Community based rehabilitation

Flash sonar mobility skills training in South Africa by Daniel Kish

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Photo of Daniel Kish working outdoors with blind people
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Flash Sonar: a new look at an old skill

By Ken Lord

The rebirth of the Orientation & Mobility Association of South Africa (OMASA) took place on the 9th, 10th and 11th of September. To mark the occasion, O&M (Orientation and Mobility) practitioners, and all those interested in any form of mobility and independence for blind people, were invited to attend a three-day workshop organised, hosted and co-sponsored by St. Dunstan's and the S.A. Guide-Dogs Association and run by OMASA at the beautiful Guide Dog Training Centre in Sandton.

As the headliner Daniel Kish, a blind American O&M Instructor, who has gained international recognition with his teaching of echo location, which he calls “Flash Sonar” and his blind team consisting of Juan Ruiz and Adam Shaible, were invited to run a two-day workshop, firstly in Johannesburg and then a similar workshop in Cape Town.

Six blind adults and six blind children were invited to participate and receive training during the workshop in Johannesburg. Continuous reference was made to “alternative perception” which Kish explained is the development and use of a blind person's full perceptual system to gain information about one's environment more completely and accurately. For visually impaired persons, this means developing one's remaining vision and non-visual perceptions to “see” without sight. Thus, the term “alternative” refers to alternate ways of “seeing” the environment. Blind people can fill their 'darkness' with dynamic images derived not from light, but from sound as well.

It is Kish's contention that sighted people use light to see and take in the information of their environment, whereas blind people can learn to use sound to sense their surroundings - much like a bat. Blind humans using flash sonar, which is much more than just echo location, can move about as though they have a crude but effective form of vision. They can be well oriented, negotiate obstacles gracefully, quickly, safely, and be extremely independent - thus enjoying a wide variety of meaningful life activities. A blind traveller can receive multi-dimensional information from distances of many meters, depending on circumstances. Echoes make information available about the nature and arrangement of objects and environmental features such as overhanging branches, walls, doorways and recesses, poles, up kerbs and steps, flower boxes, pedestrians, fire hydrants, parked or moving vehicles, trees and other foliage and much more. Echoes can give detailed information about location (where objects are), dimension (how big they are and their general shape) and density (how solid it is).

During the workshop, Kish's lectures and practical demonstrations of what he was capable of, were inspiring and it was obvious that he had totally mastered his subject over many years. Kish's philosophy in teaching his subject was that the practical lessons must, above all, be fun. For this reason, the two-day workshop was totally unstructured and various aspects of alternative perception were introduced sometimes in a higgledy-piggledy fashion.

The blind participants, with a crowd of 40-odd mobility instructors and parents observing, were taught to create and use a series of unobtrusive tongue clicks, much like those used to “gee up” a horse. Interestingly, the clicks should be done very slowly, giving time for the returning echo to be received by the blind traveller and correctly interpreted. To start with, a series of different sized boards and tea trays were placed in front, above and to the side of the participants who, sitting and using the click, had to detect the object’s position.

Lessons progressed to obstacle detection which included openings, poles, trees and vehicles. It became quite easy to detect the spaces between parked cars, but to me, the cherry on top was the ability to detect the shape and outline of a vehicle and with a little practice pronounce that it was a bakkie, passenger car or a 4X4.

St. Dunstan's hosted a similar workshop in Cape Town immediately following the Johannesburg workshop and this was attended by a large number of blind people. The venue was the impressive University of Cape Town's sports complex. This too, was highly successful and, as with the OMASA workshop, a lot of blind people were given an impressive insight into the skills of Flash Sonar.

Hopefully O&M instructors and blind people themselves will take forward what was learnt at both workshops. In the case of instructors, to introduce this into their future training of clients and in the case of those blind people who attended the workshops, to continually practice this new skill and achieve a great deal of expertise.

The Orientation & Mobility Association of South Africa and The S.A. Guide-Dogs Association for the Blind are extremely grateful to St. Dunstan's for so generously agreeing to become partners and co-sponsoring this initiative. 

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Johannesburg,
South Africa
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Quote: Community based rehabilitation, Landing page-2010-12-14 10:55

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It means a lot. I can now do everything for myself without help
from others. I can clean, wash, cook – do everything.

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Mary - CBR client
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Community based rehabilitation
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Community based rehabilitation

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Photo of blind people making dishwashing liquid in big plastic containers
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How do blind people learn to walk around their neighbourhood or to cook themselves food? See how our Community Based Rehabilitation (CBR) projects work.

Community Based Rehabilitation

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A photo of a visually impaired lady being taught O&M skills in her community
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Traditionally, rehabilitation services for the visually impaired focused mainly on urban areas and often these services were institutionalised and therefore, not accessible to all who required the service. Over time the emphasis has shifted to community based rehabilitation (CBR), where the visually impaired person, the family and the community all have a role to play, moving away from the medical model where a disability was regarded as a defect or deficiency towards social inclusion.

Visually impaired people, given the necessary skills, have the potential to make valuable contributions to society. In order to enable them to do so, they require a range of rehabilitation services which includes independence training, orientation and mobility training and the provision of assistive devices. These services are provided by qualified Orientation and Mobility practitioners who work hand in hand with other rehabilitation teams like Social Workers, Occupational Therapists, and Ophthalmologists. Due to the limited number of Orientation and Mobility (O&M) practitioners, there are CBR fieldworkers who have been trained to provide basic orientation & mobility services.

Orientation and mobility training is very crucial for those who have just lost their sight. Many visually impaired people are not able to participate fully in society, simply because they do not have the skills and the knowledge of possible adaptation that would enable them to do so. Orientation and mobility training seeks to empower people with such skills.

O&M training covers counselling, orientation and mobility and activities of daily living (ADL). Counselling is of vital importance as it instils and encourages the acceptance of loss and is a platform for a new beginning for blind and partially sighted people. O&M training also enables visually impaired persons to travel independently, while ADL includes such activities as self care, cooking, using public facilities such as the bank or postal services.

Click here to contact us for more information on community based rehabilitation.

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