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Assistive Technology for
Visually Impaired and Blind People

Related titles
Assistive Technology for the Hearing-impaired, Deaf and Deafblind
Marion A. Hersh and Michael A. Johnson (Eds.)

Marion A. Hersh and Michael A. Johnson (Eds.)
with David Keating, Stuart Parks, Gunnar Jansson, Brian S. Hoyle,
Dean A. Waters, Nicholas A. Bradley, Mark D. Dunlop, Michael May,
Charles LaPierre, Elizabeth M. Ball, Tai Fook Lim Jerry, Han Leong Goh,
Kok Kiong Tan, Gareth Evans, Paul Blenkhorn, Rüdiger Hoffmann,
James R. Fruchterman, David Crombie and Roger Lenoir

Assistive Technology for
Visually Impaired and
Blind People

123

Marion A. Hersh, MSc, PhD
Department of Electronics
and Electrical Engineering
University of Glasgow
Glasgow
G12 8LT
UK

Michael A. Johnson, MSc, PhD
Industrial Control Centre
University of Strathclyde
Graham Hills Building
50 George Street
Glasgow
G1 1QE
UK

ISBN 978-1-84628-866-1

e-ISBN 978-1-84628-867-8

DOI 10.1007/978-1-84628-867-8
British Library Cataloguing in Publication Data
Assistive technology for vision-impaired and blind people
1. People with visual disabilities – Orientation and mobility – Technological innovations 2. People with visual disabilities
– Means of communication – Technological innovations 3. Blind, Apparatus for the – Technological innovations
4. Communication devices for people with disabilities – Technological innovations
I. Hersh, Marion A., 1956– II. Johnson, Michael A., 1948– III. Keating, David
362.4’183
ISBN-13: 9781846288661
Library of Congress Control Number: 2007931821
© 2008 Springer-Verlag London Limited
Braille Lite, JAWS®, PAC Mate™, SARA™, StreetTalk™ are trademarks and registered trademarks owned by Freedom Scientific,
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SONUS-1XT , XT-1, iVOX, PURE, PURE Digital are trademarks owned by Imagination Technologies, Home Park Estate, Kings
Langley, Herts. WD4 8DH, UK
Ultracane™ is a trademark owned by Sound Foresight Ltd., Douris House, Roecliffe Business Centre, Roecliffe, YO51 9NE, UK
Colbolt Speechmaster™ is a trademark owned by Cobolt Systems Ltd, The Old Mill House, Mill Road, Reedham, Norwich,
Norfolk, NR13 3TL, UK. The trade mark is applied to a range of products including DialTalk, Sensa Cup Level Indicator, Talking
Ear Thermometer
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TalkingLights® is a registered trademark owned by Talking Lights LLC, 28 Constitution Road, Boston, MA 02129, USA
TeleTalk™, DigiCite™, Responder™, Vindicator™, WorkCam™, or SpeakFAST™ are trademarks owned by Compusult Ltd.,
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LaserCane™ is a trademark owned by Nurion-Raycal Industries Inc., Station Square, Bldg ##2, Suite B, Paoli, Pennsylvania
19301, United States
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Preface

Until quite recently, the medical model of disability was dominant and assistive
technology was viewed as an extension of rehabilitation engineering. But times
and viewpoints change so that now social inclusiveness is the pervading ethos
of disability legislation, regulations and guidelines. While the existence of new
legislative frameworks does not always mean that effective implementation has
occurred in the community, it is a beginning. Thus, it is the widespread acceptance
of the social model of disability that is driving these changes and it is the tools of
assistive technology that are the physical enablers of social inclusiveness.
While we have previously published on Assistive Technology for Hearing Impaired, Deaf and Deafblind People (Springer-Verlag London 2003, ISBN 978-185233-382-9), this companion volume strikes out in a new direction by using the
social model of disability as a framework. In Chapter 1, we present a comprehensive
assistive technology (CAT) model that is designed to provide a generic and holistic
description of all aspects of assistive technology whether social, human performance, or the engineering technology used. The idea is that the model can be used
to provide the systematic vocabulary and interpretation needed to describe any
branch of assistive technology applications. The book itself is structured around
the activities module of the CAT model and there are several overview or survey
chapters that make recourse to various aspects of the CAT model. Of course the
volume concentrates on assistive technology for visually impaired and blind people and the various contributing authors have written about their specific assistive
technological contributions to this field.
The objective of systematically reporting on assistive technology for visiually
impaired people and also trying to imbue the survey chapters with a descriptive
paradigm based on the social model of disability was an ambitious one. We could
not have accomplished such a task without the cooperation, enthusiasm and,
above all, the patience of our collaborating authors. We should like to thank
them all for their help in seeing this publishing project come to fruition. We have
been very fortunate to meet some of our collaborators at the Workshops and
Conferences on Assistive Technologies for Vision and Hearing Impairment that we
organise with invaluable European Union support. In many cases this has given
us the opportunity to discuss and debate the engineering issues described in this
book.

vi

Preface

Patience, too, is a virtue our Springer Engineering editorial staff: Oliver Jackson and Anthony Doyle have in abundance. We should like to acknowledge their
enthusiasm and support through the long gestation of this publishing project. Our
copy editor, John Kirby, is also to be thanked for producing an elegantly presented
volume. Thanks are also due for administrative and graphical support given by
Vi Romanes and Peter McKenna of the Department of Electronics and Electrical
Engineering at the University of Glasgow during the years of preparation for this
volume.
We hope this book with its new modelling perspectives and its systematic coverage of assistive technology will inspire many new projects, new courses, and new
ways to secure social inclusiveness for the visually impaired and blind community.
Marion A. Hersh and Michael A. Johnson
Glasgow, Scotland, U.K.

