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System helps severely motor-impaired individuals type more quickly and accurately

Posted on April 5, 2022

Researchers at MIT and elsewhere are developing a system that enables severely motor-impaired individuals who communicate using a single switch to do so faster and with more accuracy. Their system is more flexible than many common interfaces, enabling it to be used for tasks like drawing, gaming, or surfing the web.

In 1995, French fashion magazine editor Jean-Dominique Bauby suffered a seizure while driving a car, which left him with a condition known as locked-in syndrome, a neurological disease in which the patient is completely paralyzed and can only move muscles that control the eyes.

Bauby, who had signed a book contract shortly before his accident, wrote the memoir “The Diving Bell and the Butterfly” using a dictation system in which his speech therapist recited the alphabet and he would blink when she said the correct letter. They wrote the 130-page book one blink at a time.

Technology has come a long way since Bauby’s accident. Many individuals with severe motor impairments caused by locked-in syndrome, cerebral palsy,or other conditions can communicate using computer interfaces where they select letters or words in an onscreen grid by activating a single switch, often by pressing a button, releasing a puff of air, or blinking.

But these row-column scanning systems are very rigid, and, similar to the technique used by Bauby’s speech therapist, they highlight each option one at a time, making them frustratingly slow for some users. And they are not suitable for tasks where options can’t be arranged in a grid, like drawing, browsing the web, or gaming.

A more flexible system being developed by researchers at MIT places individual selection indicators next to each option on a computer screen. The indicators can be placed anywhere — next to anything someone might click with a mouse — so a user does not need to cycle through a grid of choices to make selections. The system, called Nomon, incorporates probabilistic reasoning to learn how users make selections, and then adjusts the interface to improve their speed and accuracy.

Participants in a user study were able to type faster using Nomon than with a row-column scanning system. The users also performed better on a picture selection task, demonstrating how Nomon could be used for more than typing.

In the Nomon interface, a small analog clock is placed next to every option the user can select. The user looks at one option and then clicks their switch when that clock’s hand passes a red “noon” line. After each click, the system changes the phases of the clocks to separate the most probable next targets. The user clicks repeatedly until their target is selected.

When used as a keyboard, Nomon’s machine-learning algorithms try to guess the next word based on previous words and each new letter as the user makes selections.

News Source: MIT

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