COLLEGE OF ENGINEERING-CARRTCOLLEGE OF ENGINEERING-CARRT Center for Assistive, Rehabilitative and Robotics TechnologiesCenter for Assistive, Rehabilitative and Robotics Technologies

Name: Lexander A. Reina, MSBE, RET, ATPName: Lexander A. Reina, MSBE, RET, ATP

Tel: (305) 643-7495Tel: (305) 643-7495

Fax: (305) 643-7498Fax: (305) 643-7498

Email:Email: lreina@usf.edulreina@usf.edu

Education: Education: BSE in Biomedical engineering from Tulane BSE in Biomedical engineering from Tulane MSBE from University of Miami.MSBE from University of Miami.

Employed as a Rehabilitation Engineer serving VR clients since 1994, including Employed as a Rehabilitation Engineer serving VR clients since 1994, including almost 10 with the University of South Florida. Currently transitioning to supervise almost 10 with the University of South Florida. Currently transitioning to supervise Statewide services. Statewide services.

Private Consultant as Adapted for Access, Inc. providing assessments for other Private Consultant as Adapted for Access, Inc. providing assessments for other agencies. agencies.

Licensed by the State of Florida as a Building Contractor and as a Professional Licensed by the State of Florida as a Building Contractor and as a Professional Engineer. Engineer.

Certified by RESNA as both an Assistive Technology Practitioner and a Certified by RESNA as both an Assistive Technology Practitioner and a Rehabilitation Engineering Technologist.Rehabilitation Engineering Technologist.

Leon

Esc

ambi

a

Santa

Rosa

Walton

Holmes

Was

hing

ton

Bay

Jackson

Calhou

n

Gulf

Lib

erty

Gadsden

Franklin

Jeffer

sonMadison

Taylor

HamiltonSuwanee

Lafayette

Dixie

Col

umb

ia

Baker

Union

Gilchris

t Bradford

Levy

Alachua

Duval

Clay St. Johns

Putnam Flagler

MarionVolusia

Citrus

Hernando

Pasco

Sumter

LakeSeminole

Orange

Pin

ella

s HillsboroughPolk

Osceola

Bre

vard

ManateeHardee

DeSotoSarasota

Highlands

Okeechobee

Indian River

St. Lucie

Martin

GladesCharlotte

Lee

Collier

Hendry Palm Beach

Broward

Dade

Monroe

Nassau

Wakulla

Ok

aloo

sa

REHABILITATION TECHNOLOGY SERVICE DELIVERY SYSTEMREHABILITATION TECHNOLOGY SERVICE DELIVERY SYSTEM

LEGEND

VR Customers per County

< 100

100-500

500-1000

1000-3000

> 3000

PENSACOLA (Zone 1)Connie Pierson, Technician

TALLAHASSEE (Zone 1)Gary Sherman, RE

TAMPA (Zone 3)

Stephen Sundarrao, Lead Engineer

Bill Calvin, RE

Linda Colon, Technician

MIAMI (Zone 6)

Lex Reina, RE

Alberto Garcia-Paz, Technician

JACKSONVILLE (Zone 2)Patti Barrett, REStephanie McGhee, Technician

ORLANDO (Zone 4)Joshua Lujan, RE

Vilma Cedoz, Technician

WEST PALM BEACH(Zone 5)Jeff Daniel, RELashara Thomas, Technician

ASSESSMENT & EVALUATION

• Individualized Assessment

• Coordination and Delivery of products/services

• Qualification of Vendors/Service Providers

MARKETING / CUSTOMER SERVICES

• Identification of Customer Needs

• Quality Improvements

• Outcome Measurements

RESEARCH & DEVELOPMENT

• Standards Development

• Testing of Products

• Technical Support to A & E

EDUCATION/TRAINING

• Rehabilitation Professionals

• Vendors

• Curriculum Development

Integrated ModelIntegrated Model

Schematic Schematic RepresentationRepresentation

Disease

Psychology

Social

Vocational

Individual Interface Environment

Total

Disability

What is Rehabilitation TechnologyWhat 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 What is Rehabilitation Engineering? Engineering?

• Rehabilitation engineeringRehabilitation engineering– the application of science and technology the application of science and technology

to improving the quality of life of people to improving the quality of life of people with disabilities.with disabilities.

