Seamone W, Schmeisser G
J Rehabil Res Dev. 1985 Jan;22(1):38-57.
In Part I, "Developmental Case Study", this evaluation traces anecdotally the increasing application of microcomputer technology in a research program examining the uses of a robot arm in the rehabilitation of the high-spinal-cord-injured person. This program, supported by the Veterans Administration since 1974, built upon still earlier VA-supported work at Johns Hopkins on powered upper-limb prostheses. The Johns Hopkins University powered shoulder prosthesis served as the basis for the Robotic Arm/Worktable System, whose evolution is described in applications ranging from handling simple reading materials to self-feeding and the operation of a personal computer, all under the user's control through the same chin control interface employed for the control of the user's power wheelchair. Part II of this report focuses on the results of clinical evaluation in the development of the system. In the early stages of development, evaluation was provided by four subjects who used the system regularly for periods ranging from 4 months to a year. A later stage of evaluation featured a total of 16 subjects located in two VA Medical Centers, using the system for periods of from a few days to 4 months in duration. The VA's new Rehab R&D Evaluation Unit has begun an intensive evaluation process based upon 25 of the Robotic Arm/Worktable Systems currently on order.
在第一部分“发展案例研究”中，本评估以轶事的方式追溯了微型计算机技术在一项研究项目中的应用不断增加的情况，该项目研究了机器人手臂在高位脊髓损伤患者康复中的应用。该项目自1974年以来一直得到退伍军人管理局的支持，它建立在退伍军人管理局早期在约翰霍普金斯大学支持的关于动力上肢假肢的工作基础之上。约翰霍普金斯大学的动力肩部假肢是机器人手臂/工作台系统的基础，其发展历程体现在从处理简单阅读材料到自我进食以及操作个人电脑等各种应用中，所有这些操作都由用户通过用于控制其电动轮椅的相同下巴控制界面进行控制。本报告的第二部分重点关注该系统开发过程中的临床评估结果。在开发的早期阶段，由四名受试者进行评估，他们定期使用该系统，使用时间从4个月到一年不等。后期评估共有16名受试者，分布在两个退伍军人管理局医疗中心，使用该系统的时间从几天到4个月不等。退伍军人管理局新的康复研发评估部门已开始基于目前已订购的25套机器人手臂/工作台系统展开深入评估过程。
