Liu Xiangyu, Zhang Di, Miao Ke, Guo Yao, Jiang Xinyu, Zhang Xi, Jia Fumin, Tang Hao, Dai Chenyun
College of Communication and Art Design, University of Shanghai for Science and Technology, Shanghai 200093, China.
Department of Geriatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.
Bioengineering (Basel). 2023 Nov 9;10(11):1301. doi: 10.3390/bioengineering10111301.
(1) Background: Prosthetic rehabilitation is essential for upper limb amputees to regain their ability to work. However, the abandonment rate of prosthetics is higher than 50% due to the high cost of rehabilitation. Virtual technology shows potential for improving the availability and cost-effectiveness of prosthetic rehabilitation. This article systematically reviews the application of virtual technology for the prosthetic rehabilitation of upper limb amputees. (2) Methods: We followed PRISMA review guidance, STROBE, and CASP to evaluate the included articles. Finally, 17 articles were screened from 22,609 articles. (3) Results: This study reviews the possible benefits of using virtual technology from four aspects: usability, flexibility, psychological affinity, and long-term affordability. Three significant challenges are also discussed: realism, closed-loop control, and multi-modality integration. (4) Conclusions: Virtual technology allows for flexible and configurable control rehabilitation, both during hospital admissions and after discharge, at a relatively low cost. The technology shows promise in addressing the critical barrier of current prosthetic training issues, potentially improving the practical availability of prosthesis techniques for upper limb amputees.
(1) 背景:假肢康复对于上肢截肢者恢复工作能力至关重要。然而,由于康复成本高昂,假肢的遗弃率高于50%。虚拟技术在提高假肢康复的可及性和成本效益方面显示出潜力。本文系统综述了虚拟技术在上肢截肢者假肢康复中的应用。(2) 方法:我们遵循PRISMA综述指南、STROBE和CASP来评估纳入的文章。最终,从22,609篇文章中筛选出17篇。(3) 结果:本研究从可用性、灵活性、心理亲和力和长期可负担性四个方面综述了使用虚拟技术可能带来的益处。还讨论了三个重大挑战:逼真度、闭环控制和多模态整合。(4) 结论:虚拟技术能够在住院期间和出院后以相对较低的成本实现灵活且可配置的控制康复。该技术在解决当前假肢训练问题的关键障碍方面显示出前景,有可能提高上肢截肢者假肢技术的实际可及性。