Many individuals with severe motor impairments are cognitively capable, but because of their physical impairments, unable to express their intention through conventional means of communication. Access technologies are devices that attempt to translate the intention of these individuals into functional activity by harnessing their residual physical or physiological abilities. The primary objective of this thesis was to design and develop a novel non-invasive and non-contact access technology based on infrared thermal imaging. This access technology translates the local temperature change associated with voluntary mouth opening to activation of a binary switch such as a mouse click or key press. To this end, an algorithm based on motion and temperature analyses, and morphological and anthropometric filters was designed to detect mouth opening activity in thermal video in real-time. The secondary objective of this thesis was to introduce a mutual information measure for objective assessment of binary switch users’ performance. A model was suggested, in which combination of cognitive and physical abilities of the human user of a binary access switch constitute a communication channel. The proposed mutual information measure estimates the rate of information transmission in the ‘human communication channel’ during stimulus response tasks. Using this measure, in a study with ten able-bodied participants, the infrared thermal switch was validated against a conventional chin switch. Impairments in body functions and structures that may contraindicate the use of the infrared thermal switch were explored in a study with seven clients, with severe disabilities. Potential hard and soft technological solutions to mitigate the effect of these impairments on infrared thermal switch use were recommended. Finally the infrared thermal switch was tailored to meet the needs of a young man with severe spastic quadriplegic cerebral palsy, who had no other means of physical access.

Submitted by Maria Paula Cardoso Matos de Almeida (mpaulacm1@yahoo.com.br) on 2015-03-27T18:45:03Z No. of bitstreams: 1 FINAL EBAPE-Dissertacao Maria Paula Cardoso Matos de Almeida DEPOSITO REVISAO FINAL LAS 240315.pdf: 930384 bytes, checksum: 0b3b6250f935fd9638517a8956b7f362 (MD5) / Approved for entry into archive by ÁUREA CORRÊA DA FONSECA CORRÊA DA FONSECA (aurea.fonseca@fgv.br) on 2015-03-31T13:46:50Z (GMT) No. of bitstreams: 1 FINAL EBAPE-Dissertacao Maria Paula Cardoso Matos de Almeida DEPOSITO REVISAO FINAL LAS 240315.pdf: 930384 bytes, checksum: 0b3b6250f935fd9638517a8956b7f362 (MD5) / Approved for entry into archive by Marcia Bacha (marcia.bacha@fgv.br) on 2015-04-08T12:31:19Z (GMT) No. of bitstreams: 1 FINAL EBAPE-Dissertacao Maria Paula Cardoso Matos de Almeida DEPOSITO REVISAO FINAL LAS 240315.pdf: 930384 bytes, checksum: 0b3b6250f935fd9638517a8956b7f362 (MD5) / Made available in DSpace on 2015-04-08T12:31:36Z (GMT). No. of bitstreams: 1 FINAL EBAPE-Dissertacao Maria Paula Cardoso Matos de Almeida DEPOSITO REVISAO FINAL LAS 240315.pdf: 930384 bytes, checksum: 0b3b6250f935fd9638517a8956b7f362 (MD5) Previous issue date: 2015-03-06 / From the importance of the issue ‘people with disabilities’ is gaining on the agenda of Brazilian public policies in recent years this present research has aimed to analyze the actions taken in Finep in the period 2005 to 2008 whose theme is the Assistive Technology (AT) to verify if such actions generated the effective introduction of innovative products, services and processes in the consumer market of AT. The methodology used was the Grounded Theory and the primary source of data and information was obtained on Finep. The research also presents examples of how public policies for TA are being implemented in the European Union and Australia. The study mapped the main difficulties faced by institutions and companies dedicated to innovative projects of AT for the introduction of assistive products on production lines and provided a reflection on the causes and suggestions on the most effective and direct participation of those involved and the continuity of actions for achieving the desired results in AT actions supported by Finep. There is, however, a gap between research, pilot batch or proof of concept and the actual production of goods and assistive services and there are several reasons identified in the research that contribute to this gap, for example, the profile of the companies and its propensity to risk, since the AT project execution cycle takes several steps, and therefore time to obtain a prototype able to start and marketing. / A partir da importância que o tema pessoas portadoras de deficiência vem ganhando na agenda das políticas públicas brasileira nos últimos anos, a presente pesquisa teve como objetivo analisar as ações realizadas pela Finep no período de 2005 a 2008 cuja temática é a Tecnologia Assistiva (TA), para verificar se as ações geraram a introdução efetiva de produtos, serviços e processos inovadores no mercado consumidor de TA. A metodologia utilizada foi a Grounded Theory e a fonte primária de dados e de informações foi obtida na própria Finep. A pesquisa também apresenta exemplos de como as políticas públicas para TA vem sendo implementadas na União Europeia e Austrália. O estudo mapeou as principais dificuldades enfrentadas pelas instituições e empresas dedicadas aos projetos inovadores de TA para a introdução dos produtos assistivos nas linhas de produção e propiciou uma reflexão sobre as suas causas e sugestão sobre a participação mais efetiva e direta dos envolvidos e a continuidade das ações para alcance dos resultados almejados nas ações de TA apoiadas pela Finep. Há, no entanto, um hiato entre a pesquisa, o lote piloto ou prova de conceito e a efetiva produção dos bens e serviços assistivos e vários são os motivos identificados na pesquisa que concorrem para esse distanciamento como, por exemplo, o perfil das empresas e sua propensão ao risco, uma vez que o ciclo de execução do projeto de TA demanda várias fases e, portanto, tempo até se obter o protótipo e poder iniciar a comercialização.

