Validation of auditory detection response task method for assessing the attentional effects of cognitive load

Objectives: There are 3 standardized versions of the Detection Response Task (DRT), 2 using visual stimuli (remote DRT and head-mounted DRT) and one using tactile stimuli. In this article, we present a study that proposes and validates a type of auditory signal to be used as DRT stimulus and evaluate the proposed auditory version of this method by comparing it with the standardized visual and tactile version.

Methods: This was a within-subject design study performed in a driving simulator with 24 participants. Each participant performed 8 2-min-long driving sessions in which they had to perform 3 different tasks: driving, answering to DRT stimuli, and performing a cognitive task (n-back task). Presence of additional cognitive load and type of DRT stimuli were defined as independent variables. DRT response times and hit rates, n-back task performance, and pupil size were observed as dependent variables.

Results: Significant changes in pupil size for trials with a cognitive task compared to trials without showed that cognitive load was induced properly. Each DRT version showed a significant increase in response times and a decrease in hit rates for trials with a secondary cognitive task compared to trials without. Similar and significantly better results in differences in response times and hit rates were obtained for the auditory and tactile version compared to the visual version. There were no significant differences in performance rate between the trials without DRT stimuli compared to trials with and among the trials with different DRT stimuli modalities.

Conclusions: The results from this study show that the auditory DRT version, using the signal implementation suggested in this article, is sensitive to the effects of cognitive load on driver's attention and is significantly better than the remote visual and tactile version for auditory–vocal cognitive (n-back) secondary tasks.     

On the selection of stimulus for the auditory variant of the detection response task method for driving experiments

Objectives: The detection response task (DRT) is a method for measuring attentional effects of secondary tasks on a driver's cognitive load by measuring response times and hit rates to different types of stimuli as indirect indicators of increased cognitive load. ISO 17488 (International Organization for Standardization 2016) only provides guidelines for the technical implementation and measurement methods for the visual and tactile versions (use of visual and tactile stimuli) of the DRT method. This article presents a study with the goal of finding the most appropriate auditory stimulus for the implementation of an auditory version of the DRT method.

Methods: This article presents the results of an experiment in which responses to 7 different auditory DRT stimuli—varying in frequency—were compared while inducing users' cognitive load with a modified n-back task. The experiment was conducted in a surrogate driving environment and in a within-subject design. Response times, hit rates, and secondary task performances were observed as indicators of increased cognitive load.

Results: Significantly shorter response times were found for the white noise signal compared to single-frequency signals. However, the largest differences in response times, for trials without and with a cognitive task, were found for 4- and 8-kHz single-frequency signals. No significant differences were found for hit rates and secondary task performances between the different stimuli.

Conclusions: Consistent significant differences in response times for all tested stimuli prove that the auditory DRT variant is also sensitive to changes in cognitive load. The mean increase in response times of more than 25% for 4- and 8-kHz signals for trials with a cognitive task compared to trials without one indicates that one of these signals could be used as a potential auditory stimulus for the auditory DRT variant.     

Sensitivity evaluation of the visual,tactile, and auditory detection response task method while driving

Objectives: In this article, we evaluate the sensitivity to cognitive load of 3 versions of the Detection Response Task method (DRT), proposed in ISO Draft Standard DIS-17488.

Methods: We present a user study with 30 participants in which we compared the sensitivity to cognitive load of visual, audio, and tactile DRT in a simulated driving environment. The amount of cognitive load was manipulated with secondary n-back tasks at 2 levels of difficulty (0-back and 1-back). We also explored whether the DRT method is least sensitive to cognitive load when the stimuli and secondary task are of the same modality. For this purpose, we used 3 forms to present the n-back task stimuli: visual, audio, and tactile. Responses to the task were always vocal. The experiment was based on a between-subject design (the DRT modalities) with 2 levels of within-subject design study (modalities and difficulty of the secondary n-back tasks). The participants' primary task in the study was to drive safely, and a second priority was to answer to DRT stimuli and perform secondary tasks.

Results: The results indicate that all 3 versions of the DRT tested were sensitive to detecting the difference in cognitive load between the reference driving period and driving and engaging in the secondary tasks. Only the visual DRT discriminated between the 0-back and 1-back conditions on mean response time. Contrary to expectations, no interaction was observed between DRT modality and the stimuli modality used for presentation of the secondary tasks.

