A Diversity of Differences: April 2004


Ellen Perlow (eperlow@hotmail.com)
This document is available in alternative formats upon request.
URL: http://www.a4access.org/atwhat.html

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Differences, Accessibility Considerations, Assistive Technology, Selected Websites
A summary chart to better understand the variety and diversity of accessibility issues and assistive technology that makes accessibility possible in our lives.
A Diversity of Differences: Vision - Hearing - Speech - Mobility - Cognitive/Learning -
- Electronic Aids to Daily Living - Ergonomics - Whatchamacallits


Differences Accessibility Issues Assistive Technology Selected Websites
Vision Differences: low vision, perceptual differences (depth, peripheral differences), near-sightedness, far-sightedness; color blindness: see: http://www.
lighthouse.org/
color_contrast.htm
;

Degrees of blindness: Blindness=equal to or less than 20/200 even with corrective lenses=legal blindness: causes include cataracts, cerebral palsy, diabetes, glaucoma, multiple sclerosis, retinitus pigmentosa, macular degeneration, diabetic retinopathy, hemianopia; aging, injuries ...


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Low vision: font size, quality, styles (italics), screen resolution, glare, lack of alternative formats, i.e. audio, large print versions

color-blindness: lack of no-color alternatives, contrast between colors' certain [combinations of] colors
blindness: lack of alternative formats, i.e. audio, Braille Web: lack of web-based text alternatives that are labeled and properly formatted tables, forms, images (ALT tags), interactive content
Low vision: specialized monitors, software that increase font size, glare guard screens, magnification software, hardware, audio output, alternative keyboards; webpages: adjustable font size, styles, ALT tags /alternative text for all images

color blindness: no-color alternatives to color

Input: optical character recognition software+scanner, barcode scanners, talking signs, Braille: 6 dots per cell, 8 dots per cell on Braille display for function keys; Grade 1: verbatim; Grade 2: contracted; manual and computerized production, tactile graphics (representation of maps, graphs charts, embossed, homemade, computer generated; audio descriptions of visual aspects added to television, videotapes, CDs, kiosks, exhibits, live production; cassette tape; Access to Computers: Screen Magnification: via operating system, specialized software. specialized monitors, software products that increase font size, glare guard screens; webpages: adjustable font size, styles, no-color alternatives to color; ALT tags /alternative text for all images; Speech output: voice synthesis, screen reading software; Braille Displays, alternative keyboard entry
Websites: Braille: Tack-Tiles Braille System, Tactile Graphics, An Overview and Resource Guide, Audio: Media Access Group at WGBH; American Foundation for the Blind [AFB]; Cassette; Recording for the Blind and Dyslexic

Computer Access: Screen Magnification: Optelec, Inc., Telesensory Corporation, PulseData/HumanWare/Lampert Division: Magnification Station; Speech Output: Jaws screen reader software, AI Squared (Zoomtext software), Sendero Group GPS systems; Braille Displays: Refreshable Braille Displays/Alternative Keyboard Entry, Alva Access Group, Baum Retec AG, Braille output: Duxbury Systems (Braille translation software), American Thermoform Corporation (Braille embossers, paper); voice output, scanners, Braille calculatorsScanSoft Corporation/Kurzweil Educational Systems, Robotron Sensory Tools/Galileo Systems, Compusult Limited, G.W. Micro (WindowEyes), Dancing Dots-Braille Music Translation: Voice Recognition: ScanSoft Dragon Naturally Speaking; audio books, E-books: Recording for the Blind and Dyslexic, U.S. Library of Congress. National Library Service
Hearing Differences: Hearing Loss/Hard of Hearing: degrees of hearing loss; deafness (from birth, post-natal); Deaf Culture, deafness: absence of hearing; differences depending on onset age of deafness: causes: rubella, hereditary (leading cause), premature birth, complications of Rh Factor, meningitis, noise, aging ...


