Biomechanics of Long Cane Use.

INTRODUCTION: The modern long cane has been used by people who are blind for traveling for decades. This article describes parameters surrounding the collection of over 10,000 trials of people walking with the long cane to detect drop-offs or obstacles. METHODS: The data include 10,069 trials representing 101 different participants in 366 conditions over 11 studies spanning the 9 years from 2007 to 2016. Each of the studies investigated different participant or cane characteristics or both in terms of their effect on either drop-off or obstacle detection. Results of detection performance in these studies appear in other articles. This article describes biomechanical measures derived from 3-D motion analysis equipment used during the studies. RESULTS: Initial treatment of the large data set indicated that participants tended to not center their cane arc laterally on their body, deviating up to about 20 centimeters from midline. Arc widths averaged almost a meter, and arcs were generally centered. Participants were generally poor at being in step or having consistent rhythm. Coverage rates averaged about 85%. DISCUSSION: Although participants might have demonstrated artificially high skill performance due to being in a research study, data do offer insights into mechanical performance of skills. This survey of the data set indicates that not centering the hand holding the cane does not decrease body coverage less than about 85%. However, further analyses will be conducted to delve more deeply into all aspects of the data. IMPLICATIONS FOR PRACTITIONERS: Basic cane skills can be taught with short sessions and massed practice. Novices can acquire basic cane skills on par with cane users who are blind, but individual differences exist and the interplay of biomechanical variables needs to more fully understood.

Obstacle Detection with the Long Cane: Effect of Cane Tip Design and Technique Modification on Performance.

INTRODUCTION: The purpose of this study was to investigate the effect of cane tip design and cane technique modification on obstacle detection performance as they interact with the size, height, and position of obstacles. METHODS: A repeated-measures design with block randomization was used for the study. In experiment one, participants attempted to detect obstacles with either a marshmallow tip or a bundu basher tip. In experiment two, participants were asked to detect obstacles using either the constant-contact technique or a modified constant-contact technique. RESULTS: As predicted, the obstacle detection rate with the bundu basher tip (M = 66.1%, SD = 7.4%) was significantly higher than that with the marshmallow tip (M = 54.6%, SD =6.8%), F(1, 11) = 24.19, p < .001, r = .83. However, contrary to our hypothesis, the obstacle detection rate with the modified constant-contact technique (M =56.0%, SD = 7.4%) was significantly lower than that with the constant-contact technique (M = 61.3%, SD = 5.2%), F(1, 13) = 6.49, p = .024, r = .58. In addition, participants detected the obstacles that were positioned at the center of their walking path (M = 61.9%, SD = 6.6%) at a significantly higher rate than those positioned slightly off to the side (M = 55.4%, SD = 7.3%), F(1, 13) =10.73, p = .006, r = .67. DISCUSSION: A bundu basher tip was more advantageous than the marshmallow tip for detecting obstacles. IMPLICATIONS FOR PRACTITIONERS: Given the findings of the study, cane users and orientation and mobility (O&M) specialists should consider using or recommending a bundu basher tip (or a similar tip that has an increased contact area with the walking surface), particularly when the traveling environment often presents unexpected obstacles that may trip the cane user.

Effect of cane length and swing arc width on drop-off and obstacle detection with the long cane.

A repeated-measures design with block randomization was used for the study, in which 15 adults with visual impairments attempted to detect the drop-offs and obstacles with the canes of different lengths, swinging the cane in different widths (narrow vs wide). Participants detected the drop-offs significantly more reliably with the standard-length cane (79.5% ± 6.5% of the time) than with the extended-length cane (67.6% ± 9.1%), p <.001. The drop-off detection threshold of the standard-length cane (4.1 ± 1.1 cm) was also significantly smaller than that of the extended-length cane (6.5±1.8cm), p <.001. In addition, participants detected drop-offs at a significantly higher percentage when they swung the cane approximately 3 cm beyond the widest part of the body (78.6% ± 7.6%) than when they swung it substantially wider (30 cm; 68.5% ± 8.3%), p <.001. In contrast, neither cane length (p =.074) nor cane swing arc width (p =.185) had a significant effect on obstacle detection performance. The findings of the study may help orientation and mobility specialists recommend appropriate cane length and cane swing arc width to visually impaired cane users.

Impact of adding artificially generated alert sound to hybrid electric vehicles on their detectability by pedestrians who are blind.

