International Conference on Communication and Signal Processing, July 28 - 30, 2020, India
A Literature Review: A Novel Human Vital
Sign based Wheel Chair Cum Stretcher for
Disabled Person
Kalimuthukumar Sakthivel, Pradeeba Thavamani, Rameshwar Chandrasekar, Mohamed sheik mydeen Ismail,
Vishnuvarthanan Govindaraj and Sakthivel sankaran

Abstract— In the recent years a census indicates that around
700 million persons suffer from some kind of disability or
handicap. There is an increase in the elderly population around
the globe. This increase their need of support structures for
enabling comfort and independent life. The phenomenon
increases attention to the scientific community. A wheelchair cum
Stretcher the pre-existing technique in this domain includes
either wheel cum stretcher that are joined by linkages or
mechanical systems. The disadvantage of this technique mainly
involves high mechanical strength needed for modifying or
conversion .So therefore a solution by incorporates wheelchair
cum stretcher. Therefore the goal of the survey is to criticize the
researchers and compare between the various types of
mechanisms involved in the designing of wheelchair cum
stretcher in the previous decade. Thus by this way we would like
to compare between various approaches their pros and cons, thus
helping the upcoming researchers to design a device as per the
necessities overcoming the problems or constraints faced in the
existing design.
Index Terms— Disability, Wheelchair, Stretcher and Design
I. INTRODUCTION
A Wheel chair is the kind of device, which has been used
for the purpose of mobility to enable individuals who
have physical injuries or disabilities to move freely. A
stretcher is the kind of device, where it is also used for
patients who require medical care. There is a problem for
every healthcare worker, to transfer patient from stretcher to
wheelchair for diagnostic purpose. So there are many
researches that had been evolved, in order to overcome this
Kalimuthukumar Sakthivel, Assistant Professor, Department of
Biomedical Engineering, Kalasalingam Academy of Research and Education,
626126. (email: kali12.eee@gmail.com).
Pradeeba Thavamani, Rameshwar Chandrasekar, Mohamed sheik
mydeen Ismail are Final Year students, Biomedical Engineering,
Kalasalingam Academy of Research and Education, 626126, India. (email:
pradeebathavamani@gmail.com, srirameshwar9@gmail.com
,mohamedsheik917@gmail.com )
Vishnuvarthanan Govindaraj, Associated Professor, Department of
Biomedical Engineering, Kalasalingam Academy of Research and Education.
(email: gvvarthanan@gmail.com).
Sakthivel Sankaran , Assistant Professor, Department of Biomedical
Engineering, Kalasalingam Academy of Research and Education, 626126.
(email: sakthivelsankaran1992@gmail.com).
978-1-7281-4988-2/20/$31.00 ©2020 IEEE 1494
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problem, faced by healthcare workers. Many wheels cum
stretchers are joined by linkage or mechanical systems. There
is a major disadvantage in this technique, where it involves
high mechanical strength needs for modifying.
For clear understanding of the project a literature survey is
been conducted on major databases such as IEEE Xplore,
pubmed etc. Here in this case title abstract, and methodology
are reviewed completely in Section II and analyzed for future
references the essential component of our search keyword
should be “wheelchair cum stretcher” then we add more
matching, words in order to from the keyword in Section III.
We also searched for several other keywords in order to
enhance our idea in Section IV. A Section V, we gathered a
complete idea to improve our project which will be useful for
stroke patients very much.
II. LITERATURE SURVEY
David L. Jaffe, et.al. [1] have discussed about electric
wheelchair is controlled by the head position. When a person
turns the head to left or right distance is calculated with the
help of ultrasonic after that command is given to the motor
and speed of the motor is also controlled. In this another
method is used to control the wheelchair is by voice
recognition unit. This is very helpful for the disabled for
person who are unable to move their hands. Calculating the
distance with the help of ultrasound is difficult by turning the
head alone without knowing the final destination.
G. BOURHIS, et.al. [2] have briefed about providing a
smart wheelchair with high class specification and features for
the use of the disabled and elderly person. Various new kinds
of sensors for the safety of the person who is driving the
wheelchair and navigations system are available.
Yuki IWANO, et.al. [3] have discussed about to emancipate
the people in a radiation polluted area, the rescue robots were
constructed. In that, First of all, small traction robots set to
bear the fainted victim's &then carry those individuals safety
into the stretcher by this; we could bear & convey a 40 kg
dummy doll-like stretcher.