Who should read this book?
This book is designed to inform a wide range of current and future professionals
about the assistive technology used by visually impaired and blind people to achieve
independence and social inclusiveness in the home and the wider community.
Basic engineering principles are explained and the ways these are used to develop
and drive assistive technology applications for visually impaired and blind people
described. The volume has some chapters that refer to a generic comprehensive
assistive technology model to capture the essentials of the applied system and this
model should find applications in other assistive technology areas.
The book is suitable for electrical engineering, mechanical engineering and
scientific professionals. It is also considered highly appropriate for undergraduate
courses in the discipline of assistive technology. Thus, we hope this book will be
well placed to meet this need as a course textbook or to supplement existing
course material. The authors have been encouraged to see many engineering
undergraduates enjoy this type of material and it is hoped that this enjoyment
will fire the ingenuity of new generations of engineering students to find new and
innovative ways to develop assistive technology for visually impaired and blind
people.

An Overview of the Book
The book has a map, for the first four chapters are devoted to fundamentals:
disability and assistive technology models, eye physiology and sight, sight measurement principles and technology and finally, haptics. Subsequently groups of
chapters explore the topics of mobility, communications and access to information,
daily living, education and employment, and recreational activities. These chapter
groupings follow the structure of the Activities module of the comprehensive
assistive technology model as presented in Chapter 1 of the book.

Preface

vii

The book is designed so that each chapter is self-contained and can be read on its
own, although the overview chapters (Chapters 5, 10, 12, 17 and 18) assume some
familiarity with the CAT model material in Chapter 1. Each chapter is motivated by
specific learning objectives and contains introductory material or descriptions of
the basic principles underlying the technology or applications area. The chapters
close with a chapter summary, questions and suggestions for more investigative
projects. Full citation details for references to journals, books, and conference
papers are given along with information about useful related websites.
A brief description of the contents of each chapter along with full details of the
chapter authors can be found next. For the interested reader, biographical sketches
of all the contributing authors can be found at the end of the book. These are given
in alphabetical order of the author family names. The concept of the book and
the overall editorial direction was solely the responsibility of Marion Hersh and
Michael Johnson. However, as is usual for a contributed book, the chapter authors
are responsible for the opinions and factual accuracy expressed in their particular
contributions.

Chapters on Fundamentals
1 Disability and Assistive Technology Systems
Marion Hersh1 and Michael Johnson2
1 University

of Glasgow, 2 University of Strathclyde, Glasgow, U.K.

The social model of disability is discussed highlighting the recent pre-eminence
achieved over the medical model of disability. The concept of “quality of life”
indices is explored and its relevance to assessing assistive technology applications
is described. A survey of the main assistive technology quality of life procedures
is presented and the value of the individual procedures considered.
The later sections of the chapter investigate whether assistive technology can be
described in a single holistic and generic model, the idea being that the model will
provide a uniform and consistent framework for analysing existing applications
and for creating or synthesizing new assistive technology systems. The new comprehensive assistive technology (CAT) model is presented and its use demonstrated
in these sections.

2 Perception, the Eye and Assistive Technology Issues
Marion Hersh
University of Glasgow, Glasgow, U.K.

Many assistive technology systems for the visually impaired are supported by
contributions from the senses of touch, hearing and smell. This chapter opens with
a description of the nature of multisensory perception as this forms an important
context for the design and use of assistive technology systems.

viii

Preface

The chapter then concentrates on the sense of vision. Basic eye physiology is
presented along with descriptions of some of the capabilities of the human eye for
binocular vision, colour vision and motion tracking.
A brief review of the demographics of vision impairment is given and this is
followed by descriptions of the effects of typical vision impairments. A set of
photographic images illustrates the conditions described. The basics of simple
spectacle provision close the chapter.

3 Sight Measurement
David Keating and Stuart Parks
Gartnavel Hospital, Glasgow, U.K.

Measurement science for the sense of sight has exploited advanced computer technology to emerge as an exciting technical and medical discipline. The chapter
presents a full survey of sight measurement methods describing procedures, engineering principles, technological construction and diagnostic motivation. The
chapter opens with the classical measurement tests for visual acuity, field of vision,
and intraocular pressure, followed by the techniques used in biometry and ocular
examinations.
The more advanced technological fields of optical coherence tomography and
ocular electrophysiology are described in the last two sections of the chapter.
These techniques have developed in sophistication over the last twenty years or
so. Advances in computer visualisation software, laser technology, data collection,
signal processing algorithms and human-sensor interface systems have all been
used to provide complex and accurate measurements and visualisations of the eye
physiology and functions for clinical diagnosis. The chapter presents a state-ofthe-art review of these sight measurement advances.

4 Haptics as a Substitute for Vision
Gunnar Jansson
Department of Psychology, Uppsala University, Sweden

Historically the sense of touch has been used extensively to generate information
for the visually impaired person. This chapter surveys the underlying principles
of haptics and the perceptual capabilities of touch achievable with the human
hand. After a presentation of these haptic fundamentals, the chapter proceeds
to investigate how haptics can be used and enhanced through training or with
the aid of specialist tools. A central section of the chapter concentrates on lowtech haptic applications; some, like the long cane and the guide dog, are for
mobility whilst others, like Braille and embossed pictures, are for information from
text, as well as embossed graphics. Subsequent sections in the chapter examine
the more technologically advanced applications of haptic science. Of particular
importance are the technologies for haptic computer interfaces and for haptic

Preface

ix

displays. A project to provide haptic access to museum pieces for visually impaired
people is one outcome of this advanced work.

Chapters on Mobility and Navigation
5 Mobility: An Overview
Marion Hersh1 and Michael Johnson2
1 University

of Glasgow, 2 University of Strathclyde, Glasgow, U.K.

Visually impaired people usually require assistive technology to aid mobility and
retain independent travel within the community environment. This overview chapter opens with a discussion of the travel activity and investigates how people negotiate a desired route or journey. Assistive technology for visually impaired person’s
travel has had a long history and this is briefly reviewed. One finding is that there
have been quite a few attempts to harness the available contemporary technological
advances in mobility assistive devices. The subsequent development of the chapter
pursues three main topics: obstacle avoidance, navigation and orientation and the
design of accessible environments. The presentation reveals that most effort has
been devoted to obstacle avoidance assistive technology and that more recently
global positioning system and mobile telephone technology has begun to impact
the development of viable navigation and orientation assistive technology. The
final section of the chapter reviews progress towards the accessible environment
that is just beginning to appear in many cityscapes.