A repeated-measures design with block randomization was used for the study, in which 14 adults with visual impairments attempted to detect three different vehicles: a hybrid electric vehicle (HEV) with an artificially generated sound (Vehicle Sound for Pedestrians [VSP]), an HEV without the VSP, and a comparable internal combustion engine (ICE) vehicle. The VSP vehicle (mean +/- standard deviation [SD] = 38.3 +/- 14.8 m) was detected at a significantly farther distance than the HEV (mean +/- SD = 27.5 +/- 11.5 m), t = 4.823, p < 0.001, but no significant difference existed between the VSP and ICE vehicles (mean +/- SD = 34.5 +/- 14.3 m), t = 1.787, p = 0.10. Despite the overall sound level difference between the two test sites (parking lot = 48.7 dBA, roadway = 55.1 dBA), no significant difference in detection distance between the test sites was observed, F(1, 13) = 0.025, p = 0.88. No significant interaction was found between the vehicle type and test site, F(1.31, 16.98) = 0.272, p = 0.67. The findings of the study may help us understand how adding an artificially generated sound to an HEV could affect some of the orientation and mobility tasks performed by blind pedestrians.

Vehicle surge detection and pathway discrimination by pedestrians who are blind: Effect of adding an alert sound to hybrid electric vehicles on performance.

This study examined the effect of adding an artificially generated alert sound to a quiet vehicle on its detectability and localizability with 15 visually impaired adults. When starting from a stationary position, the hybrid electric vehicle with an alert sound was significantly more quickly and reliably detected than either the identical vehicle without such added sound or the comparable internal combustion engine vehicle. However, no significant difference was found between the vehicles in respect to how accurately the participants could discriminate the path of a given vehicle (straight vs. right turn). These results suggest that adding an artificial sound to a hybrid electric vehicle may help reduce delay in street crossing initiation by a blind pedestrian, but the benefit of such alert sound may not be obvious in determining whether the vehicle in his near parallel lane proceeds straight through the intersection or turns right in front of him.

A Pilot Study of Pedestrians with Visual Impairments Detecting Traffic Gaps and Surges Containing Hybrid Vehicles.

The increasing number of hybrid and quiet internal combustion engine vehicles may impact the travel abilities of pedestrians who are blind. Pedestrians who rely on auditory cues for structuring their travel may face challenges in making crossing decisions in the presence of quiet vehicles. This article describes results of initial studies looking at the crossing decisions of pedestrians who are blind at an uncontrolled crossing (no traffic control) and a light controlled intersection. The presence of hybrid vehicles was a factor in each situation. At the uncontrolled crossing, Toyota hybrids were most difficult to detect but crossing decisions were made more often in small gaps ended by a Honda hybrid. These effects were seen only at speed under 20 mph. At the light controlled intersection, parallel surges of traffic were most difficult to detect when made up only of a Ford Escape hybrid. Results suggest that more controlled studies of vehicle characteristics impacting crossing decisions of pedestrians who are blind are warranted.

Analysis of user characteristics related to drop-off detection with long cane.

This study examined how user characteristics affect drop-off detection with the long cane. A mixed-measures design with block randomization was used for the study, in which 32 visually impaired adults attempted to detect the drop-offs using different cane techniques. Younger cane users detected drop-offs significantly more reliably (mean +/- standard deviation = 74.2% +/- 11.2% of the time) than older cane users (60.9% +/- 10.8%), p = 0.009. The drop-off detection threshold of the younger participants (5.2 +/- 2.1 cm) was also statistically significantly smaller than that of the older participants (7.9 +/- 2.2 cm), p = 0.007. Those with early-onset visual impairment (78.0% +/- 9.0%) also detected drop-offs significantly more reliably than those with later-onset visual impairment (67.3% +/- 12.4%), p = 0.01. No interaction occurred between examined user characteristics (age and age at onset of visual impairment) and the type of cane technique used in drop-off detection. The findings of the study may help orientation and mobility specialists select appropriate cane techniques in accordance with the cane user's age and onset of visual impairment.

Interaction Effects of the Amount of Practice, Preferred Cane Technique, and Type of Cane Technique Used on Drop-off Detection Performance.

This study examined the interaction effects of the amount of practice and the cane technique used in drop-off detection with a sample of 32 adults who were blind. The advantage of the constant contact technique over the two-point touch technique was significantly greater for the less experienced cane users than for the more experienced ones.

Drop-off Detection with the Long Cane: Effects of Different Cane Techniques on Performance.

This study compared the drop-off detection performance with the two-point touch and constant contact cane techniques using a repeated-measures design with a convenience sample of 15 cane users with visual impairments. The constant contact technique was superior to the two-point touch technique in the drop-off detection rate and the 50% detection threshold. The findings may help an orientation and mobility instructor select an appropriate technique for a particular client or training situation.

Detecting Approaching Vehicles at Streets with No Traffic Control.

This study assessed the ability of people with visual impairments to reliably detect oncoming traffic at crossing situations with no traffic control. In at least one condition, the participants could not hear vehicles to afford a safe crossing time when sound levels were as quiet as possible. Significant predictors of detection accounted for a third of the variation in the detection time.