Hai Huang, et.al. [4] has discussed they facilitate care for
cognitive impairment and mobility disability. This wheelchair
will prevent elder to fall. The object detection technique thus
targets LLD method. It highly detects the surface.
 The assistive system is provided the target represented via
transparency glass and conducted for evaluating object
surface. It also has anti-collision system thus sense the
flooring material.
Hirokazu Seki, et .al.[5] have expressed providing an
effective brake system in wheelchair which will be help for
disabled and elderly people while driving in downhill roads.
The set up chopper unit is connected serially to the motors and
identify the change in feedback control. This new method is
really helpful while driving in the downhill. If the brake gets
problem then, the person driving the wheelchair will get
injured.
Alex Mihailidis, et. al. [6] have discussed about the elderly
people with impairment are restricted to using the powered
wheelchair because of the risk collision with people as objects.
To avoid that an anti collision wheelchair is designed with the
infrared sensors. The infrared sensors detect the obstacle in
front of it. With this anti collision wheelchair the elderly
people can avoid collision of people and objects. The infrared
sensor is unable detect multiple obstacles at a time.
Rosalie H. Wang, et.al. [7] have reviewed about case study
is taken among 371 people for 7 hours, discussed about the
anti-collision power wheelchair. Whether it is help for those
who are using it. Even though using the anti-collision power
wheelchair they have depended on other for other works
Wheelchair is not providing 100 percentage independence.
F. Leishman, et.al. [8] have expressed their view on a a new
approach in smart wheelchair, where the person has to indicate
the location alone the wheelchair automatically moves to the
location. This method is very helpful for the disabled person
and elderly person. This method is very difficult in using at
the congested place.
Anwar Al-Haddad, et.al. [9] have explained about method
is based on the Electro Oculogram signals, Wheelchair
movements got controlled. In this method, the right and left
operations are used to move in those particular directions
respectively. The user will look at the particular destination,
were using his/her eye movements, the controlling unit got
started. Then the wheelchair will attain the designation
correctly.
Mihoko Niitsuma, et.al [10] have expressed both the input
and output interfaces are used for the interaction of the
mobility device: The personal mobility tool is the tool which
joins the electric wheel chain with autonomous mobile robot
navigation technologies. The PHP, method should have the
property of intuitive and cognitive interaction between the
wheelchair and the patient. The PMT calculates the path of the
current position, obtained by a result of this PHT, the
directions to be moved is decided by the user herein this case.
k.ohashi, et.al.[11] has discussed wireless network based
system used for monitoring the vital signs constants the system
designed is also used to detect the apnea during s transfer
within the hospital. The components involved in this case
include a small air pressure sensor, patient’s identification
technology, and indoor positioning system. The pressure
sensor is used to measure the respiratory rate and it also
detects the apnea, experiment is done for the patients who
stopped breathing for 10 seconds and the accuracy of apnea
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detection is done at various intervals and at different positions.
The proposed system .could detect at a rate of over 90%.
Accurate patients ID and location detected is identified in
system alert and medical staff.
Taisuke Sakaki, et.at.[12]have discussed about SMA
severed patients who had motor disabilities, the method aims
to provide then to drive the stretcher independently the
targeted users finger those twisted position tends to
manipulate the stretcher effectively in algorithm based. As
patients may not push down a switch firmly due to the weak
force of those fingers, the output signals might get noisy. For
to overcome such risks, touch sensor circuit As-CTS called
conductive type switch was implemented in this device. The
fabrication of the device is done smoothly using Al alloy
which enables conductive type operation.
Mohammed Hayyan Al Sibai, el. at. [13] have discussed
one-arm drive wheel chair. They also designed their project to
provide an intuitive & user interface it also allows the user to
travel at speed above 2.25 m/s (5.00mph). In addition to the
kinematic variables as transnational, rotational and turning, the
other parameters like the moments of inertia and mass needed
to be estimated. Wheelchair distinct components include are
allowed to analyze the energy interchanges between them.
Allen H. Hoffman, et.al [14] In this paper author have
discussed about robotic assisted transfer device this device can
be used for both stand pivot transfer and fully dependent
transfer this device doesn’t have user control and tip over
stability to include non-level surface. The robot is operated by
radio controller which receives the instructions. This device is
fabricated to operate the rescue multiple small robots group.
