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通过社交辅助机器人对一名脑瘫儿童进行的运动学习治疗干预。

A motor learning therapeutic intervention for a child with cerebral palsy through a social assistive robot.

作者信息

Buitrago Jaime Alberto, Bolaños Ana Marcela, Caicedo Bravo Eduardo

机构信息

Faculty of Engineering, University of Quindío, Armenia, Colombia.

School of Human Rehabilitation, University of Valle, Cali, Colombia.

出版信息

Disabil Rehabil Assist Technol. 2020 Apr;15(3):357-362. doi: 10.1080/17483107.2019.1578999. Epub 2019 Feb 26.

Abstract

Children with cerebral palsy have difficulty to sit, stand, walk, run and jump independently. Therapy is an important factor in improving these aspects, and if applied in early intervention treatments, when the child is growing, it could have many benefits. These therapies require intensive and extended sessions, which in turn demand dedication and effort. New strategies that provide interesting and motivating interventions are often incorporated to improve the participation and performance of the children in the therapies. Therapies using social assistive robots can be alternative and complementary methods to promote the participation and motivation of children with cerebral palsy. The objective of this work is to validate the effectiveness of a 16-session physical therapy program to improve the participation and fulfillment of therapeutic objectives on an 8 year-old boy with dyskinetic cerebral palsy for motor learning to walk using a social assistive robot. The therapy program was carried out through a methodological proposal that uses SMART objectives (Specific, Measurable, Achievable, Realistic and Timed), Goal-Directed Therapy (GDT) and its evaluation through Goal Attainment Scaling (GAS). A NAO robot was used as a social assistive robot to support a physical therapy for a child with cerebral palsy. In this work, it was observed that the motivation generated by the interaction with the social assistive robot facilitated the persistence in the walking and the fulfillment of the objectives. Using humanoid robots as social assistive robots may benefit therapeutic processes on children with motor disabilities. The methodology developed provides a formal way to achieve objectives in therapeutic processes for children with cerebral palsy.Implications for rehabilitationIt requires researchers to conduct more studies to validate the potential of the use of social robots in therapeutic interventions that promote development in children with motor disabilities, such as cerebral palsy.Promoting the use of new technologies in therapeutic processes such as humanoid robots allows us to create new strategies to know the impact of this technology in the area of rehabilitation.The use of formal methodologies focused on the patient, along with multidisciplinary teams, could increase the possibilities of using social robots to improve cognitive and motor outcomes in children with cerebral palsy.The formulation of SMART objectives and their quantification through the GAS scale can be used as recommendations to improve the formulation of goals in therapeutic interventions for children with cerebral palsy.

摘要

患有脑瘫的儿童在独立坐、站、行走、跑步和跳跃方面存在困难。治疗是改善这些方面的一个重要因素,如果在儿童成长过程中应用于早期干预治疗,可能会带来诸多益处。这些治疗需要密集且持续较长时间,相应地需要投入精力和努力。为提高儿童在治疗中的参与度和表现,通常会采用能提供有趣且具激励性干预措施的新策略。使用社交辅助机器人进行治疗可以作为促进脑瘫儿童参与和激发其积极性的替代方法和补充手段。这项工作的目的是验证一个为期16节的物理治疗方案对一名8岁运动障碍型脑瘫男孩在使用社交辅助机器人进行运动学习行走方面提高参与度和实现治疗目标的有效性。该治疗方案通过一种使用SMART目标(具体、可衡量、可实现、现实和有时限)、目标导向治疗(GDT)及其通过目标达成量表(GAS)进行评估的方法来实施。一个NAO机器人被用作社交辅助机器人来辅助一名脑瘫儿童进行物理治疗。在这项工作中,观察到与社交辅助机器人互动所产生的积极性促进了患儿在行走训练中的坚持以及目标的实现。将人形机器人用作社交辅助机器人可能会对运动障碍儿童的治疗过程有益。所开发的方法为实现脑瘫儿童治疗过程中的目标提供了一种正式途径。

对康复的启示

这要求研究人员开展更多研究,以验证在促进如脑瘫等运动障碍儿童发展的治疗干预中使用社交机器人的潜力。

在治疗过程中推广使用新技术,如人形机器人,使我们能够创建新策略来了解该技术在康复领域的影响。

采用以患者为中心的正式方法,结合多学科团队,可能会增加使用社交机器人改善脑瘫儿童认知和运动结果的可能性。

制定SMART目标并通过GAS量表进行量化,可作为改进脑瘫儿童治疗干预中目标制定的建议。

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