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Advanced Power Wheelchair Applications Michelle L. Lange, OTR, ABDA, ATP/SMS ISS 2013 Agenda 8:00 – 10:00 Access Methods 10:00 – 10:15 Break 10:

2/12/2013 9 Mini Proportional Joystick  ASL Micro Mini Joystick  Isometric joystick  Mounted in a tray or contained in a box 1” square and ½” high

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

2/12/2013 10 Mini Proportional Joysticks  Who would you use these with? M. Lange 2.2013 ASL or Switch It! Playstation Drive Control  No joke!  Cont

2/12/2013 11 Mushroom Joystick  Designed for clients who cannot grasp a joystick handle  Stiff  Alternative:  Bodypoint dome handle  Textured

2/12/2013 12 Arm or Foot Controlled Joysticks  Who would you use these with? M. Lange 2.2013 Proportional Head Control  Pushing back moves wheelchai

2/12/2013 13 Joystick Handles  Larger handles may reduce muscle tone  Goal post style designed for poor grasp M. Lange 2.2013 Handle with Switch 

2/12/2013 14 Digital Access Methods  Non-Proportional  Switch M. Lange 2.2013 Digital Access Methods  Single switch scanning  2, 3, 4 or 5 sw

2/12/2013 15 Single Switch Scanning  Clinical Indicators:  only 1-2 switch sites can be found  Client can see and monitor display M. Lange 2.2013

2/12/2013 16 M. Lange 2.2013 2 Switch Control  Q-Logic  Switch 1:  2 activations = Forward, 1 activation = Left, double click = mode  Switch 2: 

2/12/2013 17 3 Switch Driving – movie time! M. Lange 2.2013 AJ 3 Switch Driving – movie time! M. Lange 2.2013 Landon An Interesting Combination  3 Sw

2/12/2013 18 Another example…  Switch under the chin is not ideal, but it worked…  She opened her mouth for activation M. Lange 2.2013 AbleNet Jelly

2/12/2013 1 Advanced Power Wheelchair Applications Michelle L. Lange, OTR, ABDA, ATP/SMS Introductions  Who are you?  goals  Who am I? M. Lange 2.2

2/12/2013 19 Sip ‘n Puff  Clinical Indicators:  Little control of head or extremity movement  Good oral motor control, lip closure, intact palate

2/12/2013 20 M. Lange 2.2013 Sip ‘n Puff programming  2 or 4 pressure  2 pressure on iQ and QLogic  Command Time/Sampling Delay  2 pressure  Betw

2/12/2013 21 Head Array with Beam Switch M. Lange 2.2013 ASL Stealth Head Array  Suboccipital pad can increase stability of the head M. Lange 2.201

2/12/2013 22 Permobil Head Array  Total Control Head Array System M. Lange 2.2013 Permobil Head Array  Photo courtesy of Steve Mitchell  Configured

2/12/2013 23 Head Array – another movie M. Lange 2.2013 Taylor Proximity switch arrays  Typically placed under a tray  Consider tactile cue above (

2/12/2013 24 Proximity Array  Mounting options M. Lange 2.2013 ASL Clear vs. Solid tray: visual field Fiberoptic Switch Arrays  Small targets  Acc

2/12/2013 25 ASL 2 switch fiberoptic array  Cover both beams for forward  Cover left for left directional control  cover right for right directiona

2/12/2013 26 M. Lange 2.2013 Proximities: Right and Reset Fiberoptic: Left Fiberoptic: Forward Farid Driving M. Lange 2.2013 Combination Systems  An

2/12/2013 27 Analog Digital Drive System  Left and Right pads active on the head array  Forward and Reverse active on the joystick  Why would you c

2/12/2013 28 Combining Mechanical and Electronic Switches  Invacare and ASL  Julian can control Driving, Reverse, Tilt and Speed M. Lange 2.2013 Eye

2/12/2013 2 Disclaimer!  This is an advanced course, we are jumping right in, hang on tight!  Ask questions, make comments, we are in this together!