6 Mobility AT: The Batcane (UltraCane)
Brian Hoyle and Dean Waters
University of Leeds, Leeds, U.K.

The use of the long cane by visually impaired people as an obstacle detector is
long standing. More recently the basic cane design has been equipped with laser
or ultrasound transmitters and sensors and an interpretive human interface to improve its effectiveness, the objective being to allow safe travel by a visually impaired
person. This chapter reports an important case study of the steps involved in developing an advanced technology obstacle avoidance cane that used bat echolocation
signal processing techniques and ultrasonic technology. The final cane design is
now marketed worldwide as the UltraCane™.
The chapter reviews the basic technological principles for ultrasonic waves and
the advanced signal processing methods used. There is an extended discussion
of all the design and construction issues followed by a description of the final
engineering and prototype test phase. The chapter closes with an examination of
the issues involved in bringing the prototype to eventual commercialisation.

x

Preface

7 Navigation AT: Context-aware Computing
Nicholas Bradley and Mark Dunlop
University of Strathclyde, Glasgow, U.K.

Achieving independence whilst attempting a journey involving long distance navigation still remains a significant challenge for the visually impaired community.
In this chapter the contribution that might be made by context-aware computing
is explored. The first half of the chapter investigates different aspects of the long
distance navigation problem and presents a survey of existing assistive technology,
along with an introduction to cognitive maps and navigation learning strategies.
It is in the second half of the chapter that the principles and potential application
areas for context-aware computing are introduced. The topics examined include
how contextual information, for example, about location and personal preferences,
can be embedded into user-computer interactions and how these facilities and
capabilities could be used to assist the visually impaired traveller on a long distance
journey. The chapter closes with sections on specific prototype applications and
some results from the authors’ own research tests.

8 Accessible Global Positioning System (GPS)
and Related Orientation Technologies
Michael May and Charles LaPierre
Sendero Group, United States of America

One of the better-developed technologies for pinpointing a person’s location is
the global positioning system (GPS). This US positioning technology has been
widely exploited in many consumer applications and over future years alternative
systems will become available for use (notably the European Galileo system). The
success of a system for use by the visually impaired will depend on the accessibility
of the interface design and the value of the information imparted to the user.
This case study chapter looks at all the issues from the simple principles of GPS
technology through to interface design, development and testing and finally the
commercialisation aspects of marketing the end product accessible GPS device
and system. The chapter is based on the authors’ joint and direct experience of
developing and then marketing an accessible GPS product for visually impaired
people.

9 Electronic Travel Aids: An Assessment
Elizabeth M. Ball
Ergonomics and Safety Research Institute, Loughborough University, Loughborough, U.K.

Many assistive technology mobility products are expensive and visually impaired
people are a community group with considerable variability in their range of sight

Preface

xi

abilities. Thus, it is very useful to learn about the relative successes and limitations
of many of the currently available mobility products; this chapter provides such
an assessment.
The chapter opens with an analysis of the various types of methods that can be
used to set-up an end-user assessment exercise. Part of this concerns the framework
of user requirements of the products to be assessed and another part is concerned
with selecting the way of collecting the raw data of end-users responses and
experiences.
The second part of the chapter presents the author’s findings for an end-user
assessment of six obstacle avoidance mobility aids and two accessible navigation
aids. The chapter closes with a discussion on the importance of training to achieve
the best return from the use of advanced technology to assist in mobility and
navigation.

10 Accessible Environments
Marion Hersh1 and Michael Johnson2
1 University

of Glasgow, 2 University of Strathclyde, Glasgow, U.K.

One consequence of the social model of disability is the need for the community
environment to be physically accessible to all members of society. This accessibility
applies to both the outside environment of, for example, parks, shopping malls
and bus stations and to the interior environments of, for example, schools, hospitals, health centres, sports centres, shops, banks, town halls and entertainment
complexes. This chapter provides an overview of the types of features that make
the community environments accessible for visually impaired people.
The opening section of the chapter looks at the legislative and regulatory
frameworks and the general design principles for accessible environments. This
is followed by two sections covering the streetscape and buildings respectively.
More challenging applications involve embedding detailed information technology modules into the environment and these are covered in the last two sections
of the chapter. This is where exemplary applications of accessible public transport
and way-finding systems are described.

11 Accessible Bus System: A Bluetooth Application
Tai Fook Lim Jerry, Han Leong Goh and Kok Kiong Tan
National University of Singapore, Republic of Singapore

The flexibility and freedom offered by new wireless technologies are often discussed in the media and on the Internet. But having this potential translated into
working assistive technology systems is not so common. In this chapter, an application of Bluetooth technology for a bus alerting and information system suitable
for use by visually impaired people is described. The chapter reports case study
material across all the activities found in a typical prototype development project.

xii

Preface

The chapter opens with a detailed consideration of the elements of Bluetooth
technology and has a short comparison section with other competing wireless
technologies. Having selected Bluetooth as the enabling technology, the chapter
then reports on the design requirements for the bus alerting system. The system
development is presented in detail along with careful consideration of the user
interface needed for visually impaired people using mobile telephone technology.
A discussion of future plans and commercialisation issues closes the chapter.

12 Accessible Information: An Overview
Marion Hersh1 and Michael Johnson2
1 University

of Glasgow, 2 University of Strathclyde, Glasgow, U.K.

In our modern society, increasingly complex media and technology are being
used to transmit information. However, to participate and enjoy the benefits of
the information revolution requires a continual familiarity with the new developments, so it is important that this area remains accessible to the visually impaired
community.
This chapter opens with a review of the principles and technologies of low vision
aids that are used to access print. Sections on audio transcription and Braille
as access routes to print information then follow. It is the recent developments
in speech processing and speech synthesis technology that are drivers in the
wider use of audio as an information interface for the visually impaired. Major
sections of the chapter describe the accessible computer and the accessible Internet.
Both are extremely important in the processing and provision of information and
there are many interface options to make these systems accessible to the visually
impaired. Finally, since mobile telephony is increasingly accruing computer and
Internet capabilities, the chapter closes by reviewing accessible communications
technology.