The study explored how a practitioner and a teacher accommodated children living with cerebral palsy in Grade R, also referred to as the reception year, at two special schools, especially how they adapted the environment and used assistive devices. Cerebral Palsy is the most common form of a neurological disorder that appears in infancy or early childhood, permanently affecting body movement and muscle coordination. Research has illuminated that early specialist intervention such as assistive devices, augmentative and alternative commutation methods and assistive technology can make the world of difference to the future of the child. My research afforded me the opportunity to observe the children in Grade R living with cerebral palsy, with the practitioner and the teacher in their natural setting at school level. I followed the deductive paradigm, and adopted a case study design. The use of assistive devices and argumentative and alternative communication has historically been the domain of occupational-, speech- and physiotherapists. With the introduction of inclusive education and the new screening, identification, assessment and support policy to be conducted in all Grade R classes at all schools in South Africa, my research will be beneficial to mainstream and full-service schools, as well as special schools. Young children living with cerebral palsy will be included in all these schools and will need support from expert teachers and practitioners, who are knowledgeable about their requirements for an adapted environment and the use of assistive devices and augmentative and alternative communication methods. The study found that the Grade R staff at the special schools were knowledgeable, but their knowledge was superficial, their classrooms lacked adapted toys, and assistive technology was non-existent. Teachers and practitioners need practical training on the importance of movement for children living with cerebral palsy and the training should emphasize that experiencing the world through assistive devices alleviates barriers to learning and development. / Inclusive Education / M. Ed. (Inclusive Education)

This study focused on the use of Assistive Technology (AT) in enhancing the educational support of all learners in a mainstream school. The theoretical frameworks used in this study were Wellness Theory and Cultural Historical Activity Theory (CHAT). The main aim of this study was to determine the efficacy of Assistive Technology in promoting the educational support of all learners in a mainstream school. This use of AT thus benefiting inclusion and inclusive practices and enhancing learning and support for all students in a mainstream school. The study was embedded in an interpretivist paradigm and used a qualitative research approach. Sampling was purposive and participants were selected based on the researcher’s pre-defined purpose for the study. Ethical approval was sought from the University of South Africa and prior to conducting research consent forms were signed by all participants. Data were collected using questionnaires with open-ended questions, face to face interviews and document analysis. Data analysis was done through thematic coding (noting recurring patterns of information) and the development of major themes based on qualitative data collected. Findings revealed the need for more technology in the research site (such as iPads and laptops), as well as the need for staff training in order to effectively use the technology. Furthermore, having more educational assistants to support students with more complex needs was also highlighted. Findings from face-to-face interviews indicated themes articulating with the above mentioned. This included the need for time to plan for the use of Assistive Technology in the classroom, along with time to familiarize oneself with the various forms of technology available. Training to effectively implement and support the technology was highlighted, as was time to engage with other colleagues and develop a collegial enquiry for the effective use of Assistive Technology to support all learners in the mainstream class. Findings from documents reviewed showed significant focus on the need for diagnosis to be able to select intervention strategies for the classroom