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假肢技术的进展:关于开发与临床转化的伦理考量视角

Advances in prosthetic technology: a perspective on ethical considerations for development and clinical translation.

作者信息

Gavette Hayden, McDonald Cody L, Kostick-Quenet Kristin, Mullen Ashley, Najafi Bijan, Finco M G

机构信息

Orthotics and Prosthetics Program, School of Health Professions, Baylor College of Medicine, Houston, TX, United States.

Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States.

出版信息

Front Rehabil Sci. 2024 Jan 16;4:1335966. doi: 10.3389/fresc.2023.1335966. eCollection 2023.

Abstract

Technological advancements of prostheses in recent years, such as haptic feedback, active power, and machine learning for prosthetic control, have opened new doors for improved functioning, satisfaction, and overall quality of life. However, little attention has been paid to ethical considerations surrounding the development and translation of prosthetic technologies into clinical practice. This article, based on current literature, presents perspectives surrounding ethical considerations from the authors' multidisciplinary views as prosthetists (HG, AM, CLM, MGF), as well as combined research experience working directly with people using prostheses (AM, CLM, MGF), wearable technologies for rehabilitation (MGF, BN), machine learning and artificial intelligence (BN, KKQ), and ethics of advanced technologies (KKQ). The target audience for this article includes developers, manufacturers, and researchers of prosthetic devices and related technology. We present several ethical considerations for current advances in prosthetic technology, as well as topics for future research, that may inform product and policy decisions and positively influence the lives of those who can benefit from advances in prosthetic technology.

摘要

近年来,假肢技术取得了诸多进步,如触觉反馈、主动动力以及用于假肢控制的机器学习等,这些进步为功能改善、满意度提升以及整体生活质量的提高打开了新的大门。然而,围绕假肢技术的开发及其转化为临床实践的伦理考量却很少受到关注。本文基于当前文献,从作者作为假肢矫形师(HG、AM、CLM、MGF)的多学科视角,以及与假肢使用者直接合作的联合研究经验(AM、CLM、MGF)、康复用可穿戴技术(MGF、BN)、机器学习与人工智能(BN、KKQ)以及先进技术伦理(KKQ)等方面,呈现了有关伦理考量的观点。本文的目标受众包括假肢设备及相关技术的开发者、制造商和研究人员。我们针对当前假肢技术的进展提出了若干伦理考量以及未来研究的主题,这些考量和主题可能为产品和政策决策提供参考,并对那些能够从假肢技术进步中受益的人的生活产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52ef/10824968/80d0c6bab678/fresc-04-1335966-g001.jpg

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