Mohammad Faeik Ruzaij, et.al. [15] have briefed about the
uses of voice recognition system with various languages in
order to Control the wheelchair movement. The obstacle
detection system enables the wheelchair to stop or pause when
an obstacle or barrier is present in front. This method provides
increases the safety of users. The keypad facility was also
given to this wheelchair system, if the user does not adjust
with voice control. The obstacle detection system detects the
big obstacles only. This problem is avoided by adding to front
area.
Mohd Razali Md Tomaria, et.al. [16] have explained about
controlled unit of the wheelchair. This wheelchair has two
modes they are manual and semiautonomous mode. Here,
input devise HCI acts as switches are used to for controlling
the wheelchair by detecting the facial motion of the person.
According to facial motion the wheelchair moves and various
sensors are used. The main advantage of this paper is joystick
method takes less time duration for reaching particular
distances when compared to manual and semi-autonomous
method. Semi-autonomous mode is not effective when
compared to joystick and manual method this is one of the
drawbacks of this paper.
Abdal-razakshehab, et. al. [17] have expressed their view
on a present the design implementation of an electrical chair
for patients which is capable of climbing stair this operation to
take place automatic controlling is incorporated. The chair
moves in all direction. The climbing functions in
accomplished by raise of ramps. An input DC voltage is given
 as input to the chair. The size of chair is about 125*88 cm and
it weights 90 kg the electro mechanical parts include hydraulic
electrical mechanical jack, DC motor and Electric control
circuit. Hydraulic jacks are used for raising a chair. Here at
normal operation, the machine works by control of gearbox.
This is easily controlled by disables patients. Nextly, when the
machine faces a stair, the first stair touched by the time
machine that drives the motor in the left and right direction
leading to uplift of the stair. Therefore, through this paper the
stability problem is solved with the help of hydraulic jacks
that use angle measuring devices.
Norihiro Sugita, et. al. [18] have expressed to improve the
wheelchair for virtual cycle to hemiplegic patients. This
wheelchair mainly consists of motor performance and also
roller unit. The advantage of the paper is easily usable to
hemiplegic patients; it also concluded wireless acceleration for
measuring angle of pedal. The pedaling patterns characterized
angular of velocity but not possible for household products
due to daily basis.
A.Ruiz-Serrano, et. al. [19] had discussed about uses
magnetic and speech control system to help for the mobility of
patients who require wheelchairs for movement from one
place to another. Advancements in communication protocols
are used in this case with the help of a h Bridge,
microcontroller and magnetic control devices that smoothens
the required operation.
Fausto O, et. al. [20] have established the apportionment of
kinetic energy like translated which means to evaluate the
moving wheel chair agitation. To obtain the results of
combined physical specifications &geometry of the wheel
chair an innovated mathematical model is designed.
Elisa Perez, et.al. [21] has discussed two sensor (inertial
and vision sensor) are used in wheelchair. The vision sensor is
a camera which is used to view the environment and inertial
sensor is used for understanding the head rotation of the
person who is drive the wheelchair. By using the fusion
process the wheelchair moves automatically. This is very
useful for the disabled persons. Even if the is simply rotating
head also the wheelchair will move.
Anh V. Nguyen,et.al [22] have reviewed about wheelchair
is a Semi-autonomous machine (SAM). The wheelchair can be
controlled in manual mode also by using joystick. In SAM
mode the wheelchair can be operated by four (Brain computer
interface, Joystick, Head movement, I pad /I phone) different
modules. In this wheelchair various sensor are used for the
monitoring the person. Having various modes in controlling
the wheelchair is very useful for disabled person. Using
various modes for control the wheelchair can give false
indication.
Alyssa J, et.al [23] have expressed characterizes the three-
dimensional joint dynamics which are happened when the
manual wheelchair for children .The subject is then allowed to
per poll the smart wheelchair, where at another side, it
simultaneously collected the 3D fours which causes moments
occurs at hand-hand rim interface. As a result of testing we
infer that single looping test are used for one subject and in
the case of multiple subjects double loop propulsions are used.
In this case for one subject single looping is used for dual
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subjects double looping and in the case of triple subjects semi
circular patterns are used.