13 Screen Readers and Screen Magnifiers
Gareth Evans and Paul Blenkhorn
University of Manchester, Manchester, U.K.

Two extremely important assistive technologies for the accessible computer are
screen magnifiers and screen readers. Together these two tools create the accessibility for computer output needed by a wide range of visually impaired computer
users.
The chapter has two major sections, one for screen magnifiers and one for screen
readers. Within these extended sections are topics like historical perspectives
on the technology developments, the architectures and implementation of the
technologies and other sections on particular or special features of these two
assistive technology systems.
The chapter is completed by sections on hybrid screen reader-magnifiers, selfmagnifying applications and self-voicing applications.

Preface

xiii

14 Speech, Text and Braille Conversion Technology
Rüdiger Hoffmann
Dresden University of Technology, Dresden, Germany

This chapter is devoted to the fascinating triangle of conversion technologies that
arise between text, speech and Braille. These are enabling technologies that allow
speech to be converted into text as might happen in the creation of a letter, that
allows text to be converted into speech as might happen in the reading of a book
for enjoyment and then, the additional steps taking text into Braille for the Braille
user. The everyday application of these technologies in making information and
computers accessible to the visually impaired is an important assistive technology
area.
The chapter opens with a presentation on the fundamentals of speech and
text conversion technologies. The spectral analysis of speech is an important
theoretical and practical component of this introductory material. Then, this is
followed by sections that examine the three technologies; speech-to-text, text-tospeech and Braille conversion in detail. These sections describe the technological
principles used and the equipment and applications that follow. The section on
Braille conversion has additional material on more specialised Braille applications
like Braille refreshable displays, reading machines and access to telecommunication
devices.

15 Accessing Books and Documents
James Fruchterman
Benetech, Palo Alto, California, USA

Reading is an essential daily living task, and is crucial for school and work. Whether
it is sorting the bills, reading a textbook or the daily newspaper, access to reading
is critically important to people with disabilities that prevent easy reading of the
printed page. Assistive technology has been created to address these needs and
bridge the accessibility challenge to print. One of the first challenges is acquiring the
text from the printed page. This need is met through optical character recognition
that turns an image of the printed page into an accessible digital text file. In this
chapter, the fundamentals of OCR technology and reading machines are described.
The new international standard for digital talking books, the DAISY standard, is
explored. The critically important move to direct digital access to textbooks and
newspapers is projected and a discussion of future technological development
closes the chapter.

xiv

Preface

16 Designing Accessible Music Software for Print Impaired People
David Crombie and Roger Lenoir
DEDICON (formerly FNB Nederland), Amsterdam, The Netherlands

Making music is a pastime enjoyed by many and making printed music accessible
to the visually impaired community is a particularly challenging and technically
interesting problem. Music notation is a form of symbolic information with its
own systematic rules; since it is essentially a visual medium the challenge is to
make this system accessible to the visually impaired and blind music player. There
are three basic formats: Braille music, talking music (that might use the DAISY
standard) and large print music, and the chapter covers all three formats.
The chapter opens with a brief introduction to music notation that defines
many key terms and structures for later use. This is followed by a survey of the
three music formats designed to support accessibility. Some international project
activities are described along with attempts to prescribe an international standard
for the field. A key section in the chapter carefully details the steps in the production
of Braille music and also gives further information about Talking Music. Since these
accessibility topics are still developing, closing sections of the chapter review the
likely future developments for the field.

17 Assistive Technology for Daily Living
Marion Hersh1 and Michael Johnson2
1 University

of Glasgow, 2 University of Strathclyde, Glasgow, U.K.

The first of the contextual activity areas in the comprehensive assistive technology
model is that of Daily Living, and this is the subject of this chapter. Thus, the
chapter describes assistive technology solutions designed to remove barriers to
enable visually impaired and blind people enjoy independent living in their own
home. These assistive technology solutions range from some very simple low
technology devices to very sophisticated and specialised high technology solutions
giving the chapter a large number of subsections and coverage of a wide variety of
engineering methods.
Within this diversity of assistive technology applications, there are some techniques that span several of the activities found in the daily living category. Labelling
is one generic assistive technology described in the chapter and this has a range
of applications in personal care, food preparation and using appliances. Similar
generic technologies are those for light and colour detection and identification
and these too are described in this chapter. Along with these general solution
technologies, the chapter presents groups of devices for the areas of personal care,
time-keeping, alarms and alerting, food preparation, using appliances and money
amongst others.
Summary conclusions, projects to pursue and reference citations close the chapter.

Preface

xv

18 Assistive Technology for Education, Employment and Recreation
Marion Hersh1 and Michael Johnson2
1 University

of Glasgow, 2 University of Strathclyde, Glasgow, U.K.

Education and employment, and recreational activities complete the trio of contextual activities of the comprehensive assistive technology model, and this final
chapter of the book reports on the assistive technology available in these two areas.
Education and employment is divided into six subsections covering learning and
teaching, and then five employment activity areas. The generic assistive technology
to support mobility, access to information and communication that are essential
to access education and employment have been described earlier in the book and
in this chapter access to the higher level activities are discussed. For example,
this part of the chapter covers access to mathematics in education, and the use of
specialised tools in the skilled and non-skilled trades. There is also a discussion
of the general levels of access attained by visually impaired and blind people to
education and employment in the introductory section of the chapter.
Recreational activities are essential to personal wellbeing and this is the third
contextual activities category in the CAT model. This category also divides into
six sub-activity areas, and a wide variety of assistive technology solutions is described. These range from an infrared cinema audio description system, through
to accessible football and tactile tape measures to facilitate craft activities.
Summary conclusions, projects for further investigation and reference and resource citations close the chapter.