Conclusions: None of the 3 methods of presenting DRT stimuli showed a consistent advantage in sensitivity in differentiating multiple levels of cognitive load if all response times, hit rates, and secondary task performance are considered. If only response time is considered, the visual presentation of the DRT stimulus used in this study showed some advantages. In interpreting these data, it should be noted that the methods of DRT stimulus presentation varied somewhat from the currently proposed draft ISO standard and it is possible that the relative salience level of the visual DRT stimulus influenced the findings. It is further suggested that more than 2 levels of difficulty of the n-back task should be considered for further investigation of the relative sensitivity of different DRT stimuli modalities. Parameters that indicate change in cognitive load (response time, hit rate, task performance) should be analyzed together in assessing the overall impact on the driver and not individually, in order to obtain a fuller insight of the assessed cognitive load.     

Teens' distracted driving behavior: Prevalence and predictors

IntroductionTeen drivers' over-involvement in crashes has been attributed to a variety of factors, including distracted driving. With the rapid development of in-vehicle systems and portable electronic devices, the burden associated with distracted driving is expected to increase. The current study identifies predictors of secondary task engagement among teenage drivers and provides basis for interventions to reduce distracted driving behavior. We described the prevalence of secondary tasks by type and driving conditions and evaluated the associations between the prevalence of secondary task engagement, driving conditions, and selected psychosocial factors.MethodsThe private vehicles of 83 newly-licensed teenage drivers were equipped with Data Acquisition Systems (DAS), which documented driving performance measures, including secondary task engagement and driving environment characteristics. Surveys administered at licensure provided psychosocial measures.ResultsOverall, teens engaged in a potentially distracting secondary task in 58% of sampled road clips. The most prevalent types of secondary tasks were interaction with a passenger, talking/singing (no passenger), external distraction, and texting/dialing the cell phone. Secondary task engagement was more prevalent among those with primary vehicle access and when driving alone. Social norms, friends' risky driving behaviors, and parental limitations were significantly associated with secondary task prevalence. In contrast, environmental attributes, including lighting and road surface conditions, were not associated with teens' engagement in secondary tasks.ConclusionsOur findings indicated that teens engaged in secondary tasks frequently and poorly regulate their driving behavior relative to environmental conditions. Practical applications: Peer and parent influences on secondary task engagement provide valuable objectives for countermeasures to reduce distracted driving among teenage drivers.     

An experimental comparison of conservative versus optimal collision avoidance warning system thresholds

In the distributed signal detection theoretic (DSDT) model, the human operator and the warning mechanism are independent decision makers who work together as a team. The DSDT demonstrates that the optimal warning threshold, in general, differs from the signal detection theoretic (SDT) threshold, which assumes a single decision maker. This prediction was tested in an experiment where drivers received monetary rewards for making safe passing decisions on a driving simulator. The experiment focused on evaluating the quality of the decision making of the drivers, and not on perceptual issues. A collision avoidance system provided a warning when the probability of an inadequate overtaking gap exceeded a threshold. Three thresholds were tested. The control threshold resulted in no detections or false alarms. The DSDT threshold resulted in some misses but no false alarms. The SDT threshold resulted in no misses but frequent false alarms. As predicted, (1) drivers performed the best when the warning system used the DSDT threshold, and (2) use of the SDT threshold improved performance over the control threshold, even though four of the 10 drivers occasionally ignored the warning and made risky passing attempts in the SDT conditions, possibly because of earlier false alarms. These findings support the conclusion that the DSDT model is a useful, quantitative tool that should be used by warning designers.     

Developing fuzzy signal detection theory for workers’ hazard perception measures on subway operations

The ability to perceive hazards has been suggested as being an important factor in determining safety risk. By measuring the ability to perceive hazard, at-risk workers could be identified and provided with additional training. This can reduce knowledge-based human errors and thereby help to avoid accidents. This paper proposes the use of fuzzy signal detection theory (FSDT), which combines fuzzy logic and conventional signal detection theory (SDT) to measure hazard perception. The flexibility of the proposed method allows multiple forms of qualitative and quantitative information to be used, including expert opinions and workers’ responses when quantitative data are lacking or when only qualitative aspects are known. Details have been provided on the basic postulates, formulas, and steps involved in FSDT analysis. A real-world example demonstrates the feasibility of the proposed framework. The results of a case study show that the participating workers had a medium level of hazard perception. This means that these workers were sensitive to the difference between hazard and safety. But there were still opportunities for improvement. Of the workers surveyed, five workers expressed conservative views regarding risk while the other workers expressed risky views. FSDT increases the applicability of conventional SDT analysis to many real-world settings, where the definition of a signal is less dichotomous than in a controlled laboratory environment.     

