Richard keeps it simple

We recently assessed a user “Richard” for an aid to make it easier to directly access his iPad. And in our journey to find a solution, we trialled the Stylus Pack from the National AT library.

 styluses suitable for a wide range of needs

Above photo and description  below are taken from the National AT Library site:

The Stylus Pack is a selection of styluses suitable for a wide range of needs. Each stylus is designed for people who have difficulty interacting with the iPad screen. Users can firmly grasp the styluses in order to use with the iPad. These items are suitable for an individual user, or a range of users with diverse needs. Features/Items Included: iPad Flex Stylus iPad Strap Stylus TBar Stylus Pogo Stylus Ball Top Stylus.

But let me begin at the beginning

Richard is non-verbal and uses the Allora communication aid daily. It is mounted onto his powered wheelchair. Richard drives his powered wheelchair with his right hand and also accesses the keyboard on the Allora with his right index finger. He has a limited range of movement of his right upper limb, but it is also his only means of access. Richard’s wheelchair does not have blue tooth capability.

Photos below by the author with consent by Richard.

Person using an Allora communication machinePerson holding onto power wheelchair joystick

 

 

 

 

 

 

Richard is also a writer and accesses a PC by using the standard keyboard (positioned in a specific way on a height adjustable desk) and using mouse keys instead of an external mouse or joystick.

So this gives you an idea already that Richard has more than one way of accessing technology with his right hand. So why does he struggle with direct access on the iPad? Richard’s fingernail bed is very long. And even when his nails are at the shortest it can be it sticks over the top of his fingers. Therefore when he taps onto the screen, his nail makes contact and not his skin. This, along with very limited finger extension (he has strong flexor patterns in his wrist, metacarpal phalangeal joint and distal phalangeal joint) makes activating a touch screen very difficult/impossible.

But we wanted to try and find a solution as he has a (very old) iPad that he would love to use more as it is portable, as opposed to a PC.

Due to Richard’s limited hand function, unfortunately, none of the items in the Stylus Pack proved to be successful. The standard type pen stylus aids looked promising and the stylus we received as a freebie from the CSO in Cork is up to now the most successful. When I returned the Stylus Pack to the National AT Library I also added a CSO stylus into the pack.

standard type pen stylus

It takes great effort from Richard to maintain grip of the stylus and when it slips out of his hand he is not able to pick it up again and adjust his grip independently. Not shown on the Stylus Pack photo is also conductive thread. I did embroider his winter glove’s right index fingertip with the conductive thread but I am yet to see if this is successful. Past trials have shown limited success.

 

Richard loves his Allora and of course wants to continue to use it. It is a real workhorse. The battery lasts for long periods, it is at hand, no wifi needed and no access issues on that keyboard! But, he really longs for a more portable way and quick access to word processing, the internet and social media participation.

 

In the meantime, we have assessed Richard for a new moulded seat and powered wheelchair frame. This controls on the frame will also have blue tooth capability. I chatted to Richard about this and reminded him that he will be able to access a PC or laptop/tablet via the new powered wheelchair’s joystick. And as it is, he is toying with the idea of buying a new computer/tablet to replace the old iPad anyway.

 

So, at this stage:

* Richard continuous to use his Allora for communication.

* Uses a PC with an external keyboard to access word processing software, the internet and social media.

* Uses the CSO stylus for accessing the iPad mounted off a removable mount. This for now, it the alternative for when he is not close to a PC. Having to hold onto a stylus remains a frustrating way of access.

 

What is up next?

*Once Richard’s new powered wheelchair has been funded and issued, Richard will get used to the new joystick for driving, but also for accessing computers.

*He will continue to use his beloved Allora and PC as always.

*And after investing in a new tablet computer he will have the added bonus of accessing it via the powered wheelchair’s Bluetooth function.

The Stylus Pack is a great option to have on loan and it gives us a variety of ways to try and access a touchscreen. Unfortunately, in this case, it did not help us to come up with a solution. BUT:

We are on the right track and without having been able to trial the options, we would never have known.

Therefore the National AT Library remains a great resource!

 

Gerlene Kennedy, Senior Occupational Therapist

Enable Ireland Adult Services, Little Island

Co. Cork

 

 

Control your mobile phone, PC or TV with your wheelchair joystick

Have you ever considered controlling your computer or mobile devices with your wheelchair joystick?

