Accessibility is the design of products, devices, services, vehicles, or environments so as to be usable by people with disabilities . The concept of accessible design and practice of accessible developments ensures both "direct access" (i.e. unassisted) and "indirect access" meaning compatibility with a person's assistive technology (for example, computer screen readers ).
99-578: The Arthur Fiedler Footbridge is a wheelchair accessible footbridge named after Arthur Fiedler in Boston , Massachusetts , United States . The bridge was built in 1953, in brutalist style, and dedicated in 1954 to honor 25 years of concerts by the Boston Pops Orchestra at the Esplanade . It was renovated in 2021. This article related to a building or structure in Boston is
198-1175: A joystick , sip-and-puff control, head switches or other input devices. Often there are handles behind the seat for someone else to do the pushing or input devices for caregivers. Wheelchairs are used by people for whom walking is difficult or impossible due to illness, injury, or disability. People with both sitting and walking disability often need to use a wheelchair or walker. Newer advancements in wheelchair design enable wheelchairs to climb stairs, go off-road or propel using segway technology or additional add-ons like handbikes or power assists . Patient transfer devices generally allow patients with impaired mobility to be moved by caregivers between beds, wheelchairs, commodes, toilets, chairs, stretchers, shower benches, automobiles, swimming pools, and other patient support systems (i.e., radiology, surgical, or examining tables). The most common devices are transfer benches , stretcher or convertible chairs (for lateral, supine transfer), sit-to-stand lifts (for moving patients from one seated position to another i.e., from wheelchairs to commodes), air bearing inflatable mattresses (for supine transfer i.e., transfer from
297-667: A stub . You can help Misplaced Pages by expanding it . This article about a bridge in Massachusetts is a stub . You can help Misplaced Pages by expanding it . Wheelchair accessible Accessibility can be viewed as the "ability to access" and benefit from some system or entity. The concept focuses on enabling access for people with disabilities, or enabling access through the use of assistive technology ; however, research and development in accessibility brings benefits to everyone. Therefore, an accessible society should eliminate digital divide or knowledge divide . Accessibility
396-589: A "code of practice" for making train and stations accessible: "Accessible Train and Station Design for Disabled People: A Code of Practice". This code of practice was first published in 2002 with the objective of compliance to Section 71B of the Railways Act 1993, and revised after a public consultation period in 2008. Some transport companies have since improved the accessibility of their services, such as incorporating low-floor buses into their stock as standard. In August 2021, South Western Railway announced
495-482: A board that are used to request food, drink, or other care; or they can be advanced speech generating devices , based on speech synthesis, that are capable of storing hundreds of phrases and words. Assistive Technology for Cognition (ATC) is the use of technology (usually high tech) to augment and assist cognitive processes such as attention, memory, self-regulation, navigation, emotion recognition and management, planning, and sequencing activity. Systematic reviews of
594-471: A camera and a display screen to perform digital magnification of printed materials. They enlarge printed pages for those with low vision. A camera connects to a monitor that displays real-time images, and the user can control settings such as magnification, focus, contrast, underlining, highlighting, and other screen preferences. They come in a variety of sizes and styles; some are small and portable with handheld cameras, while others are much larger and mounted on
693-414: A computer for increased accessibility. Digital voice recorders are also used to record "in the moment" information for fast and easy recall at a later time. A 2017 Cochrane Review highlighted the current lack of high-quality evidence to determine whether assistive technology effectively supports people with dementia to manage memory issues. Thus, it is not presently sure whether or not assistive technology
792-644: A conceptual meaning with normal pedestrian access from a standard kerb (curb) height. However, the accessibility of a low-floor vehicle can also be utilised from slightly raising portions of kerb at bus stops , or through use of level boarding bus rapid transit stations or tram stops. The combination of access from a kerb was the technological development of the 1990s, as step-free interior layouts for buses had existed in some cases for decades, with entrance steps being introduced as chassis designs and overall height regulations changed. Low-floor buses may also be designed with special height adjustment controls that permit
891-490: A disability requires an adapted car for work use, the employee does not have to pay for a " reasonable adjustment " in the United Kingdom; if the employer is unable to pay the cost, assistance is offered by government programs. A significant development in transportation, and public transport in particular, to achieve accessibility, is the move to "low-floor" vehicles. In a low-floor vehicle, access to part or all of
990-440: A fixed stand. A screen magnifier is software that interfaces with a computer's graphical output to present enlarged screen content. It allows users to enlarge the texts and graphics on their computer screens for easier viewing. Similar to desktop video magnifiers, this technology assists people with low vision. After the user loads the software into their computer's memory, it serves as a kind of "computer magnifying glass". Wherever
1089-403: A gurney to an operating room table), gait belts (or transfer belt) and a slider board (or transfer board), usually used for transfer from a bed to a wheelchair or from a bed to an operating table. Highly dependent patients who cannot assist their caregiver in moving them often require a patient lift (a floor or ceiling-suspended sling lift) which though invented in 1955 and in common use since