Anne Mandy, et.al. [24] This Wheelchair totally depends on
to different manual one arm driver. There will be two actions
controlled by foot and hand. Multi sensor system is used to
measure the angle force which was attached to propelling
hand. Total force across the whole hand is calculated. This
wheelchair is useful foe repeated strain injury in upper limb.
The whole wheelchair system is control with foot steering
system that will generate greater grip force which drives the
wheelchair.
Garrett G. Grindle, el.al. [25] have discussed the robotic assist
device. Now-a-days, robotic technology is recently very
fastest growing technology. Every 24 hours one person needed
the help of another person difficult task. So we need this kind
of assisting device. It was fully automated they guided the
human being with their own intellects. The device has a name
with RATD. The number and type of degrees are pre-
programmed with the device
Sachin N Waghmare, et. al. [26] have explained about two
GI rectangular rods, eight rubber shock absorbers, MS sheet,
bed are joined together, in order to from the stretcher. The
formed stretcher can be folded horizontally and beds can be
separated easily in this model. It shows some vibration when it
crosses above 3.6973 Hz, but these vibrations can also easily
damped out by a shock absorber. It is portable and can be
removed and rejoined easily, when compared to conventional
wheelchairs.
Richard J.M.G. Tello, et. al. [27] have reviewed about has
discussed uses Human Computer Interfaces for controlling
home appliances for people with. It is mainly based on
different biological signals. There control signals received
from surface Electromyography (sEMG), Electrooculography
(EEG) signals was used. Bio signal acquisition systems are
used for capturing of the signals. Direct communication
between the computer and human is interfaced using brain
computer interface also termed as BCI.
Atul B.Andhare, et. al. [28] have discussed about managing
bed ridden patient. It has a clock assistant to recur or manage
patient at a correct time. Most of the paraplegics are bed
ridden patients. The bed is designed and fabricated with
commode for patient convenient and flexibility. The commode
will open where the patient is bed ridden. After using this
commode it will automatically close. The highlight of the bed
is no need for shifting the patients. It doesn’t have any
telescopic puller mechanism. When the handle is rotated in
reverse direction, the screw pulls towards and opens.
Raveena j. Ramteke, et .al. [29] have discussed on ways to
handle critical patients. Mobility aids include both wheel chair
and stretcher. It helps in understanding the issues and
constraints faced in designing of these mobility aids and
appropriate alternatives adopted in various cases. Through this
review paper we can inter the recent development in wheel
chair cum stretcher in improved technologies. The varied
modification which are done to provide add on advantages
like comfortness to patients better and smooth handling of
equipment are studied and analyzed by this effort the problems
 faced by hospitals staff for transfer of patients in critical is
reduced to large extent.
Rienk van der Slikke, et.al. [30] have reviewed about has
discussed recently developed ambulatory measurement
method used for the calculation of wheelchair kinematics. It
depends over displacement, acceleration and speed outcomes.
This involves data collection. It is done without sensor loss
during reception. Sprinting capacity involves the following
parameter, acceleration in, maximal speed, standstill, average
speed acceleration, push frequency per pushes. Based on the
mutual correlation of these factors. The spirit time is measured
and wheelchair accessed accordingly. Therefore, we can infer
through this paper that general athletes having less capacity
can adjust the wheelchair with relative low height that may be
prolonged with the help of powerful pushes. Whenever an
absent correlation may be given between sprint time and
classification, adaption occurs more effectively.
Mikako ITO, et.al. [31] has discusses the motion analysis in
bedside patients that are carried out by one expert and four
non experts. The basic needs of elderly people are satisfied in
this case without the help of assistance. The remaining angle
which is used here is 90 degrees.
Sim Kok Swee, et.al. [32] have discussed about analyzing
physical feedback from the patient, this proposed system
makes the use of brain waves signals in wheelchair. The brain
comp interface is to be liable/ employed effectively as there
enhanced to reduce the brain denegation of those patients.
Jorge Barbosa, et.al. [33] have explained about the smart
wheelchair system(SWS) is a newly used with two new
components are mapping services which generates large scale
land mark maps and the objects in the environment. In this
various sensor are used, cameras also used in it. These SWS is
very useful for those are living in same place. This helps the
disabled person for navigation. By using the mapping services
the distance covered is 12 Km approximately. The problem in
using the SWS is if some objects are removed or new object is
placed (trees/building) then it will be difficult for disabled
person to move.