As well as the basic wheelchair functions such as driving, the CJSM2 –BT also enables control of a computer or mobile devices and so the integration of environmental controls is possible.  The same controls that the user drives the power wheelchair with, typically a joystick, can also be used to control an appliance within their environment.

For example for chairs with R-net controls you can replace the old joystick with a CJSM2 –BT as seen in the video below. This R-net Joystick Module has Infra-Red (IR) capabilities included. IR technology is widely used to remotely control household devices such as TVs, DVD players, and multi-media systems, as well as some home-automation equipment. Individual IR commands can be learned from an appliance’s remote handset and stored in the CJSM2.

Integrated Bluetooth technology is also an option, to enable control of computers, Android tablets, iPads, iPhones and other smart devices from a powered wheelchair. To switch between the devices, the user simply navigates the menu and selects the device they wish to control. The R-net’s CJSM2 can easily replace an existing R-net joystick module, with no system re-configuration or programming required.

As well as Curtiss-Wright’s R-net controls, other wheelchair controller manufacturers have Bluetooth mouse options too, including Dynamics Controls with their Linx controller and Curtis instrument’s quantum q-logic controller.

Mounting mobile phones and tablets

green plastic mount supporting mobile phone at a 70 degree angle

When we use technology we need to be able to position it so that it is easy to use. We need to be able operate the controls and have it positioned so that we can see it without eyestrain.  Sometimes it’s useful to mount a device, as our hands may be tied up doing something else; the device may be too heavy or we may even have a limited ability to reach, grasp, or hold the device.

Some of the most common items we use are mobile phones and tablets.  There are various mounting options available.  The suitability of a mount depends on various factors such as the fixing clamp, where you intend to mount the device, weight of device to be mounted, the reach and adjustability of the mount etc.

Mounting systems are generally composed of a (i)fixing clamp to mount either to a flat table top surface or a circular tubing, (ii) an adjustable arm usually no longer that 500mm (iii) some kind of attachment or cradle to hold the device.

Below are two mounting systems which may offer you some good solutions.  Ram mounts are a mainstream supplier of mounts for electronic devices within cars, bikes and trucks.  Rehadapt on the other hand, have a range of mounting products to serve clients with “special needs”. Both systems consist of a fixing clamp, adjustable arm and a cradle to hold the device.

Ram mount

In choosing a fixing clamp you need to consider the surface you are fixing it to: do you need to remove clamp often? Will the clamp be secure?  Below are two clamps however their site  offers more options.

RAM Small Tough-Claw™ with B Size 1″ Diameter Rubber Ball

RAM Small Tough-Claw™ with B Size 1" Diameter Rubber Ball$33.49

RAM Rail Base with B Size 1″ Ball. Zinc Coated U-Bolt for Rails fro…

RAM Rail Base with B Size 1" Ball. Zinc Coated U-Bolt for Rails from 0.5" to 1.25" in Diameter

$15.49

The Ram mount arms consist of various length double socket arms as well as solid and gooseneck poles that can be joined together with an adaptor.

RAM Short Double Socket Arm for B Size 1″ Balls

RAM Short Double Socket Arm for B Size 1" Balls$13.99

RAM Double Socket Arm for B Size 1″ Balls

RAM Double Socket Arm for B Size 1" Balls$13.99

RAM Medium Double Socket Arm, Dual Extension with Ball Adapter for …

RAM Medium Double Socket Arm, Dual Extension with Ball Adapter for B Size 1" Balls$39.49

At the end of the arm we need to attach the device.  Ram mounts offer various cradles for specific tablets as well as universal type options.

RAM Universal X-Grip® Cell/iPhone Cradle

RAM Universal X-Grip® mobile phone Cradle $27.99

RAM Universal X-Grip® Large Phone/Phablet Cradle

RAM Universal X-Grip® for a Large Phone or Phablet Cradle$31.49

RAM Universal X-Grip® Cradle for 10″ Large TabletsRAM Universal X-Grip® Cradle for various 10 inch Large Tablets$76

 

The good: It’s reasonably priced, with lots of component options.

The not so good: Not designed for wheelchair mounting, so you’re limited to where it can be fitted onto a wheelchair.

The verdict: A good option for anyone on a tight budget.