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#17327802533611188-408: A home currently has a disability. However, there are some initiatives to change typical residential practices so that new homes incorporate basic access features such as zero-step entries and door widths adequate for wheelchairs to pass through. Occupational Therapists are a professional group skilled in the assessment and making of recommendations to improve access to homes. They are involved in both
1287-407: A large 1999 survey found that "of the 'top 100 multinational companies' in the country [...] the employment rate of persons with disabilities in the private sector was a mere 0.28%, 0.05% in multinational companies and only 0.58% in the top 100 IT companies in the country". India, like much of the world, has large sections of the economy that are without strong regulation or social protections, such as
1386-409: A microphone to capture an audio source near to its origin and broadcast it wirelessly over an FM (Frequency Modulation) transmission, IR (Infra Red) transmission, IL (Induction Loop) transmission, or other transmission methods. The person who is listening may use an FM/IR/IL Receiver to tune into the signal and listen at his/her preferred volume. This type of assistive technology allows users to amplify
1485-730: A more positive and easygoing lifestyle, with an increase in "social participation", "security and control", and a greater chance to "reduce institutional costs without significantly increasing household expenses." In schools, assistive technology can be critical in allowing students with disabilities to access the general education curriculum. Students who experience challenges writing or keyboarding, for example, can use voice recognition software instead. Assistive technologies assist people who are recovering from strokes and people who have sustained injuries that affect their daily tasks. A recent study from India led by Dr Edmond Fernandes et al. from Edward & Cynthia Institute of Public Health which
1584-423: A non-disabled person. In other words, assistive technology is any object or system that helps people with disabilities, while adaptive technology is specifically designed for disabled people. Consequently, adaptive technology is a subset of assistive technology. Adaptive technology often refers specifically to electronic and information technology access. Occupational Therapy (OT) utilizes everyday occupations as
1683-407: A phone with 71 to 90 decibel is better for more severe hearing loss. Augmentative and alternative communication (AAC) is an umbrella term that encompasses methods of communication for those with impairments or restrictions on the production or comprehension of spoken or written language. AAC systems are extremely diverse and depend on the capabilities of the user. They may be as basic as pictures on
1782-400: A prosthesis might end up performing some or all of the same functionary benefits as an orthosis. Prostheses are technically the complete finished item. For instance, a C-Leg knee alone is not a prosthesis, but only a prosthetic component. The complete prosthesis would consist of the attachment system to the residual limb – usually a "socket", and all the attachment hardware components all
1881-451: A qualifying disability. Files provided are in XML format and used as a starting platform for braille readers, screen readers, and other digital text software. IDEA defines assistive technology as follows: "any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve functional capabilities of
1980-440: A range of tasks, and may be suitable for different kinds of disability. The following impairments are some of the disabilities that affect communications and technology access, as well as many other life activities: Each kind of disability requires a different kind of accommodation, and this may require analysis by a medical specialist, an educational specialist or a job analysis when the impairment requires accommodation. One of
2079-473: A seating system and are designed to be a substitute for the normal mobility that most people have. Wheelchairs and other mobility devices allow people to perform mobility-related activities of daily living which include feeding, toileting, dressing, grooming, and bathing. The devices come in a number of variations where they can be propelled either by hand or by motors where the occupant uses electrical controls to manage motors and seating control actuators through
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#17327802533612178-541: A standard color code that enables colorblind individuals to understand the correct signal. Adaptive technology is the modification, or adaptation, of existing devices, methods, or the creation of new uses for existing devices, to enable a person to complete a task. Examples include the use of remote controls, and the autocomplete (word completion) feature in computer word processing programs, which both help individuals with mobility impairments to complete tasks. Adaptations to wheelchair tires are another example; widening
2277-594: A state, provincial or local level. In Ontario, Canada , the Ontarians with Disabilities Act of 2001 is meant to "improve the identification, removal and prevention of barriers faced by persons with disabilities". The European Union (EU), which has signed the United Nations' Convention on the Rights of Persons with Disabilities, also has adopted a European Disability Strategy for 2010–20. The Strategy includes
2376-409: A stationary bus to temporarily lower itself to ground level, permitting wheelchair access. This is referred to as a kneeling bus . At rapid transit systems, vehicles generally have floors in the same height as the platforms but the stations are often underground or elevated, so accessibility there is not a question of providing low-floor vehicles, but providing a step-free access from street level to
2475-681: A text interface for a speech synthesizer for complete vocal disability. This can be a great improvement for people that have been limited to the use of a throat vibrator to produce speech since the 1960s. Assistive technology Assistive technology ( AT ) is a term for assistive, adaptive, and rehabilitative devices for people with disabilities and the elderly. Disabled people often have difficulty performing activities of daily living (ADLs) independently, or even with assistance. ADLs are self-care activities that include toileting, mobility (ambulation), eating, bathing, dressing, grooming, and personal device care. Assistive technology can ameliorate
