Soft robotic devices for hand rehabilitation and assistance: a narrative review.
Soft robotic devices for hand rehabilitation and assistance: a narrative review.
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DOI：
10.1186/s12984-018-0350-6
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发表时间：
2018-02-17
影响因子：
5.1
通讯作者：
Patterson RM
中科院分区：
文献类型：
--
作者：
Chu CY;Patterson RM
许多神经疾病对手功能的削弱作用促使了旨在恢复这些患者手功能的康复机器人设备的开发。为了克服以前传统机器人的缺点，软机器人因其固有的安全性、不那么复杂的设计以及更大的便携性和有效性而迅速成为一种替代方案。虽然有几个小组已经开始设计设备，但很少有设备取得足够的进展，为他们的设计的治疗能力提供临床证据。因此，对以前尝试的设备进行全球审查可能有助于开发新的和改进的设备，以便下一步获得软机器人对手功能障碍的康复效果的临床证据。在SportDiscus、Pubmed、Scopus和Web of Science中进行文献搜索，以查找与手部康复的软机器人设备的设计相关的文章。制定了设备关键设计要素的框架，以便于比较各种制造设备的方法。该框架包括对可移植性、安全特性、用户意图检测方法、致动系统、总自由度、独立致动器数量、设备重量、评估指标和康复模式等方面的趋势进行分析。在这项研究中，根据我们开发的框架来比较不同的设计方面，总共识别和总结了代表44个独特设备的62篇文章。到目前为止，最常见的设备类型是使用气动致动器来引导手指屈曲/伸展。然而，我们的框架元素的其余部分产生了更多不同的结果。因此，总结了这些结果，并强调了许多设计选择的优点和缺点及其理由。在过去的3年里，用于手康复应用的软机器人设备的开发迅速增长。这些主要是临床前研究的原型展示了广泛的技术解决方案，这些解决方案在本分析中开发的框架中得到了强调。为了使这些设备进入临床试验，还需要在执行器的设计、安全性和实施方面做更多的工作。我们的目标是，这项审查将指导未来的开发人员通过各种设计考虑，以便为手损伤患者开发更好的设备。
The debilitating effects on hand function from a number of a neurologic disorders has given rise to the development of rehabilitative robotic devices aimed at restoring hand function in these patients. To combat the shortcomings of previous traditional robotics, soft robotics are rapidly emerging as an alternative due to their inherent safety, less complex designs, and increased potential for portability and efficacy. While several groups have begun designing devices, there are few devices that have progressed enough to provide clinical evidence of their design’s therapeutic abilities. Therefore, a global review of devices that have been previously attempted could facilitate the development of new and improved devices in the next step towards obtaining clinical proof of the rehabilitative effects of soft robotics in hand dysfunction. A literature search was performed in SportDiscus, Pubmed, Scopus, and Web of Science for articles related to the design of soft robotic devices for hand rehabilitation. A framework of the key design elements of the devices was developed to ease the comparison of the various approaches to building them. This framework includes an analysis of the trends in portability, safety features, user intent detection methods, actuation systems, total DOF, number of independent actuators, device weight, evaluation metrics, and modes of rehabilitation. In this study, a total of 62 articles representing 44 unique devices were identified and summarized according to the framework we developed to compare different design aspects. By far, the most common type of device was that which used a pneumatic actuator to guide finger flexion/extension. However, the remainder of our framework elements yielded more heterogeneous results. Consequently, those results are summarized and the advantages and disadvantages of many design choices as well as their rationales were highlighted. The past 3 years has seen a rapid increase in the development of soft robotic devices for hand rehabilitative applications. These mostly preclinical research prototypes display a wide range of technical solutions which have been highlighted in the framework developed in this analysis. More work needs to be done in actuator design, safety, and implementation in order for these devices to progress to clinical trials. It is our goal that this review will guide future developers through the various design considerations in order to develop better devices for patients with hand impairments.
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DOI：
10.1109/tnsre.2010.2047588
发表时间：
2010-10-01
影响因子：
4.9
作者：
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影响因子：
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影响因子：
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DOI：
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发表时间：
2013-06-01
期刊：
IEEE ... International Conference on Rehabilitation Robotics : [proceedings]
影响因子：
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作者：
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通讯作者：
Fischer, Gregory S