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Ask Slashdot: Mouse/Pointer For a Person With Poor Motor Control 100

First time accepted submitter wb8wsf writes I recently found that a friend of mine is losing the ability to do fine-grained motor control. This means that writing, and mouse usage is going down hill.
Watching her was hard. I'd like to come up with possible solutions for her, but I'm not sure anything I know of such as a trackball, trackpoint, etc would be of much use. So far I haven't found much wandering the net. Any pointers or ideas would be most welcome.
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Ask Slashdot: Mouse/Pointer For a Person With Poor Motor Control

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  • by Anonymous Coward

    I've seen blurbs over the years of someone making eyeball-tracking "mice". unfortunately I don't know if anyone actually manufactures them for sale. But you may want to look around for one, as it seems to me that it may help.

  • by Anonymous Coward

    voice recognition software, this is precisely what it is made for.
    https://www.youtube.com/watch?v=69i80WCErTM

    • Re: dragon (Score:2, Informative)

      by Anonymous Coward

      Concur. Father died of ALS. He was able to use a computer almost to the end with dragon. At the time it would quadrant the screen, so he could say like 1, then it would quadrant that and so on til it was close enough he could 'click', 'double click', whatever. Then he could dictate to type. It was a little slow going at times, but it got him online to email, or browse the web whatever, even 8 years ago.

    • Voice control comes with Windows 8.1. I know that it's popular to hate on Microsoft, but it works, it's cheap, and even today's cheap laptops have more than enough guts to run it. Control Panel | Ease of Access | Speech Recognition
  • by Chris Katko ( 2923353 ) on Saturday March 14, 2015 @04:20PM (#49257449)
    Use a joystick fed into JoyToKey (Windows), or whatever Linux alternative you fancy. I've been using one for years. They're much more forgiving than a mouse, where a erroneous flick, or a flick to far, means you're practically starting over on trying to get to the button you need.
    • by jnik ( 1733 )
      Any platform requirements would have been useful in the original question. On Linux, USB gamepads can make xinput events. I only ever cared about it for the sake of disabling it, but the discussion in this Ubuntu bug [launchpad.net] may help get started on the right track. Basically you'll need xserver-xorg-input-joystick installed and may need to do some xinput set-props work (see starting around comment 24 there.)
  • Voice control may be more productive for a given person than movement-oriented solutions

    • by dAzED1 ( 33635 )
      this - as a person with a parkinsonian disorder myself, mice and anything else with motion sensors (grrr...all phones) have become increasingly annoying and unproductive. While it takes some training, voice control can restore that productivity
  • by atari2600a ( 1892574 ) on Saturday March 14, 2015 @04:21PM (#49257463)
    Took up laser eye tracking pointing devices & maybe a large-font/maybe Dvorak keyboard. I'd try but avoid a webcam solution-- they tend to be more pain than they're worth but you can't beat the price. Alternatively, simply take the mouse apart & superglue in a lead weight.
  • by spiffyspiff ( 668387 ) on Saturday March 14, 2015 @04:35PM (#49257543)

    I've got a friend in his 90's who is gradually losing motor control in his hands. it's a rubbish situation.

    Anyway, about 5 years ago, I upgraded him from a standard MS optical mouse to a Logitech Trackman Wheel, which was a great help. Over the last couple of months, his motor control has deteriorated to the ponit where positioning the cursor is still ok. but pressing the right buttons is getting tricksy. So he's just upgraded to an Infogrip BigTrack trackball, where the buttons are out of the way of using the trackball. And it's been a great help. Not perfect, but a massive improvement. Each person's needs are going to be different. I'd suggest borrowing a trackball if you can, else buy one, and if it doesn;t work, ebay it, and try the next thing - the only way to find a solution is to try these things out in real life i think.

    I get the impression we're in a nascent market - this stuff will likely become huge in the next 5-10 years, as a big chunk of the early comptuer users start hitting age-related motor loss.

    • (1) Trackball [For everyone - A mouse is crap tech.]