Contents

1

2

Disability and Assistive Technology Systems . . . . . . . . . . . . . . . . . . . . . . . .
1.1 The Social Context of Disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.2 Assistive Technology Outcomes: Quality of Life . . . . . . . . . . . . . . . . .
1.2.1 Some General Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.2.2 Definition and Measurement of Quality of Life . . . . . . . . . . . .
1.2.3 Health Related Quality of Life Measurement . . . . . . . . . . . . . .
1.2.4 Assistive Technology Quality of Life Procedures . . . . . . . . . .
1.2.5 Summary and Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.3 Modelling Assistive Technology Systems . . . . . . . . . . . . . . . . . . . . . . .
1.3.1 Modelling Approaches: A Review . . . . . . . . . . . . . . . . . . . . . . .
1.3.2 Modelling Human Activities . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.4 The Comprehensive Assistive Technology (CAT) Model . . . . . . . . . .
1.4.1 Justification of the Choice of Model . . . . . . . . . . . . . . . . . . . . .
1.4.2 The Structure of the CAT Model . . . . . . . . . . . . . . . . . . . . . . . .
1.5 Using the Comprehensive Assistive Technology Model . . . . . . . . . . .
1.5.1 Using the Activity Attribute of the CAT Model
to Determine Gaps in Assistive Technology Provision . . . . .
1.5.2 Conceptual Structure of Assistive Technology Systems . . . . .
1.5.3 Investigating Assistive Technology Systems . . . . . . . . . . . . . .
1.5.4 Analysis of Assistive Technology Systems . . . . . . . . . . . . . . . .
1.5.5 Synthesis of Assistive Technology Systems . . . . . . . . . . . . . . .
1.6 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Perception, the Eye and Assistive Technology Issues . . . . . . . . . . . . . . . . . .
2.1 Perception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.1.2 Common Laws and Properties of the Different Senses . . . . .
2.1.3 Multisensory Perception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.1.4 Multisensory Perception in the Superior Colliculus . . . . . . . .
2.1.5 Studies of Multisensory Perception . . . . . . . . . . . . . . . . . . . . . .
2.2 The Visual System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.2.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.2.2 The Lens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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2.2.3 The Iris and Pupil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.2.4 Intraocular Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.2.5 Extraocular Muscles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.2.6 Eyelids and Tears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.3 Visual Processing in the Retina, Laternal Geniculate Nucleus
and the Brain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.3.1 Nerve Cells . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.3.2 The Retina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.3.3 The Optic Nerve, Optic Tract and Optic Radiation . . . . . . . .
2.3.4 The Lateral Geniculate Body or Nucleus . . . . . . . . . . . . . . . . .
2.3.5 The Primary Visual or Striate Cortex . . . . . . . . . . . . . . . . . . . .
2.3.6 The Extrastriate Visual Cortex and the Superior Colliculus .
2.3.7 Visual Pathways . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.4 Vision in Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.4.1 Image Formation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.4.2 Accommodation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.4.3 Response to Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.4.4 Colour Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.4.5 Binocular Vision and Stereopsis . . . . . . . . . . . . . . . . . . . . . . . .
2.5 Visual Impairment and Assistive Technology . . . . . . . . . . . . . . . . . . .
2.5.1 Demographics of Visual Impairment . . . . . . . . . . . . . . . . . . . .
2.5.2 Illustrations of Some Types of Visual Impairment . . . . . . . . .
2.5.3 Further Types of Visual Impairment . . . . . . . . . . . . . . . . . . . .
2.5.4 Colour Blindness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.5.5 Corrective Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.6 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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62
63
65

Sight Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.2 Visual Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.2.1 Using the Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.2.2 Variations in Measuring Visual Acuity . . . . . . . . . . . . . . . . . . .
3.3 Field of Vision Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.3.1 The Normal Visual Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.3.2 The Tangent Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.3.3 Kinetic Perimetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.3.4 Static Perimetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.4 Pressure Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.5 Biometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.6 Ocular Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.7 Optical Coherence Tomography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.7.1 Echo Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.7.2 Low Coherence Interferometry . . . . . . . . . . . . . . . . . . . . . . . . .
3.7.3 An OCT Scanner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.8 Ocular Electrophysiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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3.8.1 The Electrooculogram (EOG) . . . . . . . . . . . . . . . . . . . . . . . . . .
3.8.2 The Electroretinogram (ERG) . . . . . . . . . . . . . . . . . . . . . . . . . .
3.8.3 The Pattern Electroretinogram . . . . . . . . . . . . . . . . . . . . . . . . .
3.8.4 The Visual Evoked Cortical Potential . . . . . . . . . . . . . . . . . . . .
3.8.5 Multifocal Electrophysiology . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.9 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Reference Sources (not cited in chapter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

