Use Of Cane Research Articles

Enhancing navigation and obstacle avoidance with a vibrotactile device as secondary electronic travel aid

People with visual impairments commonly rely on the use of a white cane to navigate and avoid obstacles. Although this analog tool is highly reliable and easy to use, its drawback is the impossibility to anticipate obstacles beyond reach and routes, as well as obstacles above waist level. Electronic travel aids (ETAs) and sensory substitution devices (SSDs) are new technological solutions designed to enhance the tactile and/or auditory capabilities to access the information needed to overcome those drawbacks. In the present study, 25 individuals with visual impairments used the T-Sight, a vibrotactile SSD, and/or the white cane in a navigation task involving obstacle avoidance. While the performance achieved with the device, measured by the number of collisions and walking speed, did not surpass the white cane, the SSD did have a positive impact on ambulation. Participants reduced the number of white cane touches towards environmental obstacles and performed obstacle avoidance maneuvers earlier. These results demonstrate the potential of vibrotactile devices to address the limitations of the white cane.

Lived Experiences of Learning to Use a Long Cane: The Importance of Integrating Perceptual, Existential, and Social Dimensions for Active Cane Use.

How do people who are blind or visually impaired experience learning to use a long cane? This question is of paramount importance for planning and delivering rehabilitation programs and orientation and mobility (O&M) training. Until now, research into learning to use a long cane has focused primarily on technical and professional aspects, paying little attention to the lived experience of the learning activities that are offered in the field of O&M. This extensive qualitative study adopts a lifeworld phenomenological approach and sets out to examine the pedagogical processes within rehabilitation, focusing on the learning experiences of people with impaired vision. The methods used included participant observation during O&M training sessions and recurrent narrative interviews with three research subjects. The results show that learning to use the long cane has perceptual, existential, and social dimensions which are intertwined processes that relate to mind and body, body-world relations, and human existence and society. Learning to use a long cane has in this study been interpreted as embedded with cultural meaning about disability. Further, the habitual use of the cane promotes adaptation to visual impairment but also to build new body-world relations. The lifeworld theory and its methodology have contributed to theoretical evidence and rigor throughout. The results bring new interpretations to the field of O&M and are a relevant basis and valuable for pedagogical rehabilitation as it highlights the importance of taking the individual's lifeworld and needs into consideration when teaching someone how to use a long cane.

A scoping review of cane use in people who have had a stroke

BACKGROUND: Various types of canes are frequently utilised in stroke rehabilitation to support walking ability by compensating for hemiplegic gait. However, Randomised Controlled Trial (RCT) design varies considerably in the area of cane use following stroke and there is no scoping review published to date on this topic. Thus, it is crucial for better evidence informed clinical care and future research that RCT evidence regarding specific assistive walking devices is examined. OBJECTIVES: Identify and map the types of canes that currently exist and review their impact on the rehabilitation of functional mobility post-stroke. METHOD: The following databases were searched: PubMed/MEDLINE, Web of Science, and CINAHL in Ebsco. Two authors independently screened 425 titles, identifying 16 RCT studies for inclusion in the review. RESULTS: 16 studies were selected for review. Five different cane designs were identified, including one-point cane, three-point cane, quad cane, weight-supported feedback cane, and rolling cane. Twelve studies were crossover RCT and four were parallel RCT. Stroke phase varied widely among subjects included in the studies and outcome measures utilised and resultant findings are heterogeneous. CONCLUSION: More evidence is required to clearly indicate the effect of canes on people who have had a stroke and parallel long-term RCTs with follow-up assessment are lacking. Furthermore, there is a lack of research examining variations in new cane designs that specifically target motor function in people who have had a stroke at specific stages. Future research should aim to address the identified inconsistencies and knowledge gaps to facilitate novel and evidence-informed clinical care regarding assistive walking devices for post stroke rehabilitation.

