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触觉技术:探索其未充分探索的临床应用——一项系统综述

Haptic Technology: Exploring Its Underexplored Clinical Applications-A Systematic Review.

作者信息

Pacheco-Barrios Kevin, Ortega-Márquez Jorge, Fregni Felipe

机构信息

Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA 02115, USA.

Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima 15023, Peru.

出版信息

Biomedicines. 2024 Dec 10;12(12):2802. doi: 10.3390/biomedicines12122802.

Abstract

BACKGROUND/OBJECTIVES: Haptic technology has transformed interactions between humans and both tangible and virtual environments. Despite its widespread adoption across various industries, the potential therapeutic applications of this technology have yet to be fully explored.

METHODS

A systematic review of randomized controlled trials (RCTs) and randomized crossover trials was conducted, utilizing databases such as PubMed, Embase, Cochrane Library, and Web of Science. This review included studies reporting clinical applications of haptic technology in rehabilitation, cognition, wellness, and mental health among adult subjects.

RESULTS

This systematic review included 34 studies, of which 20 focused on clinical outcomes and 14 on learning clinical skills. The results showed that haptic devices, both robotic and non-robotic, enhance sensorimotor performance and motor function in rehabilitation settings, especially in post-stroke recovery, with reported effect sizes ranging from 0.2 to 0.7. The majority of the haptic technologies reported were integrated into robotic systems (40%). Haptic devices were also reported to improve clinical skills training by providing tactile feedback that enhances procedural performance and trainee self-efficacy. In fact, surgical simulations accounted for 79% of all the modalities used for medical training.

CONCLUSIONS

This review underscores the potential yet underexplored applications of haptic technology in healthcare, including medical education, rehabilitation, cognition, and mental health. The key limitations of this review include heterogeneity across studies, small sample sizes, and a scarcity of comprehensive, long-term investigations. Therefore, future research should aim to validate these findings further and expand the applications of haptic technology to maximize its utility in the healthcare industry and clinical practice.

摘要

背景/目的:触觉技术改变了人类与实体环境和虚拟环境之间的交互方式。尽管该技术已在各个行业广泛应用,但其潜在的治疗应用尚未得到充分探索。

方法

利用PubMed、Embase、Cochrane图书馆和Web of Science等数据库,对随机对照试验(RCT)和随机交叉试验进行了系统评价。本评价纳入了报告触觉技术在成人康复、认知、健康和心理健康方面临床应用的研究。

结果

本系统评价纳入了34项研究,其中20项关注临床结果,14项关注临床技能学习。结果表明,机器人和非机器人触觉设备均可提高康复环境中的感觉运动性能和运动功能,尤其是在中风后恢复方面,报告的效应大小为0.2至0.7。报告的大多数触觉技术都集成到了机器人系统中(40%)。据报道,触觉设备还通过提供触觉反馈来提高临床技能培训,从而增强操作性能和学员的自我效能感。事实上,手术模拟占所有医学培训方式的79%。

结论

本评价强调了触觉技术在医疗保健领域(包括医学教育、康复、认知和心理健康)的潜在但尚未充分探索的应用。本评价的主要局限性包括研究之间的异质性、样本量小以及缺乏全面的长期调查。因此,未来的研究应旨在进一步验证这些发现,并扩大触觉技术的应用,以最大限度地提高其在医疗行业和临床实践中的效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/773a/11673350/ce19c3fc85e1/biomedicines-12-02802-g001.jpg

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