Human Engineering Research Laboratories, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Science, University of Pittsburgh, Pittsburgh, PA, USA.
Disabil Rehabil Assist Technol. 2021 Apr;16(3):270-279. doi: 10.1080/17483107.2019.1673833. Epub 2019 Oct 12.
Novel developments in the robotics field have produced systems that can support person wheelchair transfers, maximize safety and reduce caregiver burden. The purpose of this study was to identify and describe these systems, their usability (or satisfaction), the context for which they have been or can be used and how they have been evaluated to determine evidence for their effectiveness.
Available research on Person Transfer Assist Systems (PTAS) was systematically gathered using similar standards to the PRISMA guidelines. The search terms were derived from common terms and via exploring similar review articles. Initial search terms displayed 1330 articles and by using the inclusion/exclusion criteria 96 articles were selected for abstract review. After full- text reviewing 48 articles were included.
29 articles concerned research in robotic transfer systems, 10 articles used both ceiling and floor-mounted lifts and 9 articles used only floor-mounted lifts as an intervention/control group. The results of this analysis identified a few usability evaluations for robotic transfer prototypes, especially ones comparing prototypes to existing marketed devices.
Robotic device research is a recent development within assistive technology. Whilst usability evaluations provided evidence that a robotic device will provide better service to the user, the sample number of subjects used are minimal in comparison to any of the intervention/control group articles. Experimental studies between PTASs are required to support technological advancements. Caregiver injury risk has been the focus for most of the comparison articles; however, few articles focus on the implications to the person.IMPLICATIONS FOR REHABILITATIONCeiling mounted lifts are preferred over floor-based lifts due to lower injury rates.Many robotic transfer systems have been developed; however, there is a paucity of quantitative and qualitative studies.Based on the results of this review, rehabilitation settings are recommended to use ceiling over floor assist systems, and it is recommended to provide training on using devices to assist with patient transfers to lower the risk of injuries.
机器人领域的新发展产生了能够支持人员轮椅转移、最大限度地提高安全性和减少照顾者负担的系统。本研究的目的是识别和描述这些系统、它们的可用性（或满意度）、它们已经或可以使用的背景以及它们已经过评估以确定其有效性的证据。
使用与 PRISMA 指南相似的标准系统地收集了关于人员转移辅助系统 (PTAS) 的现有研究。搜索术语源自常用术语，并通过探索类似的综述文章得出。最初的搜索术语显示了 1330 篇文章，通过使用纳入/排除标准，有 96 篇文章被选中进行摘要审查。在全文审查后，有 48 篇文章被纳入。
29 篇文章涉及机器人转移系统的研究，10 篇文章使用了天花板和地板安装的升降机，9 篇文章仅使用地板安装的升降机作为干预/对照组。这项分析的结果确定了一些机器人转移原型的可用性评估，特别是将原型与现有的市场设备进行比较的评估。
机器人设备研究是辅助技术中的一个新发展。虽然可用性评估提供了证据表明机器人设备将为用户提供更好的服务，但与任何干预/对照组文章相比，使用的受试者数量都很少。需要进行 PTAS 之间的实验研究以支持技术进步。大多数比较文章的重点是照顾者受伤风险；然而，很少有文章关注对个人的影响。
由于较低的受伤率，天花板安装的升降机优于地板安装的升降机。
已经开发了许多机器人转移系统；然而，缺乏定量和定性研究。
根据本综述的结果，建议康复环境使用天花板高于地板的辅助系统，并建议提供有关使用设备协助患者转移以降低受伤风险的培训。
