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用于下肢假肢应用的触觉反馈系统:系统设计、用户体验及临床见解综述

Haptic Feedback Systems for Lower-Limb Prosthetic Applications: A Review of System Design, User Experience, and Clinical Insights.

作者信息

Karimi Mohammadmahdi, Yeganeh Nashmin, Makarov Ivan, Sverrisson Atli Örn, Gunnarsson Karl Fannar, Briem Kristín, Brynjólfsson Sigurður, Kristjánsson Árni, Unnthorsson Runar

机构信息

School of Engineering and Natural Sciences, University of Iceland, 102 Reykjavík, Iceland.

School of Health Sciences, University of Iceland, 102 Reykjavík, Iceland.

出版信息

Bioengineering (Basel). 2025 Sep 18;12(9):989. doi: 10.3390/bioengineering12090989.

DOI:10.3390/bioengineering12090989
PMID:41007234
Abstract

Systems presenting haptic information have emerged as an important technological advance in assisting individuals with sensory impairments or amputations, where the aim is to enhance sensory perception or provide sensory substitution through tactile feedback. These systems provide information on limb positioning, environmental interactions, and gait events, significantly improving mobility in amputees and their confidence about using such devices. This review summarizes recent progress in haptic feedback systems by providing a comparative analysis of different feedback approaches, evaluating their clinical effectiveness and usability, tactile feedback system design, and user experience, while identifying key gaps in the literature. These insights can contribute to the advancement of more effective, user-centered haptic feedback systems tailored for lower limb prosthetics. The findings are aimed at guiding future research in designing adaptive, intuitive, and clinically viable feedback mechanisms, fostering the widespread implementation of haptic systems in both assistive and rehabilitative applications.

摘要

呈现触觉信息的系统已成为协助感官受损或截肢者的一项重要技术进步,其目的是通过触觉反馈增强感官感知或提供感官替代。这些系统提供有关肢体位置、环境交互和步态事件的信息,显著提高截肢者的行动能力以及他们使用此类设备的信心。本综述通过对不同反馈方法进行比较分析、评估其临床有效性和可用性、触觉反馈系统设计以及用户体验,总结了触觉反馈系统的最新进展,同时找出文献中的关键差距。这些见解有助于推动为下肢假肢量身定制的更有效、以用户为中心的触觉反馈系统的发展。研究结果旨在指导未来设计适应性强、直观且临床上可行的反馈机制的研究,促进触觉系统在辅助和康复应用中的广泛实施。

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本文引用的文献

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Water Repellent Coating in Textile, Paper and Bioplastic Polymers: A Comprehensive Review.纺织品、纸张和生物塑料聚合物中的疏水涂层:综述
Polymers (Basel). 2024 Oct 1;16(19):2790. doi: 10.3390/polym16192790.
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Optimality of multisensory integration while compensating for uncertain visual target information with artificial vibrotactile cues during reach planning.在进行伸手规划时,利用人工振动触觉提示来补偿不确定的视觉目标信息,从而实现多感觉整合的最优化。
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A compact solution for vibrotactile proprioceptive feedback of wrist rotation and hand aperture.
一种紧凑的解决方案,用于提供手腕旋转和手部张开的振动触觉本体感觉反馈。
J Neuroeng Rehabil. 2024 Aug 13;21(1):142. doi: 10.1186/s12984-024-01420-y.
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Gait asymmetrical evaluation of lower limb amputees using wearable inertial sensors.使用可穿戴惯性传感器对下肢截肢者进行步态不对称评估。
Heliyon. 2024 May 31;10(12):e32207. doi: 10.1016/j.heliyon.2024.e32207. eCollection 2024 Jun 30.
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Vibrotactile spatial acuity on the back.背部振动触觉空间分辨率。
Perception. 2024 Sep;53(9):619-631. doi: 10.1177/03010066241258969. Epub 2024 Jun 11.
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Recent Advances in Biomimetics for the Development of Bio-Inspired Prosthetic Limbs.用于开发仿生假肢的生物仿生学最新进展。
Biomimetics (Basel). 2024 Apr 30;9(5):273. doi: 10.3390/biomimetics9050273.
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Advances in prosthetics and orthotics.假肢和矫形器的进展。
BMC Musculoskelet Disord. 2024 Feb 12;25(1):135. doi: 10.1186/s12891-024-07246-y.
8
The impact of walking on the perception of multichannel electrotactile stimulation in individuals with lower-limb amputation and able-bodied participants.下肢截肢者和健全参与者行走对多通道电触觉刺激感知的影响。
J Neuroeng Rehabil. 2023 Aug 17;20(1):108. doi: 10.1186/s12984-023-01234-4.
9
Transfemoral amputees adapt their gait during cross-slope walking with specific upper-lower limb coordination.股部截肢者在过斜路面行走时通过特定的上下肢协调来适应步态。
Gait Posture. 2023 Sep;105:171-176. doi: 10.1016/j.gaitpost.2023.08.001. Epub 2023 Aug 4.
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Absent loading response knee flexion: The impact on gait kinetics and centre of mass motion in individuals with unilateral transfemoral amputation, and the effect of microprocessor controlled knee provision.无负荷反应膝关节屈曲:对单侧股骨截肢者步态动力学和质心运动的影响,以及微处理器控制膝关节假体的作用。
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