and instruction. When staff were aware of a child’s medical, cognitive or mental health diagnosis, appropriate supports could be explored. The school support documents reviewed indicated a clear requirement for updated testing and setting of goals for students, to be supported by the strategies. Recommendations made for the effective use of AT included the promotion of professional development in staff and the establishment of professional learning communities which value the sharing and exchange of information regarding knowledge and skills. Furthermore, a framework is proposed which may be used by schools using assistive technology in supporting learners in mainstream schools so that learning may be enhanced. A further longitudinal study was recommended for the future to determine the impact of the use of AT to support inclusion when relevant staff training is available, applicable and ongoing. / Inclusive Education / D. Ed. (Inclusive Education)

People withmobilityandspeechrestrictionssimultaneoushaveverbalcommunicationandbody language impaired.Inthemostextremecasesthepatientsaredeprivedofalltheirmovements and speechcapabilities.ThissituationischaracterizedastheLocked-inSyndrome(LIS).The augmentativeandalternativecommunicationtechnologiesprovidemethodsandsoftwaresthat allowthesepatientstocommunicatewiththeexternalenvironmentandpeoplearoundthem. Among thevariousmethodsandexistingcommunicationprogramswecanhighlightthevirtual keyboard.However,datainputusingthiskindofkeyboardisconsiderablyslowerandmore tiresome forpeoplewithLIS.Thisworkaimstobuildanassistivevirtualkeyboardtoassist patients withseveremobilityrestrictionsandspeechtocommunicate.Toachievethisgoalit wasconductedtwosystematicreviewsandaliteraturereview.Fromtheknowledgegained from theseresearchswemodeledanddevelopedanassistivevirtualkeyboard.Moreover,we designed andimplementedanevolutionarymethodologythatallowsthekeyboardtoadaptitself to user svocabularyandwritingmode.Finally,anexperimentthatcomparesthetraditional method keyboardsoptimizationwiththemethodologyproposedinthisthesiswascarriedout. / Pessoas comrestriçõesmotorasedefalasimultâneastêmacomunicaçãoverbalealinguagem corporal prejudicadas.Noscasosmaisextremosopacienteéprivadodetodososseusmovimen- tos edacapacidadedefala.EssasituaçãoécaracterizadacomoaSíndromedoEncarceramento (SE). Astecnologiasdecomunicaçãoaumentativaealternativasãoresponsáveisporproporcio- narem métodose softwares que possibilitamacomunicaçãodospacientescomoambienteeas pessoas queoscercam.Entreosváriosmétodoseprogramasdecomunicaçãoexistentespode-se destacar otecladovirtual.Porém,aentradadedadosutilizandotecladosvirtuaiséconsidera- velmentemaislentaecansativaparapessoascomSE.Oobjetivodestetrabalhoéconstruirum teclado virtualassistivoparaauxiliarpacientescomrestriçõesmotorasgravesedefalaaseco- municarem. Paraatingiresseobjetivoforamrealizadasduasrevisõessistemáticaseumarevisão de literatura.Apartirdoconhecimentoadquiridodessasrevisõesfoimodeladoedesenvolvido um tecladovirtualassistivo.Alémdisso,foielaboradaeimplementadaumametodologiaevolu- tivaquepermiteotecladoseadaptaraovocabulárioeomododeescritadousuário.Finalmente, foi realizadoumexperimentoquecomparaométodotradicionaldeotimizaçãodetecladoscom a metodologiapropostanestatese. / Doutor em Ciências

The following report presents a Master thesis project about a re-design of an ankle foot orthosis using additive manufacturing as the production method, conducted by a student in Spring 2020 as part of the Master’s programme Industrial Design at Jönköping University’s School of Engineering. Ankle foot orthoses are the most prescribed lower extremity orthoses worldwide and are worn in a visually obtrusive way making patients feel stigmatized for their disability. The social stigma makes it emotionally difficult for many users to wear an AFO frequently enough for proper rehabilitation. Despite its significance and wide spread use, its design has not changed for over 50 years. Traditional manufacturing methods are difficult to work with and make customization options very limited. By using digital additive manufacturing methods like 3D Scanning, 3D printing and computer simulations, it is possible to offer personalized looks for AFOs by implementing almost any custom pattern expressed in