• César Augusto Martins Pereira, Raul Bolliger Neto, Ana Carolina Reynaldo, Maria Cândida de Miranda Luzo, and Reginaldo Perilo Oliveira.
• Musculoskeletal System Medical Research Laboratory (LIM-41), Orthopaedic and Traumatology Institute, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. cesaramp@usp.br
• Clinics (Sao Paulo). 2009 Jan 1; 64 (10): 975981975-81.

ObjectivesThe objectives of this study were to develop a pointing device controlled by head movement that had the same functions as a conventional mouse and to evaluate the performance of the proposed device when operated by quadriplegic users.MethodsTen individuals with cervical spinal cord injury participated in functional evaluations of the developed pointing device. The device consisted of a video camera, computer software, and a target attached to the front part of a cap, which was placed on the user's head. The software captured images of the target coming from the video camera and processed them with the aim of determining the displacement from the center of the target and correlating this with the movement of the computer cursor. Evaluation of the interaction between each user and the proposed device was carried out using 24 multidirectional tests with two degrees of difficulty.ResultsAccording to the parameters of mean throughput and movement time, no statistically significant differences were observed between the repetitions of the tests for either of the studied levels of difficulty.ConclusionsThe developed pointing device adequately emulates the movement functions of the computer cursor. It is easy to use and can be learned quickly when operated by quadriplegic individuals.

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