Rehadapt

Rehadapt has a large range of fixing clamps that will do for nearly every wheelchair.  They also have adjustable clamp options such as this one below, although they don’t fit on as securely.

L3D-TC 2QS

Light 3D Table mount with two tubes and two joints with levers

L3D-WC 1AK  and  L3D-WC 2AK

Rehadapt L3D-WC 1AK and L3D-WC 2AK

Light 3D wheelchair mount with one tube and one joint with screw.  The L3D-WC 2AK is a two pole version of this.  You can state the required wheelchair clamp on order.  Combine with any cradle with REHAdapt’s Spigot Link System (SLS).

 

Onto the end of the REHAdapt’s Spigot Link System, there a various options.  Some universal cradles are below.

L3D-GA-Universal Phone Holder M

Rehadapt L3D-GA-Universal Phone Holder M

Device adapter with Spigot Link System (SLS) for mounting Mobile Phone Medium 62-77mm * -14mm (2 1/2″-3″ * -1/2″) to REHAdapt´s Light 3D system.

GA-Tablet 7″ – 8″

Rehadapt GA-Tablet 7 – 8 inch

Generic device adapter for mounting tablets with 7“ or 8“ screen size

GA-Tablet 10″

Rehadapt GA-Tablet 10 inch

Generic device adapter for mounting tablets with 10“ screen size

The good: It looks good.  Lots of component options and excellent for mounting onto a wheelchair.

The not so good: Expensive component parts.

The verdict: A very secure mounting system.

Boardmaker Online now launched in Ireland

Tobii Dynavox have recently launched their new Boardmaker Online product in Ireland through SafeCare Technologies. It has all the functionalities of previous versions of Boardmaker, except now that it’s web-based you don’t need any disks and multiple users can access it from any PC.

Instructor showing students how to use Boardmaker Online

You can purchase a Personal, Professional or District account and the amount you pay depends on the type of account, the amount of “instructors” and how many years you want to sign up for. You can also get a discount for any old Boardmaker disks that you want to trade in.

You get all the symbols that have been available in past versions, as well as some new symbol sets and any new ones that are created in the future will also be given to you. Because it’s web-based, you have access to previously created activities via the online community and you can upload activities you create yourself to that community and share them with other people in your district or all over the world.

Because it’s no longer tied to one device, you can create activities on your PC and assign them to your “students” who can use them either in school and/or at home. You no longer need to have a user’s device in your possession to update their activities and they don’t need to have a period without their device while you do this.

You (and the other instructors in your district if you have a district licence) can also assign the same activity to many students and by having different accessibility options set up for different students, the activity is automatically accessible for their individual needs. For example, you could create an activity and assign it to a student who uses eye gaze and to a student who uses switches and that activity will show up on their device in the format that’s accessible for them.

Picture shows how instructors can assign Boardmaker Online activities to multiple students

The results of students’ work can be tracked against IEP or educational goals which then helps you decide what activities would be suitable to assign next. You can also track staff and student usage.

One limitation is that you can only create activities on a Windows PC or Mac. You can play activities on an iPad using the free app but not create them on it, and you can’t use Boardmaker Online to either create or play activities on an Android or Windows-based tablet.

The other point to mention is that because it’s a subscription-based product, the payment you have to make is recurring every year rather than being a one-off payment, which may not suit everyone.

However, with the new features it’s definitely worth getting the free 30-day trial and deciding for yourself if you’d like to trade in your old Boardmaker disks for the new online version!

Global Accessibility Awareness Day – Apple Accessibility – Designed for everyone Videos

Today May 18th is Global Accessibility Awareness Day and to mark the occasion Apple have produced a series of 7 videos (also available with audio description) highlighting how their products are being used in innovative ways by people with disabilities. All the videos are available in a playlist here and I guarantee you, if you haven’t seen them and you are interested in accessibility and AT, it’ll be the best 15 minutes you have spent today! Okay the cynical among you will point out this is self promotion by Apple, a marketing exercise. Certainly on one level of course it is, they are a company and like any company their very existence depends on generating profit for their shareholders. These videos promote more than Apple however, they promote independence, creativity and inclusion through technology. Viewed in this light these videos will illustrate to people with disabilities how far technology has moved on in recent years and make them aware of the potential benefits to their own lives. Hopefully the knock on effect of this increased awareness will be increased demand. Demand these technologies people, it’s your right!