2574-1002: A therapeutic tool for enhancing or enabling participation in healthy occupations to promote health and well-being ( AOTA , 2020). Occupations include activities of daily living (ADLs), instrumental activities of daily living (IADLs), health management, rest and sleep, education, work, play, leisure, and social participation (AOTA, 2020). “As occupational therapy professionals, we are uniquely trained to advocate for client-centered care that reduces barriers to participation in meaningful occupations and promotes overall well-being" (Clark, Iqbal & Myers, 2022) OT practitioners (OTP) utilize assistive technologies (AT) to modify environments and promote access and fit to facilitate independence. For example, voice activated smart home technology allows an individual to control devices such as light switches, thermostat, oven, blinds, and music from their location. OTP evaluate client's strengths and abilities and connects with desired tasks. OTP help empower
2673-517: A toilet at entrance level and sufficiently wide doorways, to deem them accessible. This was an improvement from 5% in 2005. More than 400,000 wheelchair users in England were living in homes which are neither adapted nor accessible. Under the Convention on the Rights of Persons with Disabilities , states parties are bound to assure accessible elections , voting , and voting procedures. In 2018,
2772-424: A user learn and remember certain information. Many memory aids are used for cognitive impairments such as reading, writing, or organizational difficulties. For example, a Smartpen records handwritten notes by creating both a digital copy and an audio recording of the text. Users simply tap certain parts of their notes, the pen saves it, and reads it back to them. From there, the user can also download their notes onto
2871-434: A variety of assistive technologies that provide them with different access to information in numerous environments. Most devices either provide amplified sound or alternate ways to access information through vision and/or vibration. These technologies can be grouped into three general categories: Hearing Technology , alerting devices, and communication support . A hearing aid or deaf aid is an electro-acoustic device which
2970-522: A wide range of issues, from skills training, to occupational therapy , finding employment, and retaining employment. Employment rates for workers with disabilities are lower than for the general workforce. Workers in Western countries fare relatively well, having access to more services and training as well as legal protections against employment discrimination. Despite this, in the United States
3069-675: Is Section 504 of the Rehabilitation Act of 1973 and the second being the Individuals with Disabilities Education Act (IDEA) which was first enacted in 1975 under the name The Education for All Handicapped Children Act. In 2004, during the reauthorization period for IDEA, the National Instructional Material Access Center (NIMAC) was created which provided a repository of accessible text including publisher's textbooks to students with
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3168-441: Is a computer program that can translate inkprint into braille or braille into inkprint. A braille translator can be an app on a computer or be built into a website, a smartphone, or a braille device. A braille embosser is, simply put, a printer for braille. Instead of a standard printer adding ink onto a page, the braille embosser imprints the raised dots of braille onto a page. Some braille embossers combine both braille and ink so
3267-414: Is a system of raised dots formed into units called braille cells. A full braille cell is made up of six dots, with two parallel rows of three dots, but other combinations and quantities of dots represent other letters, numbers, punctuation marks, or words. People can then use their fingers to read the code of raised dots. Assistive technology using braille is called braille technology . A braille translator
3366-506: Is a wide variety of hearing aids available, including digital, in-the-ear, in-the-canal, behind-the-ear, and on-the-body aids. Assistive listening devices include FM, infrared, and loop assistive listening devices. This type of technology allows people with hearing difficulties to focus on a speaker or subject by getting rid of extra background noises and distractions, making places like auditoriums, classrooms, and meetings much easier to participate in. The assistive listening device usually uses
3465-413: Is beneficial for memory problems. Educational software is software that assists people with reading, learning, comprehension, and organizational difficulties. Any accommodation software such as text readers, notetakers, text enlargers, organization tools, word predictions , and talking word processors falls under the category of educational software. Adaptive eating devices include items commonly used by
3564-412: Is designed to amplify sound for the wearer, usually with the aim of making speech more intelligible, and to correct impaired hearing as measured by audiometry. This type of assistive technology helps people with hearing loss participate more fully in their hearing communities by allowing them to hear more clearly. They amplify any and all sound waves through use of a microphone, amplifier, and speaker. There
3663-1033: Is encompassed by the CEN EN 1332-4 Identification Card Systems – Man-Machine Interface. This development of this standard has been supported in Europe by SNAPI and has been successfully incorporated into the Lasseo specifications, but with limited success due to the lack of interest from public computer terminal suppliers. People in the deaf and hard of hearing community have a more difficult time receiving auditory information as compared to hearing individuals. These individuals often rely on visual and tactile mediums for receiving and communicating information. The use of assistive technology and devices provides this community with various solutions to auditory communication needs by providing higher sound (for those who are hard of hearing), tactile feedback, visual cues and improved technology access. Individuals who are deaf or hard of hearing use