Effect of Proper Use of Cane and Physical Therapy Management to Reverse Hamstrings Tightness and Abductors Weakness Due to Improper Use in Knee and Hip OA Patients

Effect of Proper Use of Cane and Physical Therapy Management to Reverse Hamstrings Tightness and Abductors Weakness Due to Improper Use in Knee and Hip OA Patients

School Discipline And Academic Performance In Social Studies Among Secondary School Students In South South Educational Zone, Nigeria

The study investigated school discipline and academic performance in social studies among secondary school students in South South Educational Zone, Nigeria. The study tested three null hypotheses, collected data were analysed using descriptive statistics. The study adopted a descriptive survey research design. Purposive sampling technique was adopted to select a sample of 200 students, from a population of 4,320 junior secondary school students in the area. The instruments used for data collection was a questionnaire and social studies achievement test that were designed and administered by the researcher. The null hypotheses were tested at .05 level of significance using Independent t-test statistical technique. Findings from the study revealed that, time management, administration of punishment and administration or school rules and regulations significantly influence secondary school students’ academic performance in social studies in South South Educational Zone respectively. It was thus concluded that time management, administration of punishment and administration of school rules and regulations significantly influence secondary students’ academic performance in social studies. It was recommended that, secondary school students should endeavour to manage their time properly by developing a personal timetable that will incorporate all their domestic, school and leisure activities; and corporal punitive measures such as manual labour and use of cane should not be employed in administering punishment to students.

Juvenile Delinquency: The Rise of Moral Decadence in Cameroon Schools

In this paper, we point out the fundamental causes of moral decadence in Cameroon schools by juveniles and seek the extent to which such moral decadence has on the future of Cameroon. As human rights and technology continues to reshape the society, this article states that the application of laws following children rights and western cultures without considering the culture of the people of Cameroon as far as education is concerned is inherent to human condemnation. The implementations of such laws and cultures affected our students and they portray immoral acts such as fighting, smoking, sex party and beating of teachers in secondary schools. In Cameroon, the school is a center of formation and a child learns with a cane. So, taken away the canes from the teachers destroy the teaching culture of Cameroon which is a succinct way to discipline a child. The teacher who is the actor of formation has a formative tune through the cane to fight against acts of moral decadence particularly that of drugs and sex party. The formative punishment is required in our schools via the use of canes by teachers. This human condemnation has future consequences that will emerge probably. In this article, we advanced some methods that can be used to return a peaceful citadel of learning in our schools and the society. The study emphasizes the significance of moral values in school.

Inaccessibility maps to support sighted people using visually impaired people’s white cane data

BACKGROUND: Visually impaired people have been considered only as “receivers” of support; however, few studies have considered them as “givers” of support to sighted people. OBJECTIVE: To support the walking of sighted people using information available specifically to the visually impaired. METHODS: Utilizing white cane usage data of visually impaired people to create inaccessibility maps for sighted people. RESULTS: A user study conducted with elderly people and their stakeholders, who had high accessibility needs found that the maps were generally useful as long as they were within the user’s area of interest. CONCLUSIONS: Although the proposed method should be practically beneficial to users, the information detected by the system should be expanded from white cane use data, its accuracy, and more data collected from visually impaired people.

Mechanism of Knee Adduction Moment Reduction Through Contralateral Cane Use in Healthy Subjects

Mechanism of Knee Adduction Moment Reduction Through Contralateral Cane Use in Healthy Subjects

Development and validation of a white cane use perceived advantages and disadvantages (WCPAD) questionnaire

BackgroundThe white cane is globally an important tool in orientation and mobility for blind and visually impaired people, but it is not often used. The goal of this study was to develop and validate the white cane use perceived advantages and disadvantages (WCPAD) questionnaire for detecting effective factors in the use or non-use of canes.MethodThe initial questionnaire items were extracted through semi-structured interviews with 21 blind or severely impaired vision individuals under two main themes, the perceived advantages, and disadvantages of using a white cane. Linguistic validity and writing evaluation with seven experts, face validity with 23 blind persons, content validity ratio (CVR), and content validity index (CVI) were used for assessment of validity. Internal and external reliability assessment was done using Cronbach’s alpha and intra-class correlation coefficient (ICC). Explanatory factor analysis was conducted to identify the factors of the questionnaire; then, corrected item-total correlations, convergent and discriminant validity, and Confirmatory Factor Analyses (CFA) were done, and model fit indices were reported. A total of 320 blind and severe visual impaired individuals (138 males and 182 females) participated in the study. The final questionnaire contained 12 questions in perceived advantages and 21 in perceived disadvantages.ResultsThree factors (social participation, mobility, and culture) extracted for perceived advantages which explained 67.95% of the total variance, Cronbach-α for the three extracted factors was between 0.75 and 0.91. Four factors (social, safety, ergonomics, and family) for perceived disadvantages were extracted which explained 50.98% of the total variance. Cronbach-α for the four extracted factors was from 0.75 to 0.88. CFA confirmed the final models for perceived advantages and disadvantages.ConclusionWCPAD questionnaire has good reliability and validity, and the factors obtained from factor analysis can measure the reasons for using or otherwise of white canes.