cut-outs on the AFO surface. That kind of perforation simultaneously solves the problem of bad perspiration and air flow. The freedom of graphical expression in those patterns invite the patient to participate in the design process themselves to create an ankle foot orthosis that is their own. That revolutionary twist on the manufacturing and design process empowers the user to take control over their disability to the furthest degree possible and returns the human right of self-determination and independence to them. / Följande rapport presenterar ett examensarbete gällade en omdesign av en ankel-fot-ortos med additiv tillverkning som produktionsmetod, genomförd av en student våren 2020 som del av masterprogrammet Industrial Design vid Jönköpings universitets tekniska högskola. Ortoser för fotleden är de mest föreskrivna ortoserna för underkroppen i hela världen och bärs på ett visuellt påträngande sätt vilket gör att patienterna kan känna sig annorlunda eller utanför för sin funktionsnedsättning. Den sociala stigmatiseringen gör det känslomässigt svårt för många användare att bära en AFO ofta nog för korrekt rehabilitering. Trots dess betydelse och breda användning har designen inte förändrats på över 50 år. Traditionella tillverkningsmetoder är svåra att arbeta med och begränsar alternativen för anpassning. Genom att använda digitala metoder för additiv tillverkning som 3D-skanning, 3D-utskrift och datorsimuleringar är det möjligt att erbjuda ett personligt utseende för AFO genom att införa en stor mängd anpassade mönster i form av utskärningar på AFO-ytan. Denna typ av perforering löser samtidigt problemet med svett och dåligt luftflöde. Friheten för grafiskt uttryck genom dessa mönster låter patienten delta i själva designprocessen för att fotledsortosen ska kännas som deras egen. Detta nya synsätt på utveckling på tillverknings- och designprocessen gör det möjligt för användaren att ta kontroll över sin funktionsnedsättning i största möjliga grad och återställer känslan av självständighet.

Att kunna uttrycka sig skriftligt är en förutsättning för delaktighet i samhället och att kunna utbilda sig inför yrkeslivet. Forskning visar att kompensatoriska hjälpmedel i form av assisterande teknik för individer med läs- och skrivsvårigheter är särskilt viktigt i inlärningssammanhang. Denna studie undersökte likheter och skillnader i elevers textkvalitet och textlängd vid skrivande med tangentbord jämfört med användning av assisterande teknik i form av tal-till-text-program. I studien deltog 41 svenska mellanstadieelever. Resultaten visade att användning av taligenkänningsprogram, varigenom elever får producera text genom att tala istället för att skriva med tangentbord, genererar både längre texter och texter av högre kvalitet. Tal-till-text-program sparade också tid jämfört med skrivande med tangentbord. Utifrån dessa resultat så kan taligenkänningsteknik medföra pedagogiska fördelar. Resultaten diskuteras utifrån tidigare forskning och metodologiska begränsningar. Mer forskning behövs bland annat i syfte att förstå hur långsiktig användning av assisterande teknik kan påverka elevers skrivförmåga. / Being able to express yourself in writing is a prerequisite for academic success and participation in society. Research shows that compensatory aids in the form of assistive technologies for individuals with reading and writing difficulties are particularly important in learning contexts. This study examined similarities and differences in students’ text quality and text length when typing with keyboard compared to when using a particular type of assistive technology in the form of a speech-to-text program. The study comprised of 41 Swedish middle school pupils. The results showed that using speech recognition software, whereby students are allowed to produce text by speaking instead of typing, generates both longer texts and higher-quality texts. Speech-to-text programs were also significantly more time efficient. Based on these results, speech recognition technology can bring educational benefits. The results are discussed based on previous research and methodological limitations. More research is needed, among other things, in order to understand how long-term use of assistant technology can affect students’ writing ability.

