Laboratoire d'Automatique de Mécanique et d'Informatique Industrielles et Humaines, Univ. Polytechnique Hauts-de-France, CNRS, UMR 8201 - LAMIH, Valenciennes, France.
Évaluation des technologies de santé et des pratiques médicales, & Inserm -CIC-IT 1403, Univ. Lille, CHU Lille, ULR 2694 - METRICS, Lille, France.
Disabil Rehabil Assist Technol. 2024 Apr;19(3):546-557. doi: 10.1080/17483107.2022.2107095. Epub 2022 Aug 3.
Despite the proven effectiveness of rehabilitation robots (RR) in the literature, they are still little used in clinical rehabilitation. The aim of this study was to analyse the factors influencing the use of RR and the perception of therapists who used RR.
In order to characterize the factors influencing the use of RR by therapists, a semi-structured interview was conducted with 18 therapists. These interviews are based on an interview guide inspired by the Unified Theory of Acceptance and Use of Technology model. The interviews were recorded and then transcribed, summarized and finally synthesized cross-sectionally. In addition and in parallel, the System Usability Scale (SUS) was also proposed to clinicians in order to collect quantitative data.
The interviews highlight the facilitators perceived by the therapists, such as the intensity of the movement, the complementarity with conventional rehabilitation. The results also showed the possible barriers perceived, these can be sometimes inconclusive (e.g., bugs). The SUS results show no effect, either on the gender of the users, their therapists, or the duration of use of the tool.
Better communication on the functionality of the robot and the construction of achievable goals would lead to more results that are conclusive but also better patient care. To date, and despite the evidence for the effectiveness of RRs, therapists believe that there are still many barriers to their use. They agree, however, that if changes are made, RRs will become an integral part of therapy.IMPLICATIONS FOR REHABILITATIONThe study idenfied and highlighted the factors influencing the use of the rehabilitation robot in the clinics through metric and ergonomic evaluations.The study allowed to quantify the level of acceptance of the Lokomat among therapists.This study allowed to identify negative factors that could be resolved through the implementation of a structured and generalized protocol for patients and thus improve their care.
尽管康复机器人（RR）在文献中已被证明有效，但它们在临床康复中仍未得到广泛应用。本研究旨在分析影响康复机器人使用的因素以及使用康复机器人的治疗师的看法。
为了分析治疗师使用 RR 的影响因素，我们对 18 名治疗师进行了半结构化访谈。这些访谈是基于受统一接受和使用技术模型理论启发的访谈指南进行的。访谈进行了录音，然后进行了转录、总结，并最终进行了横向综合。此外，还向临床医生提出了系统可用性量表（SUS），以收集定量数据。
访谈突出了治疗师所感知的促进因素，例如运动强度、与传统康复的互补性。研究结果还显示了可能存在的障碍，这些障碍有时是不确定的（例如，错误）。SUS 结果显示，用户的性别、他们的治疗师或工具使用时间的长短都没有影响。
更好地沟通机器人的功能和制定可实现的目标将导致更有结论性的结果，同时也能更好地照顾患者。迄今为止，尽管有证据表明 RR 有效，但治疗师认为，使用 RR 仍存在许多障碍。然而，他们都同意，如果做出改变，RR 将成为治疗的一个组成部分。
本研究通过计量和人体工程学评估，确定并强调了影响康复机器人在临床应用的因素。本研究允许量化 Lokomat 在治疗师中的接受程度。本研究能够识别出一些负面因素，可以通过实施针对患者的结构化和综合方案来解决，从而改善他们的护理。