Living with an iconic aid

There are plenty of objects that are conspicuous in the way they signal to the surroundings that the user has some kind of physical impairment. Most obvious are perhaps wheelchairs, motorized wheelchairs, hearing aids and crutches. These objects can be described as aids in the sense that the purpose is either to mitigate the effects of reduced physical abilities or to compensate for the loss of a sensory faculty. The focus of this article concerns an object that both increases mobility and replaces such a faltering capacity. It might even be the most iconic of all aids: the mobility cane, also known as the white cane, long cane or white stick. Based on the work at a Swedish Low Vision and Resource Centre, this article discusses the use of the white cane among people with severe and progressive visual impairment. The fact is that this aid, which for an outsider would easily seem to be a rather natural choice, can arouse completely different feelings in somebody who has a severe visual impairment. It is a well-known circumstance amongst low visions teachers and therapists that persons with acquired or progressive sight impairment are often not quite happy about using the aid. Therefore, the aim of the article is to utilize notions of everyday experiences to gain further insights into why the white cane for many of its potential users are associated with strong feelings of both personal ambiguity and social stress. In order to highlight these emotional, and still cultural and political, tensions, the discussion is grounded in critical disability studies and informed by ableism, stigma, and passing as theoretical concepts.

Comparison of gait between walking up and down an incline with a walking device in older adults

To identify the gait differences between cane and rolling walker (RW) use on incline and how these walking devices were received and used, 26 qualified older adults walked randomly on downward and upward with a cane and a RW respectively. With the RW use, downward walking show a faster velocity, higher cadence, less stance time, bigger steps and strides than upward walking (p≤.05); but no differences were seen with cane use. When comparing walking between a RW and a cane, those using a cane had faster velocity, larger step and stride lengths (P≤.01) but only during the upward condition. Incline surface plays a critical role in gait differences when walking with walking device. Geriatric professionals need to know the changes in gait that result from the type of device being used and need to incorporate this knowledge in the education provided to older adults for proper use of a walking device.

Longitudinal Relationship between Mobility Device Use, Falls and Fear of Falling (FOF) Differed by Frailty Status among Community-Dwelling Older Adults.

This study examined the longitudinal relationship between mobility device use, falls and fear of falling (FOF) among community-dwelling older adults by frailty status over a one-year follow-up. A longitudinal cohort study. Communities in the United States. Community-dwelling older adults from the National Health and Aging Trends Study, a nationally representative survey of Medicare Beneficiaries in the United States (N=5,896). Based on yes or no response to the corresponding items for the variables, fall-related outcomes were determined separately including falls and FOF. Falls were assessed by asking participants whether they had a fall and if they had fallen down more than one time. FOF was measured by asking participants whether they worried about falling and if this worry ever limited activities. Mobility device use was determined by asking whether participants used any type of mobility devices and the number of devices used, including cane, walker, wheelchair and scooter. Frailty was assessed using the frailty phenotype. Multinomial logistic regression models were conducted to examine the association between mobility device use and fall-related outcomes among older adults by frailty status. At Year 1, 28.6% of participants reported using mobility devices. Among robust participants, using one mobility device had 3.58 times higher risks of FOF with fear-related activity restriction (FAR) than non-device users (95% CI: 1.10-11.65). Cane-only robust users had 5.94 and 2.18 times higher risks of FOF with and without FAR (95% CI: 1.80-19.57; 95% CI: 1.12-4.22) than non-device users. Among pre-frail participants, using one mobility device was associated with recurrent falls and FOF with FAR (RRR=2.02, 95% CI: 1.30-3.14; RRR=2.13, 95% CI: 1.25-3.63). Using ≥2 devices was associated with one fall (RRR=2.08, 95% CI: 1.30-3.33), recurrent falls (RRR=2.92, 95% CI: 1.62-5.25) and FOF with FAR (RRR=2.84, 95% CI: 1.34-6.02). Pre-frail cane-only users were more likely to have one fall (RRR=1.57, 95% CI: 1.06-2.32), recurrent falls (RRR=2.36, 95% CI: 1.48-3.77) and FOF with FAR (RRR=2.08, 95% CI: 1.12-3.87) than non-device users. The number of mobility device used and the use of canes failed to be significantly associated with fall-related outcomes among frail participants. The number of mobility devices used and the only use of canes were associated with fall-related outcomes among robust and pre-frail individuals. Further research is needed to develop targeted strategies for preventing falls and FOF among older adults with mobility device use, particularly for those in the early stages of frailty.