Task type as a moderator of positive/negative feedback effects on motivation and performance: A regulatory focus perspective

Applying Higgins' regulatory focus theory, we hypothesized that the effect of positive/negative feedback on motivation and performance is moderated by task type, which is argued to be an antecedent to situational regulatory focus (promotion or prevention). Thus, first we demonstrated that some tasks (e.g., tasks requiring creativity) are perceived as promotion tasks, whereas others (e.g., those requiring vigilance and attention to detail) are perceived as prevention tasks. Second, as expected, our tests in two studies of the moderation hypothesis showed that positive feedback increased self‐reported motivation (meta‐analysis across samples: N = 315, d = 0.43) and actual performance (N = 55, d = 0.67) among people working on promotion tasks, relative to negative feedback. Positive feedback, however, decreased motivation (N = 318, d = ?0.33) and performance (N = 55, d = ?0.37) among individuals working on prevention tasks, relative to negative feedback. These findings suggest that (a) performance of different tasks can affect regulatory focus and (b) variability in positive/negative feedback effects can be partially explained by regulatory focus and task type. Copyright © 2010 John Wiley & Sons, Ltd.     

Using SHRP 2 naturalistic driving data to assess drivers' speed choice while being engaged in different secondary tasks

IntroductionThe engagement in secondary tasks while driving has been found to result in considerable impairments of driving performance. Texting has especially been suspected to be associated with an increased crash risk. At the same time, there is evidence that drivers use various self-regulating strategies to compensate for the increased demands caused by secondary task engagement. One of the findings reported from multiple studies is a reduction in driving speed. However, most of these studies are of experimental nature and do not let the drivers decide for themselves to (not) engage in the secondary task, and therefore, eliminate other strategies of self-regulation (e.g., postponing the task). The goal of the present analysis was to investigate if secondary task engagement results in speed adjustment also under naturalistic conditions.MethodOur analysis relied on data of the SHRP 2 naturalistic driving study. To minimize the influence of potentially confounding factors on drivers' speed choice, we focused on episodes of free flow driving on interstates/highways. Driving speed was analyzed before, during, and after texting, smoking, eating, and adjusting/monitoring radio or climate control; in a total of 403 episodes.ResultsData show some indication for speed adjustment for texting, especially when driving with high speed. However, the effect sizes were small and behavioral patterns varied considerably between drivers. The engagement in the other tasks did not influence drivers' speed behavior significantly.Conclusions and practical applicationsWhile drivers might indeed reduce speed slightly to accommodate for secondary task engagement, other forms of adaptation (e.g., strategic decisions) might play a more important role in a natural driving environment. The use of naturalistic driving data to study drivers' self-regulatory behavior at an operational level has proven to be promising. Still, in order to obtain a comprehensive understanding about drivers' self-regulatory behavior, a mixed-method approach is required.     

视觉记忆型次任务对驾驶绩效及安全的影响

为研究视觉记忆型次任务对驾驶绩效及安全的影响,采用对未知内容的记忆任务和对已知内容的再认任务分别表征工作记忆和长时记忆过程,构建多组不同难度的次任务,基于标准换道试验环境LCT进行双任务研究。提取并分析驾驶人执行不同任务时车道保持、换道控制等指标的差异以及次任务绩效,基于主客观数据构建综合评判模型。结果表明:双任务驾驶条件下,车辆平均路径偏差、方向盘平均转向角、车道偏移次数指标增大,正确换道比例减小,感知负荷增大,总绩效下降。困难工作记忆组与简单工作记忆组相比,随着任务难度增大,换道控制绩效下降,感知负荷增大,总绩效下降36.1%;困难再认组与工作记忆组相比,车道保持绩效、换道控制绩效提高,感知负荷下降,总绩效提高50%;简单再认组与工作记忆组相比,总绩效变化不大;困难工作记忆组综合绩效最低。上述结果说明:随着次任务难度增大,总绩效下降,但将对未知内容的工作记忆过程转化为对已知内容的再认过程时,总绩效明显提升,这一特点在任务难度较大时更为显著。     

The role of self-regulation in the context of driver distraction: A simulator study

Objective: There is considerable evidence for the negative effects of driver distraction on road safety. In many experimental studies, drivers have been primarily viewed as passive receivers of distraction. Thus, there is a lack of research on the mediating role of their self-regulatory behavior. The aim of the current study was to compare drivers' performance when engaged in a system-paced secondary task with a self-paced version of this task and how both differed from baseline driving performance without distraction.

