Assistive Technology in Rehab and at Home: Panel Discussion John Coltellaro MS, ATP Randy Huzinec PT Danielle Karhut MOT, OTR/L Michael Kryger, MD

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1 Tools to help your SCI patients gain independence John Coltellaro, MS, ATP Randall Huzinec, PT Danielle Karhut, OT Michael Kryger, MD Technology has reached critical mass 90% of Americans own a cellphone 84% of American households have a computer 42% of Americans own a tablet Processing is improving, prices are declining, and devices are becoming more personalized The Industry is trending towards more automation for all electronics Driven by automotive needs and consumer electronics Our spinal cord injury patients, the ones we are trying to improve function in everyday life, are the ones who could MOST benefit from these emerging technologies Discuss technology options to increase independence for patients with SCI Describe the use of assistive technology for inpatient care List options to utilize gaming as a component of rehabilitation care No financial interest in any of the items discussed today No other conflicts of interest to disclose These do not represent endorsements of specific products We will try to discuss all major available options, with pros/cons related to SCI patients 1

2 Introduction Computer Accessibility Power Wheelchairs and Bluetooth integration Voice commands on your Smartphone Specialized interfaces for mobile technology Accessible mounting of mobile technology Smartphone Apps Home automation Accessible Gaming Computer Access is a term usually used to refer to a specialized group of hardware and software designed to enable individuals with a wide range of disabilities to use a personal computer. 2

3 Save notes & pencasts directly to your computer Dragon Premium Dragon Premium Wireless: Dictate to your computer with a Dragon wireless Bluetooth headset Dragon Premium Mobile: Transcribe on the go with the included Nuance certified Philips Digital Voice Recorder Dragon Professional Dragon Professional Individual Dragon Legal Dragon Dictate for Mac Gestural Controls Voice Controls Switch and Alternative Access with Bluetooth Many activities can be performed from your smartphone to give your patients more independence and improve life satisfaction Hands free access to mobile technology 3

4 Call/Facetime others Navigation Send/Read Text Message General Questions and News Respond to s Set appointments Play a song Play a video Take a Photo Check Weather Set Alarms Post to Facebook/ Twitter Android: OK, Google Variations: Moto Commands (any screen), S-Voice Better Hands-Free Control- can be accessed from any screen with the right phone Integrates well with Google apps S-Voice lets you Answer Calls Any-screen access variable Home automation voice controls complicated to set up Google Voice Access Announced last month, still a private beta Number assignments to all buttons on every screen to replace any touch Native to Android, use on any screen Tries to deal with any use Able to answer phone calls No need to be plugged in Clutters screen Cannot assign numbers Still buggy ios: Hey, Siri Better recognition of different phrases Integrates well with Apple apps HomeKit Integration is very good Phone must be plugged in for hands-free control Must have some hand function to answer calls Windows: Cortana Integrates across mobile and personal computers Said to be a better personal assistant Has Always On mode Windows Phones are losing popularity No hands-free call answer function Bluetooth computer mouse emulator via power wheelchair controls for access to mobile devices. 4

5 Blue2 Switch: Uses Bluetooth access in combination with ios8 accessibility switch control features. Allows access to iphone, ipad with a dual switch selection. BlueAnt makes a few headsets that allow users to send commands by voice, including answering calls Most recent generation: Q3i or Q3 Premium Kinetic Leap Motion Sesame Enable Phone Mounting to the power wheelchair frame or bed May allow for significantly more independence around the home Multiple different options available now, prices are dropping Doesn t necessarily need voice control- can use motion sensors or timings Different ways to control devices Zigbee, WiFi, IR, Insteon, Z-wave, Bluetooth What can we control? 5

6 Can be a one-device/ one-app set up Can be a hub that coordinates several devices Hub options include Wink, SmartThings, Insteon, Amazon Echo What is possible today? Roll into a room, and lights turn on automatically Tell your phone lock the front door! Press a button on your phone or wheelchair to turn on the TV and go to the right channel Adjust temperature automatically based on preferences Control an appliance without accessing the panels A rehabilitation device designed to help improve hand function for people with reduced hand movement ability The glove has sensors on each finger giving the individual the opportunity to practice functional grips in order to play a therapyoriented music game Benefits of Music Glove Significantly greater improvement in hand function vs. conventional table top activities with those who have neurological impairments Functional improvements: Can be effective in the clinic or at home Motivate safe, high-intensity movements Provide detailed feedback of hand function Provide longitudinal assessment of motor recovery Who can Benefit? Stroke Spinal Cord Injury Cerebral Palsy Traumatic Brain Injury Neurologic Muscular injury Developmental disability Low tech Purchase available online or retail stores Various Games - Wii fit - Let s Tap - Wii Sports/ Resort - Just Dance 6

7 Computer Access Technology 2. Q6 Edge Power Wheelchair with Bluetooth Access to a Motorola Turbo/Android Phone 3. Home Automation Technology 4. Music Glove Game 7