      (2) Brush-up on keyboard navigation. Most desktop applications are good in this respect but many web pages are in the stone age.

      (3) Tune the driver parameters.

      (4) If the user has particular issues (which may not all be motor related) then focus on a 'way to do it'. For example a positive one-click even if the mouse button takes a hammering.

      (5) There used to be special drivers but 5 years ago when I looked they seemed to be dying-out.

      One of the

      • by rtb61 ( 674572 )

        A little more expensive but likely more effective would be remoting a tablet to the larger screen. So everything done on the tablet occurs on the larger screen, a more accessible touch interface. With the likely speed of input the tablet replace the keyboard and you call up a keyboard function on it without disturbing the main screen view, this also provides the audio and visual signalling interface on the tablet.

      • Her problem isn't that she's incompetent. Her problem is her hands aren't working properly. Taking a kiddie glove approach to people with disabilities can come across as patronizing and demeaning. Just something to be aware of.

    • I have found that reducing the pointer movement speed has been the most helpful. Most mice tend to move farther in relation to the speed the mouse moves. Tremors tend to cause quick furtive movements which cause the pointer to leap across the screen. By lowering the ratio you can inhibit the worst of the effects of poor movement and tremors. It may mean having to lift the mouse and move it back because there is not enough room to move the pointer across the screen, but that is less frustrating than not bein

    • by aliquis ( 678370 )

      I sometimes donate money to Special Effects:
      https://www.youtube.com/watch?... [youtube.com]
      And to some extent Able Gamers:
      https://www.youtube.com/watch?... [youtube.com]
      https://www.youtube.com/watch?... [youtube.com] .. through Humble Bundle.

      They may have some ideas.

      I wonder if it was Valves solution with HTC which was supposed to have one controller per hand with the touchpads + triggers and some buttons or something like that? (Assuming one say can move arms to decide what to do, but someone of course have to code that part too.)

  • by Anonymous Coward

    1. I've been using a Wacom pen many years for RSI, and I find it much better than a mouse. You can set it to either absolute or relative positioning mode, but if your friend can't hold a pen then it's not very helpful.
    2. A trackball or a "vertical mouse" (many examples on Amazon) with the Windows mouse sensitivity turned down might help.
    3. I have a friend who uses a Contour Roller Mouse, mainly for RSI: http://ergo.contour-design.com/ergonomic-mouse/rollermouse-free2
    4. The folks at Able Gamers may be a good

    • by ihtoit ( 3393327 )

      This. Also, there is software for the Kinect to allow UI control via gestures with the device.

  • Easy (Score:2, Informative)

    by kamapuaa ( 555446 )

    I would go too google.com and enter '-slashdot Mouse/Pointer For a Person With Poor Motor Control.'

  • by alasdair ( 213627 ) on Saturday March 14, 2015 @04:49PM (#49257603) Homepage

    Fine motor control? So gross is okay, can move arms or legs in a big way, but not fine finger movement? The general term is "Assistive Technology".

    Use built-in system adaptations: change mouse sensitivity, keyboard repeat rate, use the numeric keypad to move the mouse. See Control Panel > Ease of Access Center in Windows. "Make the mouse easier to use" and "Make the keyboard easier to use". http://www.microsoft.com/enabl... [microsoft.com]

    Tremors? http://www.steadymouse.com/ [steadymouse.com] to dampen mouse movement.

    Move the mouse using a trackball, can't click? Dwell clicker. http://sensorysoftware.com/mor... [sensorysoftware.com]

    Could move a game controller or joystick, not the mouse? JoyToKey http://www.oneswitch.org.uk/2/... [oneswitch.org.uk]

    Can move head? Cameramouse, http://cameramouse.org/ [cameramouse.org]

    Not use a keyboard? Probably up to using an "on-screen keyboard" and "switching". There's an OSK in Windows, 7 and later is OK, before then not so good. Many others, The Grid 2 is probably the best. http://sensorysoftware.com/gri... [sensorysoftware.com]. You'll find at this point that everything is starting to look very "special needs" - the market usually addresses people with cognitive as well as physical problems, and starts to get called "AAC". But the technology is in there. You might also want to check out switching with an iPad/iPhone - recent iOS releases have fantastic switching capacity built in. Proloquo2Go is the most famous iOS app. It's expensive for an app, but it's dirt cheap compared to dedicated hardware solutions (like Stephen Hawking stuff)

    Operate one control only? http://www.webbie.org.uk/onesw... [webbie.org.uk]

    In the USA? Try finding your state's Assistive Technology Resource Center. In the UK? ACE Centre is good, http://acecentre.org.uk/ [acecentre.org.uk].