Characterization of Some Stilbenoids Extracted from Two Cultivars of Lambrusco-Vitis vinifera Species: An Opportunity to Valorize Pruning Canes for a More Sustainable Viticulture.

Pruning canes from grape vines are valuable byproducts that contain resveratrol and other health-boosting stilbenoids. This study aimed to assess the effect of roasting temperature on the stilbenoid content of vine canes by comparing two Vitis vinifera cultivars, Lambrusco Ancellotta and Salamino. Samples were collected during different phases of the vine plant cycle. One set was collected in September after the grape harvest and was air-dried and analyzed. A second set was obtained during vine pruning in February and evaluated immediately after collection. The main stilbenoid identified in each sample was resveratrol (~100-2500 mg/kg), with significant levels of viniferin (~100-600 mg/kg) and piceatannol (~0-400 mg/kg). Their contents decreased with increasing roasting temperature and residence time on the plant. This study provides valuable insights into the use of vine canes in a novel and efficient manner, which could potentially benefit different industries. One potential use involves the roasted cane chips to accelerate the aging of vinegars and alcoholic beverages. This method is more efficient and cost-effective than traditional aging, which is slow and unfavorable from an industrial perspective. Furthermore, incorporating vine canes into maturation processes reduces viticulture waste and enhances the final products with health-promoting molecules, such as resveratrol.

Design of One-Leg Cane Handle Using AHP-TOPSIS Comparative Study to Improve The Mobility of The Elderly

The number of elderly people in Indonesia has increased significantly. Indonesia has an elderly population of 29 million or 11% of the total population, and around 39% of the population or 11.5 million live with disabilities. The elderly who experience disabilities caused by physical and cognitive changes can decrease their quality of life. Disability in the elderly is caused by the weakening of the lower extremity muscles, resulting in decreased balance and walking stability. Appropriate walking aids for the elderly are crucial in improving balance and stability to reduce the risk of falling. The most commonly used mobility aid for the elderly is a cane, but the use by the elderly is mostly not appropriately instructed, where up to 70% use the wrong cane handle and use it incorrectly. As a result of incorrect use of canes and inadequate instructions, 30-50% of the elderly stop using the cane after receiving it. So, to keep the elderly using the cane, this study tries to design a cane handle with a comparative study using the AHP-TOPSIS Method. The purpose of designing a cane handle is to mantain the balance and stability of the elderly for mobility to improve quality of life and keep the elderly using a cane to reduce the risk of falling. The output obtained is a visualization of the concept & prototype of the improved cane handle design. The improved cane handle is simulated using Autodesk Inventor software with a loading of 150 N. The maximum stress analysis result is 25.31 Mpa, the maximum displacement analysis is 0.2273 mm, and the safety factor value is 7.54 ul.

Advancing Accessibility: An Artificial Intelligence Framework for Obstacle Detection and Navigation Assistance for the Visually Impaired

The white cane has long been a fundamental tool for individuals with visual impairments, aiding in surface detection and obstacle identification. However, its limitations in detecting moving objects and distant obstacles pose significant safety risks, particularly in congested areas and busy streets. While service animals offer an alternative, they come with training challenges and high costs. To address these limitations and enhance safety, this paper proposes a comprehensive collision detection and prevention system. The proposed system integrates cutting-edge technologies, including image processing, deep learning, Internet of Things (IoT), cloud computing, and audio production devices. By combining these technologies with the white cane, the system offers a sophisticated navigation option for the visually impaired, effectively detecting and preventing potential collisions. In busy environtment scenarios, the system proves its effectiveness by complementing the white cane's use, overcoming its inherent limitations, and significantly improving navigation capabilities. Through this innovative approach, blind individuals gain enhanced situational awareness, empowering them to navigate diverse environments with increased confidence and safety. By mitigating the drawbacks of the white cane, the proposed system provides a comprehensive and cost-effective solution to enhance the mobility and safety of the visually impaired. This research contributes to the advancement of assistive technologies, offering a valuable resource for researchers, policymakers, and practitioners in the field of accessibility and inclusive design.