• Assistive technology (AT):Assistive technology (AT):– products, devices or equipment … that are products, devices or equipment … that are

used to maintain, increase or improve the used to maintain, increase or improve the functional capabilities of individuals with functional capabilities of individuals with disabilities (1998 Tech Act)disabilities (1998 Tech Act)

Rehabilitation Engineering and Assistive Technology Society of North America

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

EnvironmentEnvironment

Primary Users of ATPrimary Users of AT

• Congenital and/or developmental Congenital and/or developmental special needs conditions such as CPspecial needs conditions such as CP

• Acquired disabilities due to accidental Acquired disabilities due to accidental trauma, surgery, or illness such as trauma, surgery, or illness such as amputees, SCI, BIamputees, SCI, BI

• Progressive neurological, Progressive neurological, neuromuscular such as MS, MD, ALSneuromuscular such as MS, MD, ALS

• Temporary conditions such as Guillian-Temporary conditions such as Guillian-Barre syndrome, surgery, acute traumaBarre syndrome, surgery, acute trauma

• Aging population Aging population

35%

6% 6%2%

26%

16% 16%

7%

“If you were not able to use the assistive technology you use any more for some reason, how would this affect your daily activities?”

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 lose access to

information/educational

materials

Would be less productive

at work

Wouldn’t be able to keepcurrent job

Wouldn’t affect daily activities

Note: The 2004 National Organization on Disability/Harris Survey of Americans with DisabilitiesThe 2004 National Organization on Disability/Harris Survey of Americans with Disabilities

Assistive technology plays a critical role in the lives of people with disabilities.

• Make existing facilities readily Make existing facilities readily accessibleaccessible

• Job restructuring Job restructuring • Modifying work schedules Modifying work schedules • Modifying equipment Modifying equipment • Developing custom aids and Developing custom aids and

devicesdevices

Reasonable Reasonable AccommodationsAccommodations

Range of Services We Range of Services We ProvideProvide

• Adapted Computers **Adapted Computers **• Communication Devices **Communication Devices **• Work Site Assessments: Work Stations Work Site Assessments: Work Stations

and Chairs**and Chairs**• Wheelchair AssessmentsWheelchair Assessments• Home ModificationsHome Modifications• Lifts and Medical EquipmentLifts and Medical Equipment• Vehicle ModificationsVehicle Modifications• OTHEROTHER

Computer Use for Learning DisabilitiesComputer Use for Learning Disabilities

• Reading Pen:Reading Pen:• Digital book readersDigital book readers

• Kurzweil 3000, WYNN, Kurzweil 3000, WYNN, Read and Write Gold, Read and Write Gold, Nuance Speak & See…all Nuance Speak & See…all come from products for the come from products for the blind. All based on blind. All based on document scan, OCR to document scan, OCR to text, then voice synthesizer text, then voice synthesizer reads. reads.

• Find the book on disk, call Find the book on disk, call the publisher. Avoid the the publisher. Avoid the time consuming scanning.time consuming scanning.

Voice Activation and Voice Activation and DictationDictation

• Dragon Naturally Speaking up to Version 11Dragon Naturally Speaking up to Version 11• Windows Vista and 7 has included a pretty good Windows Vista and 7 has included a pretty good

one.one.• Not just for those who cannot type. Useful for Not just for those who cannot type. Useful for

students with grammar difficulties, as it is able to students with grammar difficulties, as it is able to understand context and eliminate errors for understand context and eliminate errors for some with disorders of written expression and some with disorders of written expression and other learning disabilities. Extra bundles help other learning disabilities. Extra bundles help more (Speak and See).more (Speak and See).

• Excellent means of transcription for the Excellent means of transcription for the TEACHER to avoid need for note-takers.TEACHER to avoid need for note-takers.

• Issues: Background Noise, voice quality, Issues: Background Noise, voice quality, training…training…

Induction Loop

FM link(Can be hardwire)

Receiver/Amplifier Telecoil on HA

SPEECH AIDSSPEECH AIDSSpeech 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.

COMMUNICATIONCOMMUNICATION

MOUSE ALTERNATIVES

ADAPTED KEYBOARDS

Computer Use for Learning DisabilitiesComputer Use for Learning Disabilities

• Reading Pen:Reading Pen:• Digital book readersDigital book readers

• Kurzweil 3000, WYNN, Kurzweil 3000, WYNN, Read and Write Gold, Read and Write Gold, Nuance Speak & See…all Nuance Speak & See…all come from products for the come from products for the blind. All based on blind. All based on document scan, OCR to document scan, OCR to text, then voice synthesizer text, then voice synthesizer reads. reads.

• Find the book on disk, call Find the book on disk, call the publisher. Avoid the the publisher. Avoid the time consuming scanning.time consuming scanning.