    Key thing: usually people put off acquiring and learning to use the technology until it is too late, because it's too depressing. The medical channels for getting this stuff are often slow (at least in my country, the UK) so if your friend has a progressive, degenerative disease, you might be best going with something you can get right away and is not too off-putting - if you get an iPad and use that, you can get it right now and it doesn't have as much stigma as an obviously medical device. Many of these conditions have a very limited lifespan, so you need to get something soon if it's going to be useful.

    It's also worth noting that switching is really slow and painful for someone who is used to normal usage, and that the role of the main carer/partner is essential in successful adoption of this kind of technology.

    (Quick whirlwind notes from a technical rather than medical guy, excuse any slightly-off nomenclature. And your friend might just need to adjust her Windows settings, and I've leapt to much more "advanced" systems than she needs - but you don't think a trackball will cut it, and she's clearly been normal up to now, so I'm thinking the worst...)

    • by JohnM4 ( 1709336 )

      ^^^ mod this up. Good summary.

      I've worked extensively with Camera Mouse (http://www.cameramouse.org/) and a few other technologies.

      - Voice recognition such as Dragon works very well and can be used to to do some mouse pointing and other interaction tasks in addition to regular dictation.
      - In addition to trackballs they make accessible joysticks that have large "kush" balls on the top that let you use more gross motor functions.
      - All sorts of accessible keyboards or button pads can be used with a variety of

    • Fantastic compilation of software suggestions. I hope this comment becomes a sticky on some related website or forum for such problems. Bravo!

  • by Anonymous Coward

    Normal mouse drivers have some degree of automatic sensitivity adjustment as the pointer speed changes. If the options to change that sensitivity are not enough, there should be 3rd party software out there that would help. There are numerous sites, dealing with various handicaps, that have lots of links to software or devices that can ease the difficulty. For instance a Parkinson's site: http://www.waparkinsons.org/resources/assistive-technology

    If you have been to all those kind of sites and have not fo

  • ...or whatever the current cueball-sized equivalent is. Large buttons, large ball that can be moved with the whole hand or all of the fingers instead of a few.
  • There are a few products on the market that offer eye tracking mouse control. I don't know much about them or how well they work, but it might be worth a try. I'm pretty sure I've seen one or two brainwave-sensing ones, but those probably require goop or no hair, or both.
  • I don't know if such a thing exists, but my first thought is a software solution that averages the cursor position over a short time.

    Nintendo Wiis, for example, do it on some games, but not all, to take the shake out of your Wiimote hand. It means a little extra lag, but the cursor moves more smoothly.

  • is hte first and most ovbious answer that springs to mind. Not to plug or anything, but Nuance leads the pack with Dragon Naturally Speaking. Version 10 is the best so far (yep, even better than v13), it has a very easy interface and it learns rapidly. http://www.nuance.com/dragon/i... [nuance.com]

    • If you want to try speech control, Windows Speech Recognition is just about as good at recognizing speech as Dragon, has enough control features to be functional, and comes with Win7 and above for free.
      • by ihtoit ( 3393327 )

        try as I might, I can't browse using just voice commands on a vanilla W7 Home install.

        Any tips?

    • Nuance leads the pack, becuase their business model is to buy out the competition, or eliminate them through excessively high royalites for the non-patents that the USPTo grants to organizations that engage in ongoing racketering and extortion.