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Conductive Hearing Loss: differences of the outer or middle ear, around the location of the eardrum and "ossicles" (hammer, anvil, and stirrup). causes: fluid in the ear, wax build up and stiffening of the middle ear bones actors:
Sensorineural Hearing Loss, most common type; causes: aging or hereditary hearing loss, noise damage results of medical conditions, Many of these conditions lend themselves to surgery or correction because there is no neural damage with these conditions. is the most common type of hearing loss and is typically found in cases of aging hearing loss, hereditary hearing loss, noise damage, caused by damage to the sensory and nerve structures of the cochlea. This type of hearing loss may be accompanied by tinnitus (ringing in the ear) or vertigo (dizziness). People who have this hearing loss have trouble hearing in crowded places and the loss is gradual, usually in the higher frequencies. Issues: cannot speech read, use of one ear, hearing aid compatability, sound quality of phone, background noise; Deaf Culture Issues: lack of captioning; on web: audio without text equivalent
Assistive Devices: hard wired systems, FM (radio frequency), infrared (light), electromagnetic induction loop (magnet), telecoils and microphones (hearing aids; commonly found in telephones and speakers), coupling devices (headphones, earbuds), direct audio input, FM boot, cochlear implants; microphones: omnidirectional, unidirectional, lavaliere or lapel, table top or conference, environmental; remember to charge batteries; telephones: rotary, pulse, touchtone, analog vs. digital, wireless, cellular, pay phones, office lines, beepers, pagers; make ring louder, change frequency, flashing lights, vibrating beepers; TTYs and TDDs: with and without printer-etiquette sheet; relay services; interpretation: ASL, signed English, Minimal Coded English, Oral, Cued, Tactile; lipreading + sign language; transcription: realtime, remote, C-Print summary, notetakers; captioning; hearing dogs

Interpretation: ASL, signed English, Minimal Coded English, Oral, Cued, Tactile; lipreading + sign language; transcription: realtime, remote, C-Print summary, notetakers; captioning
WWW resources: Gallaudet University Library website resources, Deaf.Com, PEPNet [Postsecondary Education Programs Network] Resource Center, Computer Prompting and Captioning Company (captioning), Rochester Institute of Technology Deaf/Hard of Hearing Internet Resources, Deaf Culture, American Speech, Language and Hearing Association
Speech Differences: degrees of difficulty in speaking clearly, audibly; complete loss of ability to speak


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Physical: muscle weakness, paralysis, joint discomfort, spinal injuries, disease processes, i.e. arthritis, muscular dystrophy, repetitive stress; cognitive or neurological: dyslexia, dyscalculia, ALS, dystonia, Huntington's disease. multiple sclerosis, muscular dystrophy; issuse: auditory perception, seizures, sensitivity to flashing animations, blinking; aging Augmentative and Alternative Communication [AAC] Devices: Sign language, speech and voice amplification, special techniques: picture cards, language boards, communication wallets, boards, picture exchange, clock scanners, computers with software, dedicated devices: assisted keyboard, onscreen keyboard, cursor control, pointer systems, alternative keyboards, voice recognition, eye-gaze, mind control, keyboard emulation (ASCII), switches: direct switch interface, scanning, Morse Code, switch encoding, auditory, word and icon prediction software; output: synthesized (text to speech), type of synthesizer, digitized (recorded speech and sound), amplification, tone, ethnicity, language, integration with other assistive technology Websites: Dynavox, Prentke-Romich, Turning Point Therapy and Technology, Inc., Zygo Industries, Augmentative Communication Consultants, Inc., AbleNet, Inc., Attainment Company Words +, Speech to Speech News.Com
Mobility Differences : wide and varied: muscle weakness (paresis), paralysis, joint discomfort, spinal injuries, arthritis, muscular dystrophy, repetitive strain injury; aging


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Seating and positioning, mobility: dependent, independent, driver controls, interconnectivity to other assistive technology Seating systems, alternative position devices, manual (dependent-stroller, etc. and independent-wheelchair) and power mobility devices (scooter, wheelchairs), driver controls: joystick, foot controls, head controls, chin controls, pneumatic (sip/puff). digital controls (tongue touch keypad, single switches, scanning), recreational mobility devices (walkers, wheeled walkers, canes, crutches, trainers); interconnectivity to other assistive technology: augmentative and allternative communication [AAC] devices and mounts, electronic aids to daily living (EADL) controls, computer access Websites: Seating/Position: Family Village Shopping Mall-(Trace Center), Adaptive Equipment Systems [AES], Dynamic Living, Sammons Preston, Invacare, Permobil; Rifton Equipment; Switches: Academic Software; Wheelchairs: Sunrise Medical
Cognitive/Learning Differences: reading, writing, comprehension, interpretation of words, symbols: dyslexia, dyscalculia, perceptual differences: depth perception, peripheral vision, balance


