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Artur Strzelecki

University of Economics in Katowice

SYSTEM SENSOR – A PRACTICAL HUMAN-COMPUTER INTERFACE FOR PEOPLE WITH DISABILITIES

Introduction

A human being is an entity that has an inborn, natural need of being with and among other people, and this requires approval of the society. Usually noth- ing stands in the way of such integration, as long as such a person is born and remains for life in a physical and mental condition not much varying from the average one accepted as a norm. However, disabled people need social accep- tance as well. Though they are not always out in the open, they do exist among us (according to the National Census, in 1978 there had been 2 485 000 handi- capped people living in Poland, ten years later − in 1988, this number had in- creased to 3 735 000, whereas in the year 1996 a number of 5 430 000 Polish citizens, that is 14.3% of the total population, was disabled; disability in any form touches more or less 10% of human population reaching around 37 million in Europe, of which roughly half is in the productive age) and they desire to be present in all spheres of public life [Ostro11]. Unfortunately, they do not always fully enjoy their rights and because of their disabilities are excluded from social life.

Economic, technical and many other barriers that the handicapped people have to face very often seem to be impossible to overcome. Of course it much de- pends on the form of the disability. It seems that one of the most troublesome forms of the physical disability is complete paralysis of the muscles that prevents the patient not only from moving, but also performing even the simplest life’s ac- tivities, where practically the only way to communicate with the surroundings be- comes the use of the sense of sight and hearing [Kane09]. Unfortunately, this is mostly one-sided contact, meaning that the patient can see and hear, but his changes in appearance or attitude, nor his needs can not be clearly interpreted.

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SYSTEM SENSOR – A PRACTICAL HUMAN-COMPUTER INTERFACE… 227

Moreover, unstable relationships between people resulting from the lack of patience or being exhausted, constant life in a rush and pursuing money on the side of the healthy ones cause the disabled person left all alone without any pos- sibility of wider communication with the outside world. Satisfying their basic needs, and above all, enabling the disabled people to participate in public life, is a key factor affecting their self-esteem making them no longer feel alienated, helping them begin to believe in their own abilities. Without such provision they see their life as meaningless. In civilized and developed societies, it is spoken nowadays about the widely understood rehabilitation, social integration and normalization of the disabled ones [Rimm99].

The purpose of this project, which is an example of putting efforts to im- prove the lives of people with disabilities, is to try to solve the basic problem of acceptance and participation in the public life of those in the fatal position, that is people almost completely paralyzed (physically disabled). In such cases con- tact with the surroundings could be possible through the combined use of seeing or thinking ability and the Internet, which would be mainly practical in social in- teractions with others outside of the disabled person’s home [Leut04].

One of the indirect steps in the realization of this project is solving a prob- lem of communication between the disabled and the machine, using only limited body movements, which are possible as some percentage of paralyzed people is able to move their thumb. That, in result, allows the synchronization of informa- tion signals transmitted from patient’s sense of sight and movement, which con- sequently, can greatly improve the quality and speed of the communication [Trew06].

At the end of the research project a hypothesis regarding the type and the kind of the used sensor-transducer (or possibly their greater number and various types) should be stated. An isolated group of measured signals will be a founda- tion on which a computer program based largely on signal compression algo- rithms will be build, thereby increasing the speed of information transmission, and, in an ideal situation, ensuring the working speed equal to a perfectly healthy person typing on a computer keyboard.

After obtaining satisfactory results of the first and the second stage, a com- plete system allowing meeting the stated conditions has to be constructed. Com- plementing the project should be an analysis of a study relating to human – ma- chine communication using the power of thought.

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Artur Strzelecki 228

Related work

Nowadays, solutions to the problem of communicating with people com- pletely paralyzed can be found when basing on the observation of two states of one’s eyelid: an eyelid open and an eyelid closed, and the transition from one state to another, that is, a blink. Observing the state of the eyelids, mainly the transition state, seems to be the simplest method, like binary number system. In practice, however, having a relatively large numbers of “communication” dic- tionaries, the time of the mutual exchange of a low information entropy between the disabled and the computer is very long. Existing computer programs (such as The Blink program developed by Krolak and Strumiło [KrSt08, KrSt09] at the Technical University of Lodz just within two years), intended mostly to change a blink into a letter of an alphabet, the designation of the correct letter requires a large number of blinks, which makes the communication process tiresome and tedious, and, above all, challenging to develop a fairly complex programs. Fo- cusing only on the observation of the alteration moment of the eye requires using fairly precise equipment – mainly vision camera (photoelectric infrared light sensors, which are illuminating eyelids, are commonly used, too), as well as more complex programs analyzing changes of the observed image. Neither good equipment nor a good program give satisfactory results in this case. The altera- tion moment of the eye is not always interpreted accurately. Moreover, a hard work is often required of the paralyzed person to learn cooperation with the sys- tem, especially if the paralyzed must blink at the exact moment when the sliding illuminated point is positioned over the desired character in the chart displayed on the monitor screen. It is important here to maintain a constant position of the head, so as not to interrupt the communication process. It is, however, very often a huge obstacle to a bedridden or a wheelchair-bound person.