  • I'm getting into the same boat because of progressing MS. I bought a fairly inexpensive gaming mouse by Etekcity. It's a bit bigger than average without being a hand-stretching monster, and it has a 3-position DPI selector that lets me adjust to my ability at any given moment. If I'm shakier, I can slow down the mouse response. Plus it has a pair of programmable side buttons which I have set for volume up/down. All this is not for gaming in my case, it's to help me use the mouse with a fair degree of comfor
  • You didn't say what platform, but this has been an on-going emphasis for both Apple and Microsoft for a long time.

    For OS X and iOS, see

    http://www.apple.com/accessibi... [apple.com]
    http://www.apple.com/accessibi... [apple.com]

    For Windows, see

    http://www.microsoft.com/enabl... [microsoft.com]

    Hope this helps.

    --Paul

  • It is likely that your friend is not alone with her condition. Try to discuss it with others who are affected, and who have already been through the stages that lay ahead of her. People with motor control issues successfully use vertical mice, touch screens, keys for navigation, gaze trackers, voice recognition, non-standard input methods such as the Dasher accessibility tool, or tailored input methods.

    • Kludging a system together yourself makes about as much sense as rolling your own ssl library. There are people who solve this sort of problem for a living - Occupational Therapists. They're almost certainly going to come up with a much better solution than you will.

  • Have you tried foot pedal mice? They don't generally require as fine of control as a regular mouse and they feel very natural to use.

  • Pretorian Technologies of Lincolnshire, UK http://www.pretorianuk.com/ [pretorianuk.com] specializes in computer devices for disabled, and semi-disabled users. They make a wide variety of trackballs, joysticks, mouse alternatives, big switches that can be activated by your elbow or knee, iPad switches, bluetooth linked switches etc.

    Their devices are aimed at those with "limited hand control, fine and gross motor skill difficulties, poor hand-eye coordination, limited manual dexterity, repetitive strain injury, involuntary muscle spasms, spastic and flaccid paralysis, cerebral movement disorder or central neuromuscular disability and inflammatory or degenerative change"

      From their website, http://www.pretorianuk.com/n-a... [pretorianuk.com]

    The n-ABLER Trackball is the most adaptable Mouse Alternative on the market specifically designed to address the needs of computer users with limited hand control, motor skill difficulties, poor hand-eye co-ordination, lack of manual dexterity and involuntary muscle spasms.

    In the USA, their products are available through InclusiveTLC.com .... not cheap (the anti-tremor joystick costs $440) but they look excellent for the application. a giant 3 inch diameter bright red switch that talks bluetooth (for the iPad, I think) runs about $150. see http://www.inclusivetlc.com/is... [inclusivetlc.com]

  • How about something like the NIA?

    http://www.amazon.com/OCZ-OCZM... [amazon.com]

  • There are many vendors who sell these devices, such as here: http://enablingdevices.com/cat... [enablingdevices.com]

    For the specific need you mention, here's a start:
    http://www.traxsys.com/Assisti... [traxsys.com]

    My wife has Cerebral Palsy, with very poor fine motor control of her hands. She has two of these joysticks, both paid for with grants found for her from our local United Cerebral Palsy center (http://www.ucpsdtechcenter.org/).

    It is an analog joystick - the same type used on power wheelchairs: the further you push the stick, the faste

  • by Anonymous Coward

    It would help to know the nature of the problem. As some of us are not physicians, you'd have to explain the symptoms -- not name the disease -- though e.g. Parkinson is quite well-known.

    A mouse works in two (*) linear fashions. Low speed up to a distance and after a threshold it goes with greater speed. In Linux (that's what I know), one can make it work according to a power function which is much easier to control, as many Quake victims of yours truly could attest. :-)

    Please have a look at this:

    http://i.i

  • Head tracking may work well, depending on ability to control head/neck. There are several methods (mostly originating in the flight sim community).