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Issues: long, involved text construction, flashing, blinking, unclear print, concentration, memory, focus; everyone learns differently: visual, auditory, tactile learners... Augmentative and Alternative Communication [AAC] Devices: Reading/Visual supports: "Post-It" notes, highlighters, pictures and sound to support text, webbing and mapping of information and vocabulary, auditory text through talking books, single word support - Reading Pen, text reading software, electronic books,scanning books;
Writing: No/Low/High Tech: writing assistants, writing tools, stable paper with clipboard, angle, give boundaries, adapt the tool, model with stencils, labels, stamps, portable word processing, record or dictate instead of writing: voice recognition; dictionaries for vocabulary and spelling, text editing checklists, notetaking, writing assistants: software: outlining software, webbing, mapping software, spelling and grammar checkers, dictionaries and thesauri, print to symbols, story frames, templates and stationery, on-screen keyboards for writing, alternate keyboards for learning and reporting, auditory support through talking word processing, support through word prediction; organizational assistants: work and school related organizers, calendars, project planning software, voice diaries, activity task assistants, time assistants, portable digital assistants, beepers;
Learning Support: project meeting and lesson notes, homework help, research assistance, math supports: calculators, math worksheets
Websites: Don Johnston, Tash, Inc., textHelp, Inc., Adaptivation, Assistive Technology, Inc., Voice Recognition: ScanSoft Dragon Naturally Speaking; ScanSoft/IBM ViaVoice hands-free word processing: AlphaSmart, QuickPad, The Reading Pen; resources: Hello Friend/Ennis Cosby Foundation, Don Winkler's Cyberwink - on Learning Differences ,
Electronic Aids to Daily Living [EADL] a/k/a Environmental Control Units: EADL Controls: Input: sends signal to activate system: Direct, scanning, single/dual switch, voice recognition, computer: AAC, Personal Digital Assistant Throughput: Receives signal from input and transmits it to device; needs line of sight, i.e. TV/VCR remote; same coded receivers can be used in different rooms. Signal can travel through walls, though affected by interference from other devices, one location effective throughout house (inteference) Output receives the signal and device turns on/off; Visual or auditory feedback to user; EADLs for security

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Considerations: interference from other devices, safety concerns (don't exceed house wiring levels), need to train users, difficult to obtain funding: most funding sources require justification, physician's prescription; never connect EADLs to automatic doors Devices: Security, independent living Websites: Family Village Shopping Mall-(Trace Center), X-10 Inc., EnvisionAmerica (talking barcode scanners, Scriptalk prescription reader), Smart Home, Inc., powersphere.com, TASH, Inc., Dynamic Living
Ergonomics: "Fitting the job to the person;" Goals: increase safety and health, increase performance, reduce costs, increase profits; areas of concern: manual materials handling, falls prevention in workplace, repetitive jobs

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Considerations: low back injury, back injury, impact injury, workstation ergonomics Devices: adustable chairs, desks, backrest, armrests, footrests, alternative keyboards, mouse alternatives, wristrests, forearm supports, monitor positioning, size, glare-free; Environmental: lighting, noise, stretching and strengthening exercises, ergonomics software Websites: Footrests: AliMed Inc., Smart Home, Inc., Powersphere.com, Tash, Inc., Alternative Keyboard/Mouse: InfoGrip, Inc.,, Madentec, Ltd., Foot Mouse: Hunter Digital; Facts, figures, guides, standards: U.S. Occupational Safety and Health Administration
Whatchamacallits: You don't know what it is or what it is called, but there must be some practical use for it. Or you use a device in a way other than how the manufacturer intended.

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Considerations: Why not? Think outside the box. Devices: Everything For instance: Sammons Preston, your local dollar store ...


Selected sources for information:

Michael G. Paciello. Web Accessibility for People with Disabilities. Lawrence, KS: CMP Books, October 2000; 392 pages. ISBN 1-929692-08-7 Author is Founder and Chief Technology Officer of WebABLE, Inc. and one of the primary forces behind the World Wide Web Consortium's Web Accessibility Initiative.

Family Village Accessibility Mall (sponsored by the Trace Research and Development Center)

The Adaptive Device Locator System (sponsored by Academic Software, Inc.)

U.S. Government web portal

U.S. Federal Government: Section 508 Accessibility Standards/Accessibility Initiative issued December 21, 2000. http://www.section508.gov/

California State University at Northridge [CSUN] Assistive Technology Applications Certificate Program [ATACP], Symposium Series, and CSUN Conferences 2000-2004 course and training materials

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This page last updated Thursday, April 21, 2004, 9 pm

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