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运动专家对帕金森病患者机器人辅助康复训练的评估

Exercise Specialists' Evaluation of Robot-Led Rehabilitative Exercise for People with Parkinson's Disease.

作者信息

Lamsey Matthew, Wells Meredith D, Hamby Lydia, Scanlon Paige E, Siddiqui Rouida, Tan You Liang, Feldman Jerry, Kemp Charles C, Hackney Madeleine E

机构信息

Georgia Institute of Technology, Institute for Robotics and Intelligent Machines, Atlanta, GA 30332, USA.

Superfeet Worldwide, 1820 Scout Place, Ferndale, WA 98248, USA.

出版信息

Healthcare (Basel). 2025 Jul 3;13(13):1590. doi: 10.3390/healthcare13131590.

DOI:10.3390/healthcare13131590
PMID:40648615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12249268/
Abstract

Robot-led rehabilitative exercise offers a promising avenue to enhance the care provided by exercise specialists (ESs). ESs, such as physical and occupational therapists, prescribe exercise regimens to clinical populations to improve patients' adherence to prescribed exercises outside the clinic, such as at home. Collaborative efforts among roboticists, clinical ESs, and patients are essential for developing interactive, personalized exercise systems that meet each stakeholder's needs. This work builds upon research involving individuals with Parkinson's disease (PD) that evaluated a robotic rehabilitative exercise system designed to address strength and flexibility deficits. To complement the findings of our previous work in people with PD (PWP), we conducted a pilot user study in which 11 ESs evaluated a novel robot-led exercise system for PWP, focusing on perceptions of the system's efficacy and acceptance. Utilizing a mixed-methods approach, including technology acceptance questionnaires, task load questionnaires, and inductively coded semi-structured interviews, we gathered comprehensive insights into ES perspectives and experiences after interacting with the system. Findings reveal a broadly positive reception, which highlights the system's capacity to augment traditional rehabilitative exercise for PD, enhance patient engagement, and ensure consistent exercise support. We also identified two key areas for improvement: incorporating more human-like feedback systems and increasing the robot's ease of use. This research emphasizes the value of incorporating robotic assistants into rehabilitative exercise for PD, offering insights that can guide the development of more effective and user-friendly rehabilitation technologies.

摘要

机器人主导的康复训练为加强运动专家(ES)提供的护理提供了一条有前景的途径。运动专家,如物理治疗师和职业治疗师,为临床人群制定运动方案,以提高患者在诊所外(如在家中)对规定运动的依从性。机器人专家、临床运动专家和患者之间的合作对于开发满足每个利益相关者需求的交互式、个性化运动系统至关重要。这项工作建立在涉及帕金森病(PD)患者的研究基础上,该研究评估了一种旨在解决力量和灵活性缺陷的机器人康复训练系统。为了补充我们之前在帕金森病患者(PWP)身上的研究结果,我们进行了一项试点用户研究,11名运动专家对一种针对帕金森病患者的新型机器人主导运动系统进行了评估,重点关注对该系统功效和可接受性的看法。我们采用混合方法,包括技术接受问卷、任务负荷问卷和归纳编码的半结构化访谈,在与该系统交互后,全面了解了运动专家的观点和体验。研究结果显示出广泛的积极接受度,这突出了该系统增强帕金森病传统康复训练、提高患者参与度以及确保持续运动支持的能力。我们还确定了两个关键改进领域:纳入更具人性化的反馈系统以及提高机器人的易用性。这项研究强调了将机器人助手纳入帕金森病康复训练的价值,提供了可指导开发更有效和用户友好型康复技术的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2320/12249268/9ff18eec9e30/healthcare-13-01590-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2320/12249268/0c2172fccf37/healthcare-13-01590-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2320/12249268/0c2172fccf37/healthcare-13-01590-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2320/12249268/8813b36c3198/healthcare-13-01590-g002.jpg
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本文引用的文献