Effects of cane use on the kinematic and kinetic of lower-extremity joints in inexperienced users

The cane is commonly prescribed for the elderly to maintain balance and enhance independent mobility. However, improper use of cane can increase the risk of falling. Understanding the characteristics of cane gait is critical for better establishing proper cane usage norms. The paper aimed to investigate effects of cane use on kinematics and kinetics of lower extremities in the elderly and the young to guide the development of adaptive cane gait. Twenty participants (10 elder and 10 young) were recruited and walked at a self-comfortable speed or with a cane in a two-point gait. The spatiotemporal gait parameters, hip/knee/ankle joint angles and ground reaction force (GRF) were statistically analyzed using MANOVAs to assess the effects of age and cane. Using the cane significantly decreased step length, cadence and speed and increased step time in both age groups. Age and cane had significant effects on ankle plantarflexion angle in initial swing phase (APA-ISw). In cane gait, the peaks of vertical GRF(V-GRF) and anterior-posterior GRF (AP-GRF) in bilateral lower extremities significantly decreased, and the troughs of right V-GRF significantly increased for both groups. These results suggest that using a cane does interfere with the natural gait of the user and insufficient ankle plantarflexion in initial swing phase (ISw) and reduced AP-GRF may be two key risk factors contributing to cane gait instability. Therefore, the users should consider actively increasing ankle plantarflexion in ISw to avoid deteriorating gait performance due to over-reliance on the cane.

A Qualitative Study of Psychosocial Factors in Patients With Knee Osteoarthritis: Insights Learned From an Asian Population.

A patient's experience with knee osteoarthritis (OA) is influenced by many psychosocial contributors that can influence the impact of pain. Such factors are known to explain some of the discordance between objective clinical parameters and patient-reported levels of disability and treatment effectiveness. However, few data are available to help clinicians understand the psychosocial factors that apply to the world's many Asian populations. Insights gained from a qualitative study in such a population may support targeted interventions. In this qualitative study involving a group of Asian patients with knee OA in Singapore, we asked: (1) What psychologic factors contribute to patients' experiences, rehabilitation, and recovery? (2) What social factors contribute to patients' experiences, rehabilitation, and recovery? Semistructured interviews eliciting broad patient experiences of managing knee OA were conducted in an urban, referral-based tertiary hospital in central Singapore. Patients were recruited if they met either of the following criteria: Kellgren-Lawrence grade ≥ 3 (minimum of one knee); Knee Injury and Osteoarthritis Outcome Score ≤ 60; or the Pain average (P), interference with Enjoyment of life (E), and interference with General activity (G) (PEG) ≥ 5. All patients had a clinical diagnosis of knee OA, were ambulatory in the community with or without a walking aid, had not undergone partial arthroplasty or TKA, were prescribed nonsurgical treatment, and were conversant in either English or Mandarin. Forty-six patients (30 women and 16 men, mean age 64 years old) were recruited for this study. A thematic analysis with elements of grounded theory and framework analysis was performed using a deductive approach. Psychologic influences specific to patients' behavioral and emotional responses to pain, as well as social factors known to have an impact on the experience of managing knee OA, were identified in the interview transcripts and coded according to established factors from earlier research. An inductive thematic analysis was then applied to the remaining transcripts to identify new themes that emerged from the data. Thematic saturation was attained when study team members agreed data and thematic sufficiency were met in the 46 transcripts. The study team discussed and deemed the 46 transcripts to contain sufficient insights for a reasonably clear understanding of the codes and development of themes to answer the study's research questions. Six main themes related to psychosocial influences on pain emerged. Psychologic factors were "loss of face" because of knee OA, anticipation and avoidance of pain and suffering, and a vicious cycle of negative emotional experiences. The social factors we identified were social and family support, workplace environment and employment uncertainty, and built environment (patients' ability to navigate manmade structures and facilities). Psychosocial factors have an important impact on patients' physical, psychologic, and social functioning. Although several of our findings have been addressed previously, the phenomenon of loss of face and the wide spectrum of social and family support dynamics found in our Asian patients with knee OA were new findings. With loss of face, patients were concerned about how others would view the change in them, including movement changes because of knee OA. They appeared to associate the use of walking canes with major disability, loss of respect, and being discriminated against by others, motivating patients to "save face" by dissociating themselves from those stigmas, even at the cost of mobility and independence. An interplay of complex cultural processes (perceived social roles and contributions to family, desire to avoid burdening family, help-seeking behavior, and the preference for unsolicited social support) underpinned by the value of collectivism impacted the behaviors and choices patients exhibited. With knowledge about the impact of culturally relevant psychosocial factors on the experience and outcomes of patients with knee OA, clinicians will be able to screen and actively explore these factors more effectively. Especially important themes include pain perception (paying close attention to signs of pain catastrophizing and negative affect), presence of chronic illness shame associated with a diagnosis of knee OA (including the stigma associated with using a walking aid), and level of social support received and contributions of a patient's built environment to kinesiophobia. For patients who are still working, the presence of workplace stressors and management of these stressors should also be explored. Where possible, screening tools that measure psychosocial factors such as pain catastrophizing and emotional distress can also be used as an added layer of screening in busy clinical settings.