3762-461: Is frequently specialized for specific settings such as in a classroom or nursing home. Positioning is often important in seating arrangements to ensure that user's body pressure is distributed equally without inhibiting movement in a desired way. Positioning devices have been developed to aid in allowing people to stand and bear weight on their legs without risk of a fall. These standers are generally grouped into two categories based on
3861-420: Is important to have effective mechanisms to ensure that urban spaces are designed to be inclusive of pedestrians with disabilities. These can include early consultation with disabled persons or their representative organisations, and appropriate regulation of city planning. Most existing and new housing, even in the wealthiest nations, lack basic accessibility features unless the designated, immediate occupant of
3960-686: Is modified to enable players with a disability to participate; or, assistive technology may be used to invent completely new sports with athletes with disabilities exclusively in mind. An increasing number of people with disabilities are participating in sports, leading to the development of new assistive technology. Assistive technology devices can be simple, or "low-technology", or they may use highly advanced technology. "Low-tech" devices can include velcro gloves and adaptive bands and tubes. "High-tech" devices can include all-terrain wheelchairs and adaptive bicycles. Accordingly, assistive technology can be found in sports ranging from local community recreation to
4059-431: Is not to be confused with usability , which is the extent to which a product (such as a device, service, or environment) can be used by specified users to achieve specified goals with effectiveness, efficiency, and satisfaction in a specified context of use. Accessibility is also strongly related to universal design , the process of creating products that are usable by the widest possible range of people, operating within
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4158-434: Is the desire for many senior citizens to 'age in place', living as independently as possible for as long as possible. Accessibility modifications that allow ageing in place are becoming more common. Housing may even be designed to incorporate accessibility modifications that can be made throughout the life cycle of the residents. The English Housing Survey for 2018/19 found only 9% of homes in England have key features, such as
4257-739: The Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) organization to receive their Assistive Technology Professional (ATP) Certification and/or Seating and Mobility Specialist (SMS) Certification. Additional trainings and certifications may specialize in a focus area such as the Certified Assistive Technology Instructional Specialist for Individuals with Visual Impairments (CATIS™) (ACVREP, 2024). Wheelchairs are devices that can be manually propelled or electrically propelled, and that include
4356-423: The informal economy . Other factors have been cited as contributing to the high unemployment rate, such as public service regulations. Although employment for workers with disabilities is higher in the public sector due to hiring programs targeting persons with disabilities, regulations currently restrict types of work available to persons with disabilities: "Disability-specific employment reservations are limited to
4455-479: The 2012 unemployment rate for workers with disabilities was 12.9%, while it was 7.3% for workers without disabilities. More than half of workers with disabilities (52%) earned less than $ 25,000 in the previous year, compared with just 38% of workers with no disabilities. This translates into an earnings gap where individuals with disabilities earn about 25 percent less of what workers without disabilities earn. Among occupations with 100,000 or more people, dishwashers had
4554-648: The United Nations Committee on the Rights of Persons with Disabilities issued an opinion that all polling stations should be fully accessible. At the European Court of Human Rights , there are currently two ongoing cases about the accessibility of polling places and voting procedures. They were brought against Slovenia by two voters and the Slovenian Disability Rights Association . As of January 2020,
4653-401: The United States, Japan, UK, and elsewhere, have decided that when it is needed to assure secret ballot, authorities should provide voters with assistive technology. The European Court of Human Rights, on the contrary, in case Toplak v. Slovenia ruled that due to high costs, the abandonment of the assistive equipment in elections did not violate human rights. Accessibility of employment covers
4752-444: The ability to access information and services by minimizing the barriers of distance and cost as well as the accessibility and usability of the interface. In many countries this has led to initiatives, laws and/or regulations that aim toward providing universal access to the internet and to phone systems at reasonable cost to citizens. A major advantage of advanced technology is its flexibility. Some technologies can be used at home, in
4851-549: The accessibility of a computer system to all people, regardless of disability or severity of impairment, examples include web accessibility guidelines. Another approach is for the user to present a token to the computer terminal, such as a smart card, that has configuration information to adjust the computer speed, text size, etc. to their particular needs. This is useful where users want to access public computer based terminals in Libraries, ATM, Information kiosks etc. The concept
4950-564: The accessibility plans, these are often the distance or time to access services by different modes of transport including walking, cycling and public transport. Accessibility Planning was introduced as a result of the report "Making the Connections: Final Report on Transport and Social Exclusion". This report was the result of research carried out by the Social Exclusion Unit. The United Kingdom also has
