Erika Pinelli, Raffaele Zinno, Giuseppe Barone, Laura Bragonzoni
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引用次数: 0
Abstract
Purpose: Exoskeleton can assist individuals with spinal cord injuries (SCI) with simple movements and transform their lives by enhancing strength and mobility. Nonetheless, the current utilization outside of rehabilitation contexts is limited. To promote the widespread adoption of exoskeletons, it is crucial to consider the acceptance of these devices for both rehabilitation and functional purposes. This systematic review aims to identify the barriers or facilitators of the use of lower limbs exoskeletons, thereby providing strategies to improve interventions and increase the adoption of these devices.
Methods: A comprehensive search was conducted in EMBASE, Web of Science, Scopus, Cochrane, and PubMed. Studies reporting barriers and facilitators of exoskeleton use were included. The studies' quality was assessed using the Mixed Methods Appraisal Tool and undertook a thematic content analysis for papers examining the barriers and facilitators.
Results: Fifteen articles met the inclusion criteria. These revealed various factors that impact the utilization of exoskeletons. Factors like age, engagement in an active lifestyle, and motivation were identified as facilitators, while fear of falling and unfulfilled expectations were recognized as barriers. Physical aspects such as fatigue, neuropathic discomfort, and specific health conditions were found to be barriers.
Conclusion: This systematic review provides a comprehensive overview of the barriers and facilitators to the use of exoskeleton technology. There are therefore still challenges to be faced, efforts must be made to improve its design, functionality, and accessibility. By addressing these barriers, exoskeletons can significantly improve the quality of life of people with SCI.
目的:外骨骼可以帮助脊髓损伤(SCI)患者进行简单的运动,并通过增强力量和活动能力来改变他们的生活。尽管如此,目前在康复环境之外的利用是有限的。为了促进外骨骼的广泛采用,考虑这些设备的康复和功能目的的接受是至关重要的。本系统综述旨在确定使用下肢外骨骼的障碍或促进因素,从而提供改进干预措施和增加这些设备采用的策略。方法:在EMBASE、Web of Science、Scopus、Cochrane、PubMed等数据库中进行综合检索。研究报告了外骨骼使用的障碍和促进因素。使用混合方法评估工具评估了研究的质量,并对研究障碍和促进因素的论文进行了专题内容分析。结果:15篇文章符合纳入标准。这些揭示了影响外骨骼利用的各种因素。年龄、积极的生活方式和动力等因素被认为是促进因素,而害怕跌倒和未实现的期望被认为是障碍。身体方面,如疲劳、神经性不适和特定的健康状况被发现是障碍。结论:本文系统综述了外骨骼技术应用的障碍和促进因素。因此,仍有挑战需要面对,必须努力改进其设计、功能和可访问性。通过解决这些障碍,外骨骼可以显著改善脊髓损伤患者的生活质量。