts rider torso motions into direction and speed commands to control PURE, which is especially useful if a rider has minimal torso range of motion. We explored whether PURE’s HF control performed as well as a traditional joystick (JS) human human- robot interface and mWCUsmWCUs, performed as well as able able-bodied users (ABUs). 10 mWCUs and 10 ABUs were trained and tested to drive PURE through courses replicating indoor settingssettings. Each participant adjusted ride sensitivity settings for both HF and JS control . Repeated Repeated-measures MANOVA tests suggested that the number of collisions collisions, completion time time, NASA TLX scores except physical demand , and index of performance performances were similar for HF and JS control and between mWCUs and ABUs for all sections. Th is suggestsuggests that PURE is effective for controlling this new omnidirectional wheelchair by only using torso motion thus leaving both hands to be used for other tasks during propulsion propulsion.
more »
« less
A user-inspired mobility experience of the future: a qualitative investigation
Wheelchair users (WCUs) face additional challenges than non-WCU to multi-tasking (i.e. open doors, cook, use a cell-phone) while navigating their environments. While assistive devices have attempted to provide WCUs with mobility solutions that enable multi-tasking capabilities, current devices have been developed without the input of end-users and have proven to be non-usable. More balanced approaches that integrate the end-users’ voices may improve current assistive technology usability trends. This study sought to empathically understand the lived experience of WCUs, their needs towards a mobility device, and their perceptions towards hands-free mobility. Full-time WCUs and care providers participated in semi-structured interviews examining wheelchair use and perceptions towards current and future mobility devices. Thematic analysis was used to analyze interview data. 9 WCUs (aged 32.1 ± 7.0 years; wheelchair experience 17.9 ± 11.6 years) and five care providers (years caring for WCU 3.75 ± 0.96 years) participated in the study. The most common disability type was spinal cord injury (WCUs: n = 3; care providers: n = 3). Qualitative analysis revealed four key themes: (1) Current wheelchair usage, (2) WCU and care provider perspectives, (3) Future wheelchair, and (4) Hands-free wheelchair. Accordingly, participants desire bespoke, light-weight mobility devices that can through tight spaces, access uneven terrain, and free the hands during navigation. This study provides meaningful insight into the needs of WCUs and care providers that assistive technology innovators can use to develop more usable assistive technologies. Amongst study participants, the concept of a hands-free mobility device appears to be usable and desirable.
more »
« less
- Award ID(s):
- 2024905
- PAR ID:
- 10548363
- Publisher / Repository:
- Taylor & Francis
- Date Published:
- Journal Name:
- Disability and Rehabilitation: Assistive Technology
- ISSN:
- 1748-3107
- Page Range / eLocation ID:
- 1 to 10
- Subject(s) / Keyword(s):
- User-centered design, hands-free mobility, bespoke, wheelchair, assistive technology
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Without finger function, people with C5-7 spinal cord injury (SCI) regularly utilize wrist extension to passively close the fingers and thumb together for grasping. Wearable assistive grasping devices often focus on this familiar wrist-driven technique to provide additional support and amplify grasp force. Despite recent research advances in modernizing these tools, people with SCI often abandon such wearable assistive devices in the long term. We suspect that the wrist constraints imposed by such devices generate undesirable reach and grasp kinematics. Here we show that using continuous robotic motor assistance to give users more adaptability in their wrist posture prior to wrist-driven grasping reduces task difficulty and perceived exertion. Our results demonstrate that more free wrist mobility allows users to select comfortable and natural postures depending on task needs, which improves the versatility of the assistive grasping device for easier use across different hand poses in the arm’s workspace. This behavior holds the potential to improve ease of use and desirability of future device designs through new modes of combining both body-power and robotic automation.more » « less
-
Abstract BackgroundIn prehospital emergency care, providers face significant challenges in making informed decisions due to factors such as limited cognitive support, high-stress environments, and lack of experience with certain patient conditions. Effective Clinical Decision Support Systems (CDSS) have great potential to alleviate these challenges. However, such systems have not yet been widely adopted in real-world practice and have been found to cause workflow disruptions and usability issues. Therefore, it is critical to investigate how to design CDSS that meet the needs of prehospital providers while accounting for the unique characteristics of prehospital workflows. MethodsWe conducted semi-structured interviews with 20 prehospital providers recruited from four Emergency Medical Services (EMS) agencies in an urban area in the northeastern U.S. The interviews focused on the decision-making challenges faced by prehospital providers, their technological needs for decision support, and key considerations for the design and implementation of a CDSS that can seamlessly integrate into prehospital care workflows. The data were analyzed using content analysis to identify common themes. ResultsOur qualitative study identified several challenges in prehospital decision-making, including limited access to diagnostic tools, insufficient experience with certain critical patient conditions, and a lack of cognitive support. Participants highlighted several desired features to make CDSS more effective in the dynamic, hands-busy, and cognitively demanding prehospital context, such as automatic prompts for possible patient conditions and treatment options, alerts for critical patient safety events, AI-powered medication identification, and easy retrieval of protocols using hands-free methods (e.g., voice commands). Key considerations for successful CDSS adoption included balancing the frequency and urgency of alerts to reduce alarm fatigue and workflow disruptions, facilitating real-time data collection and documentation to enable decision generation, and ensuring trust and accountability while preventing over-reliance when using CDSS. ConclusionThis study provides empirical insights into the challenges and user needs in prehospital decision-making and offers practical and system design implications for addressing these issues.more » « less
-
Navigation assistive technologies have been designed to support individuals with visual impairments during independent mobility by providing sensory augmentation and contextual awareness of their surroundings. Such information is habitually provided through predefned audio-haptic interaction paradigms. However, individual capabilities, preferences and behavior of people with visual impairments are heterogeneous, and may change due to experience, context and necessity. Therefore, the circumstances and modalities for providing navigation assistance need to be personalized to different users, and through time for each user. We conduct a study with 13 blind participants to explore how the desirability of messages provided during assisted navigation varies based on users' navigation preferences and expertise. The participants are guided through two different routes, one without prior knowledge and one previously studied and traversed. The guidance is provided through turn-by-turn instructions, enriched with contextual information about the environment. During navigation and follow-up interviews, we uncover that participants have diversifed needs for navigation instructions based on their abilities and preferences. Our study motivates the design of future navigation systems capable of verbosity level personalization in order to keep the users engaged in the current situational context while minimizing distractions.more » « less
-
Motivated by the need to improve the quality of life for the elderly and disabled individuals who rely on wheelchairs for mobility, and who may have limited or no hand functionality at all, we propose an egocentric computer vision based co-robot wheelchair to enhance their mobility without hand usage. The robot is built using a commercially available powered wheelchair modified to be controlled by head motion. Head motion is measured by tracking an egocentric camera mounted on the user’s head and faces outward. Compared with previous approaches to hands-free mobility, our system provides a more natural human robot interface because it enables the user to control the speed and direction of motion in a continuous fashion, as opposed to providing a small number of discrete commands. This article presents three usability studies, which were conducted on 37 subjects. The first two usability studies focus on comparing the proposed control method with existing solutions while the third study was conducted to assess the effectiveness of training subjects to operate the wheelchair over several sessions. A limitation of our studies is that they have been conducted with healthy participants. Our findings, however, pave the way for further studies with subjects with disabilities.more » « less
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1080/17483107.2024.2373303