Voice Activation and Voice Activation and DictationDictation

• Dragon Naturally Speaking up to Version 11Dragon Naturally Speaking up to Version 11• Windows Vista and 7 has included a pretty good Windows Vista and 7 has included a pretty good

one.one.• Not just for those who cannot type. Useful for Not just for those who cannot type. Useful for

students with grammar difficulties, as it is able to students with grammar difficulties, as it is able to understand context and eliminate errors for understand context and eliminate errors for some with disorders of written expression and some with disorders of written expression and other learning disabilities. Extra bundles help other learning disabilities. Extra bundles help more (Speak and See).more (Speak and See).

• Excellent means of transcription for the Excellent means of transcription for the TEACHER to avoid need for note-takers.TEACHER to avoid need for note-takers.

• Issues: Background Noise, voice quality, Issues: Background Noise, voice quality, training…training…

VISUAL IMPAIRMENTSVISUAL IMPAIRMENTS

• Scan And Read Software Packages Scan And Read Software Packages (JAWS, Kurzweil, Read & Write)(JAWS, Kurzweil, Read & Write)

• Magnification (Zoom Text)Magnification (Zoom Text)• BrailleBraille

• IF AT ALL POSSIBLE, GET BOOKS ON IF AT ALL POSSIBLE, GET BOOKS ON DISK AND/OR AUDIO BOOKS DISK AND/OR AUDIO BOOKS INSTEAD!!!INSTEAD!!!

TEXT, TEXT, TEXT!!!TEXT, TEXT, TEXT!!!Biggest issues I am called in on involve:Biggest issues I am called in on involve:

1.1. Inability to write fast enoughInability to write fast enough2.2. Note takingNote taking3.3. Participating in ClassParticipating in Class4.4. Reading and writing issuesReading and writing issues

ALL MUST BE ADDRESSED BY ALL MUST BE ADDRESSED BY DEALING WITH TEXT IN AND TEXT DEALING WITH TEXT IN AND TEXT OUT ISSUES.OUT ISSUES.

IF UNIVERSAL DESIGN WAS APPLIED TO IF UNIVERSAL DESIGN WAS APPLIED TO TRADITIONAL CLASSROOM INSTRUCTION…TRADITIONAL CLASSROOM INSTRUCTION…

OTHER EXAMPLES OF OTHER EXAMPLES OF OUR WORK:OUR WORK:

Custom Workstation to Custom Workstation to Increase Accessibility & Increase Accessibility &

ROMROM

Currency Collection Currency Collection Device for use in a Drive-Device for use in a Drive-

Thru WindowThru Window

MOBILITY MOBILITY INDEPENDENCEINDEPENDENCE

HEAD CONTROLS ALLOW FIRST TIME SELF PROPULSION FOR COLLEGE STUDENT WITH CEREBRAL PALSY

STAIR CLIMBING WHEELCHAIR-iBOT

Construction ModificationsConstruction Modifications

BATHROOMS & ROLL-IN SHOWERSBATHROOMS & ROLL-IN SHOWERS

KITCHENSKITCHENS

ELECTRONIC AIDS TO DAILY LIVING: ENVIRONMENTAL CONTROLSELECTRONIC AIDS TO DAILY LIVING: ENVIRONMENTAL CONTROLS

LIFTSLIFTS

VAN CONVERSION FOR MEDICAL EQUIPMENT SUPPLIER WITH QUADRIPLEGIA

VAN CONVERSION FOR PRINTING PRODUCTION MANAGER WITH LIMB-GIRDLE MUSCULAR DYSTROPHY

Adaptive Driving

High-Tech DrivingHigh-Tech Driving

USF: RESEARCH, USF: RESEARCH, REHABILITATION REHABILITATION

ROBOTICS ROBOTICS & EMERGING & EMERGING

TECHNOLOGIES TECHNOLOGIES

Tricycle Tricycle for a Quad Amputeefor a Quad Amputee

Integration of R&D with Integration of R&D with ServicesServices

HANDS-FREE HANDS-FREE WHEELCHAIR, SEGWAYS…WHEELCHAIR, SEGWAYS…

"Hybrid Assistive Limb "Hybrid Assistive Limb (HAL) 5,"(HAL) 5,"

The robotic suit can The robotic suit can give an average give an average man twice his man twice his

usual strength and usual strength and was developed to was developed to assist the elderly assist the elderly in their everyday in their everyday

lives.lives.

Emerging areas for Emerging areas for roboticsrobotics

The main emerging areas where The main emerging areas where robots have potential are in the robots have potential are in the

– HomeHome– Work Work – Medical field (Therapy, patient handling Medical field (Therapy, patient handling

and monitoring) and monitoring) – Mobility and Transportation Mobility and Transportation

• 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.

Raptor Manipulator

• 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 ManipulationTelerobotic Manipulation

Q & AQ & A