The realization of the project requires at first analyzing the mechanisms of moving the eyelids, and in particular the rules of operating of the orbicularis oculi muscle, which works as follows: contraction of the orbital part of the or- bicularis oculi causes tightening the eyelids, contraction of the tarsal plates causes closing the eye softly, a muscle called the levator palpebrae opens the eye, while a muscle called procerus is responsible for frowning (that is visible as a vertical fold of skin between the eyebrows). The next step is analyzing the per- formance of the six muscles that move the eyeball.

Any other solutions are based on the facial movements recognition. The movement dictionary contains of the eyelids and jaw movements. Different combinations of the eyelids and jaw positions are translated into movement of

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SYSTEM SENSOR – A PRACTICAL HUMAN-COMPUTER INTERFACE… 229

the cursor on a computer screen [Barr00]. This real-time system design utilizes electromyographic biosignals from cranial muscles and electroencephalographic (EEG) biosignals from the cerebrum’s occipital lobe, which are transformed into controls for two-dimensional cursor movement, the left-click command, and an ON/OFF switch for the cursor-control functions.

Another study from Chen [Chen01] describes the purposes and the design considerations of an economical head-operated computer mouse. It focuses on the invention of a head-operated computer mouse that employs two tilt sensors placed in the headset to determine head position and to function as simple head- operated computer mouse. One tilt sensor detects the lateral head-motion to drive the left/right movement of the mouse. The other one detects the head’s ver- tical movements up and down and transfers them to operate the mouse. A touch switch device has been designed to gently touch operator’s cheek. Operator may puff up his cheeks to trigger the device to perform single click, double click, and to drag commands.

System Sensor

System Sensor allows to control one’s computer, TV and a television set-top box or an intercom. It can be operated by the disabled ones suffering from partial or total paralysis of the upper extremities (quadriplegia), and in a case of a loss of voice – being able to contact the outer world. In order to improve the typing speed, the system has been equipped with its own vocabulary hints dictionary, which suggests default words matching the first letters put.

The very first user of System Sensor was an immobilized person with a se- vere nervous system illness. Due to the rapid progress of the disease he lost any contact with the outer world, except for the four walls of the room in which his bed stood. Roman Biadała, System Sensor’s main designer, built it having in mind his disabled friend. After a couple of initial tests a system was created that, for the first time in a long time, enabled the bedridden person to turn on the computer and use its features without any help. Using System Sensor a person can run any program that is already installed on one’s computer. The only limita- tion is the inability to install the operating system. A disabled may also signal his needs to his friends or family.

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Artur Strzelecki 232

Even if somebody is unable to perform any movement, his mind generates different kinds of emotions that are translated into changes in his skin resistance recorded by a special Sensor GSR’s detector, and then transmitted to the com- puter as “a click”. This sensor, looking like a computer mouse with fixed elec- trodes instead of keys, emits a sound signal that’s intensity varies with a change of emotions. For example, when deepening concentration lower tones are heard, in the moments of distraction, however, the tones are getting higher. This allows the disabled to learn to consciously modify body functions that normally are not controlled, such as muscle tension or electrical resistance of the skin (GSR).

System Sensor GSR users are made out of people moving on a wheelchair because of muscular atrophy. They point out that communication is not that easy at the beginning. First, emotions have to be controlled, just as during relaxation.

Support is provided by the System Sensor’s sound, which changes as the person is gradually relaxing or full of emotion. Mastering the communication with the device means controlling the emotions to such extent, that the sensor starts to

“listen” and stops the cursor at the right time.

System Sensor − Mouse

System Sensor Mouse is another device, differing from System Sensor which is used to control the computer. System Sensor Mouse is dedicated to children and people suffering from cerebral palsy and designed for exercising and rehabilitation. System Sensor Mouse is a device that has a high value for re- habilitation and therapy.

