Assistiveware and iOS combine to help patients with disabilities

This is one from the archives, written a few months after the iPad was released.  I needed a few permissions before posting, but after getting them, I forgot to hit PUBLISH.  So here is an old story that I hope will encourage many to see iOS devices in a different light. 

AssistiveWare has created a series of software platforms for use on all iOS devices called Proloquo2go.  If you are not versed in what this company does, then let me explain the advantages that this company has just produced for a vast majority of people.

Previous example of an early stand alone assistive device.

Stroke victims, patients who have communicative disorders, spinal cord injuries, congenital disorders and many of whom are wheelchair bound have difficulty in communicating with the public.  Basic needs that we - the ambulatory and vocal -  take for granted are difficult for these patients - especially children with developmental and physical disorders.  Take the concept of saying "Yes" for example.  For us, it is easy to open our mouths, nod our heads, raise a hand with a thumb gesture etc.  But for the paralyzed and those who cannot speak or comprehend fully this is not possible.  This is especially true in children with developmental disorders.  This is where assistive devices come into play.  The main drawback to many of these devices is the cost, which can be quite prohibitive.  (The cost link will take you to the planning stages, while the Prohibitive link will take you to an actual cost center chart for such devices in a nursing home environment).

Enter Assistiveware.  This company uses iOs devices to produce software that is intuitive to people in need.  As the pictures from their website show, the software is quite similar to other stand-alone devices costing thousands of dollars. 

For patients with disabilities, the device + software has been reduced by as much as 1/3rd. For example if we look at the Software (which is not cheap, but available on iTunes for $189.99 and the iPad hardware at $499.99) for just under $700 one can get an Assistive Device that has other features built in.  Not to mention that in a family setting, the device can double as an entertainment device as well.  In addition to this, let us not forget that if you own a copy on your iPad, you also own a copy on your iPhone/iPod Touch.  Thus the software can be taken everywhere and transported to other handheld devices.

This would also be a great tool in a Doctor's office for patients who cannot communicate well.  It could serve as an entry point, even for patients who speak a different language. But more importantly, it serves as a wonderful conduit for people with disabilities, particularly children who are struggling to communicate.  Another fantastic deployment of the iPad, whose mere existence was questioned back in february.



*Some images used are taken from Assistiveware.com with permision.

LDD. 

Why Siri Matters.....

The iPhone4S has been derided as a minor upgrade by many in the press, but its presenters were somber for reasons that became apparent 24 hours later to the public.  But the highlight of the presentation was SIRI - a software Artificial Intelligence program built into the 4S. 

I have been using Siri on my iphone 4 for the past year, but it was only useful for restaurants.  I did not really need it for anything else.  What Apple has done is to transform Siri into an Artificial Intelligence application that not only obeys commands - something that the Android users have been ranting about for over a year - but appreciates context.   I am not going to go into specifics because you can view that on You tube

Where Siri comes into play is in the arena of disabilities.  At the end of the video above is a young blind lady using the device. She is able to dictate a message replying to a message that was received.  In regards to this, someone jokingly responded on Youtube that she would have to find the phone to use it.  But jokes aside, this is a really useful tool if you are disabled.  Not just for the blind.

I have a patient who was once a computer programmer and who worked as a nuclear scientist, but is now confined to working in a hardware store due to his disability.  He became disgruntled 2 years ago because his Parkinsons disease was not responding to his medications.  He was unable to write things down, but was able to work and live on his own.  He relied on his telephone - then a Palm Treo because he was able to tap the keys for appointments.  He came up with his own syntax, shortening words as much as possible.  So he would use "mn" for morning "tk" for take etc.  It would take him 2 minutes to type a sentence.  He was weary of buying an iPhone because of the lack of tactile feedback, but he welcomed the ability to do one thing that he saw on a presentation a year ago.  Phil Schiller presented a special feature in the email app that made my patient smile.  Since he used his device to mainly to make appointments and to attempt to answer email, he was able to tap on a date in his email and an appoinment would be automatically set up.  I actually do this a lot with email invitations and conferences.  The following is from About.Com on how to do this with your iPhone, if you have not done it before (http://email.about.com/od/iphonemailtips/qt/How-to-Create-Calendar-Events-from-Emails-in-iPhone-Mail.htm).


Yet, he took back the iPhone, because it was too difficult to type.  He needed the tactile feedback.  He settled for a regular Razr because of the predictive text, before eventually buying a Blackberry.  I couldn't understand the Razr purchase, but understood the tactile issues necessitating the need for the Blackberry.   But through it all, I remember him saying the following:  "If I could just tell the damn thing what to do, I'd be happy."  He had tried a Droid in the store, but found it lacking in some of the features that he needed.  It is possible that the iPhone 4S may be the phone that he needs.  Obviously real world use will dictate the reality of this device, but it looks promising for the many people with disabilities.

If he has not done so already, I plan to show him the video above when he comes to his next appointment.  For those missing the importance of Siri, which appears to be hardware dependent and hence the importance of the iPhone 4S, you should know that for many disabled people, the sheer act of holding a phone in one hand can be as difficult as writing a note.   For the patient in question, his constant shaking, particularly when he becomes nervous, makes writing near impossible and texting a chore.  This is why Siri matters.