Wheaton Lewis A
School of Biological Sciences, Georgia Institute of Technology, 555 14th Street, Atlanta, GA, 30332-0356, USA.
J Neuroeng Rehabil. 2017 May 22;14(1):41. doi: 10.1186/s12984-017-0256-8.
Significant advances have been made in developing new prosthetic technologies with the goal of restoring function to persons that suffer partial or complete loss of the upper limb. Despite these technological advances, many challenges remain in understanding barriers in patient adoption of technology, and what critical factors should be of focus in prosthetics development from a motor control perspective. This points to a potential opportunity to improve our understanding of amputation using neurophysiology and plasticity, and integrate this knowledge into the development of prosthetics technology in novel ways. Here, argument will be made to include a stronger focus on the neural and behavioral changes that result from amputation, and a better appreciation of the time-scale of changes which may significantly affect device adaptation, functional device utility, and motor learning implemented in rehabilitation environments.
By strengthening our understanding of the neuroscience of amputation, we may improve the ability to couple neurorehabilitation with neuroengineering to support clinician needs in yielding improved outcomes in patients.
在开发新的假肢技术方面已经取得了重大进展，目标是恢复上肢部分或完全丧失功能的人的功能。尽管有这些技术进步，但在理解患者采用技术的障碍以及从运动控制角度来看假肢开发中应关注哪些关键因素方面，仍存在许多挑战。这表明有一个潜在的机会，可以利用神经生理学和可塑性来增进我们对截肢的理解，并以新颖的方式将这些知识整合到假肢技术的开发中。在此，将提出理由，强调更关注截肢导致的神经和行为变化，以及更好地认识可能显著影响设备适配、功能性设备效用和康复环境中实施的运动学习的变化时间尺度。
通过加强我们对截肢神经科学的理解，我们可以提高将神经康复与神经工程相结合的能力，以满足临床医生的需求，从而改善患者的治疗效果。