2/12/2013 29 Tongue Control  Only a bunch of college students would volunteer to pierce their tongue…  Still in research at Georgia Institute of Tec

2/12/2013 30 A word about Tracking…  Informal tracking study comparing midwheel drive PWC with and without tracking enabled:  3 switches on a tray 

2/12/2013 31 Hands-on Time!  Split into groups  Rotate through  Hop in and drive! M. Lange 2.2013 PROGRAMMING M. Lange 2.2013 Programming  Drivi

2/12/2013 32 Why is this Important?  Cathy M. Lange 2.2013 Why is this Important?  Not programming a PWC for an individual is like not customizing a

2/12/2013 33 Programming Driving Parameters  Driving parameters affect the speed and responsiveness of the PWC and are not access method specific  C

2/12/2013 34 Programming Driving Parameters  Programming choices  Simple  Speed and responsiveness  Advanced  Parameter by parameter  Invacare

2/12/2013 35 Driving Parameters  Speed  Acceleration  Deceleration  Torque  Remember, these parameters may look different using different access

2/12/2013 36 Speed  Proportional access methods provide speed control  Non-proportional access methods offer one speed only  Drives or Profiles can

2/12/2013 37 Deceleration  How quickly the wheelchair comes to a full stop in response to access method release  Too fast: chair may jerk to a stop,

2/12/2013 38 Proportional Specific Parameters  Sensitivity  Short throw  Deadband  Changing axes  3 direction  Switch Joystick M. Lange 2.2013 S

2/12/2013 3 Joystick - hand  Proportional joystick control requires grading of force and distance of movement  Grading requires co-contraction of th

2/12/2013 39 Short Throw  Shorter distance is required to achieve full speed  If a client with muscle weakness is struggling with a standard joystic

2/12/2013 40 3 Direction  3 directions can emulate 4  i.e. pulling back on the joystick can be Forward. Press Reset, now pulling back on the joystic

2/12/2013 41 Single Switch Scanning  Speed of scan  Scanning mode  Scan pattern  4 or 8 directions M. Lange 2.2013 Single Switch Scanning  MK6i

2/12/2013 42 Sip n Puff  4 pressure  Calibrate Hard and Soft pneumatic commands  Ramping  R-net: ramp up, ramp down  Q-Logic: Sampling Delay  Al

2/12/2013 43 Head Array  How to access Reverse  Standby  Choose Forward or Reverse  Invacare  Left command = Reverse  Forward command = Forwar

2/12/2013 44 Other Useful Programming  No Driving Mode (MK6i)  Disables driving in a specific mode while all other functions are available  Why? 

2/12/2013 45 Lunch Time!  Lunch!  Be back here by 1pm to get ready for more Hands-on Time! M. Lange 2.2013 Hands-on Time!  Split into groups  Grab

2/12/2013 46 Interfacing  How to control an external assistive technology device through the drive control  Speech generating devices (SGDs)  Exter

2/12/2013 47 Advantages of Interfacing 1. Many technologies work together 2. Streamlines access for individuals with limited switch sites and control

2/12/2013 48 Disadvantages of Interfacing 7. Sharing an access method may compromise access efficiency • Interfaced method may not be optimal access m

2/12/2013 4 Compact Joysticks  Who would you use these with? M. Lange 2.2013 Tough Joystick  Switched joystick  4 or 8 directions  Heavy Duty to w

2/12/2013 49 Components Required  Interfacing cable  Several manufacturers  Adaptive Switch Labs (ASL) 802 series 802-4 802-2 L/R M. Lange 2.2013

2/12/2013 50 Interfacing Communication Devices  Pros  streamlines access  shares a strong access method  SGD access method does not have to be mov