As a therapeutic method, this device supports children with very specific learning difficulties, especially with such problems with movement program- ming as dyspraxia, dysgraphia and dyslexia. Also, as a method of rehabilitation, it improves the quality of life of people with all kinds of problems in movement development. When speaking about children with spinal muscular atrophy, SMA-1, which becomes evident in the very first year of life, the device gives them an opportunity to develop communication with their environment. In other forms of muscle atrophy usually revealing themselves in older age, system en- ables maintaining communication with the outer world. It also allows further de- velopment of communication with children with cerebral palsy.

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SYSTEM SENSOR – A PRACTICAL HUMAN-COMPUTER INTERFACE… 233

Fig. 3. System Sensor Mouse

Thanks to the system, a person with any developmental disorder can make new friends, exchange ideas, share experience, definitely is not doomed to isola- tion or loneliness. The system affects social, emotional and cognitive sphere of ill person’s life, as well as helps in creating self-image and the image of the sur- rounding world. It opens the world up, broadens the horizons, gives the opportu- nity to make decisions, allows to make choices, promotes active participation in various forms of social life. It allows usage of such devices as smartphones or mobile phones. It allows the child to have its own space, develop it, improve its sense of direction, helps in reconstructing spatial systems. Because of its appeal- ing form, the device encourages activity, gives an opportunity to choose, indi- cates mistakes if any occur at the same time giving the possibility to correct them. It improves many forms of coordination: visual − motor, auditory − motor, visual − auditory − motor, enhances the attention span.

System Sensor Mouse also allows people who have difficulties in using a traditional mouse, to write on the computer. Using the onscreen keyboard of the System Sensor Mouse it is possible to write on and use a computer. On- screen keyboard displays a virtual keyboard with all the standard keys. Keys can be selected using a mouse or other pointing device. A single key as well as a group of keys can be used to navigate between each key on the screen.

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Artur Strzelecki 234

The device was especially designed for disabled children and people with cerebral palsy with the purpose to help in rehabilitation and communication with the environment. Such persons can not use neither the first version of System Sensor, because of not knowing the letters, nor System Sensor GSR, because of not being able to focus attention. Additionally, they are mentally and manually disabled therefore not able to use neither the traditional keyboard nor joystick.

System Sensor Mouse serves as a pointing device and is based on carefully planned use of large buttons performing the functions of traditional keyboard and computer mouse (hence the name given). With the help of these characteris- tics, special international graphic computer programs, which has already been used in children with cerebral palsy therapy, can be operated. Handling such programs by the people with combined mental-physical disorders is possible.

System Sensor Mouse does not require any additional drivers or software, and works well with the following operating systems: Windows, MAC OS, Linux, Android. After connecting System Sensor Mouse to a computer or a tab- let, the device is detected by the operating system and is ready to work. The huge advantage of the device is its easy to use form, that is especially important for people with reduced motor or intellectual abilities, and the ones caring for them. It enables previously mentioned ones to use a computer, tablet or even smartphone with installed software to an alternative communication applica- tions, like the Polish prosthesis speech device “MÓWik” and “The Grid 2”

which allows communication by means of symbols, images, or one’s own pho- tos. These programs are useful tools in alternative communication.

In a situation when the strength and precision of pressing a key, for in- stance, is rather small, the user’s communication possibility with the use of communication devices previously available is greatly hindered. System Sensor Mouse is a device that supports communication. It provides a possibility to hover on the message box and approve of the selected message by clicking joy- stick button, as well as hand, or foot, depending on the user’s preferences or ca- pabilities.

Independent joystick and keyboard working modes make it possible to make full sentences, consisting of single short messages, and activate them using an innovative text-to-speech solution. System Sensor Mouse works well with Android, making it able to handle the Polish speech prosthesis called “MÓWik”, that is dedicated to, among others, people with cerebral palsy. The speech pros- thesis works on tablets and smartphones, some users, however, due to the lack of motor abilities is not able to push boxes with prompts and thus does not have the possibility to communicate with the outer world. First experience with System

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SYSTEM SENSOR – A PRACTICAL HUMAN-COMPUTER INTERFACE… 235

Sensor Mouse shows its significant relevance in the process of rehabilitation and education of the disabled children, as well as its impact on the increase of their motivation to act and learn. For these reasons, it is a complementary support for people with cerebral palsy or combined mental-physical disorders in the course of their learning and, what is more, adjusting educational requirements and communicating with the society.

