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临床医生对一种用于中风后偏瘫的新型可穿戴机器人手部矫形器的看法。

Clinician perceptions of a novel wearable robotic hand orthosis for post-stroke hemiparesis.

作者信息

Winterbottom Lauren, Chen Ava, Mendonca Rochelle, Nilsen Dawn M, Ciocarlie Matei, Stein Joel

机构信息

Department of Rehabilitation and Regenerative Medicine, Columbia University, New York, NY, USA.

Department of Mechanical Engineering, Columbia University, New York, NY, USA.

出版信息

Disabil Rehabil. 2025 Mar;47(6):1577-1586. doi: 10.1080/09638288.2024.2375056. Epub 2024 Jul 8.

Abstract

PURPOSE

Wearable robotic devices are currently being developed to improve upper limb function for individuals with hemiparesis after stroke. Incorporating the views of clinicians during the development of new technologies can help ensure that end products meet clinical needs and can be adopted for patient care.

METHODS

In this cross-sectional mixed-methods study, an anonymous online survey was used to gather clinicians' perceptions of a wearable robotic hand orthosis for post-stroke hemiparesis. Participants were asked about their clinical experience and provided feedback on the prototype device after viewing a video.

RESULTS

154 participants completed the survey. Only 18.8% had previous experience with robotic technology. The majority of participants (64.9%) reported that they would use the device for both rehabilitative and assistive purposes. Participants perceived that the device could be used in supervised clinical settings with all phases of stroke. Participants also indicated a need for insurance coverage and quick setup time.

CONCLUSIONS

Engaging clinicians early in the design process can help guide the development of wearable robotic devices. Both rehabilitative and assistive functions are valued by clinicians and should be considered during device development. Future research is needed to understand a broader set of stakeholders' perspectives on utility and design.

摘要

目的

目前正在研发可穿戴机器人设备,以改善中风后偏瘫患者的上肢功能。在新技术开发过程中纳入临床医生的意见有助于确保最终产品满足临床需求,并可用于患者护理。

方法

在这项横断面混合方法研究中,通过一项匿名在线调查收集临床医生对一种用于中风后偏瘫的可穿戴机器人手部矫形器的看法。参与者被问及他们的临床经验,并在观看一段视频后对该原型设备提供反馈。

结果

154名参与者完成了调查。只有18.8%的人以前有过机器人技术方面的经验。大多数参与者(64.9%)报告称,他们会将该设备用于康复和辅助目的。参与者认为该设备可在中风各阶段的有监督的临床环境中使用。参与者还表示需要保险覆盖和快速设置时间。

结论

在设计过程早期让临床医生参与有助于指导可穿戴机器人设备的开发。临床医生重视康复和辅助功能,在设备开发过程中应予以考虑。需要开展进一步研究,以了解更广泛的利益相关者对实用性和设计的看法。

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