van der Heide Loek A, Gelderblom Gert Jan, de Witte Luc P
From the Research Centre for Technology in Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands (LAvdH, GJG, LPdW); and School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands (LAvdH, LPdW).
Am J Phys Med Rehabil. 2015 Jan;94(1):44-62. doi: 10.1097/PHM.0000000000000107.
Numerous dynamic arm supports have been developed in recent decades to increase independence in the performance of activities of daily living. Much effort and money have been spent on their development and prescription, yet insight into their effects and effectiveness is lacking. This article is a systematic review of evaluations of dynamic arm supports. The 8 technical evaluations, 12 usability evaluations, and 27 outcome studies together make 47 evaluations. Technical evaluations were often used as input for new developments and directed at balancing quality, forces and torques, and range of motion of prototypes. Usability studies were mostly single-measure designs that had varying results as to whether devices were usable for potential users. An increased ability to perform activities of daily living and user satisfaction were reported in outcome studies. However, the use of dynamic arm supports in the home situation was reported to be low. Gaining insight into why devices are not used when their developers believe them to be effective seems crucial for every new dynamic arm support developed. The methodological quality of the outcome studies was often low, so it is important that this is improved in the future.
近几十年来，人们开发了许多动态手臂支撑装置，以提高日常生活活动的独立性。在其开发和处方方面投入了大量的精力和资金，但对其效果和有效性仍缺乏深入了解。本文是对动态手臂支撑装置评估的系统综述。8项技术评估、12项可用性评估和27项结果研究共计47项评估。技术评估通常作为新开发的输入，旨在平衡质量、力和扭矩以及原型的运动范围。可用性研究大多是单测量设计，关于设备是否可供潜在用户使用，结果各不相同。结果研究报告称，日常生活活动能力有所提高，用户满意度也有所提高。然而，据报道，动态手臂支撑装置在家庭环境中的使用率较低。对于每一种新开发的动态手臂支撑装置来说，弄清楚为什么在开发者认为有效的情况下设备却未被使用，这似乎至关重要。结果研究的方法学质量往往较低，因此未来改进这一点很重要。