Congcong Ma, et.al. [34] have discussed about cloud
system which is used in wheelchair. Various sensors are used
for monitoring the patient. The sensors used in the wheelchair
are pressure sensor, accelometer to identify the posture and
GPS is used to monitor the location. This system is used in
real time which is useful for many people and the patients in
critical condition can be monitored by sensors also tracked
easily. If the sensors gets damaged it can send the false alarm.
Shamim Al Mamun, et.al. [35] have discussed this
prototype is for helping the people with disabilities and elderly
people. In this smart chair it is able to identify the indoor
environment and outdoor environment. Where in outdoor
environment it is able to differentiate water in the road, traffic,
objects using the feature extraction by long range sensors.
This helps the disabled and elderly person feel independent. If
the long range sensor gets damaged there will be problem
identifying the indoor and outdoor environment.
Shamim Al Mamun, et.al. [36] have expressed their view on
some of the disabled people are unable to use the joystick. For
that a smart wheelchair is designed which is able to control
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with the help of mobile phone and also able to interact with
other devices. This wheelchair provides the safety to patients.
The cost of the wheelchair is high.
Congcong Ma, et.al. [37] have discussed about the elderly
people who are unable move for that they are using the
wheelchair. They have depended on other all the time for a
smart wheelchair is designed with pressure sensor in caution
to monitor the patient availability and also posture is also
monitored. If any problem arises then alarm goes on and alerts
the neighbors.
Nikhil Shinde, et.al. [38] have discussed about the brain-
computer interface with wheelchair. Here EEG signal and eye
blink act as the control of the wheelchair. Ultrasound is used
for finding detect the obstacles in front of the wheelchair. This
used for the most of people. Ultrasound will give alarm
whenever it crosses an object.
Fred Achic, et.al.[39] have reviewed this wheelchair is a
smart wheelchair system, where the wheelchair is controlled
by head movement using inertial sensor for moving left and
right, ultrasound is used detection of obstacle placed near the
wheelchair. The brain control interface (BCI) is used to
navigate the wheelchair by EEG signal. This is very easy
method to operate the wheelchair. The ultrasound detects also
object near the wheelchair.
Khaled M. Goher, et.al [40] have discussed the prototype
design of wheelchair is implemented for rehabitation and self
assistance under seven year old child with having maximum
weight of 35kg. They developed sit to stand posture in the
wheelchair. The linear actuation system that is used as the
adjustable back support for steady posture in the disabled
patients. This feature helps the user to make regular exercise
for her body. This also improves the muscle strength and
blood circulation in the body.
Sumedh Kulkarni, et.al. [41] have disclosed the information
regarding the wheel mechanism. The star shaped wheel that is
used for climbing stairs using spider mechanisms. 12V
permanent magnet DC (PM-DC motors) motor is used. It
moves only in a single direction. This prevents the wheelchair
from falling backwards. After the touch command is given the
capacitive and touch sensors gets activated which moves the
wheelchair in the forward direction.
Fitri utaminingrum, et.al [42] have briefed about it is made
up of computer based reduction and human tracking. It
consists of speech recognition controlled through internet
capabilities for easy recognition, Distance estimation human
following capability this paper help to avoid collision. Line
laser camera imaging technique is used for acceleration
calculation and obtains object information. Human tracking
subsystem is possible to detect human in one frame. The
smaller areas of this tracking reduce noise and provide high
accuracy.
Hasan U. Zamanu, et.al [43] have discussed wheelchair
which was controlled by smart phones. When the system
becomes user friendly and smart technology, day by day the
world was getting updated with new technologies .But in the
case of wheelchair usage was high in range so most of us need
new invention and updating the existing wheelchair. As the
concept of the paper is to using simple component make the
 new innovation. Main advantage of project is cost effective
wheelchair.
H. G. M. T. Yashoda, et.al. [44] have designed a smart
wheel chair system, with voice and gesture recognition system
using joystick, it provides independent mobility for the people
who gets affected due to various mobility disorders. The rear
wheels are replaced by smaller wheels which are connected to
motor which provides gear mechanism in this work.
Arun Kumar, et.al. [45] aims at constructing a pneumatic
wheel cum stretcher. Thus, it helps to stay away from the
suffering of patient physically while being transferred. This
pneumatic mode of system implies that it works in three
different operations as lifting the wheelchair conversion of it
to stretcher and conversion of it back to wheelchair. Here, the
patient has to press the 2-push buttons for lifting and
conversion takes placed.