Milestones of progression in myotonic dystrophy type 1 and type 2.

Disease progression in myotonic dystrophy (DM) is marked by milestone events when functional thresholds are crossed. DM type 2 (DM2) is considered less severe than DM type 1 (DM1), but it is unknown whether this applies uniformly to all features. We compared the age-dependent risk for milestone events in DM1 and DM2 and tested for associations with age of onset and sex. We studied a large cohort of adult participants in a national registry of DM1 and DM2. Using annual surveys from participants, we ascertained milestone events for motor involvement (use of cane, walker, ankle brace, wheelchair, or ventilatory device), systemic involvement (diabetes, pacemaker, cancer), loss of employment due to DM, and death. Mean follow-up of registry participants (929 DM1 and 222 DM2patients) was 7 years. Disability and motor milestones occurred at earlier ages in DM1 than in DM2. In contrast, the risk of diabetes was higher and tended to occur earlier in DM2 (hazard ratio [HR],0.56; P≤ .001). In DM1, the milestone events tended to occur earlier, and life expectancy was reduced, when symptoms began at younger ages. In DM1, men were at greater risk for disability (HR,1.34; P≤ .01), use of ankle braces (HR,1.41; P= .02), and diabetes (HR,2.2; P≤ .0001), whereas women were at greater risk for needing walkers (HR,0.68; P= .001) or malignancy (HR, 0.66; P≤ .01). Milestone events recorded through registries can be used to assess long-term impact of DM in large cohorts. Except for diabetes, the age-related risk of milestone events is greater in DM1 than in DM2.

Wearable Travel Aids for Blind and Partially Sighted People: A Review with a Focus on Design Issues.

The ability to travel (independently) is very important for participation in education, work, leisure activities, and all other aspects of modern life. Blind and partially sighted people experience a number of barriers to travel, including inaccessible information and environments, and consequently require support from technology or other people to overcome them. Despite the potential of advanced technologies and the development of electronic travel aids, the long cane and guide dog remains the most commonly used solutions. Wearable technologies are becoming increasingly popular. They have the particular advantage of keeping the hands free, thereby facilitating the use of a long cane, guide dog or another device at the same time. They also have the potential to change the ways in which users interact with the environment. The main contributions of this paper are surveying the current state-of-the-art of travel aids from a design perspective and investigating the following issues: (1) The important design issues in wearable travel aids and the extent to which they are taken into account in different devices; (2) The relationship, if any, between where and how travel aids are worn and their design, features and functions; (3) Limitations of existing devices, gaps in provision and future research directions, particularly with regard to meeting potential users’ needs.

Visually Impaired People Monitoring in a Smart Home using Electronic White Cane

The monitoring of visually impaired people is important in order to help them to travel safely. Then, many research works implement some travel aids. The proposed techniques are mostly based on the use of a white cane. This work introduces an electronic white cane based on sensors' technology. The proposed electronic cane helps its user to detect obstacles within two meters on the ground or in height. Once the obstacle is detected, the system sends vocal instructions via a Bluetooth headset to alert the person concerned. The ultrasonic and infrared sensors have been mounted on the white cane in order to provide it with the necessary intelligence. A raspberry pi performs the processing of the data. The proposed system also suggests using a mobile application to track the visually impaired in real-time. This application has a function that allows you to trace the visual patient's route. This is important to detect the possible cause of damage to patients during their travels. We use Python as programming language for electronic devices. The mobile application is Android. Though, the WEB application is a REST API developed using Python and NodeJs. The system is implemented and tested. The result shows the efficacity of the proposed system.