DEPARTMENT OF MECHANICAL ENGINEERING Rehabilitation Engineering Technology Program

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COLLEGE OF ENGINEERING-CARRT Center for
Assistive, Rehabilitative and Robotics
Technologies
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WHO AM I?

• Name Lexander A. Reina, MSBE, RET, ATP
• Tel [phone]
• Fax [phone]
• Email lreina_at_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.

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REHABILITATION TECHNOLOGY SERVICE DELIVERY SYSTEM
JACKSONVILLE (Zone 2) Patti Barrett, RE Stephanie
McGhee, Technician
Holmes
Santa Rosa
Jackson
Nassau
Okaloosa
Washington
Escambia
Walton
Gadsden
Hamilton
Jefferson
Leon
Madison
Duval
Calhoun
Baker
Columbia
Suwanee
Bay
Liberty
Wakulla
Union
Taylor
Lafayette
Clay
Bradford
Gulf
St. Johns
PENSACOLA (Zone 1) Connie Pierson, Technician
Franklin
Gilchrist
Alachua
ORLANDO (Zone 4) Joshua Lujan, RE Vilma Cedoz,
Technician
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
Polk
TAMPA (Zone 3) Stephen Sundarrao, Lead
Engineer Bill Calvin, RE Linda Colon, Technician
Pinellas
Indian River
Hardee
Manatee
Okeechobee
Highlands
St. Lucie
DeSoto
LEGEND VR Customers per County lt 100
100-500 500-1000 1000-3000 gt 3000
Sarasota
Martin
Glades
Charlotte
Hendry
Palm Beach
Lee
Broward
Collier
Monroe
Dade
MIAMI (Zone 6) Lex Reina, RE Alberto Garcia-Paz,
Technician
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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

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Schematic Representation
Individual Interface Environment
Social
Disease
Vocational
Psychology
Total Disability
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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.
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What is Rehabilitation Engineering?
Rehabilitation Engineering and Assistive
Technology Society of North America

• 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)

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

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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
Wouldnt be able to attend social gatherings
as often
Would be less productive at work
Wouldnt be able to keep current job
Wouldnt affect daily activities
Would be less involved In hobbies/ interests
Wouldnt be able to take care of myself at home
Wouldnt be able to get around outside of my
home
Note The 2004 National Organization on
Disability/Harris Survey of Americans with
Disabilities
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Reasonable Accommodations

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

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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

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Computer Use for Learning Disabilities

• Reading Pen
• Digital book readers
• Kurzweil 3000, WYNN, Read and Write Gold, Nuance
  Speak Seeall 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.

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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

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Induction Loop
Telecoil on HA
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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.
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COMMUNICATION
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MOUSE ALTERNATIVES
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ADAPTED KEYBOARDS
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Computer Use for Learning Disabilities

• Reading Pen
• Digital book readers
• Kurzweil 3000, WYNN, Read and Write Gold, Nuance
  Speak Seeall 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.

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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

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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!!!

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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.

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IF UNIVERSAL DESIGN WAS APPLIED TO TRADITIONAL
CLASSROOM INSTRUCTION
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OTHER EXAMPLES OF OUR WORK
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Custom Workstation to Increase Accessibility ROM
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Currency Collection Device for use in a
Drive-Thru Window
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MOBILITY INDEPENDENCE
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HEAD CONTROLS ALLOW FIRST TIME SELF PROPULSION
FOR COLLEGE STUDENT WITH CEREBRAL PALSY

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STAIR CLIMBING WHEELCHAIR-iBOT
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Construction Modifications
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BATHROOMS ROLL-IN SHOWERS
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KITCHENS
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ELECTRONIC AIDS TO DAILY LIVING ENVIRONMENTAL
CONTROLS
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LIFTS
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VAN CONVERSION FOR MEDICAL EQUIPMENT SUPPLIER
WITH QUADRIPLEGIA
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VAN CONVERSION FOR PRINTING PRODUCTION MANAGER
WITH LIMB-GIRDLE MUSCULAR DYSTROPHY
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Adaptive Driving
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High-Tech Driving
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USF RESEARCH, REHABILITATION ROBOTICS
EMERGING TECHNOLOGIES
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Tricycle for a Quad Amputee
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Integration of RD with Services
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HANDS-FREE WHEELCHAIR, SEGWAYS
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"Hybrid Assistive Limb (HAL) 5,"

• The robotic suit can give an average man twice
  his usual strength and was developed to assist
  the elderly in their everyday lives.

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Emerging areas for robotics

• The main emerging areas where robots have
  potential are in the
• Home
• Work
• Medical field (Therapy, patient handling and
  monitoring)
• Mobility and Transportation

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Raptor Manipulator

• Price 12,000.
• It has 41 DOF.
• It can lift up to 2.5 kg.
• Because of its increased size, the range of the
  Raptor is 120 cm.
• The first robot assistive manipulator that has
  gained FDA approval for use in the US.

• The Raptor can be controlled using a keypad, a
  joystick, or even a sip and puff enabling the
  user to control the Raptor even without limb
  control.

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Manus Manipulator

• Price 35,000.
• It has 51 DOF.
• It can lift up to 1 Kg.
• The range is approximately 80 cm.
• One of the first manipulators to have been
  developed in the late 1980s.
• There have been several user trials and constant
  modifications and upgrades are being made to it.
  

• The typical use is to retrieve items and bring
  them to the user, or put them elsewhere.

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Telerobotic Manipulation
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Q A
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