Conclusions

The practical Human-Computer Interaction system thoroughly explained above, represents a potential alternative for the communication of individuals with severe motor disabilities using their computers. Because of the fact that the system gives commands to the cursor movements on the basis of detection and classification of GSR signals, its operation is relatively simple for the user. Us- age of the interface requires only a voluntary contraction of a set of chosen mus- cles, requiring little training on the part of the user.

The interface of System Sensor is fully operational. It allows people with disabilities to move computer cursor through galvanic skin sensor, by using their thoughts. Second interface helps people with disabilities, especially children with cerebral palsy or spinal muscular atrophy, to move computer cursor and use virtual keyboard.

In comparison with other unassisted interfaces dedicated to users with dis- abilities, the GSR interface described above has the potential to be more afford- able and portable than others, such as eye-gaze tracking devices.

Acknowledgements

Special thanks to Mr Roman Biadała, who, being the designer and the con- structor of System Sensor, System Sensor GSR and System Sensor Mouse, gave his permission to access all the above mentioned devices data, and, what is more, was kind enough to thoroughly explain their usage, which greatly enables the disabled people’s communication with the outer world.

References

[Barr00] Barreto A.B., Scargle S.D., Adjouadi M.: A Practical EMG-based Human- computer Interface for Users with Motor Disabilities. „Journal of Rehabili- tation Research and Development” 2000, Vol. 37, No. 1, January/

February, pp. 53-64.

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Artur Strzelecki 236

[Chen11] Chen Y.: Application of Tilt Sensors in Human-computer Mouse Interface for People with Disabilities. „IEEE Transactions on Neural Systems and Rehabilitation Engineering” 2001, Vol. 9, Iss. 3, pp. 289-294.

[Leut04] Leuthardt E.C., Schalk G., Wolpaw J.R., Ojemann J.G., Moran D.W.:

A Brain-computer Interface Using Electrocorticographic Signals in Hu- mans. „Journal of Neural Engineering” 2004, 1(2), pp. 63-71.

[Kane09] Kane S.K., Jayant C., Wobbrock J.O., Ladner R.E.: Freedom to Roam:

A Study of Mobile Device Adoption and Accessibility for People with Visual and Motor Disabilities. Proceedings of the 11th International ACM SIGACCESS Conference on Computers and Accessibility ACM 2009, pp. 115-122.

[KrSt09] Królak A., Strumiło P., Eye-Blink Controlled Human-Computer Interface for the Disabled in Human-Computer Systems Interaction. In: Advances in Intelligent and Soft Computing Vol. 60, 2009, pp. 123-133.

[KrSt08] Królak A., Strumiło P.: Vision-based Eye Blink Monitoring System for Human-computer Interfacing. Conference on Human System Interactions, Kraków 2008, pp. 994-998.

[Moor04] Moore M.M., Dua U.: A Galvanic Skin Response Interface for People with Severe Motor Disabilities. ACM SIGACCESS Accessibility and Computing ACM 2004, No. 77-78, pp. 48-54.

[Ostro11] Ostrowska A., Sikorska J., Gąciarz B.: Osoby niepełnosprawne w Polsce w latach dziewięćdziesiątych. Instytut Spraw Publicznych, 2001.

[Rimm99] Rimmer J.H.: Health Promotion for People with Disabilities: The Emerg- ing Paradigm Shift from Disability Prevention to Prevention of Secondary Conditions. „Physical Therapy” 1999, 79(5), pp. 495-502.

[Trew06] Trewin S., Keates S., Moffatt K.: Developing Steady Clicks: A Method of Cursor Assistance for People with Motor Impairments. Proceedings of the 8th international ACM SIGACCESS Conference on Computers and Ac- cessibility ACM 2006, pp. 26-33.

SENSOR SYSTEMU − PRAKTYCZNY INTERFEJS CZŁOWIEK-KOMPUTER DLA NIEPEŁNOSPRAWNYCH

Streszczenie

W artykule zaprezentowano interfejs stosowanych dla detekcji biosygnałów i dla interpretacji wzorców biosygnałów dla komunikacji człowieka z maszyną. System sen- sorowy i jego zastosowanie zostały wyjaśnione na przykładach. Ponadto przedstawiono rozwiązanie zwane System Mouse Sensor zaprojektowane dla osób chorych na pora- żenie mózgowe oraz niepełnosprawnych fizycznie.

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