Methods: Thirty-nine participants drove in a simulator while performing a secondary visual–manual task. One group of drivers had to work on this task in predefined situations under time pressure, whereas the other group was free to decide when to work on the secondary task (self-regulation group). Drivers' performance (e.g., lateral and longitudinal control, brake reaction times) was also compared with a baseline condition without any secondary task.

Results: For the system-paced secondary task, distraction was associated with high decrements in driving performance (especially in keeping the lateral position). No effects were found for the number of collisions, probably because of the lower driving speeds while distracted (compensatory behavior). For the self-regulation group, only small impairments in driving performance were found. Drivers engaged less in the secondary task during foreseeable demanding or critical driving situations.

Conclusions: Overall, drivers in the self-regulation group were able to anticipate the demands of different traffic situations and to adapt their engagement in the secondary task, so that only small impairments in driving performance occurred. Because in real traffic drivers are mostly free to decide when to engage in secondary tasks, it can be concluded that self-regulation should be considered in driver distraction research to ensure ecological validity.     

基于CREAM和贝叶斯网络的空管人误概率预测方法

针对研究管制人因可靠性时存在的模糊性和片面性问题，采用认知可靠性与失误分析方法（CREAM）中的扩展预测法，计算10项管制通用任务的人误概率；在此基础上，以管制行为形成因子作为根节点构建贝叶斯网络，建立其与情景控制模式的不确定关系模型，对管制员在多任务中的人误概率进行预测。研究结果表明:在由相同评判者给出行为形成因子影响效应的前提下，由CREAM扩展预测法和构建贝叶斯网络的方法预测得到的多数任务的人误概率差异较大，从方法的客观性、合理性和适用性角度分析，贝叶斯网络在研究该问题时更具优势。     

Effects of time-gap settings of adaptive cruise control (ACC) on driving performance and subjective acceptance in a bus driving simulator

A study was conducted to investigate the effects of time-gap settings and contents of secondary tasks on a fix-based bus driving simulator on drivers’ performance while reclaiming control from ACC in a car-following scenario of emergency brake by the lead vehicle. Thirty professional bus drivers drove on the simulator with the scenario of highway traffic flow under 12 random time-gap settings: from 0.64 s to 2.40 s with the interval of 0.16 s. As for the effects of secondary tasks, subjects were evenly divided into three conditions: no secondary task interference, simple secondary task, and complex task. The results demonstrated that different safety demarcations of time-gaps on subjective acceptance and driving performance can be found out. The integrated demarcations separated time-gaps into divisions that represented different levels of danger. It revealed that the safer time-gaps for different situations were: longer than 1.60 s for none-secondary task distraction and longer than 2.08 s for being continuously distracted by secondary tasks. The demand for simple tasks is relatively high, so a larger time-gap is needed for the driver to remain safe. This research has implications for the time-gap selection of ACC and effects of secondary task distraction on buses. A next logical step will focus on determining time-gaps for lead vehicles on curves or slopes, when multiple vehicles are present ahead, and modeling driver behavior and performance with ACC for cars, buses, and other types of vehicles.     

