Cornwell Andrew S, Liao James Y, Bryden Anne M, Kirsch Robert F
Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106, USA.
J Rehabil Res Dev. 2012;49(3):395-403. doi: 10.1682/jrrd.2011.03.0040.
We have developed a set of upper-limb functional tasks to guide the design and test the performance of rehabilitation technologies that restore arm motion in people with high tetraplegia. Our goal was to develop a short set of tasks that would be representative of a much larger set of activities of daily living (ADLs), while also being feasible for a user of a unilateral, implanted functional electrical stimulation (FES) system. To compile this list of tasks, we reviewed existing clinical outcome measures related to arm and hand function and were further informed by surveys of patient desires. We ultimately selected a set of five tasks that captured the most common components of movement seen in ADLs and is therefore highly relevant for assessing FES-restored unilateral arm function in individuals with high cervical spinal cord injury. The tasks are intended to be used when setting design specifications and for evaluating and standardizing rehabilitation technologies under development. While not unique, this set of tasks will provide a common basis for comparing different interventions (e.g., FES, powered orthoses, robotic assistants) and testing different user command interfaces (e.g., sip-and-puff, head joysticks, brain-computer interfaces).
我们开发了一套上肢功能任务，以指导恢复高位截瘫患者手臂运动的康复技术的设计并测试其性能。我们的目标是开发一组简短的任务，这些任务应能代表更多的日常生活活动（ADL），同时对于单侧植入式功能性电刺激（FES）系统的用户而言也是可行的。为了编制此任务列表，我们回顾了与手臂和手部功能相关的现有临床结局指标，并通过对患者需求的调查获得了更多信息。我们最终选择了一组五项任务，这些任务涵盖了ADL中最常见的运动成分，因此对于评估高位颈脊髓损伤患者中FES恢复的单侧手臂功能高度相关。这些任务旨在用于设定设计规格以及评估和规范正在开发的康复技术。虽然这套任务并非独一无二，但它将为比较不同的干预措施（例如，FES、动力矫形器、机器人助手）和测试不同的用户命令界面（例如，吸管吹气、头部操纵杆、脑机接口）提供一个共同的基础。