5049-540: The adaptation of existing housing to improve accessibility, and in the design of future housing. The broad concept of Universal design is relevant to housing, as it is to all aspects of the built environment. Furthermore, a Visitability movement begun by grass roots disability advocates in the 1980s focuses specifically on changing construction practices in new housing. This movement, a network of interested people working in their locales, works on educating, passing laws, and spurring voluntary home access initiatives with
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#17327802533615148-434: The assistance of text-to-speech tools. To use the text-to-speech tools, the documents must be in an electronic form, which is uploaded as the digital format. However, people usually will use the hard copy documents scanned into the computer, which cannot be recognized by the text-to-speech software. To solve this issue, people often use Optical Character Recognition technology accompanied with text-to-speech software. Braille
5247-648: The biggest challenges for employers is in developing policies and practises to manage employees who develop disabilities during the course of employment. Even where these exist, they tend to focus on workplace injuries, overlooking job retention challenges faced by employees who acquire a non-occupation injury or illness. Protecting employability is a factor that can help close the unemployment gap for persons with disabilities. Providing mobility to people with disabilities includes changes for public facilities like gently sloping paths of travel for people using wheelchairs and difficulty walking up stairs, or audio announcements for
5346-414: The blind (either live or automated ); dedicated services like paratransit ; and adaptations to personal vehicles. Automobile accessibility also refers to ease of use by disabled people. Automobiles, whether a car or a van, can be adapted for a range of physical disabilities. Foot pedals can be raised, or replaced with hand-controlled devices. Wheelchair hoists, lifts or ramps may be customized according to
5445-538: The body as an implant or an accessory. New technologies are exploring how the visually impaired can receive visual information through wearable devices. Some wearable devices for visual impairment include: OrCam device , eSight and Brainport . Personal emergency response systems (PERS), or Telecare (UK term), are a particular sort of assistive technology that use electronic sensors connected to an alarm system to help caregivers manage risk and help vulnerable people stay independent at home longer. An example would be
5544-429: The case, called Toplak and Mrak v. Slovenia , was ongoing. The aim of the court procedure is to make accessible all polling places in Europe. Advances in information technology and telecommunications have represented a leap forward for accessibility. Access to the technology is restricted to those who can afford it, but it has become more widespread in Western countries in recent years. For those who use it, it provides
5643-508: The client to match specific goals to AT tools. The theoretical approaches or frameworks OTPs frequently use to guide a client's AT choices may include: 1) The HAAT model by Cook, Polgar & Encarnaçāo (2015) 2) The interdependence - Human Activity Assistive Technology Model (I-HAAT) by Lee, et al. (2020); 3) The SETT Framework by Zabala (2005); or 4) The Unified Theory of Acceptance and Use of Technology (UTAUT 2) by Venkatesh, Thong & Xu (2012). Also, OTPs may seek advanced training through
5742-417: The clinical setting, but is limited by the personnel and labor requirements placed on physical therapists . The BWSTT device, and many others like it, assist physical therapists by providing task-specific practice of walking in people following neurological injury. A prosthesis , prosthetic , or prosthetic limb is a device that replaces a missing body part. It is part of the field of biomechatronics ,
5841-423: The computer cursor moves, it enlarges the area around it. This allows greater computer accessibility for a wide range of visual abilities. A large-print keyboard has large letters printed on the keys. On the keyboard shown, the round buttons at the top control software which can magnify the screen (zoom in), change the background color of the screen, or make the mouse cursor on the screen larger. The "bump dots" on
5940-438: The context of play activities. Children with disabilities have challenges in accessing play and social interactions. Play is essential for the physical, emotional, and social well-being of all children. The use of assistive technology has been recommended to facilitate the communication, mobility, and independence of children with disabilities. Augmentative Alternative Communication (AAC) devices have been shown to facilitate
6039-507: The dish when it is being scooped. More sophisticated equipment for eating includes manual and powered feeding devices. These devices support those who have little or no hand and arm function and enable them to eat independently. Assistive technology in sports is an area of technology design that is growing. Assistive technology is the array of new devices created to enable sports enthusiasts who have disabilities to play. Assistive technology may be used in adaptive sports , where an existing sport
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#17327802533616138-421: The documents can be read with either sight or touch. A refreshable braille display or braille terminal is an electro-mechanical device for displaying braille characters, usually by means of round-tipped pins raised through holes in a flat surface. Computer users who cannot use a computer monitor use it to read a braille output version of the displayed text. Desktop video magnifiers are electronic devices that use
6237-613: The early 1960s is still considered the state-of-the-art transfer device by OSHA and the American Nursing Association. A walker or walking frame or Rollator is a tool for disabled people who need additional support to maintain balance or stability while walking. It consists of a frame that is about waist high, approximately twelve inches deep and slightly wider than the user. Walkers are also available in other sizes, such as for children, or for heavy people. Modern walkers are height-adjustable. The front two legs of