Reconnu comme l’une des principales causes d’invalidité, le traumatisme crânio-cérébral (TCC) est une condition chronique pouvant occasionner des déficits physiques, cognitifs, émotionnels et comportementaux. Ces déficits interfèrent avec la capacité de la personne à s’engager dans ses activités quotidiennes, incluant des activités complexes comme la préparation de repas. Afin de soutenir cette population lors de la préparation de repas, une technologie d’assistance à la cognition (TAC) nommée Cognitive Orthosis for coOKing (COOK) a été développée en partenariat avec une résidence alternative pour des personnes ayant des incapacités graves à la suite d’un TCC. Suivant l’installation de COOK, trois résidents ont été en mesure de préparer des repas de façon sécuritaire et autonome. Toutefois, rien n’est connu sur la façon avec laquelle COOK pourrait répondre aux besoins des personnes ayant eu un TCC et vivant dans la communauté, ni comment cette technologie pourrait offrir de l’assistance personnalisée, minimale et contextualisée pour soutenir cette population. Cette thèse vise donc à développer des connaissances pour soutenir le développement d’une version bonifiée de COOK qui correspondrait aux besoins variés de ces utilisateurs, en répondant à trois objectifs : 1) définir les besoins d’assistance verbale des personnes ayant eu un TCC modéré à grave afin d’améliorer les capacités de personnalisation de COOK; 2) évaluer son utilisabilité et expérience utilisateur en laboratoire et en milieu réel; et 3) identifier les facilitateurs et obstacles pouvant influencer l’implantation de COOK auprès de personnes ayant eu un TCC et vivant dans la communauté. Suivant une démarche de conception centrée sur l’utilisateur, quatre études ont été réalisées : (1) une étude mixte avec transformation des données et analyse d’enregistrements vidéo pour documenter l’assistance verbale offerte à 45 participants ayant un TCC lors de la préparation d’un repas; (2) une étude d’utilisabilité mixte pendant laquelle 10 participants ayant un TCC ont testé COOK en laboratoire; (3) une étude mixte à sujet unique pour évaluer l’utilisabilité de COOK au domicile d’une personne ayant eu un TCC grave; et (4) une étude qualitative descriptive impliquant des personnes ayant eu un TCC, des personnes proches aidantes et des intervenants, pour explorer leurs perceptions quant aux facilitateurs et obstacles à l’implantation de COOK dans leur milieu respectif. La première étude a permis d’identifier neuf types d’assistance cognitive et un type d’assistance motivationnelle, et de documenter les difficultés pour lesquelles les ergothérapeutes offraient de l’assistance. Des enjeux d’utilisabilité ont ensuite été documentés pendant les essais en laboratoire (étude 2) et en milieu réel (étude 3), particulièrement au niveau du système de sécurité autonome. Plusieurs besoins de bonifications technologiques ont aussi été identifiés par les participants (études 2, 3 et 4). Enfin, la quatrième étude a identifié divers facilitateurs (p.ex. les fonctionnalités disponibles dans COOK) et obstacles (p.ex. la logistique entourant l’installation, l’apprentissage et le soutien) à l’implantation de TAC comme COOK pour soutenir les personnes vivant dans la communauté avec un TCC grave. Ultimement, ces connaissances cliniques pourront soutenir le développement continu et l’implantation de TAC comme COOK pour qu’elles répondent aux besoins d’une plus grande population. / Defined as one of the main causes of disability, traumatic brain injury (TBI) is a chronic condition that can cause physical, cognitive, emotional, and behavioral deficits. These deficits may interfere with the person's ability to engage in daily activities, including complex activities such as meal preparation. To support this population during meal preparation, an assistive technology for cognition (ATC) called Cognitive Orthosis for coOKing (COOK) was recently developed in collaboration with an alternative residence for people with severe TBI. Following the installation of COOK, three residents were able to prepare meals safely and independently within their home. However, little is known about how COOK could meet the needs of people with TBI living in the community, or how it could provide personalized, minimal and contextualised assistance to support this population. This thesis aimed to develop a knowledge base to support the development of an improved version of COOK that would meet the varied needs of this new population, by meeting three objectives: 1) define the verbal assistance needs of people with moderate to severe TBI to enhance COOK's customization possibilities; 2) evaluate the usability and user experience of COOK in a laboratory setting and in a real-world environment; and 3) identify the facilitators and obstacles that may influence the implementation of COOK within the homes of people with TBI and in clinical settings. Integrated in a user-centered design process, four studies were conducted: (1) a study using conversion mixed design and video data analysis to document the verbal assistance provided to 45 participants with TBI during a meal preparation task; (2) a usability mixed-methods study during which 10 participants with TBI tested COOK in a laboratory setting; (3) a mixed-methods single-case study to assess the usability of COOK with a man with severe TBI living in the community; and (4) a qualitative descriptive study involving people with TBI, caregivers and healthcare professionals, to explore their perceptions of the facilitators and obstacles to the potential implementation of COOK in their respective settings. The first study identified nine types of cognitive assistance and one type of motivational assistance that were provided by occupational therapists to support people with TBI, and documented the difficulties for which these assistances were provided. Several usability issues were also documented when testing COOK in a laboratory setting (study 2) and in a real-world environment (study 3), particularly with the self-monitoring security system. Modification needs were also identified by the participants (studies 2, 3, and 4) to improve COOK. Finally, the fourth study highlighted many facilitators (e.g., the functionalities available in COOK) and obstacles (e.g., the logistics surrounding installation, learning and support of COOK) to consider before implementing ATCs like COOK. Ultimately, this knowledge base will support the continued development and the implementations of ATCs such as COOK to meets the needs of a larger population.

