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Visual impairment represents a significant health and economic burden affecting 596 million globally. The incidence of visual impairment is expected to double by 2050 as our population ages. Independent navigation is challenging for persons with visual impairment, as they often rely on non-visual sensory signals to find the optimal route. In this context, electronic travel aids are promising solutions that can be used for obstacle detection and/or route guidance. However, electronic travel aids have limitations such as low uptake and limited training that restrict their widespread use. Here, we present a virtual reality platform for testing, refining, and training with electronic travel aids. We demonstrate the viability on an electronic travel aid developed in-house, consist of a wearable haptic feedback device. We designed an experiment in which participants donned the electronic travel aid and performed a virtual task while experiencing a simulation of three different visual impairments: age-related macular degeneration, diabetic retinopathy, and glaucoma. Our experiments indicate that our electronic travel aid significantly improves the completion time for all the three visual impairments and reduces the number of collisions for diabetic retinopathy and glaucoma. Overall, the combination of virtual reality and electronic travel aid may have a beneficial role on mobility rehabilitation of persons with visual impairment, by allowing early-phase testing of electronic travel aid prototypes in safe, realistic, and controllable settings.

The prevalence of blindness and low vision is skyrocketing as the population ages. Independent, efficient, and safe navigation for persons with blindess and low vision requires hard work, practice, and development of strong orientation and mobility skills. In this vein, orientation and mobility training provides tools to familiarize oneself with new environments and maintain an independent lifestyle. In recent years, orientation and mobility training has adopted electronic travel aids, smart devices developed to assist those with blindness and low vision during navigation. However, learning how to use an electronic travel aid in orientation and mobility training sessions may prove dangerous for, as an end user. Early in use, the end user may misinterpret the information provided by the electronic travel aid. In fact, there may be a shallow learning curve during initial implementation. To this end, we built a multiplayer virtual reality platform to simulate an orientation and mobility training, involving trainer and trainee, for practicing with an electronic travel aid in a controlled, safe but realistic environment. We interfaced the virtual reality platform with a custom electronic travel aid created by our team. The electronic travel aid consists of a specially designed camera on a backpack and a haptic belt, along with software that can relays information about the location of near obstacles in the virtual environment through spatiotopic vibrotactile stimulation of the abdomen. In the virtual environment, the trainer can instruct the trainee in the use of the electronic travel aid while navigating complex urban environments. The efficacy of the communication between trainer and trainee towards teaching the correct use of the electronic travel aid and its performance in assisting navigation will be evaluated through series of systematic experiments.