As far as a favorite video from this series goes, everyone will have their own. In terms of the technology on show, to me Todd “The Quadfather” below was possibly the most interesting.

This video showcases Apple’s HomeKit range of associated products and how they can be integrated with Siri.

My overall favorite video however is Patrick, musician, DJ and cooking enthusiast. Patrick’s video is an ode to independence and creativity. The technologies he illustrates are Logic Pro (Digital Audio Workstation software) with VoiceOver (Apple’s inbuilt screen-reader) and the object recognizer app TapTapSee which although has been around for several years now, is still an amazing use of technology. It’s Patrick’s personality that makes the video though, this guy is going places, I wouldn’t be surprised if he had his own prime time TV show this time next year.

Low-cost phone and tablet holders

It’s hard to beat the quality of mounting equipment offered by mounting suppliers such as Dassey or Rehadapt or even mainstream suppliers like Ram Mounts.  These mounting systems are designed to keep your hardware safe, made to last and they look good.

However, these mounting solutions also tend to be expensive and may be far from the budget of a user who may just require a second mount to take here and there with them.

There are many options for low-cost mounts that still provide the function of holding your phone or tablet so you can use it effectively.

Many low-cost mounts can be found on Amazon, eBay or even bought from supermarket chains such as Aldi or Lidl.  So it’s worth keeping an eye out as some of these products sell for as little as a few euro.

An example of mount recently bought from Lidl for €4.  It comprises of a spring loaded cradle, goose neck and spring loaded clamp. Although it will not take excessive pressure, but it works quite well for holding a phone at eye level for light touch screen use.

Low cost mount from lidl

Other online examples can be seen here

Adjustable Tablet Stand Holder Foldable

http://www.gearbest.com/iphone-mounts-holders/pp_262179.html?currency=EUR&vip=764180&gclid=CLyhn7aF8tECFam17QodPdQLTA

Breett Universal Phone Holder

https://www.amazon.co.uk/Breett-Universal-Flexible-Gooseneck-Bathroom-x/dp/B00ZF4DZSU/ref=sr_1_7?ie=UTF8&qid=1486059989&sr=8-7&keywords=phone+holder

 

New Learning Tools from Microsoft

Microsoft announced earlier this week that they are building on the success of their much acclaimed literacy support suite for OneNote “Learning Tools” by making some of the features available within other products. First though, if you haven’t come across Learning Tools for OneNote take a look at the video below for an outline of what it offers. Take it away Jeff..

As you can see from the video, offering Text To Speech (TTS) with highlighting, easy to read fonts on distraction free, high visibility backgrounds as well as the comprehension supports, Learning Tools could be very useful to those who need a little assistance with text based content. Learning Tools was originally only available for the version of OneNote which comes bundled with Office 2013 and 2016. However earlier this week Microsoft announced that they are bringing some features to other apps, the most interesting and potentially useful of these would be Office Lens and Word. Office Lens is already a very useful multi-platform app with powerful optical character recognition (OCR) capabilities which allow you photograph a document and have it converted to editable text. Now with the addition of the Immersive Reader functionality of Learning Tools you can photograph a document, export it to immersive reader and immediately use the tools mentioned above to support your understanding of the text. For the moment this feature is only available on Office Lens for iOS but my understanding is it’s their intention to gradually roll it out to other platforms.

Within Word even more functionality is offered through the new editor feature. These include dictionary supports such as synonyms of suggested corrections for misspelled words that can be read aloud with TTS and additional support for commonly confused words. I’ll leave it to Jeff again for a full review of the new features (video below).

Hands-free access for Android

With iOS Apple have firmly established themselves as the mobile device brand of choice for those with alternative access needs. The extensive accessibility features, wide range of AT apps and third party hardware as well as iOS’ familiarity, ease of use and security, all make it a choice hard to look beyond. Yet this is exactly what many people do, 1.3 Billion Android devices were shipped in 2015, that’s 55% of all computing devices mobile or otherwise. A large majority of these would be budget smartphones or tablets purchased in developing markets where the price tag associated with Apple products could be considered prohibitive. There are however reasons other than cost to choose Android and thankfully Google have been quietly working away to give you even more. One in particular, which is currently in beta testing (click here to apply) is Voice Access. As its name suggests this new accessibility feature (and that is what it is being developed as, immediately distinguishing it from previous speech recognition apps) allows complete access to your device through voice alone. I’ll let Google describe it: “Voice Access is an accessibility service that lets you control your Android device with your voice. Using spoken commands, you can activate on-screen controls, launch apps, navigate your device, and edit text. Voice Access can be helpful for users for whom using a touch screen is difficult.” It certainly sounds promising and if these aspirations can be realised will be very welcome indeed. Voice control of mobile devices is something we are frequently asked about in Enable Ireland’s Assistive Technology Training Service. I’ll post more on Voice Access after I’ve had the opportunity to test it a bit more. In the meantime take a look at the video below to whet your appetite.

