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基于家庭的脑卒中康复技术:系统评价。

Home-based technologies for stroke rehabilitation: A systematic review.

机构信息

School of Information Systems and Technology, San Jose State University, United States.

Department of Informatics, University of California, Irvine, United States.

出版信息

Int J Med Inform. 2019 Mar;123:11-22. doi: 10.1016/j.ijmedinf.2018.12.001. Epub 2018 Dec 11.

DOI:10.1016/j.ijmedinf.2018.12.001
PMID:30654899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6814146/
Abstract

BACKGROUND

Many forms of home-based technology targeting stroke rehabilitation have been devised, and a number of human factors are important to their application, suggesting the need to examine this information in a comprehensive review.

OBJECTIVE

The systematic review aims to synthesize the current knowledge of technologies and human factors in home-based technologies for stroke rehabilitation.

METHODS

We conducted a systematic literature search in three electronic databases (IEEE, ACM, PubMed), including secondary citations from the literature search. We included articles that used technological means to help stroke patients conduct rehabilitation at home, reported empirical studies that evaluated the technologies with patients in the home environment, and were published in English. Three authors independently conducted the content analysis of searched articles using a list of interactively defined factors.

RESULTS

The search yielded 832 potentially relevant articles, leading to 31 articles that were included for in-depth analysis. The types of technology of reviewed articles included games, telerehabilitation, robotic devices, virtual reality devices, sensors, and tablets. We present the merits and limitations of each type of technology. We then derive two main human factors in designing home-based technologies for stroke rehabilitation: designing for engagement (including external and internal motivation) and designing for the home environment (including understanding the social context, practical challenges, and technical proficiency).

CONCLUSION

This systematic review presents an overview of key technologies and human factors for designing home-based technologies for stroke rehabilitation.

摘要

背景

已经设计出许多针对中风康复的家庭为基础的技术形式,并且许多人为因素对其应用非常重要,这表明需要在全面的综述中检查这些信息。

目的

本系统综述旨在综合有关家庭为基础的中风康复技术和人为因素的现有知识。

方法

我们在三个电子数据库(IEEE、ACM、PubMed)中进行了系统文献检索,包括文献检索中的二级引用。我们纳入了使用技术手段帮助中风患者在家中进行康复的文章,报道了在家庭环境中评估技术的实证研究,并以英文发表。三位作者使用互动定义的因素列表,独立对搜索文章进行内容分析。

结果

搜索产生了 832 篇潜在相关文章,最终有 31 篇文章被纳入深入分析。综述文章的技术类型包括游戏、远程康复、机器人设备、虚拟现实设备、传感器和平板电脑。我们介绍了每种技术类型的优点和局限性。然后,我们得出了设计中风康复家庭技术的两个主要人为因素:设计参与(包括外部和内部动机)和设计家庭环境(包括了解社会背景、实际挑战和技术熟练程度)。

结论

本系统综述介绍了设计中风康复家庭技术的关键技术和人为因素概述。

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本文引用的文献

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iPad Use in Stroke Neuro-Rehabilitation.iPad在中风神经康复中的应用。
Geriatrics (Basel). 2017 Jan 6;2(1):2. doi: 10.3390/geriatrics2010002.
2
An interactive distance solution for stroke rehabilitation in the home setting - A feasibility study.家庭环境中中风康复的交互式远程解决方案——一项可行性研究。
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The use of commercial video games in rehabilitation: a systematic review.商业视频游戏在康复治疗中的应用:一项系统综述。
Int J Rehabil Res. 2016 Dec;39(4):277-290. doi: 10.1097/MRR.0000000000000190.
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Effects of Home-based Telesupervising Rehabilitation on Physical Function for Stroke Survivors with Hemiplegia: A Randomized Controlled Trial.家庭远程监督康复对偏瘫中风幸存者身体功能的影响:一项随机对照试验。
Am J Phys Med Rehabil. 2017 Mar;96(3):152-160. doi: 10.1097/PHM.0000000000000559.
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Effect of Virtual Reality Training on Balance and Gait Ability in Patients With Stroke: Systematic Review and Meta-Analysis.虚拟现实训练对中风患者平衡和步态能力的影响:系统评价与荟萃分析
Phys Ther. 2016 Dec;96(12):1905-1918. doi: 10.2522/ptj.20160054. Epub 2016 May 12.
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Bilateral robots for upper-limb stroke rehabilitation: State of the art and future prospects.用于上肢中风康复的双边机器人:现状与未来展望。
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A low cost virtual reality system for home based rehabilitation of the arm following stroke: a randomised controlled feasibility trial.一种用于中风后手臂居家康复的低成本虚拟现实系统:一项随机对照可行性试验。
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Does the use of Nintendo Wii Sports improve arm function? Trial of Wii in Stroke: a randomized controlled trial and economics analysis.使用任天堂Wii体育游戏能改善手臂功能吗?中风患者使用Wii的试验:一项随机对照试验及经济学分析。
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