6336-590: The effects of disabilities that limit the ability to perform ADLs. Assistive technology promotes greater independence by enabling people to perform tasks they were formerly unable to accomplish, or had great difficulty accomplishing, by providing enhancements to, or changing methods of interacting with, the technology needed to accomplish such tasks. For example, wheelchairs provide independent mobility for those who cannot walk, while assistive eating devices can enable people who cannot feed themselves to do so. Due to assistive technology, disabled people have an opportunity of
6435-405: The elite Paralympic Games . More complex assistive technology devices have been developed over time, and as a result, sports for people with disabilities "have changed from being a clinical therapeutic tool to an increasingly competition-oriented activity". In the United States there are two major pieces of legislation that govern the use of assistive technology within the school system. The first
6534-437: The engineering literature since 2000. Most of these articles were published within the past five years , and the number of articles in this area is increasing every year. GPS, accelerometers, gyroscopes, and cameras can pinpoint the exact location of the user and provide information on what is in the immediate vicinity, and assistance in getting to a destination. Wearable technology are smart electronic devices that can be worn on
6633-489: The field have found that the number of ATC are growing rapidly, but have focused on memory and planning, that there is emerging evidence for efficacy, that a lot of scope exists to develop new ATC. Examples of ATC include: NeuroPage which prompts users about meetings, Wakamaru , which provides companionship and reminds users to take medicine and calls for help if something is wrong, and telephone Reassurance systems. Memory aids are any type of assistive technology that helps
6732-506: The first areas where information technology improved the quality of life for disabled individuals is the voice operated wheelchair. Quadriplegics have the most profound disability, and the voice operated wheelchair technology was first developed in 1977 to provide increased mobility. The original version replaced the joystick system with a module that recognized 8 commands. Many other technology accommodation improvements have evolved from this initial development. Missing arms or fingers may make
6831-469: The following goals, among others: A European Accessibility Act was proposed in late 2012. This Act would establish standards within member countries for accessible products, services, and public buildings. The harmonization of accessibility standards within the EU "would facilitate the social integration of persons with disabilities and the elderly and their mobility across member states, thereby also fostering
6930-553: The free movement principle". Enforcement of the European Accessibility Act (EAA) begins in June 2025 Assistive technology is the creation of a new device that assists a person in completing a task that would otherwise be impossible. Some examples include new computer software programs like screen readers , and inventions such as assistive listening devices , including hearing aids , and traffic lights with
7029-409: The general population like spoons and forks and plates. However they become assistive technology when they are modified to accommodate the needs of people who have difficulty using standard cutlery due to a disabling condition. Common modifications include increasing the size of the utensil handle to make it easier to grasp. Plates and bowls may have a guard on the edge that stops food being pushed off of
7128-519: The growth and development of language as well as increase rates of symbolic play in children with cognitive disabilities. AAC devices can be no-tech (sign language and body language), low-tech (picture boards, paper and pencils), or high-tech (tablets and speech generating devices). The choice of AAC device is very important and should be determined on a case-by-case basis by speech therapists and assistive technology professionals. The early introduction of powered mobility has been shown to positively impact
7227-492: The highest disability rate (14.3%), followed by refuse and recyclable material collectors (12.7%), personal care aides (11.9%), and janitors and building cleaners (11.8%). The rates for refuse and recyclable material collectors, personal care aides, and janitors and building cleaners were not statistically different from one another. Surveys of non-Western countries are limited, but the available statistics also indicate fewer jobs being filled by workers with disabilities. In India,
7326-419: The intention that basic access become a routine part of new home construction. Accessibility in the design of housing and household devices has become more prominent in recent decades due to a rapidly ageing population in developed countries. Ageing seniors may wish to continue living independently, but the ageing process naturally increases the disabilities that a senior citizen will experience. A growing trend
7425-589: The keys, installed in this case by the organization using the keyboards, help the user find the right keys in a tactile way. Assistive technology for navigation has expanded on the IEEE Xplore database since 2000, with over 7,500 engineering articles written on assistive technologies and visual impairment in the past 25 years, and over 1,300 articles on solving the problem of navigation for people who are blind or visually impaired. As well, over 600 articles on augmented reality and visual impairment have appeared in
7524-823: The local authorities are responsible for organizing changes to make new connections. These requirements are defined in the UK Community Planning Acts legislation and more detailed guidance has been issued by the Department for Transport for each local authority . This includes the requirement to produce an Accessibility Plan under Community Planning legislation and to incorporate this within their Local Transport Plan . An Accessibility Plan sets out how each local authority plans to improve access to employment, learning, health care, food shops and other services of local importance, particularly for disadvantaged groups and areas. Accessibility targets are defined in
