PilotDisability and rehabilitation. Assistive technology2025

Multi-faceted sensory substitution using wearable technology for curb alerting: a pilot investigation with persons with blindness and low vision.

Ligao Ruan, Giles Hamilton-Fletcher, Mahya Beheshti and 3 others

PMID 39954234

WHAT IT FOUND

In people with blindness or low vision, beeps plus sonification or speech let them stop farther from curbs than a white cane alone.

Orientation to the curb was similar. This is early wearable assistive technology, not evidence to change routine care.

Key findings

01Beeps combined with sonification and beeps combined with speech output each gave a larger safety window than the white cane alone.

02The orientation angle did not differ between the white cane alone, beeps with sonification, and beeps with speech output.

03Nine of ten participants reported positive feedback regarding the intuitiveness of sonification and the helpfulness of the device, and one participant reported headset discomfort.

STILL TO COME

How it was doneWhat they found

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What it does not show

This was a pilot study with ten participants, so the findings are preliminary. Participants received a 5-minute tutorial, which may not reflect how people would use the system over time. Nine participants had formal white cane training, and the cane condition may have been a strong benchmark. The experiments were conducted on even, paved pathways in a park, so they do not show how the system performs in varied real-world streets. The paper describes participants using a white cane either with or without assistance from the system, while the listed conditions are cane alone, beeps with sonification, and beeps with speech output, so the exact role of the cane in each condition is not fully clear. The system assumed a fixed camera height and angle and flat ground, so real movement, collisions, slopes, or uneven surfaces could change alerts. The paper notes that lighting, weather, traffic, street furniture, and camera angle changes can reduce reliability. Qualitative feedback was limited by the small sample.

Declared interests

NYU, John-Ross Rizzo, and Todd E. Hudson have financial interests in related intellectual property. NYU owns a patent licensed to Tactile Navigation Tools, and NYU, Rizzo, and Hudson are equity holders and advisors of that company.

The easy way to misread this

Do not conclude that the wearable system is better than the white cane for all curb tasks. It improved stopping distance in this small pilot, but orientation relative to the curb did not differ from cane alone, and the system was tested in a controlled park setting.

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The study

Participants
Ten participants with blindness or low vision
Certainty of evidence
Very low

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    Ligao Ruan, Giles Hamilton-Fletcher, Mahya Beheshti, et al. Multi-faceted sensory substitution using wearable technology for curb alerting: a pilot investigation with persons with blindness and low vision. Disability and rehabilitation. Assistive technology. 2025.

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