当前上肢假肢的功能评估:一个综合的临床和技术视角
Patricia Capsi-Morales1, Cristina Piazza1, Lis Sjoberg2
1School of Computation, Information and Technology, Technische Universität München, Garching, Germany.
PloS one
|August 16, 2023
概括
生物上肢假肢由于功能和控制问题而面临高排斥率. 本研究使用肌电控制能力评估 (ACMC) 量化评估假肢在日常生活活动 (ADL) 中的性能.
科学领域:
- 生物医学工程 生物医学工程
- 康复技术 康复技术 康复技术
- 假肢手术 假肢手术是一门专业.
背景情况:
- 尽管技术进步,生物上肢假肢的拒绝率仍然很高.
- 目前的评估很大程度上依赖于主观问卷,缺乏定量绩效数据.
- 现有的假肢往往无法满足用户在功能,控制和舒适性方面的需求.
研究的目的:
- 量化评估上肢假肢的功能性能.
- 在日常生活活动 (ADL) 中比较不同的假肢技术.
- 确定当前设备的局限性,并为未来的假肢开发提供信息.
主要方法:
- 从Cybathlon动力手臂假肢比赛 (2016年和2020年) 的视频录像分析.
- 使用肌电控制能力评估 (ACMC) 进行功能评估.
- 在各种ADL启发的任务中评估了绩效.
主要成果:
- 商业上可获得的刚性手在灵巧的抓取中表现出色.
- 身体驱动的假肢在竞争环境中表现出卓越的可靠性和便利性.
- 手腕的设计和控制方式显著影响ADL的性能.
结论:
- 定量评估对于评估假肢有效性至关重要,超越主观报告.
- 未来的研究应该集中在直观的多自由度控制,适应性解决方案和感官反集成上.
- 优化每日生活和竞争使用的假肢设计需要进一步的研究.
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