    1. Face tracking (very easy to try, FaceTrackNoIR [sourceforge.net] or Opentrack [github.com])
    2. Head tracking with IR clip [free-track.net] (bit more reliable than face, many DIY guides out there)
    3. Head tracking with Aruco marker (available in Opentrack)

  • There are several, but I prefer the ITAC Evolution.

    http://www.itacsystems.com/evolution-mouse-trak.html [itacsystems.com]

  • right. let's assume that you need to actually do some programming, here. first thing: get hold of an arduino, or something with an STM32F (waveshare have something). one of the examples in the source code for the waveshare STM32F102 board that i bought is: guess what: a mouse HID emulator.

    basically what it does is program the USB port to (a) be a client (b) pretend that it's a mouse HID device. then, it just runs through a sequence creating "mouse move left" events 100 times followed by "mouse move righ

  • My first thought was Joystick, my second thought was "Slow down mouse speed"
    so I promptly googled this into existance:

    http://www.amazon.com/3M-Ergon... [amazon.com]

    That, coupled with using a slower mouse tracking speed, should allow the user to use larger gross movements to nudge the mouse to where it needs to be, and click. Its the first route I would go anyways, instead of multi-hundred dollar eye tracking or voice control software.
  • by niftydude ( 1745144 ) on Saturday March 14, 2015 @09:04PM (#49258619)
    Not impossible labs are a charity foundation that create devices and open hardware in this area.

    Check out the eyewriter: http://www.notimpossiblelabs.c... [notimpossiblelabs.com]

    and the brainwriter: http://www.notimpossiblenow.co... [notimpossiblenow.com]
  • In her case I introduced her to Lynx (tab key navigation) and elinks for browsing, hotkeys (Home, Ctrl+Home, End, Ctrl+End) for editing and reading, and a large "scrollball" for mouse control. As her condition deteriorated her son built her a custom keyboard - a modified keyboard for the vision impaired (large buttons) with the number pad removed and a large, custom, hotkey pad in it's place.

    At some point we plan to change to screen reading and speech recognition as she has issues seeing when she can't con

  • http://cameramouse.org/ [cameramouse.org]

    From the website:

    "Camera Mouse was invented at Boston College to help people with disabilities use the computer. We make it available for free download, with no gimmicks or advertisements or registration, because we want to help as many people as possible."

  • It seems to me that the right approach is incremental movement. I don't have the same problem as the person in the story, but I find that I do much better in paint programs, for example, when I use the trackpad on my laptop then when I use an attached mouse. Part of that is because the sensitivity is lower, but part of it is because I don't rest my hand on the trackpad - so that unintentional motions don't register in the way that they do with a mouse.

    With that in mind, a trackpad wouldn't be a bad choice
  • As others have said, every person is different in their abilities and limits. And I know nothing about your friend's situation, so I can only tell you about the situation I've worked with.

    My aunt was born with cerebral palsy, and she has always had much better control over her feet than her hands. Her solution was to place an ordinary trackball under her desk, (the large kind, not the marble sized one) and she uses her bare foot to control it.

    Because it's foot operated and she can't really clean it effect

  • A spinal injury rendered my primary right hand useless. So I write (250k words this year) and code (30k lines C++/C#/Python) using a Logitech Wireless Touchpad and a compact tablet-style keyboard on my PC.
  • ...that Steven Hawking read slashdot.
  • Have you tried the Snap To option on Win7 mouse settings?
    This makes the mouse jump to the default button on dialog boxes. It takes some getting used to and probably needs good eye tracking but it can reduce required mouse movement a bit.

  • I have no real idea if this is any use to you, or anybody else, but as a proof of concept, this Windows executable will smooth out mouse movements over time, a bit like a Nintendo Wii does to take the shake out of your Wiimote-holding hand:

    http://horman.net/smoothmouse.... [horman.net]

    This is very much proof-of-concept only - all parameters are fixed, smoothness is set very high, and if you want to close it you'll have to use Task Manager to kill smoothmouse.exe.

  • Many console dance mats have large arrows that can be pressed with the feet, perhaps from a sitting position. How about repurposing one of these to provide mouse input? Using something like Joy2Key, and Keyboard mouse controls, such a device could be mapped to mouse input.

BLISS is ignorance.

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