Another alternative access option now available to Android users is a third party application developed and promoted by CREA with the support of Fundación Vodafone España called EVA Facial Mouse. EVA Facial Mouse has been created by the same people who brought us Enable Viacam for Windows and Linux and seems to be a mobile version of that popular and effective camera input system. EVA uses a combination of the front facing camera and face recognition to allow the user position the cursor and click on icons without having to touch the device. See video below for more on EVA (Spanish with subtitles)

Reviews of EVA on Google Play are mostly positive with many negative reviews most probably explained by device specific incompatibilities. This remains the primary difficulty associated with the use and support of Android based devices as Assistive Technology. All Android devices are not created equally and how they handle apps can vary significantly depending on the resources they have available (CPU/RAM) and how Android features (pointing device compatibility in this case) are implemented. That said, on the right device both new access options mentioned above could mean greatly improved access efficiency for two separate user groups who have up until now had to rely primarily on switch access. Next week I will release a post reviewing current Android phones and follow that up with a couple of in-depth reviews of the above apps and their compatibility with selected Android devices and other third party AT apps like ClickToPhone.

Assistive Technology (AT) in the era of the Digital Schoolbag

child using tablet computer to study biology- zooming in on screen on mid section of human skeleton

Increasingly schools are opting for what is sometimes termed a digital schoolbag. This involves the purchase of an electronic device, usually an iPad with a package of digital textbooks pre-installed. Digital textbooks are undoubtedly a step in the right direction in terms of accessibility and are indeed essential for many students with disabilities. There are students however who may need to use a different platform (hardware and/or operating system – OS) because of compatibility issues with their Assistive Technology. Currently the most popular platform being adopted by schools is Apple iOS with parents being directed to purchase an iPad from a contracted supplier. Many readers of this article will be well aware of all the great inbuilt accessibility features within iOS however if you are a user of Eye Gaze or Speech Recognition (for access) it does not currently support your chosen AT.

It is understandable why from a school’s perspective having all students using identical standardised devices would be preferable and there are plenty of reasons why Apple iOS would be the obvious choice. There is a concern however that the small minority who may need to use other platforms because of access difficulties could be put at a disadvantage or perhaps not be able to participate fully in all activities. One of the leading school suppliers have assured us that the textbooks can be accessed on Windows, iOS and Android and as these textbooks are sourced from the same few publishers one can assume this applies for all suppliers. It is therefore up to the schools to ensure all lessons utilizing technology are identical whenever possible; equivalent when not, regardless of the device/platform you are using. Parents, particularly those whose children use Assistive Technology should not feel pressured by schools to purchase technology that isn’t the optimum for their child’s needs. If a therapist or AT specialist has recommended a particular solution that differs from what is being suggested by the school, the priority should obviously be the students’ needs. When it comes to AT it is the school’s responsibility to accommodate the different needs of its student, just as it was before the digital schoolbag. The use of technology within our schools is to be embraced but it is important that schools ensure that the curriculum is open and in no part dependent on one particular platform or device. That would just see us swapping one form of inequality for another and that’s not progress.

If anyone would like advice on what technologies are available to support access, literacy and productivity on any platform they should feel free to contact us here in the National Assistive Technology Service in Sandymount, Dublin.

Webinar on Accessibility of Mobile Devices

webinar graphic

Having a mobile device that is accessible for you, will mean it will be more usable, reliable, efficient and will help eliminate any frustration in using the device.  This upcoming webinar on Accessibility Features in iOS 9 and Android-based Devices will be of interest to anyone who needs to learn whats new within the recent updates of mobile operating systems.

It’s hosted by AbleNet University Live Webinars on 16th February at 8pm GMT.  Duration is for 1 hour.

More information and registration

Other webinars