120
123
126
127
127
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133

Haptics as a Substitute for Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.1.1 Physiological Basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.1.2 Passive Touch, Active Touch and Haptics . . . . . . . . . . . . . . . .
4.1.3 Exploratory Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.2 Vision and Haptics Compared . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.3 The Capacity of Bare Fingers in Real Environments . . . . . . . . . . . . . .
4.3.1 Visually Impaired People’s Use of Haptics
Without any Technical Aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.3.2 Speech Perceived by Hard-of-hearing People
Using Bare Hands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.3.3 Natural Capacity of Touch and Evaluation of Technical Aids
4.4 Haptic Low-tech Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.4.1 The Long Cane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.4.2 The Guide Dog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.4.3 Braille . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.4.4 Embossed Pictures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.4.5 The Main Lesson from Low-tech Aids . . . . . . . . . . . . . . . . . . .
4.5 Matrices of Point Stimuli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.5.1 Aids for Orientation and Mobility . . . . . . . . . . . . . . . . . . . . . . .
4.5.2 Aids for Reading Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.5.3 Aids for Reading Pictures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.6 Computer-based Aids for Graphical Information . . . . . . . . . . . . . . . .
4.6.1 Aids for Graphical User Interfaces . . . . . . . . . . . . . . . . . . . . . .
4.6.2 Tactile Computer Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.7 Haptic Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.7.1 Information Available via a Haptic Display . . . . . . . . . . . . . . .
4.7.2 What Information Can Be Obtained
with the Reduced Information? . . . . . . . . . . . . . . . . . . . . . . . . .
4.7.3 Haptic Displays as Aids for the Visually Impaired . . . . . . . . .
4.8 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.9 Concluding Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Mobility: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.2 The Travel Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.2.1 Understanding Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.2.2 Assistive Technology Systems for the Travel Process . . . . . . .
5.3 The Historical Development of Travel Aids
for Visually Impaired and Blind People . . . . . . . . . . . . . . . . . . . . . . . . .
5.4 Obstacle Avoidance AT: Guide Dogs and Robotic Guide Walkers . . .
5.4.1 Guide Dogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.4.2 Robotic Guides and Walkers . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.5 Obstacle Avoidance AT: Canes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.5.1 Long Canes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.5.2 Technology Canes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.6 Other Mobility Assistive Technology Approaches . . . . . . . . . . . . . . . .
5.6.1 Clear-path Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.6.2 Obstacle and Object Location Detectors . . . . . . . . . . . . . . . . .
5.6.3 The vOICe System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.7 Orientation Assistive Technology Systems . . . . . . . . . . . . . . . . . . . . . .
5.7.1 Global Positioning System Orientation Technology . . . . . . . .
5.7.2 Other Technology Options for Orientation Systems . . . . . . .
5.8 Accessible Environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.9 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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186
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192
194
197
198
200
200
201
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Mobility AT: The Batcane (UltraCane) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.1 Mobility Background and Introduction . . . . . . . . . . . . . . . . . . . . . . . .
6.2 Principles of Ultrasonics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.2.1 Ultrasonic Waves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.2.2 Attenuation and Reflection Interactions . . . . . . . . . . . . . . . . .
6.2.3 Transducer Geometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.3 Bats and Signal Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.3.1 Principles of Bat Sonar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.3.2 Echolocation Call Structures . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.3.3 Signal Processing Capabilities . . . . . . . . . . . . . . . . . . . . . . . . . .
6.3.4 Applicability of Bat Echolocation to Sonar System Design . .
6.4 Design and Construction Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.4.1 Outline Requirement Specification . . . . . . . . . . . . . . . . . . . . . .
6.4.2 Ultrasonic Spatial Sensor Subsystem . . . . . . . . . . . . . . . . . . . .
6.4.3 Trial Prototype Spatial Sensor Arrangement . . . . . . . . . . . . . .
6.4.4 Tactile User Interface Subsystem . . . . . . . . . . . . . . . . . . . . . . . .
6.4.5 Cognitive Mapping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.4.6 Embedded Processing Control Requirements . . . . . . . . . . . . .
6.5 Concept Phase and Engineering Prototype Phase Trials . . . . . . . . . .
6.6 Case Study in Commercialisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.7 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Navigation AT: Context-aware Computing . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.1 Defining the Orientation/Navigation Problem . . . . . . . . . . . . . . . . . . .
7.1.1 Orientation, Mobility and Navigation . . . . . . . . . . . . . . . . . . .
7.1.2 Traditional Mobility Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.1.3 Limitations of Traditional Aids . . . . . . . . . . . . . . . . . . . . . . . . .
7.2 Cognitive Maps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.2.1 Learning and Acquiring Spatial Information . . . . . . . . . . . . .
7.2.2 Factors that Influence How Knowledge Is Acquired . . . . . . . .
7.2.3 The Structure and Form of Cognitive Maps . . . . . . . . . . . . . .
7.3 Overview of Existing Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.3.1 Technologies for Distant Navigation . . . . . . . . . . . . . . . . . . . . .
7.3.2 User Interface Output Technologies . . . . . . . . . . . . . . . . . . . . .
7.4 Principles of Mobile Context-aware Computing . . . . . . . . . . . . . . . . .
7.4.1 Adding Context to User-computer Interaction . . . . . . . . . . . .
7.4.2 Acquiring Useful Contextual Information . . . . . . . . . . . . . . . .
7.4.3 Capabilities of Context-awareness . . . . . . . . . . . . . . . . . . . . . .
7.4.4 Application of Context-aware Principles . . . . . . . . . . . . . . . . .
7.4.5 Technological Challenges and Unresolved Usability Issues .
7.5 Test Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.5.1 Human Computer Interaction (HCI) . . . . . . . . . . . . . . . . . . . .
7.5.2 Cognitive Mapping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.5.3 Overall Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.6 Future Positioning Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.7 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.7.1 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

Accessible Global Positioning System (GPS)
and Related Orientation Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.1 Defining the Navigation Problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.1.1 What is the Importance of Location Information? . . . . . . . . .
8.1.2 What Mobility Tools and Traditional Maps are Available
for the Blind? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.2 Principles of Global Positioning Systems . . . . . . . . . . . . . . . . . . . . . . .
8.2.1 What is the Global Positioning System? . . . . . . . . . . . . . . . . . .
8.2.2 Accuracy of GPS: Some General Issues . . . . . . . . . . . . . . . . . . .
8.2.3 Accuracy of GPS: Some Technical Issues . . . . . . . . . . . . . . . . .
8.2.4 Frequency Spectrum of GPS, Present and Future . . . . . . . . . .
8.2.5 Other GPS Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.3 Application of GPS Principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.4 Design Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.5 Development Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.5.1 Choosing an Appropriate Platform . . . . . . . . . . . . . . . . . . . . . .
8.5.2 Choosing the GPS Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.5.3 Creating a Packaged System . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.5.4 Integration vs Stand-alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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8.6

User Interface Design Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.6.1 How to Present the Information . . . . . . . . . . . . . . . . . . . . . . . .
8.6.2 When to Present the Information . . . . . . . . . . . . . . . . . . . . . . .
8.6.3 What Information to Present . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.7 Test Procedures and Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.8 Case Study in Commercialisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.8.1 Understanding the Value of the Technology . . . . . . . . . . . . . .
8.8.2 Limitations of the Technology . . . . . . . . . . . . . . . . . . . . . . . . . .
8.8.3 Ongoing Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.9 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