Self‐efficacy changes in groups: effects of diversity,leadership, and group climate

Self‐efficacy belief is a significant predictor of behavioral choices in terms of goal setting, the amount of effort devoted to a particular task, and actual performance. This study conceives of formation and change of self‐efficacy as a social and context‐dependent process. We hypothesized that different group factors (discretionary and ambient group stimuli) influence changes in members' self‐efficacy through differing routes (individual‐level and cross‐level processes). We tested our hypotheses using data from individuals in 169 training groups who attended a 5‐day workshop designed to increase participants' job‐search skills and efficacy. Specifically, we examined the degree of change in participants' job‐search efficacy before and after the workshop. The results showed that (a) membership diversity in education was positively related to increases in job‐search efficacy, (b) supportive leadership contributed to job‐search efficacy at the individual level of analysis with no cross‐level effects, and (c) open group climate contributed to job‐search efficacy through both individual‐level and cross‐level processes. Limitations and directions for future research are discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

模拟SPO情境中的飞行员脑力负荷测量与分析*

为探究单一飞行员驾驶模式（SPO）下飞行员的脑力负荷水平,设计并实施模拟单人驾驶情境中的非正常任务场景处置实验。首先,基于准5级模拟驾驶舱,设计飞行任务场景;其次,招募20名航线飞行员被试,开展模拟飞行实验,记录被试的生理数据心率变异性指标及眼动数据;最后,结合客观生理数据以及主观量表进行脑力负荷分析,记录单发失效故障处置时间并进行任务绩效分析。研究结果表明:与双人制机组相比,单人驾驶情境中飞行员的脑力负荷增幅并不显著,处于可接受范围;单人制驾驶舱的任务设计及智能辅助系统使用对于降低飞行员工作负荷,提升飞行绩效至关重要。研究结果可为单一飞行员驾驶模式实施提供理论支持,并为未来单人制驾驶舱及机载自动化系统设计提供指标参考。     

Driving context influences drivers' decision to engage in visual–manual phone tasks: Evidence from a naturalistic driving study

IntroductionVisual–manual (VM) phone tasks (i.e., texting, dialing, reading) are associated with an increased crash/near-crash risk. This study investigated how the driving context influences drivers' decisions to engage in VM phone tasks in naturalistic driving.MethodVideo-recordings of 1,432 car trips were viewed to identify VM phone tasks and passenger presence. Video, vehicle signals, and map data were used to classify driving context (i.e., curvature, other vehicles) before and during the VM phone tasks (N = 374). Vehicle signals (i.e., speed, yaw rate, forward radar) were available for all driving.ResultsVM phone tasks were more likely to be initiated while standing still, and less likely while driving at high speeds, or when a passenger was present. Lead vehicle presence did not influence how likely it was that a VM phone task was initiated, but the drivers adjusted their task timing to situations when the lead vehicle was increasing speed, resulting in increasing time headway. The drivers adjusted task timing until after making sharp turns and lane change maneuvers. In contrast to previous driving simulator studies, there was no evidence of drivers reducing speed as a consequence of VM phone task engagement.ConclusionsThe results show that experienced drivers use information about current and upcoming driving context to decide when to engage in VM phone tasks. However, drivers may fail to sufficiently increase safety margins to allow time to respond to possible unpredictable events (e.g., lead vehicle braking).Practical applicationsAdvanced driver assistance systems should facilitate and possibly boost drivers' self-regulating behavior. For instance, they might recognize when appropriate adaptive behavior is missing and advise or alert accordingly. The results from this study could also inspire training programs for novice drivers, or locally classify roads in terms of the risk associated with secondary task engagement while driving.     

Perceptions of implied hazard for visual and auditory alerting signals

Visual and auditory alerts are increasingly important and have many applications, particularly in the presentation of hazard information in transportation and many industrial systems. This paper is concerned with the factors that govern the relative effectiveness of alerting signals involving various combinations of visual and auditory signals. The visual variables were colour, flash rate, and flash mode, combined with or without an auditory alarm. It was found that the subjects associated different levels of hazard with different alerting light colours, flash rates, flashing modes, and with combinations of auditory and visual alerts. A red flashing light was perceived as the most effective hazard warning colour, with yellow and blue warning lights indicative of less hazardous situations. The faster the flash rate, the greater is the hazard perceived. A flash rate of 60 fpm (flashes per minute) was not as effective as the rates of 180 and 240 fpm, and 240 fpm was the most effective. This implies that hazard warning signal should flash at well above 60 fpm. Having a breakup in the flashing pattern so as to provide a double or triple flash mode also increases the effectiveness of the signal. There were significant interactions between the alert variables used. The difference in perceived hazard levels for the colours blue and yellow were statistically non significant, but blue was more effective in conveying hazard message than yellow at the high flash rates. When accompanied with auditory alarms, blue and yellow were perceived to convey the same perception level of hazard as red without auditory alarms. The effect of colour on perceived hazard was also found to vary with flash mode. As compared to either visual signal alone or a visual signal with other types of acoustic alarms, a siren type of auditory alarm was found more effective for eliciting perception of hazards. There was evidence that presenting alerting signal in triple-flash mode and at high flash rate could be annoying and might not help improving hazard awareness.     