2/12/2013 51 Mouse Emulator ASL M. Lange 2.2013 Interfacing Computers M. Lange 2.2013 Interfacing Computers  Pros  streamline access  newer mouse e

2/12/2013 52 Interfacing Computers  Cons  often more efficient access methods than interfacing through the power wheelchair access method  need to

2/12/2013 53 Interfacing Computers  Switch Interface for  single switch input  single switch software  Onscreen scanning keyboard  mouse click

2/12/2013 54 Interfacing Tablet Computers  We will discuss this under Emerging Technologies M. Lange 2.2013 Interfacing Electronic Aids to Daily Livi

2/12/2013 55 Interfacing Electronic Aids to Daily Living  Can use EADL that is accessed by switch scanning  Can use with single function EADLs  Pow

2/12/2013 56 Interfacing Toys M. Lange 2.2013 Interfacing Toys  Interface component  Cable  Switch adapted toy  hard wired  Remote  ASL option 

2/12/2013 57 Case Study: Sally  Problem: Sally doesn’t have another means to drive the wheelchair efficiently and has been accessing her SGD very wel

2/12/2013 58 Case Study: Sally  What programming will be required?  Turn on port 1 of Interfacing Component, if required  Choose transmission metho

2/12/2013 5 Touch Pad  Large surface  Can accommodate fist  Durable M. Lange 2.2013 HMC tablet control Touchless Finger Joystick  HMC  Proporti

2/12/2013 59 183 Case Study: Paul  Goals: better access method for driving, speed control, power tilt, access to SGD, access to computer, EADLs  Pro

2/12/2013 60 Case Study: Paul  Connections  Mode switch plugs into display or Interfacing Component  Interfacing Component connects to electronics

2/12/2013 61 Questions? M. Lange 2.2013 Demonstration Time! M. Lange 2.2013 IR TRANSMISSION M. Lange 2.2013

2/12/2013 62 Accessing EADL features through the Drive Control  EADLs = Electronic Aids to Daily Living  Built-in on Q-Logic and R-net  Additional

2/12/2013 63 IR Transmission  Infrared transmission are light signals, just like those used in your TV remote control  Will not go through walls, ce

2/12/2013 64 What if it Doesn’t Work?  If the PWC cannot learn the required IR signals, it may be that the signal being sent is actually a radio sign

2/12/2013 65 X-10 Control  Allows on/off control of lights and appliances, also control of thermostats, electric beds, door openers and more  Displa

2/12/2013 66 Insteon Module Control  ApplianceLinc #2456S3  Appliance module  LampLinc #2456D3  Lamp module  Thermostat #2491T1  Thermostat cont

2/12/2013 67 IR Transmission  Q-Logic specifics  No preset codes  Can learn up to 288 codes  Can learn macros (up to 3 commands)  256 X-10 codes

2/12/2013 68 Take A Break!  Please come back in 15 minutes M. Lange 2.2013 MOUSE EMULATION M. Lange 2.2013 AT Access  There are many ways to access

2/12/2013 6 Chin Joystick – Mounting M. Lange 2.2013  Aluminum collar Chin Joystick – Mounting M. Lange 2.2013  Collar mount or bib Chin Joystick –

2/12/2013 69 Mouse Emulation  Transmission Method  Cursor movement  Clicks  Keyboard Emulation M. Lange 2.2013 Transmission Methods  Infrared

2/12/2013 70 Transmission Methods  PRC SGDs  Have to add BT dongle  Have to download software to make discoverable M. Lange 2.2013 Transmission Met

2/12/2013 71 Cursor Movement  Drive method is used to move the cursor on the computer screen  Consumer has to change “modes” from Driving to mouse e

2/12/2013 72 Cursor Movement  Digital access  Directional switches move the cursor in the corresponding direction  If three switch access is used (

2/12/2013 73 Physical Clicks  Consumer has to be able to use an additional switch or be able to discriminate between quick hits and sustained contact

