Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke.
Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke.
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DOI：
10.1186/s12984-018-0418-3
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发表时间：
2018-08-14
影响因子：
5.1
通讯作者：
Johnson MJ
中科院分区：
文献类型：
--
作者：
Bui KD;Johnson MJ
越来越多的证据表明，艾滋病毒是中风的一个独立危险因素，导致世界各地同时感染艾滋病毒和中风的人群不断增加。然而，艾滋病毒中风人群的神经康复策略明显缺乏，这构成了一个巨大的全球健康挑战。为了解决这一差距，需要更好地了解艾滋病毒中风人群，以及为这一人群设计有效的神经康复策略的潜在方法。本文综述了中风和艾滋病神经损伤的机制、表现和治疗方案，艾滋病中风人群所带来的额外挑战，以及高资源和低资源领域的康复工程方法。这篇综述的目的是将HIV和中风的潜在神经学特性与康复工程联系起来。它回顾了目前已知的艾滋病毒和中风之间的关联，以及艾滋病毒中风人群目前治疗策略的差距。我们强调了相关的研究领域，可以帮助推进神经康复策略，特别是艾滋病毒中风人群。然后，我们将探讨如何将机器人辅助康复与基于社区的康复相结合，作为一种潜在的方法来应对艾滋病毒中风人群所带来的挑战。我们包括一些我们自己的工作，探索基于社区的机器人康复锻炼系统。最相关的战略将是那些不仅考虑到病人的个人状况，而且还考虑到他们各自环境的文化和经济因素的战略。
There is increasing evidence that HIV is an independent risk factor for stroke, resulting in an emerging population of people living with both HIV and stroke all over the world. However, neurorehabilitation strategies for the HIV-stroke population are distinctly lacking, which poses an enormous global health challenge. In order to address this gap, a better understanding of the HIV-stroke population is needed, as well as potential approaches to design effective neurorehabilitation strategies for this population. This review goes into the mechanisms, manifestations, and treatment options of neurologic injury in stroke and HIV, the additional challenges posed by the HIV-stroke population, and rehabilitation engineering approaches for both high and low resource areas. The aim of this review is to connect the underlying neurologic properties in both HIV and stroke to rehabilitation engineering. It reviews what is currently known about the association between HIV and stroke and gaps in current treatment strategies for the HIV-stroke population. We highlight relevant current areas of research that can help advance neurorehabilitation strategies specifically for the HIV-stroke population. We then explore how robot-assisted rehabilitation combined with community-based rehabilitation could be used as a potential approach to meet the challenges posed by the HIV-stroke population. We include some of our own work exploring a community-based robotic rehabilitation exercise system. The most relevant strategies will be ones that not only take into account the individual status of the patient but also the cultural and economic considerations of their respective environment.
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影响因子：
3.2
作者：
Becker, James T.;Sanders, Joanne;Madsen, Sarah K.;Ragin, Ann;Kingsley, Lawrence;Maruca, Victoria;Cohen, Bruce;Goodkin, Karl;Martin, Eileen;Miller, Eric N.;Sacktor, Ned;Alger, Jeffery R.;Barker, Peter B.;Saharan, Priyanka;Carmichael, Owen T.;Thompson, Paul M.
通讯作者：
Thompson, Paul M.
影响因子：
2
作者：
Boyd, LA;Winstein, CJ
通讯作者：
Winstein, CJ
DOI：
10.1016/j.jmr.2011.09.022
发表时间：
1996-06-01
期刊：
JOURNAL OF MAGNETIC RESONANCE SERIES B
影响因子：
--
作者：
Basser, PJ;Pierpaoli, C
通讯作者：
Pierpaoli, C
DOI：
10.1097/qai.0b013e318249db17
发表时间：
2012-04-15
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Ances BM;Ortega M;Vaida F;Heaps J;Paul R
通讯作者：
Paul R
影响因子：
9.9
作者：
Adams, HP;Davis, PH;Hansen, MD
通讯作者：
Hansen, MD