Bonding and supportive relationships among black professional women: Rituals of restoration

In two-day assessment workshops 71 black professional women explored the kinds of supportive relationships they have formed with significant black women friends and the consequences of these supportive relationships for their growth and development. Findings show two major types of supportive relationships: (1) other-oriented relationships, in which participants' bonds with other black women emphasize the provision of support to the other, and (2) self-enhancing relationships, in which participants' bonds with other black women are reciprocal in nature or are oriented toward self. Within these two types of relationships, three main functions of support were found: (1) social companionship, (2) task help, and (3) supportiveness. Of these three functions, the receipt of supportiveness consisting of emotional support, high commitment to one another, and encouragement to tackle life's obstacles resulted in the highest levels of growth and development among the participants, thus most effectively validating and addressing their experience of bicultural stress.     

Effects of mobile phone use on driving performance in a multiresource workload scenario

Objective: This study explores the influence of mobile phone secondary tasks on driving from the perspective of visual, auditory, cognitive, and psychomotor (VACP) multiple resource theory, and it is anticipated to benefit the human-centered design of mobile phone use while driving.

Methods: The present study investigated 6 typical phone use scenarios while driving and analyzed the effects of phone use distractions on driving performance. Thirty-six participants were recruited to participate in this experiment. We abandoned traditional secondary tasks such as conversations or dialing, in which cognitive resources can become interference. Instead, we adopted an arrow secondary task and an n-back delayed digit recall task.

Results: The results show that all mobile phone use scenarios have a significant influence on driving performance, especially on lateral vehicle control. The visual plus psychomotor resource occupation scenario demonstrated the greatest deterioration of driving performance, and there was a significant deterioration of driving speed and steering wheel angle once the psychomotor resource was occupied.

Conclusions: Phone use distraction leads to visual, cognitive, and/or motor resource functional limitations and thus causes lane violations and traffic accidents.     

Changes in driving behavior and cognitive performance with different breath alcohol concentration levels

OBJECTIVE: This study examines the changes in driving behavior and cognitive performance of drivers with different breath alcohol concentration (BrAC) levels. METHODS: Eight licensed drivers, aged between 20 and 30 years, with BrAC levels of 0.00, 0.25, 0.4 and 0.5 mg/l performed simulated driving tests under high- and low-load conditions. Subjects were asked to assess their subjective psychological load at specified intervals and perform various tasks. The outcome was measured in terms of reaction times for task completion, accuracy rates, and driver's driving behavior. RESULTS: The effects of BrAC vary depending on the task. Performance of tasks involving attention shift, information processing, and short-term memory showed significant deterioration with increasing BrAC, while dangerous external vehicle driving behavior occurred only when the BrAC reached 0.4 mg/l and the deterioration was marked. CONCLUSION: We can conclude that the cognitive faculty is the first to be impaired by drinking resulting in deteriorated performance in tasks related to divided attention, short-term memory, logical reasoning, followed by visual perception. On the other hand, increasing alcohol dose may not pose an immediate impact on the external vehicle driving behavior but may negatively affect the driver's motor behavior even at low BrAC levels. Experience and will power could compensate for the negative influence of alcohol enabling the drivers to remain in full steering control. This lag between alcohol consumption and impaired driving performance may mislead the drivers in thinking that they are still capable of safe steering and cause them to ignore the potential dangers of drunk driving.     

Influence of disability type on upper-limb motor skills

This study was carried out in order to determine the effect of physical disability (paraplegia) and sensory disability (deafness) on motor skills of the upper limbs. Studies were distinguished by two parameters: the nature of the control curve (sine or random) and the magnitude of the isometric force exerted on the lever (10?N, 20?N, 40?N, 80?N). A comparison of the quality of manual force control in a visual detection task among groups of people with sensory disability (deaf), people with physical disability (paraplegic) and people without disability showed differences among those groups. Values of force above 20?N create conditions of lower quality of control and of direction of force exertion outside the body. At the same time, the study proved that people with some types of disability can perform certain work tasks as effectively as people without disability.