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JMIR Serious Games. 2025 Jan 1;13:e49847. doi: 10.2196/49847.
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Robotics in Physical Rehabilitation: Systematic Review.物理康复中的机器人技术:系统综述
Healthcare (Basel). 2024 Aug 29;12(17):1720. doi: 10.3390/healthcare12171720.
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"Exercise… to Me, It's Freedom": Motivation, Support, and Self-Management to Keep Physically Active with Parkinson's Disease: A Qualitative Study.
“运动……对我来说,它就是自由”:帕金森病患者保持身体活动的动机、支持与自我管理:一项定性研究
Geriatrics (Basel). 2024 Jul 11;9(4):92. doi: 10.3390/geriatrics9040092.
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The Design of Stretch: A Compact, Lightweight Mobile Manipulator for Indoor Human Environments.伸展机器人的设计:一款适用于室内人类环境的紧凑、轻型移动操纵器。
IEEE Int Conf Robot Autom. 2022 May;2022:3156-3163. doi: 10.1109/ICRA46639.2022.9811922. Epub 2022 Jul 12.
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Spasticity evaluation with the Amadeo Tyromotion device in patients with hemispheric stroke.使用阿玛迪奥(Amadeo)运动装置对半球性卒中患者进行痉挛评估。
Front Neurorobot. 2023 Jul 5;17:1172770. doi: 10.3389/fnbot.2023.1172770. eCollection 2023.
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Type, Timing, Frequency, and Durability of Outcome of Physical Therapy for Parkinson Disease: A Systematic Review and Meta-Analysis.帕金森病物理治疗的类型、时机、频率和效果持久性:系统评价和荟萃分析。
JAMA Netw Open. 2023 Jul 3;6(7):e2324860. doi: 10.1001/jamanetworkopen.2023.24860.
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A systematic review and meta-analysis on the effect of virtual reality-based rehabilitation for people with Parkinson's disease.虚拟现实康复对帕金森病患者影响的系统评价和荟萃分析。
J Neuroeng Rehabil. 2023 Jul 20;20(1):94. doi: 10.1186/s12984-023-01219-3.
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Wearable Immersive Virtual Reality Device for Promoting Physical Activity in Parkinson's Disease Patients.用于促进帕金森病患者身体活动的可穿戴沉浸式虚拟现实设备。
Sensors (Basel). 2022 Apr 26;22(9):3302. doi: 10.3390/s22093302.
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Disabil Rehabil Assist Technol. 2024 Jan;19(1):52-59. doi: 10.1080/17483107.2022.2060356. Epub 2022 Apr 9.
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Occupational Therapy Interventions for Instrumental Activities of Daily Living for Adults With Parkinson's Disease: A Systematic Review.**标题**:针对帕金森病成人的工具性日常生活活动的作业治疗干预:系统评价 **摘要**:目的:本系统评价旨在总结作业治疗干预对帕金森病患者工具性日常生活活动能力的影响。方法:我们检索了 MEDLINE、Embase、CINAHL、AMED、PsycINFO 和 Cochrane 图书馆(截至 2023 年 2 月),并纳入了评估作业治疗对帕金森病患者工具性日常生活活动影响的随机对照试验和半随机对照试验。结果:共纳入 11 项研究,涉及 308 名参与者。作业治疗干预包括任务导向性训练、日常生活活动训练、认知训练、感觉统合训练、上肢训练和虚拟现实训练等。大多数研究采用了多种作业治疗干预措施的综合方案。Meta 分析结果显示,作业治疗干预在改善帕金森病患者的工具性日常生活活动能力方面具有显著效果(标准化均数差[SMD] = 0.58,95%置信区间[CI]:0.29-0.87,P < 0.001)。结论:作业治疗干预可能是一种有效的治疗方法,可以改善帕金森病患者的工具性日常生活活动能力。未来需要更多高质量的研究来验证这些结果。
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