281
281
282
282
283
283
283
284
285
286
287

Electronic Travel Aids: An Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.2 Why Do an Assessment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.3 Methodologies for Assessments of Electronic Travel Aids . . . . . . . . .
9.3.1 Eliciting User Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.3.2 Developing a User Requirements Specification
and Heuristic Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.3.3 Hands-on Assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.3.4 Methodology Used for Assessments in this Chapter . . . . . . .
9.4 Modern-day Electronic Travel Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.4.1 The Distinction Between Mobility and Navigation Aids . . . .
9.4.2 The Distinction Between Primary and Secondary Aids . . . .
9.4.3 User Requirements: Mobility and Navigation Aids . . . . . . . .
9.4.4 Mobility Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.4.5 Mobility Aids: Have They Solved the Mobility Challenge? . .
9.4.6 Navigation Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.4.7 Navigation Aids: Have They Solved
the Navigation Challenge? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.5 Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.6 Chapter Summary and Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

289
290
291
292
292

10 Accessible Environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.1.1 Legislative and Regulatory Framework . . . . . . . . . . . . . . . . . .
10.1.2 Accessible Environments: An Overview . . . . . . . . . . . . . . . . . .
10.1.3 Principles for the Design of Accessible Environments . . . . . .
10.1.4 Relationship Between Environmental Information and
Navigation Systems and Global Positioning Systems (GPS)
Orientation Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.2 Physical Environments: The Streetscape . . . . . . . . . . . . . . . . . . . . . . . .
10.2.1 Pavements and Pathways . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.2.2 Road Crossings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.2.3 Bollards and Street Furniture . . . . . . . . . . . . . . . . . . . . . . . . . . .

294
295
295
299
300
300
300
304
311
312
314
315
317
320
323
323
323
325
326

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10.3 Physical Environments: Buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.3.1 General Exterior Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.3.2 General Interior Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.3.3 Lighting and Décor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.3.4 Signs and Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.3.5 Interior Building Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.4 Environmental Information and Navigation Technologies . . . . . . . .
10.4.1 Audio Information System: General Issues . . . . . . . . . . . . . . .
10.4.2 Some Technologies for Environmental Information Systems
10.5 Accessible Public Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.5.1 Accessible Public Transportation: Design Issues . . . . . . . . . .
10.5.2 Accessible Public Transportation:
Technological Information and Way-finding Systems . . . . . .
10.6 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

333
334
335
338
343
345
348
348
350
354
355

11 Accessible Bus System: A Bluetooth Application . . . . . . . . . . . . . . . . . . . . .
11.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.2 Bluetooth Fundamentals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.2.1 Brief History of Bluetooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.2.2 Bluetooth Power Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.2.3 Protocol Stack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.2.4 Bluetooth Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.2.5 Piconet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.2.6 Bluetooth and Competing Wireless Technologies . . . . . . . . .
11.3 Design Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.3.1 System Architecture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.3.2 Hardware Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.3.3 Software Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.4 Developmental Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.4.1 Bluetooth Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.4.2 Bluetooth Client (Mobile Device) . . . . . . . . . . . . . . . . . . . . . . .
11.4.3 User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.5 Commercialisation Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.6 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

363
363
364
364
364
365
365
366
366
367
368
369
369
372
373
377
379
381
382
384

12 Accessible Information: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.2 Low Vision Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.2.1 Basic Principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.3 Low Vision Assistive Technology Systems . . . . . . . . . . . . . . . . . . . . . . .
12.3.1 Large Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.3.2 Closed Circuit Television Systems . . . . . . . . . . . . . . . . . . . . . . .
12.3.3 Video Magnifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.3.4 Telescopic Assistive Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . .

385
386
387
387
391
392
393
395
396

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12.4 Audio-transcription of Printed Information . . . . . . . . . . . . . . . . . . . .
12.4.1 Stand-alone Reading Systems . . . . . . . . . . . . . . . . . . . . . . . . . .
12.4.2 Read IT Project . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.5 Tactile Access to Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.5.1 Braille . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.5.2 Moon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.5.3 Braille Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.6 Accessible Computer Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.6.1 Input Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.6.2 Output Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.6.3 Computer-based Reading Systems . . . . . . . . . . . . . . . . . . . . . .
12.6.4 Accessible Portable Computers . . . . . . . . . . . . . . . . . . . . . . . . .
12.7 Accessible Internet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.7.1 World Wide Web Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.7.2 Guidelines for Web Authoring Tools . . . . . . . . . . . . . . . . . . . . .
12.7.3 Accessible Adobe Portable Document Format (PDF)
Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.7.4 Bobby Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.8 Telecommunications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.8.1 Voice Dialling General Principles . . . . . . . . . . . . . . . . . . . . . . .
12.8.2 Talking Caller ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.8.3 Mobile Telephones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.9 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

401
401
403
407
407
408
408
410
414
417
421
422
423
424
430
434
437
438
438
441
442
444
447

13 Screen Readers and Screen Magnifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.2 Overview of Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.3 Interacting with a Graphical User Interface . . . . . . . . . . . . . . . . . . . . .
13.4 Screen Magnifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.4.2 Magnification Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.4.3 Other Interface Considerations . . . . . . . . . . . . . . . . . . . . . . . . .
13.4.4 The Architecture and Implementation of Screen Magnifiers
13.5 Screen Readers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.5.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.5.2 The Architecture and Implementation of a Screen Reader . .
13.5.3 Using a Braille Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.5.4 User Interface Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.6 Hybrid Screen Reader Magnifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.7 Self-magnifying Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.8 Self-voicing Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.9 Application Adaptors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.10 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

