Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor Disabilities

Lou Gehrig’s disease, also known as ALS, is a progressive neurodegenerative condition that weakens muscles and can lead to paralysis as it progresses. For patients with severe paralysis, eye-tracking devices such as eye mouse enable communication. However, the equipment is expensive, and the calibra...

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Main Authors: Seungho Lee, Sangkon Lee
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/25/15/4555
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author Seungho Lee
Sangkon Lee
author_facet Seungho Lee
Sangkon Lee
author_sort Seungho Lee
collection DOAJ
description Lou Gehrig’s disease, also known as ALS, is a progressive neurodegenerative condition that weakens muscles and can lead to paralysis as it progresses. For patients with severe paralysis, eye-tracking devices such as eye mouse enable communication. However, the equipment is expensive, and the calibration process is very difficult and frustrating for patients to use. To alleviate this problem, we propose a simple and efficient method to type texts intuitively with graphical guidance on the screen. Specifically, the method detects patients’ eye blinks in video frames to navigate through three sequential steps, narrowing down the choices from 9 letters, to 3 letters, and finally to a single letter (from a 26-letter alphabet). In this way, a patient is able to rapidly type a letter of the alphabet by blinking a minimum of three times and a maximum of nine times. The proposed method integrates an API of large language model (LLM) to further accelerate text input and correct sentences in terms of typographical errors, spacing, and upper/lower case. Experiments on ten participants demonstrate that the proposed method significantly outperforms three state-of-the-art methods in both typing speed and typing accuracy, without requiring any calibration process.
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spelling doaj-art-69c7d11ca56241c282bf43e06a9ceea72025-08-20T04:00:55ZengMDPI AGSensors1424-82202025-07-012515455510.3390/s25154555Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor DisabilitiesSeungho Lee0Sangkon Lee1School of Future Technology, Korea University of Technology and Education, Choenan 31253, Republic of KoreaSchool of Industrial Management, Korea University of Technology and Education, Choenan 31253, Republic of KoreaLou Gehrig’s disease, also known as ALS, is a progressive neurodegenerative condition that weakens muscles and can lead to paralysis as it progresses. For patients with severe paralysis, eye-tracking devices such as eye mouse enable communication. However, the equipment is expensive, and the calibration process is very difficult and frustrating for patients to use. To alleviate this problem, we propose a simple and efficient method to type texts intuitively with graphical guidance on the screen. Specifically, the method detects patients’ eye blinks in video frames to navigate through three sequential steps, narrowing down the choices from 9 letters, to 3 letters, and finally to a single letter (from a 26-letter alphabet). In this way, a patient is able to rapidly type a letter of the alphabet by blinking a minimum of three times and a maximum of nine times. The proposed method integrates an API of large language model (LLM) to further accelerate text input and correct sentences in terms of typographical errors, spacing, and upper/lower case. Experiments on ten participants demonstrate that the proposed method significantly outperforms three state-of-the-art methods in both typing speed and typing accuracy, without requiring any calibration process.https://www.mdpi.com/1424-8220/25/15/4555Lou Gehrig’s diseaseamyotrophic lateral sclerosiseye blinkingeye typingneuro-locomotor disabilities
spellingShingle Seungho Lee
Sangkon Lee
Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor Disabilities
Sensors
Lou Gehrig’s disease
amyotrophic lateral sclerosis
eye blinking
eye typing
neuro-locomotor disabilities
title Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor Disabilities
title_full Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor Disabilities
title_fullStr Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor Disabilities
title_full_unstemmed Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor Disabilities
title_short Text Typing Using Blink-to-Alphabet Tree for Patients with Neuro-Locomotor Disabilities
title_sort text typing using blink to alphabet tree for patients with neuro locomotor disabilities
topic Lou Gehrig’s disease
amyotrophic lateral sclerosis
eye blinking
eye typing
neuro-locomotor disabilities
url https://www.mdpi.com/1424-8220/25/15/4555
work_keys_str_mv AT seungholee texttypingusingblinktoalphabettreeforpatientswithneurolocomotordisabilities
AT sangkonlee texttypingusingblinktoalphabettreeforpatientswithneurolocomotordisabilities