Jingsheng Tang, et.al. [46] have expressed about controlling
a wheelchair in new method. The weight of the wheelchair is
less; YOLO algorithm is used to recognizing a person and
target location in the environment this wheelchair is useful for
the disabled person. Sometimes the real time reorganization is
not possible.
Timofei I. Voznenko, et.al. [47] have implemented a robotic
wheelchair which is controlled by the on board computer
instead of joystick. The reception and transmission of the
signals is done by Brain Computer Interface. Voice and
Gesture control channel are used as parameters for BCI
processing.
Amiel Hartman, et .al. [48] have discussed about a group
design of an wheelchair with computer which interacts with
human. It uses both hardware and software integration. Here
both sensor and computer processing are used. Through this
manner a real time signals processing technique. LabView
programs are used for network automation. Also the monitor
connected with the computer has touch screen facility for easy
access through software. The design concludes that the usage
of computers can be reduced to half after the process of
optimization.
ya Jennifer Dsouza, et.al. [49] this work aims in developing
a smart wheelchair by integrating a microcontroller which
monitors the health care parameters of patients. This is highly
effective in the case of cardiovascular patients for tracking the
heart rate of such patients. Alerts are designed through cell
phones to track the vital signs and patients condition. The
deviation from the traditional sensor is the use of smart
sensors to the traditional layout or wheelchair design.
Therefore, through this paper they have developed an
inexpensive and easy healthcare or vital signs monitoring
wheelchair that helps the disabled patients to continuous
monitor and also serves as a mobility aid helping them to
travel from one location to another.
Jorge L.Candiotti, et. al. [50] have explained about the
Mobility Enhancement robotic wheelchair was developed for
safety and accessibility use for patients. Here pneumatic
wheelchairs are used. It is attached to six wheels for both
ascending and descending operations. This uses pneumatic
actuators to uplift the wheel. Here six wheels are used. It is
used for step up and step down, when actuator gets activate at
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that time the wheel get uplifted to 3cm to 20.3cm which
enables the wheelchair to step up and step down. Wheelchair
movement will be in contradictory direction, if the wheel
moves in ascending direction, the other will moves in
descending direction.
III. SUGGESTION
Wheelchair is the device which is used for mobility
purpose. The device can be used by manual method or by
various types of automated systems use of wheelchair, will
provides lot of advantages like ease and convenience it
supplies. We can find the chair, as per our height and weight.
Wheelchair cum stretcher is the device which enables the
disabled patients to lead a life independently without external
assistance. This product is very much helpful for the old age
people. This device has some of the disadvantage sitting
position, by occupants hence he/she cannot move and lie down
himself in bed, and it is not affordable to all of the hospitals.
We are suggesting our product automated wheelchair cum
stretcher to overcome all of the disadvantage which are
mentioned above the heart beat sensor attached to this module,
detects the patient’s heart beat and alter this position
automatically. Hence due to this there is no need of person’s
to change the structure as by above manual method, and also it
is affordable for all type of hospitals.
IV. CONCLUSION
In this survey paper we have analyzed many journal papers
about existing methodologies related to our proposed system.
Mostly, they are using mechanical technique which is done
manually by a person which faces lots of challenges in current
health care industry. Hence we come up with a solution from
this survey paper, we suggest combining both mechanical and
electrical system to make it automated method for moving
wheelchair cum stretcher. It overcomes all of the demerits and
provides a unique solution. This automated method is based
on the principle of heart rate of the patients and works
according to each and every heart rate. When abnormal heart
beat prolongs over a certain period of time, the health care
professionals can able to sense the condition of the patient
using this automated method. The complexities in treatment
procedures can also be reduced and more effective when
compared to that of manual method. Hence, this automated
method is of low cost it is more affordable method for all
health sectors. The automated wheelchair cum stretcher plays
a vital role in future for all handicapped people in order to
perform their daily activities. Thus, the proposed methodology
is a novel technique which can create a revolution in health
care sectors.
V. FUTURE SCOPE OF WORK
In future work, we are going to serve our community like
stroke patients using wheel chair and their attender. Our
proposed system is focused to switch the wheel chair to
stretcher .It will be done automatically by analyzing patient’s
 heart rate to determine the abnormality of the patient. It will
be convenient for stroke patient and provides optimal
efficiency.
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