7623-463: The needs of the driver. Ergonomic adaptations, such as a lumbar support cushion, may also be needed. Generally, the more limiting the disability, the more expensive the adaptation needed for the vehicle. Financial assistance is available through some organizations, such as Motability in the United Kingdom, which requires a contribution by the prospective vehicle owner. Motability makes vehicles available for purchase or lease. When an employee with
7722-408: The passenger cabin is unobstructed from one or more entrances by the presence of steps, enabling easier access for the infirm or people with push chairs . A further aspect may be that the entrance and corridors are wide enough to accommodate a wheelchair. Low-floor vehicles have been developed for buses , trolleybuses , trams and trains . A low floor in the vehicular sense is normally combined in
7821-465: The platforms (generally by elevators , which may be restricted to disabled passengers only, so that the step-free access is not obstructed by non-disabled people taking advantage). In the United Kingdom , local transport authorities are responsible for checking that all people who live within their area can access essential opportunities and services, and where gaps in provision are identified
7920-618: The play and psychosocial skills of children who are unable to move independently. Powered cars, such as the Go Baby Go program, have emerged as a cost-effective means of facilitating the inclusion of children with mobility impairments in school. Many people with serious visual impairments live independently, using a wide range of tools and techniques. Examples of assistive technology for visually impairment include screen readers, screen magnifiers, Braille embossers, desktop video magnifiers, and voice recorders. Screen readers are used to help
8019-672: The position of the occupant. Prone standers distribute the body weight to the front of the individual and usually have a tray in front of them. This makes them good for users who are actively trying to carry out some task. Supine standers distribute the body weight to the back and are good for cases where the user has more limited mobility or is recovering from injury. Children with severe disabilities can develop learned helplessness , which makes them lose interest in their environment. Robotic arms are used to provide an alternative method to engage in joint play activities. These robotic arms allow children to manipulate real objects in
8118-650: The prosthesis. A powered exoskeleton is a wearable mobile machine that is powered by a system of electric motors, pneumatics, levers, hydraulics, or a combination of technologies that allow for limb movement with increased strength and endurance. Its design aims to provide back support, sense the user's motion, and send a signal to motors which manage the gears. The exoskeleton supports the shoulder, waist and thigh, and assists movement for lifting and holding heavy items, while lowering back stress. People with balance and motor function challenges often need specialized equipment to sit or stand safely and securely. This equipment
8217-585: The public has led to some technological innovations. Public announcement systems using audio induction loop technology can broadcast announcements directly into the hearing aid of anyone with a hearing impairment, making them useful in such public places as auditoriums and train stations. The UN Convention on the Rights of Persons with Disabilities (2006) requires ‘appropriate measures’ to ensure people with disabilities are able to ‘access, on an equal basis with others','the physical environment’, ‘transportation’ and ‘other facilities and services open or provided to
8316-1186: The public sector and a large number of the reserved positions continue to be vacant despite nearly two decades of enactment of the PWD Act". Expenses related to adaptive or assistive technology required to participate in the workforce may be tax deductible expenses for individuals with a medical practitioner's prescription in some jurisdictions. Disability management (DM) is a specialized area of human resources that supports efforts of employers to better integrate and retain workers with disabilities. Some workplaces have policies in place to provide "reasonable accommodation" for employees with disabilities, but many do not. In some jurisdictions, employers may have legal requirements to end discrimination against persons with disabilities . It has been noted by researchers that where accommodations are in place for employees with disabilities, these frequently apply to individuals with "pre-determined or apparent disabilities as determined by national social protection or Equality Authorities", which include persons with pre-existing conditions who receive an official disability designation. One of
8415-409: The public’’. This requirement also applies to ‘roads’ and ‘transportation’ as well as ‘buildings, and other indoor and outdoor facilities’. At the same time, promotion of active travel , or 'shared space' initiatives to pedestrianise city centres can introduce unintended barriers, especially for pedestrians who are visually impaired and who can find these environments confusing or even dangerous. It
8514-501: The same tools, services, organizations and facilities as non-disabled people (e.g., museums ). Article 9 of the United Nations Convention on the Rights of Persons with Disabilities commits signatories to provide for full accessibility in their countries. While it is often used to describe facilities or amenities to assist people with impaired mobility, through the provision of facilities like wheelchair ramps ,
8613-738: The science of using mechanical devices with human muscular , musculoskeletal , and nervous systems to assist or enhance motor control lost by trauma , disease, or defect . Prostheses are typically used to replace parts lost by injury (traumatic) or missing from birth ( congenital ) or to supplement defective body parts. Inside the body, artificial heart valves are in common use with artificial hearts and lungs seeing less common use but under active technology development. Other medical devices and aids that can be considered prosthetics include hearing aids , artificial eyes , palatal obturator , gastric bands , and dentures . Prostheses are specifically not orthoses , although given certain circumstances
