A 3D printing approach toward targeted intervention in telerehabilitation
A 3D printing approach toward targeted intervention in telerehabilitation
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DOI：
10.1038/s41598-020-59927-y
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发表时间：
2020-02-28
影响因子：
4.6
通讯作者：
Porfiri, Maurizio
中科院分区：
文献类型：
--
作者：
Ventura, Roni Barak;Rizzo, Alessandro;Porfiri, Maurizio
神经肌肉损伤需要坚持康复方案，以最大限度地恢复运动功能。消费级游戏控制器已经成为一种可行的手段，可以将监督物理治疗传递到患者家中，从而增加他们获得医疗保健的机会。这些控制器允许患者经常进行锻炼，并改善其康复效果。然而，游戏控制器的非通用设计针对健康人，并不总是适应残疾人。因此，许多患者在采取某些手部姿势和正确地进行规定的锻炼时遇到相当大的困难。在这里，我们探讨了通过3D打印方法改善康复结果的可行性，该方法可以增强家庭治疗中的现成游戏控制器。具体来说，定制附件是3D打印的，用于介导精细运动康复的商业触觉设备。在一项实验研究中，25名健康受试者进行了导航任务，改装附件和没有它，同时模拟上肢残疾。当使用附件时，受试者扩大了他们的手腕运动范围，但保持了他们的补偿水平。受试者还表现出更高的动力使用增强型设备重复锻炼。研究结果为这种方法在将游戏控制器转变为家庭治疗中的有针对性的干预措施方面的潜力提供了证据。
Neuromuscular impairment requires adherence to a rehabilitation regimen for maximum recovery of motor function. Consumer-grade game controllers have emerged as a viable means to relay supervised physical therapy to patients' homes, thereby increasing their accessibility to healthcare. These controllers allow patients to perform exercise frequently and improve their rehabilitation outcomes. However, the non-universal design of game controllers targets healthy people and does not always accommodate people with disability. Consequently, many patients experience considerable difficulty assuming certain hand postures and performing the prescribed exercise correctly. Here, we explore the feasibility of improving rehabilitation outcomes through a 3D printing approach that enhances off-the-shelf game controllers in home therapy. Specifically, a custom attachment was 3D printed for a commercial haptic device that mediates fine motor rehabilitation. In an experimental study, 25 healthy subjects performed a navigation task, with the retrofit attachment and without it, while simulating disability of the upper limb. When using the attachment, subjects extended their wrist range of motion, yet maintained their level of compensation. The subjects also showed higher motivation to repeat the exercise with the enhanced device. The results bring forward evidence for the potential of this approach in transforming game controllers toward targeted interventions in home therapy.