Virtual Reality and Robotics for Stroke Rehabilitation: Where Do We Go from Here?
Virtual Reality and Robotics for Stroke Rehabilitation: Where Do We Go from Here?
复制标题
DOI：
10.1310/tsr1806-685
复制
发表时间：
2011-11-01
影响因子：
2.2
通讯作者：
Winstein, Carolee J.
中科院分区：
文献类型：
--
作者：
Wade, Eric;Winstein, Carolee J.
促进中风后的功能恢复需要合作和创新的神经康复研究方法。以任务为导向的培训(TOT)方法包括具有挑战性、适应性和有意义的活动，已在几个大规模的多地点最终试验中取得了成功。这一点，加上最近虚拟现实和机器人技术的进步，为进一步开展神经康复的临床研究提供了一个肥沃的环境。虚拟现实和机器人技术都利用多模式感官界面来影响人类的行为。在治疗环境中，这些系统可以用来定量地监测、操纵和增强用户与其环境的互动，以促进功能恢复。本文描述了虚拟现实和机器人技术的最新进展，以及与最佳临床实践的协同作用。此外，我们还描述了自动化评估和基于家庭活动的干预措施所显示的前景。最后，我们提出了一种更广泛的方法，以确保基于技术的评估和干预补充基于证据的实践，并保持以患者为中心的观点。
Promoting functional recovery after stroke requires collaborative and innovative approaches to neurorehabilitation research. Task-oriented training (TOT) approaches that include challenging, adaptable, and meaningful activities have led to successful outcomes in several large-scale multisite definitive trials. This, along with recent technological advances of virtual reality and robotics, provides a fertile environment for furthering clinical research in neurorehabilitation. Both virtual reality and robotics make use of multimodal sensory interfaces to affect human behavior. In the therapeutic setting, these systems can be used to quantitatively monitor, manipulate, and augment the users' interaction with their environment, with the goal of promoting functional recovery. This article describes recent advances in virtual reality and robotics and the synergy with best clinical practice. Additionally, we describe the promise shown for automated assessments and in-home activity-based interventions. Finally, we propose a broader approach to ensuring that technology-based assessment and intervention complement evidence-based practice and maintain a patient-centered perspective.