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用于多发性硬化症上肢康复的机器人系统:SWOT分析以及与虚拟和增强环境的协同作用

Robotic systems for upper-limb rehabilitation in multiple sclerosis: a SWOT analysis and the synergies with virtual and augmented environments.

作者信息

Albanese Giulia A, Bucchieri Anna, Podda Jessica, Tacchino Andrea, Buccelli Stefano, De Momi Elena, Laffranchi Matteo, Mannella Kailynn, Holmes Michael W R, Zenzeri Jacopo, De Michieli Lorenzo, Brichetto Giampaolo, Barresi Giacinto

机构信息

ReWing s.r.l., Milan, Italy.

Rehab Technologies Lab, Istituto Italiano di Tecnologia, Genoa, Italy.

出版信息

Front Robot AI. 2024 Feb 27;11:1335147. doi: 10.3389/frobt.2024.1335147. eCollection 2024.

DOI:10.3389/frobt.2024.1335147
PMID:38638271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11025362/
Abstract

The robotics discipline is exploring precise and versatile solutions for upper-limb rehabilitation in Multiple Sclerosis (MS). People with MS can greatly benefit from robotic systems to help combat the complexities of this disease, which can impair the ability to perform activities of daily living (ADLs). In order to present the potential and the limitations of smart mechatronic devices in the mentioned clinical domain, this review is structured to propose a concise SWOT (Strengths, Weaknesses, Opportunities, and Threats) Analysis of robotic rehabilitation in MS. Through the SWOT Analysis, a method mostly adopted in business management, this paper addresses both internal and external factors that can promote or hinder the adoption of upper-limb rehabilitation robots in MS. Subsequently, it discusses how the synergy with another category of interaction technologies - the systems underlying virtual and augmented environments - may empower Strengths, overcome Weaknesses, expand Opportunities, and handle Threats in rehabilitation robotics for MS. The impactful adaptability of these digital settings (extensively used in rehabilitation for MS, even to approach ADL-like tasks in safe simulated contexts) is the main reason for presenting this approach to face the critical issues of the aforementioned SWOT Analysis. This methodological proposal aims at paving the way for devising further synergistic strategies based on the integration of medical robotic devices with other promising technologies to help upper-limb functional recovery in MS.

摘要

机器人技术学科正在探索针对多发性硬化症(MS)上肢康复的精确且通用的解决方案。MS患者可从机器人系统中大大受益,以帮助应对这种疾病的复杂性,因为该疾病会损害进行日常生活活动(ADL)的能力。为了阐述智能机电一体化设备在上述临床领域中的潜力和局限性,本综述旨在对MS中的机器人康复进行简要的SWOT(优势、劣势、机会和威胁)分析。通过SWOT分析(一种在商业管理中广泛采用的方法),本文探讨了可能促进或阻碍MS中采用上肢康复机器人的内部和外部因素。随后,讨论了与另一类交互技术(虚拟和增强环境的基础系统)的协同作用如何增强优势、克服劣势、拓展机会并应对MS康复机器人技术中的威胁。这些数字环境(在MS康复中广泛使用,甚至用于在安全模拟环境中处理类似ADL的任务)具有影响力的适应性是提出这种方法以应对上述SWOT分析关键问题的主要原因。该方法建议旨在为基于医疗机器人设备与其他有前景的技术集成来设计进一步的协同策略铺平道路,以帮助MS患者实现上肢功能恢复。

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本文引用的文献

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The Effect of Feedback Modality When Learning a Novel Wrist Sensorimotor Transformation Through a Body-Machine Interface.通过人机接口学习新型腕部传感器运动转换时反馈方式的影响。
IEEE Int Conf Rehabil Robot. 2023 Sep;2023:1-6. doi: 10.1109/ICORR58425.2023.10304784.
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Visual Cues for a Steadier You: Visual Feedback Methods Improved Standing Balance in Virtual Reality for People with Balance Impairments.视觉提示让你站得更稳:虚拟现实中的视觉反馈方法改善了平衡障碍患者的站立平衡。
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Standard versus innovative robotic balance assessment for people with multiple sclerosis: a correlational study.
常规与创新型机器人平衡评估在多发性硬化症患者中的相关性研究。
Eur J Med Res. 2023 Jul 26;28(1):254. doi: 10.1186/s40001-023-01223-2.
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An Immersive Virtual Kitchen Training System for People with Multiple Sclerosis: A Development and Validation Study.一种用于多发性硬化症患者的沉浸式虚拟厨房训练系统:一项开发与验证研究。
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Rehabilitation treatment of multiple sclerosis.多发性硬化症的康复治疗。
Front Immunol. 2023 Apr 6;14:1168821. doi: 10.3389/fimmu.2023.1168821. eCollection 2023.
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A virtual reality program to assess cognitive function in multiple sclerosis: A pilot study.一项评估多发性硬化症认知功能的虚拟现实程序:一项试点研究。
Front Hum Neurosci. 2023 Mar 16;17:1139316. doi: 10.3389/fnhum.2023.1139316. eCollection 2023.
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