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辅助软体机器人在手功能障碍患者康复中的应用:系统评价。

The usefulness of assistive soft robotics in the rehabilitation of patients with hand impairment: A systematic review.

机构信息

Rehabilitation Research Center, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran.

Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

J Bodyw Mov Ther. 2024 Jul;39:398-409. doi: 10.1016/j.jbmt.2024.02.025. Epub 2024 Mar 11.


DOI:10.1016/j.jbmt.2024.02.025
PMID:38876658
Abstract

INTRODUCTION: Loss of hand function causes severe limitations in activity in daily living. The hand-soft robot is one of the methods that has recently been growing to increase the patient's independence. The purpose of the present systematic review was to provide a classification, a comparison, and a design overview of mechanisms and the efficacy of the soft hand robots to help researchers approach this field. METHODS: The literature research regarding such tools was conducted in PubMed, Google Scholar, Science Direct, and Cochrane Central Register for Controlled Trials. We included peer-reviewed studies that considered a soft robot glove as an assistive device to provide function. The two investigators screened the titles and abstracts, then independently reviewed the full-text articles. Disagreements about inclusion were resolved by consensus or a third reviewer. RESULTS: A total of 15 articles were identified, describing 210 participants (23 healthy subjects). The tools were in three categories according to their actuation type (pneumatic system, cable-driven, another design). The most critical outcomes in studies included functional tasks (fourteen studies), grip strength (four studies), range of motion (ROM) (five studies), and user satisfaction (five studies). DISCUSSION: Function and grip parameters are the most common critical parameters for tests of hand robots. Cable-driven transmission and soft pneumatic actuators are the most common choices for the actuation unit. Radder et al. study had the highest grade from other studies. That was the only RCT among studies. CONCLUSION: Although few soft robotic gloves can be considered ready to reach the market, it seems these tools have the potential to be practical for people with a disability. But, we lack consistent evidence of comparing two or more soft robot gloves on the hand functions. Future research needs to assess the effect of soft robotic gloves on people with hand disorders with more populations.

摘要

简介:手部功能丧失会导致日常生活活动严重受限。手部软机器人是最近发展起来的一种方法,可以提高患者的独立性。本系统评价的目的是提供软手机器人的机制和功效的分类、比较和设计概述,以帮助研究人员进入这一领域。

方法:我们在 PubMed、Google Scholar、Science Direct 和 Cochrane 对照试验中心注册库中进行了关于此类工具的文献研究。我们纳入了考虑软机器人手套作为辅助设备提供功能的同行评议研究。两名调查员筛选了标题和摘要,然后独立审查了全文文章。对纳入的分歧通过共识或第三名评审员解决。

结果:共确定了 15 篇文章,描述了 210 名参与者(23 名健康受试者)。根据其致动类型,这些工具分为三类(气动系统、电缆驱动、另一种设计)。研究中最关键的结果包括功能任务(十四项研究)、握力(四项研究)、运动范围(ROM)(五项研究)和用户满意度(五项研究)。

讨论:功能和握力参数是手部机器人测试的最常见关键参数。电缆驱动传输和软气动执行器是致动单元的最常见选择。Radder 等人的研究在其他研究中得分最高。这是研究中唯一的 RCT。

结论:尽管少数软机器人手套可以被认为已经准备好进入市场,但这些工具似乎有潜力为残疾人士提供实用性。但是,我们缺乏比较两种或更多软机器人手套对手部功能影响的一致性证据。未来的研究需要评估软机器人手套对更多人群手部障碍患者的影响。

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