Fasipe Grace, Goršič Maja, Rahman Mohammad Habibur, Rammer Jacob
Department of Biomedical Engineering, College of Engineering and Applied Science, University of Wisconsin-Milwaukee, Milwaukee, WI, United States.
Department of Mechanical Engineering, College of Engineering and Applied Science, University of Wisconsin-Milwaukee, Milwaukee, WI, United States.
Front Hum Neurosci. 2024 Jan 5;17:1331395. doi: 10.3389/fnhum.2023.1331395. eCollection 2023.
According to the World Health Organization, hundreds of individuals commence wheelchair use daily, often due to an injury such as spinal cord injury or through a condition such as a stroke. However, manual wheelchair users typically experience reductions in individual community mobility and participation. In this review, articles from 2017 to 2023 were reviewed to identify means of measuring community mobility and participation of manual wheelchair users, factors that can impact these aspects, and current rehabilitation techniques for improving them. The selected articles document current best practices utilizing self-surveys, in-clinic assessments, and remote tracking through GPS and accelerometer data, which rehabilitation specialists can apply to track their patients' community mobility and participation accurately. Furthermore, rehabilitation methods such as wheelchair training programs, brain-computer interface triggered functional electric stimulation therapy, and community-based rehabilitation programs show potential to improve the community mobility and participation of manual wheelchair users. Recommendations were made to highlight potential avenues for future research.
根据世界卫生组织的数据，每天有数百人开始使用轮椅，这通常是由于脊髓损伤等损伤或中风等疾病所致。然而，手动轮椅使用者的个体社区移动性和参与度通常会降低。在本综述中，对2017年至2023年的文章进行了回顾，以确定测量手动轮椅使用者社区移动性和参与度的方法、可能影响这些方面的因素以及当前改善这些方面的康复技术。所选文章记录了利用自我调查、门诊评估以及通过全球定位系统（GPS）和加速度计数据进行远程跟踪的当前最佳实践，康复专家可以应用这些方法来准确跟踪患者的社区移动性和参与度。此外，诸如轮椅训练计划、脑机接口触发的功能性电刺激疗法以及基于社区的康复计划等康复方法显示出改善手动轮椅使用者社区移动性和参与度的潜力。文中还提出了建议，以突出未来研究的潜在途径。