This paper investigates the potential of augmented reality (AR) as a navigational aid for individuals with Alzheimer’s disease (AD), offering innovative solutions to the evolving challenges of AD care. As the disease progresses, patients often require more assistance and may transition to care centers, resulting in reduced independence. Prior to this, home-based care aims to stimulate cognitive functions and preserve autonomy. To enhance their freedom and mobility, it is proposed to leverage AR technology to create a first-person navigational aid addressing the unique needs of AD patients. The research confronts two primary challenges: firstly, exploring the design of AR navigational aids customized for individuals with Alzheimer’s disease adapted to outdoor use. Then, it aims to develop an outdoor localization system for the HoloLens 2 and evaluate its performance. Despite limitations induced by the approximate positioning, various types of aids compatible with the technical constraints faced have been envisioned. A set of features was implemented using the optical see-through AR headset HoloLens 2. These features included two distinct types of holograms (Arrow and Wind) and the ability to catch user attention prior to turns, allowing us to explore the effectiveness of these design choices. They were evaluated through a user study involving 15 healthy participants. Usability and task load were measured with Nasa-TLX and SUS questionnaires. An approximate positioning for outdoor use of the HoloLens 2 was elaborated using a smartphone as a GPS receiver, and a Kalman filter for filtering and fusion with IMU data. This enables to reach positioning accuracy at the meter level. This research demonstrates the promising utility of AR in assisting navigation in outdoor environments. Despite few significant results, the Arrow hologram appears to be a better fit for usability and users’ personal preferences. Further research is needed to get significant results on the impact of adaptive aids. The outdoor use of AR navigational aids is still limited by the poor visibility of holograms outdoors and low positioning accuracy. / Denna artikel utforskar potentialen hos förstärkt verklighet (AR) som navigationshjälpmedel för personer med Alzheimers sjukdom (AD) och erbjuder innovativa lösningar inom AD-vård. När sjukdomen fortskrider behöver patienterna mer hjälp och kan övergå till vårdcentraler, vilket minskar deras självständighet. Hemvård strävar efter att stimulera kognitiva funktioner och bevara autonomi. Vi föreslår utnyttja AR-teknologi för en skräddarsydd navigeringshjälp i första person för AD-patienters behov. Forskningen möter två utmaningar: att utforska AR-navigeringshjälpmedel för personer med Alzheimers sjukdom och anpassade för utomhusanvändning. Vi strävar efter att utveckla utomhuslokaliseringssystem för HoloLens 2 och utvärdera prestanda. Trots begränsningar på grund av ungefärlig positionering kan vi föreställa oss hjälpmedel som är kompatibla med tekniska begränsningar. Vi använde HoloLens 2 med funktioner som två hologramtyper och användaruppmärksamhetsfångst före svängar, utvärderat med 15 deltagare. Vi skapade ungefärlig positionering för HoloLens 2 utomhus med en smartphone som GPS-mottagare, med Kalman-filtrering och IMU-fusion för meter-noggrannhet. Forskningen visar AR:s lovande nytta i utomhusnavigering. Trots få signifikanta resultat verkar pilhologrammet passa användbarhet och preferenser bättre. Mer forskning behövs för att bedöma adaptiva hjälpmedels effekter. Användningen av AR-navigeringshjälpmedel utomhus begränsas av dålig synlighet och låg positionsnoggrannhet. / Cet article explore le potentiel de la réalité augmentée (RA) comme aide à la navigation pour les personnes atteintes de la maladie d’Alzheimer (MA), offrant une solution novatrice aux défis en constante évolution des soins liés à la MA. À mesure que la maladie progresse, les patients ont souvent besoin d’une assistance accrue et sont transférés dans des centres de soins, ce qui diminue leur indépendance. Avant cela, les soins à domicile visent à stimuler leurs fonctions cognitives et à préserver leur autonomie. Dans cette optique, nous proposons d’utiliser la RA pour créer une aide à la navigation à la première personne adaptée aux besoins spécifiques des patients atteints de la MA. La recherche aborde deux défis principaux : la conception d’aides à la navigation en RA pour les personnes atteintes de la MA, adaptées à une utilisation en extérieur, et le développement d’un système de localisation en extérieur pour HoloLens 2, suivi de son évaluation. Malgré les limitations liées au positionnement approximatif, nous avons envisagé