8712-508: The streamlining of their accessibility services, allowing passengers requiring assistance to inform the company with as little as 10 minutes' notice at all 189 stations on its network, replacing an older scheme wherein assisted journeys had to be booked six hours to a day in advance. The system will utilise clear signage at stations and QR codes , allowing customers to send details of the assistance they require and their planned journey to staff remotely. Making public services fully accessible to
8811-465: The systems being put in place for senior people such as fall detectors, thermometers (for hypothermia risk), flooding and unlit gas sensors (for people with mild dementia ). Notably, these alerts can be customized to the particular person's risks. When the alert is triggered, a message is sent to a caregiver or contact center who can respond appropriately. In human–computer interaction, computer accessibility (also known as accessible computing) refers to
8910-777: The term can include other types of disability. Accessible facilities therefore extend to areas such as Braille signage, elevators , audio signals at pedestrian crossings , walkway contours, website accessibility and accessible publishing . In the United States, government mandates including Section 508, WCAG, DDA are all enforcing practices to standardize accessibility testing engineering in product development. Accessibility modifications may be required to enable persons with disabilities to gain access to education, employment, transportation, housing, recreation, or even simply to exercise their right to vote. Various countries have legislation requiring physical accessibility which are (in order of enactment): Legislation may also be enacted on
9009-516: The tires enables wheelchair users to move over soft surfaces, such as deep snow on ski hills, and sandy beaches. Assistive technology and adaptive technology have a key role in developing the means for people with disabilities to live more independently, and to more fully participate in mainstream society. In order to have access to assistive or adaptive technology, however, educating the public and even legislating requirements to incorporate this technology have been necessary. The UN CRPD, and courts in
9108-439: The use of a keyboard and mouse difficult or impossible. Technological improvements such as speech recognition devices and software can improve access. A communication disorder interferes with the ability to produce clearly understandable speech. There can be many different causes, such as nerve degeneration, muscle degeneration, stroke, and vocal cord injury. The modern method to deal with speaking disabilities has been to provide
9207-555: The visually impaired to easily access electronic information. These software programs run on a computer to convey the displayed information through voice ( text-to-speech ) or braille ( refreshable braille displays ) in combination with magnification for low vision users in some cases. There are a variety of platforms and applications available for a variety of costs with differing feature sets. Some example of screen readers are Apple VoiceOver , CheckMeister browser , Google TalkBack and Microsoft Narrator . Screen readers may rely on
9306-429: The volume and clarity of their phone calls so that they can easily partake in this medium of communication. There are also options to adjust the frequency and tone of a call to suit their individual hearing needs. Additionally, there is a wide variety of amplified telephones to choose from, with different degrees of amplification. For example, a phone with 26 to 40 decibel is generally sufficient for mild hearing loss, while
9405-401: The walker may or may not have wheels attached depending on the strength and abilities of the person using it. It is also common to see caster wheels or glides on the back legs of a walker with wheels on the front. Bodyweight-supported treadmill training (BWSTT) is used to enhance walking ability of people with neurological injury. These machines are therapist-assisted devices that are used in
9504-587: The way down to and including the terminal device. Despite the technical difference, the terms are often used interchangeably. The terms "prosthetic" and "orthotic" are adjectives used to describe devices such as a prosthetic knee. The terms "prosthetics" and "orthotics" are used to describe the respective allied health fields. An Occupational Therapist's role in prosthetics include therapy, training and evaluations. Prosthetic training includes orientation to prosthetics components and terminology, donning and doffing, wearing schedule, and how to care for residual limb and
9603-489: The widest possible range of situations. Universal design typically provides a single general solution that can accommodate people with disabilities as well as the rest of the population. By contrast, accessible design is focused on ensuring that there are no barriers to accessibility for all people, including those with disabilities. The disability rights movement advocates equal access to social, political, and economic life which includes not only physical access but access to
9702-522: The workplace, and in school, expanding the ability of the user to participate in various spheres of daily life. Augmentative and alternative communication technology is one such area of IT progress. It includes inventions such as speech-generating devices , teletypewriter devices, adaptive pointing devices to replace computer mouse devices, and many others. Mobile telecommunications devices and computer applications are also equipped with accessibility features. They can be adapted to create accessibility to
9801-611: Was published in WHO SEARO Journal informed that geriatric care policies which address functional difficulties among older people will ought to be mainstreamed, resolve out-of-pocket spending for assistive technologies will need to look at government schemes for social protection. Adaptive technology and assistive technology are different. Assistive technology is something that is used to help disabled people, while adaptive technology covers items that are specifically designed for disabled people and would seldom be used by
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