449
449
450
451
453
453
454
462
466
478
478
480
485
486
489
489
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14 Speech, Text and Braille Conversion Technology . . . . . . . . . . . . . . . . . . . . .
14.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.1.1 Introducing Mode Conversion . . . . . . . . . . . . . . . . . . . . . . . . . .
14.1.2 Outline of the Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.2 Prerequisites for Speech and Text Conversion Technology . . . . . . . .
14.2.1 The Spectral Structure of Speech . . . . . . . . . . . . . . . . . . . . . . .
14.2.2 The Hierarchical Structure of Spoken Language . . . . . . . . . .
14.2.3 Prosody . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.3 Speech-to-text Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.3.1 Principles of Pattern Recognition . . . . . . . . . . . . . . . . . . . . . . .
14.3.2 Principles of Speech Recognition . . . . . . . . . . . . . . . . . . . . . . .
14.3.3 Equipment and Applications . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.4 Text-to-speech Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.4.1 Principles of Speech Production . . . . . . . . . . . . . . . . . . . . . . . .
14.4.2 Principles of Acoustical Synthesis . . . . . . . . . . . . . . . . . . . . . . .
14.4.3 Equipment and Applications . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.5 Braille Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.5.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.5.2 Text-to-Braille Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.5.3 Braille-to-text Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.6 Commercial Equipment and Applications . . . . . . . . . . . . . . . . . . . . . .
14.6.1 Speech vs Braille . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.6.2 Speech Output in Devices for Daily Life . . . . . . . . . . . . . . . . . .
14.6.3 Portable Text-based Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.6.4 Access to Computers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.6.5 Reading Machines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.6.6 Access to Telecommunication Devices . . . . . . . . . . . . . . . . . . .
14.7 Discussion and the Future Outlook . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.7.1 End-user Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.7.2 Discussion and Issues Arising . . . . . . . . . . . . . . . . . . . . . . . . . .
14.7.3 Future Developments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

497
497
497
499
500
500
505
508
509
509
515
517
521
521
522
525
528
528
531
535
537
537
538
540
540
542
543
543
543
545
546
551

15 Accessing Books and Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.1 Introduction: The Challenge of Accessing the Printed Page . . . . . . .
15.2 Basics of Optical Character Recognition Technology . . . . . . . . . . . . .
15.2.1 Details of Optical Character Recognition Technology . . . . . .
15.2.2 Practical Issues with Optical Character
Recognition Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.3 Reading Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.4 DAISY Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.4.1 DAISY Full Audio Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.4.2 DAISY Full Text Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.4.3 DAISY and Other Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.5 Players . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.6 Accessing Textbooks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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555
557
558
561
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565
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15.7 Accessing Newspapers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.8 Future Technology Developments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.9 Chapter Summary and Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.9.1 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.9.2 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

575
576
577
577
578
579

16 Designing Accessible Music Software for Print Impaired People . . . . . . .
16.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.1.1 Print Impairments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.1.2 Music Notation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.2 Overview of Accessible Music . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.2.1 Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.2.2 Technical Aspects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.3 Some Recent Initiatives and Projects . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.3.1 Interactive Music Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.3.2 Play 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.3.3 Dancing Dots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.3.4 Toccata . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.4 Problems to Be Overcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.4.1 A Content Processing Layer . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.4.2 Standardization of Accessible Music Technology . . . . . . . . . .
16.5 Unifying Accessible Design, Technology and Musical Content . . . . .
16.5.1 Braille Music . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.5.2 Talking Music . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.6 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.6.1 Design for All or Accessibility from Scratch . . . . . . . . . . . . . .
16.6.2 Applying Design for All in Emerging Standards . . . . . . . . . . .
16.6.3 Accessibility in Emerging Technology . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

581
582
582
583
584
584
593
594
594
595
596
597
597
598
599
600
600
607
609
610
610
611
612

17 Assistive Technology for Daily Living . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.2 Personal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.2.1 Labelling Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.2.2 Healthcare Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.3 Time-keeping, Alarms and Alerting . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.3.1 Time-keeping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.3.2 Alarms and Alerting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.4 Food Preparation and Consumption . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.4.1 Talking Kitchen Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.4.2 Talking Measuring Jug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.4.3 Liquid Level Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.4.4 Talking Microwave Oven . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.4.5 Talking Kitchen and Remote Thermometers . . . . . . . . . . . . .
17.4.6 Braille Salt and Pepper Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

615
616
617
617
625
628
628
630
633
633
634
635
635
635
636

Contents

xxvii

17.5 Environmental Control and Use of Appliances . . . . . . . . . . . . . . . . . .
17.5.1 Light Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.5.2 Colour Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.5.3 Talking and Tactile Thermometers and Barometers . . . . . . .
17.5.4 Using Appliances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.6 Money, Finance and Shopping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.6.1 Mechanical Money Indicators . . . . . . . . . . . . . . . . . . . . . . . . . .
17.6.2 Electronic Money Identifiers . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.6.3 Electronic Purse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.6.4 Automatic Teller Machines (ATMs) . . . . . . . . . . . . . . . . . . . . .
17.7 Communications and Access to Information: Other Technologies . .
17.7.1 Information Kiosks and Other Self-service Systems . . . . . . .
17.7.2 Using Smart Cards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.7.3 EZ Access® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.8 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

636
637
639
641
642
643
644
645
645
647
648
648
650
652
653
656

18 Assistive Technology for Education, Employment and Recreation . . . . . .
18.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.2 Education: Learning and Teaching . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.2.1 Accessing Educational Processes and Approaches . . . . . . . . .
18.2.2 Educational Technologies, Devices and Tools . . . . . . . . . . . . .
18.3 Employment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.3.1 Professional and Person-centred . . . . . . . . . . . . . . . . . . . . . . . .
18.3.2 Scientific and Technical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.3.3 Administrative and Secretarial . . . . . . . . . . . . . . . . . . . . . . . . .
18.3.4 Skilled and Non-skilled (Manual) Trades . . . . . . . . . . . . . . . .
18.3.5 Working Outside . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.4 Recreational Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.4.1 Accessing the Visual, Audio and Performing Arts . . . . . . . . .
18.4.2 Games, Puzzles, Toys and Collecting . . . . . . . . . . . . . . . . . . . .
18.4.3 Holidays and Visits: Museums, Galleries
and Heritage Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.4.4 Sports and Outdoor Activities . . . . . . . . . . . . . . . . . . . . . . . . . .
18.4.5 DIY, Art and Craft Activities . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.5 Chapter Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

659
659
661
662
667
670
671
673
674
676
680
680
681
686
687
688
696
700
703

Biographical Sketches of the Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 709
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 717



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