基于机器人的家庭康复系统设计:从文献综述到 COVID-19 大流行期间基于社区的远程治疗概念框架
Robotic Home-Based Rehabilitation Systems Design: From a Literature Review to a Conceptual Framework for Community-Based Remote Therapy During COVID-19 Pandemic.
作者信息
Akbari Aylar, Haghverd Faezeh, Behbahani Saeed
机构信息
Department of Mechanical Engineering, Isfahan University of Technology, Isfahan, Iran.
出版信息
Front Robot AI. 2021 Jun 22;8:612331. doi: 10.3389/frobt.2021.612331. eCollection 2021.
During the COVID-19 pandemic, the higher susceptibility of post-stroke patients to infection calls for extra safety precautions. Despite the imposed restrictions, early neurorehabilitation cannot be postponed due to its paramount importance for improving motor and functional recovery chances. Utilizing accessible state-of-the-art technologies, home-based rehabilitation devices are proposed as a sustainable solution in the current crisis. In this paper, a comprehensive review on developed home-based rehabilitation technologies of the last 10 years (2011-2020), categorizing them into upper and lower limb devices and considering both commercialized and state-of-the-art realms. Mechatronic, control, and software aspects of the system are discussed to provide a classified roadmap for home-based systems development. Subsequently, a conceptual framework on the development of smart and intelligent community-based home rehabilitation systems based on novel mechatronic technologies is proposed. In this framework, each rehabilitation device acts as an agent in the network, using the internet of things (IoT) technologies, which facilitates learning from the recorded data of the other agents, as well as the tele-supervision of the treatment by an expert. The presented design paradigm based on the above-mentioned leading technologies could lead to the development of promising home rehabilitation systems, which encourage stroke survivors to engage in under-supervised or unsupervised therapeutic activities.
在新冠疫情期间,中风后患者对感染的易感性更高,这就需要采取额外的安全预防措施。尽管实施了限制措施,但由于早期神经康复对提高运动和功能恢复几率至关重要,因此不能推迟。利用现有的先进技术,居家康复设备被提议作为当前危机中的一种可持续解决方案。本文对过去10年(2011 - 2020年)开发的居家康复技术进行了全面综述,将其分为上肢和下肢设备,并兼顾商业化和先进技术领域。讨论了系统的机电一体化、控制和软件方面,为居家系统开发提供一份分类路线图。随后,提出了一个基于新型机电一体化技术的智能社区居家康复系统开发的概念框架。在此框架中,每个康复设备作为网络中的一个代理,利用物联网技术,这有助于从其他代理的记录数据中学习,以及由专家对治疗进行远程监督。基于上述前沿技术提出的设计范式可能会促成有前景的居家康复系统的开发,鼓励中风幸存者参与监督较少或无监督的治疗活动。