COLLEGE OF ENGINEERING-CARRT
Center for Assistive, Rehabilitative and Robotics Technologies
Name: Lexander A. Reina, MSBE, RET, ATP
Tel: (305) 643-7495
Fax: (305) 643-7498
Email:
lreina@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.
REHABILITATION TECHNOLOGY SERVICE DELIVERY SYSTEM
JACKSONVILLE (Zone 2)
Santa
Rosa
Okaloosa
Escambia
Patti Barrett, RE
Stephanie McGhee, Technician
Holmes
Jackson
Walton
Nassau
Gadsden
Bay
Duval
Baker
Wakulla
Gulf
PENSACOLA (Zone 1)
Leon
Hamilto
Madison n
Suwanee
Taylor Lafayette
Clay
Franklin
Connie Pierson, Technician
Alachua
ORLANDO (Zone 4)
Putnam Flagler
Dixie
Joshua Lujan, RE
Vilma Cedoz, Technician
TALLAHASSEE (Zone 1)
Levy
Marion
Volusia
Gary Sherman, RE
Citrus
Lake
Seminole
Sumter
Hernando
Orange
Pasco
Hillsborough
TAMPA (Zone 3)
Osceola
WEST PALM BEACH
Polk
Indian River
Stephen Sundarrao, Lead Engineer
Bill Calvin, RE
Manatee
Linda Colon, Technician
LEGEND
Sarasota
VR Customers per County
Hardee
Highlands
St. Lucie
DeSoto
Charlotte
< 100
Lee
Martin
Glades
Hendry
Palm Beach
100-500
500-1000
Collier
Broward
1000-3000
Monroe
> 3000
Dade
MIAMI (Zone 6)
Lex Reina, RE
Alberto Garcia-Paz, Technician
(Zone 5)
Jeff Daniel, RE
Lashara Thomas, Technician
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
Schematic Representation
Individual
Interface
Environment
Disease
Social
Psychology
Vocational
Total
Disability
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.”
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)
AT Goal is to be a Bridge Between the Individual
with a Disability and their Environment
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
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?”
35%
26%
16%
16%
7%
6%
6%
2%
Wouldn’t be
able to take
care of
myself at home
Wouldn’t be able
to get around
outside
of my home
Wouldn’t be
able to attend
social
gatherings
as often
Would be less
involved
In hobbies/
interests
Would be
less productive
at work
Would lose
access to
information/
educational
materials
Note: The 2004 National Organization on Disability/Harris Survey of Americans with Disabilities
Wouldn’t be
able to keep
current job
Wouldn’t affect
daily activities
Reasonable Accommodations
•
•
•
•
•
Make existing facilities readily accessible
Job restructuring
Modifying work schedules
Modifying equipment
Developing custom aids and devices
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
Computer Use for Learning Disabilities
• Reading Pen:
• Digital book readers
• Kurzweil 3000, WYNN, Read
and Write Gold, Nuance Speak
& See…all 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.
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…
Induction Loop
FM link
(Can be
hardwire)
Receiver/Amplifier
Telecoil on HA
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.
COMMUNICATION
MOUSE ALTERNATIVES
ADAPTED KEYBOARDS
Computer Use for Learning Disabilities
• Reading Pen:
• Digital book readers
• Kurzweil 3000, WYNN, Read
and Write Gold, Nuance Speak
& See…all 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.
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…
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!!!
TEXT, TEXT, TEXT!!!
Biggest issues I am called in on involve:
1.
2.
3.
4.
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.
IF UNIVERSAL DESIGN WAS APPLIED TO TRADITIONAL
CLASSROOM INSTRUCTION…
OTHER EXAMPLES OF
OUR WORK:
Custom Workstation to Increase
Accessibility & ROM
Currency Collection Device for use
in a Drive-Thru Window
MOBILITY INDEPENDENCE
HEAD CONTROLS ALLOW FIRST TIME SELF PROPULSION FOR
COLLEGE STUDENT WITH CEREBRAL PALSY
STAIR CLIMBING WHEELCHAIR-iBOT
Construction Modifications
BATHROOMS & ROLL-IN SHOWERS
KITCHENS
ELECTRONIC AIDS TO DAILY LIVING: ENVIRONMENTAL CONTROLS
LIFTS
VAN CONVERSION FOR MEDICAL EQUIPMENT
SUPPLIER WITH QUADRIPLEGIA
VAN CONVERSION FOR PRINTING PRODUCTION MANAGER
WITH LIMB-GIRDLE MUSCULAR DYSTROPHY
Adaptive Driving
High-Tech Driving
USF: RESEARCH,
REHABILITATION ROBOTICS
& EMERGING TECHNOLOGIES
Tricycle
for a Quad Amputee
Integration of R&D with Services
HANDS-FREE WHEELCHAIR,
SEGWAYS…
"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.
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
Raptor Manipulator
• Price: $12,000.
• It has 4+1 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.
Manus Manipulator
• Price: $35,000.
• It has 5+1 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.
Telerobotic Manipulation
Q & A