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Upper limbs’ assistive devices for stroke rehabilitation: a systematic review on design engineering solutions
Journal of the Brazilian Society of Mechanical Sciences and Engineering ( IF 1.8 ) Pub Date : 2021-04-02 , DOI: 10.1007/s40430-021-02919-4
I. M. Barbosa , P. R. Alves , Z. C. Silveira

This paper presents a systematic review focused on different mechanical design configurations (purely mechanical and mechatronic-assistive devices) used specifically to post-stroke rehabilitation and therapeutics activities. The process of synthesis of the 17 paper more relevant indicated the main tests prescribed and used for therapeutic and rehabilitation activities poststroke. During the review process, it was observed that there is no clear to choice of design configuration assistive device in a multidiscipline domain, specifically for upper limbs. There was no identification of papers that presented a comparative study of performance in rehabilitation treatment using mechanical and mechatronic robotic devices. The systematic review indicated that there are no significant differences between DT and CT, showing similar performances in rehabilitation therapies. The Fugl–Meyer assessment was the main outcome measure used in the rehabilitation treatments. All outcome measures presented in the studies were analyzed individually. The synthesis process presented in this paper indicated similar results between purely mechanical and mechatronic robotic assistive devices on the performance measures during the rehabilitation process in post-stroke patients. The similarity between performance of the purely mechanical and mechatronic-assistive devices for rehabilitation and therapeutic treatments reinforces the importance of the design for assistive technology in order to focus on ease of use, security, reliability, ergonomics and possibility of home use.



中文翻译:

上肢中风康复辅助设备:对设计工程解决方案的系统评价

本文提供了针对不同的机械设计配置(纯机械和机电辅助设备)的系统综述,这些配置专门用于中风后康复和治疗活动。涉及程度更高的17篇论文的合成过程表明了中风后治疗和康复活动所规定和使用的主要测试方法。在审查过程中,观察到在多学科领域,特别是对于上肢,尚无明确选择设计配置辅助设备的信息。尚无文献对使用机械和机电一体化机器人进行康复治疗的性能进行比较研究。系统评价表明,DT和CT之间没有显着差异,在康复治疗中表现出相似的表现。Fugl-Meyer评估是康复治疗中使用的主要结局指标。研究中提出的所有结局指标均进行了单独分析。本文提出的合成过程表明,在卒中后患者康复过程中,纯机械和机电一体化机器人辅助设备在性能指标上的结果相似。纯机械和机电辅助设备在康复和治疗方面的性能相似性,进一步增强了辅助技术设计的重要性,以侧重于易用性,安全性,可靠性,人体工程学和家庭使用的可能性。Fugl-Meyer评估是康复治疗中使用的主要结局指标。研究中提出的所有结局指标均进行了单独分析。本文提出的合成过程表明,在卒中后患者康复过程中,纯机械和机电一体化机器人辅助设备在性能指标上的结果相似。纯机械和机电辅助设备在康复和治疗方面的性能相似性,进一步增强了辅助技术设计的重要性,以侧重于易用性,安全性,可靠性,人体工程学和家庭使用的可能性。Fugl-Meyer评估是康复治疗中使用的主要结局指标。研究中提出的所有结局指标均进行了单独分析。本文提出的合成过程表明,在卒中后患者康复过程中,纯机械和机电一体化机器人辅助设备在性能指标上的结果相似。纯机械和机电辅助设备在康复和治疗方面的性能相似性,进一步增强了辅助技术设计的重要性,以侧重于易用性,安全性,可靠性,人体工程学和家庭使用的可能性。本文提出的合成过程表明,在卒中后患者康复过程中,纯机械和机电一体化机器人辅助设备在性能指标上的结果相似。用于康复和治疗的纯机械和机电辅助设备的性能之间的相似性增强了辅助技术设计的重要性,以便侧重于易用性,安全性,可靠性,人体工程学和家庭使用的可能性。本文提出的合成过程表明,在卒中后患者康复过程中,纯机械和机电一体化机器人辅助设备在性能指标上的结果相似。纯机械和机电辅助设备在康复和治疗方面的性能相似性,进一步增强了辅助技术设计的重要性,以侧重于易用性,安全性,可靠性,人体工程学和家庭使用的可能性。

更新日期:2021-04-04
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