différents types d’aides compatibles avec ces contraintes techniques. Nous avons mis en place un ensemble de fonctionnalités en utilisant le casque de RA HoloLens 2. Ces fonctionnalités incluent deux types d’hologrammes (Flèche et Vent) et la capacité à attirer l’attention de l’utilisateur avant les virages, nous permettant d’explorer l’efficacité de ces choix de conception. Ils ont été évalués lors d’une étude avec 15 participants en bonne santé. Nous avons élaboré une méthode de positionnement approximatif pour une utilisation en extérieur de l’HoloLens 2 en utilisant un smartphone comme récepteur GPS, avec un filtre de Kalman pour le filtrage et la fusion avec des données inertielles, permettant d’atteindre une précision de positionnement au mètre. Cette recherche démontre l’utilité prometteuse de la RA dans l’assistance à la navigation en extérieur, bien que des recherches supplémentaires soient nécessaires pour obtenir des résultats significatifs sur l’impact des aides adaptatives. L’utilisation des aides à la navigation en RA en extérieur est encore limitée par la visibilité réduite des hologrammes en extérieur et la faible précision du positionnement.

Lower-limb exoskeletons are an emerging technology to provide walking assistance to people who have a spinal cord injury (SCI). Until now, exoskeletons have primarily been used in a clinical setting for a range of applications in rehabilitation, and there is potential for exoskeletons to be used by people with SCI at home. Daily walking with an exoskeleton contributes significantly to physical and mental health of the user, but previous work has concluded that further development is required before exoskeletons are broadly adopted for this purpose. ABLE Human Motion is currently working to create a lightweight and intuitive exoskeleton for home use. To understand how this exoskeleton must be designed differently from clinical rehabilitation exoskeletons, it is necessary to understand the user requirements of the device in depth. This thesis explored: 1) what methodology is appropriate for evaluating home use exoskeletons, 2) what users want to use a personal exoskeleton for, and 3) what design changes distinguish an exoskeleton for home use instead of rehabilitation. This was done using a combination of literature review, hazard analysis, user observations (n=7), user interviews (n=7), and physiotherapist interviews (n=3) to derive a detailed set of user requirements and product specifications for a personal exoskeleton for home use. Interviews were conducted face-to-face and analyzed using thematic analysis. Results of the study show that users primarily want to use a personal exoskeleton for daily exercise and wellness activities, in outdoor environments, and around the theme of “like-everyone-else”. Therapists added an additional theme of user trust in the device. These insights have been translated into a set of prioritized user requirements and product specifications for a lower-limb exoskeleton for walking assistance after SCI, which can be used in the future design and development of such a device. Future work will be to develop testing setups to further explore the product specifications, and to conduct observation studies of the exoskeleton being used in a home-like environment. / Exoskelett för de nedre extremiteterna är en framväxande teknik för att ge gångassistans till personer som har en ryggmärgsskada. Hittills har exoskelett främst använts i en klinisk miljö för en rad tillämpningar inom rehabilitering, men det finns potential för exoskelett att användas av personer med ryggmärgsskada för personligt bruk i hemmet. För att förstå hur personliga exoskelett måste utformas annorlunda än kliniska exoskelett är det nödvändigt att på djupet förstå användarens krav på enheten. Detta projekt använde en kombination av litteraturgranskning, riskanalys, användarobservationer, användarintervjuer och fysioterapeutintervjuer för att härleda en detaljerad uppsättning användarkrav och produktspecifikationer för ett personligt exoskelett för hemmabruk. Intervjuer analyserades med hjälp av tematisk analys. Resultaten av studien visar att användarna i första hand vill använda ett personligt exoskelett för dagliga tränings- och hälsoaktiviteter, i utomhusmiljöer och på temat ”som alla andra”. Andra viktiga teman för framtida utveckling var kring användarnas förtroende för enheten och bibehållande av motivation för daglig träning. Dessa teman har översatts till en uppsättning prioriterade användarkrav och produktspecifikationer för ett nedre extremitetsskelett för gångassistans efter en ryggmärgsskada som kan användas i framtida design och utveckling av en sådan enhet.