2/12/2013 74 3 or 4 Quadrants?  4 Quadrant control  4 quadrants of driver control operate the mouse in 4 directions  Typically used with joystick 

2/12/2013 75 Mouse Emulation  R-net Specifics:  Clicks:  Joystick  Speed Up and Speed Down buttons for L/R clicks in mouse mode  Any quick hit of

2/12/2013 76 Mouse Emulation  Q-Logic Specifics  Clicks, method #2:  Base Toggle  One switch toggles between mouse movement and mouse click  Mous

2/12/2013 77 Interfacing External Mouse Emulators  Accessing other assistive technology through the drive method  External mouse emulators  Compone

2/12/2013 78 Interfacing External Mouse Emulators  ASL 554  3 or 5 switch configuration  5 switch  Joystick acts like a joystick operated mouse 

2/12/2013 7 Proportional Mini Joystick  Less than 10g force M. Lange 2.2013 HMC HMC Joystick: Mounting HMC M. Lange 2.2013 Mini Proportional Joystick

2/12/2013 79 External Mouse Emulators  Dynamic Controls  I-Portal Mouse Mover  Compatible with DX Electronics  MK6i compatibility in 2013 M. Lang

2/12/2013 80 Resources  ASL has a terrific series of step-by-step instructions for mouse emulation on each electronics package!  Ask for copies!  h

2/12/2013 81 EMERGING TECHNOLOGIES Cutting Edge Time (CET)! M. Lange 2.2013 Tablets, Cell Phones, MP3s, Oh My!  Tablets  Cell Phones  MP3 players M

2/12/2013 82 PC based Tablets  PC Tablets (Android platform 3.1 and above) support an external mouse  Invacare  Requires mini USB to USB cable  Do

2/12/2013 83 iPortal2  Dynamic Controls  I-Portal Mouse Mover + Accessibility  Compatible with DX Electronics  MK6i compatibility in 2013  Mouse

2/12/2013 84 Tecla Shield  Komodo Open Lab  http://komodoopenlab.com/tecla/  BT, pairs with smartphone or tablet (and iPod Touch)  Works with Andr

2/12/2013 85 Smartphones  R-Net  HouseMate 5 Switch  ClickToPhone software  Android smartphone  Five switch or joystick input  Requires  R-Net

2/12/2013 86 Speakers  Add speaker in headrest  For auditory scanning on Speech Generating Device  For auditory input from technology including MP

2/12/2013 87 Monitoring  iPortal Dashboard App  Displays real time information about the wheelchair on a Smartphone  Speed  Compass  Seat angle 

2/12/2013 88 Attendant Control  Many clients tire and need someone to take over  The client’s access method may not be driveable for others!  Wirel

2/12/2013 8 MEC Joystick - Mounting M. Lange 2.2013 Mini Proportional Joystick  Switch It! MicroPilot  Isometric joystick  Requires very little thr

2/12/2013 89 Reset Switch Options  Invacare requires the Reset switch to be plugged into the display, leaving a cord in the way  This product plugs

2/12/2013 90 Power Tray  Motion Concepts  May facilitate independent transfers M. Lange 2.2013 Alert or Loud Horn?  Attendant Alert is activated by

2/12/2013 91 Display Mounts  Typical display mounts can be bulky, in the way and not maintain their position  Newer options are more streamlined, ca

2/12/2013 92 The Future is out there…  These younglings at MIT are doing incredible work!  Something to be said for being born after this stuff was

2/12/2013 93 Contact Info: Michelle Lange www.atilange.com [email protected] M. Lange 2.2013

Advanced Power Wheelchair Applications Programming Worksheet 1. Get in a group and go to the Exhibit Hall 2. Go to a booth with Power Wheelchairs (

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,

Complex Rehab Power Wheelchair electronics Comparison matrix Invacare MK 6i PG Drive Technology R-net Quantum Q-Logic Michelle L. Lange, OTR, ABDA,