取得平衡:在神经康复中拥抱科技,同时坚持人文原则。

Neurorehabilitation and neural repair Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI:10.1177/15459683241265887
Hugo Ardaillon, Shams Ribault, Caroline Herault, Laure Pisella, Nicolas Lechopier, Karen T Reilly, Gilles Rode
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引用次数: 0

摘要

背景:以技术为重点的神经康复策略的快速发展为神经系统疾病患者、护理人员和医生带来了希望,同时也重塑了医疗实践和培训:我们借鉴 2021 年和 2024 年世界神经康复大会的讨论,批判性地审视了技术在神经康复中的影响。在承认技术价值的同时,我们也强调了其固有的局限性和伦理问题,尤其是在可能掩盖人文关怀方面。机器人、人工智能、神经调控和脑机接口等技术的融合提供了跨学科的解决方案,从而丰富了神经康复的内容。然而,在对缺陷的补偿、技术的可及性及其与护理基本原则的一致性之间的平衡方面,也出现了伦理方面的考虑。此外,文章还讨论了单纯依赖神经影像学数据的弊端,强调有必要更全面地了解康复中的个体差异和临床技能:文章从临床角度出发,主张采取现实的解决方案,优先考虑个人需求、生活质量和社会包容,而不是技术诱惑。文章强调了在回应期望时谦虚和诚实的重要性,同时强调了每个人经历的独特性。此外,文章还主张在技术进步的同时保留以人为本的方法,承认临床观察和人际互动在康复中的宝贵作用:最后,文章呼吁在神经康复中采取科学与人文视角相结合的平衡态度。文章强调了科学与人文之间的共生关系,主张以哲学问题来指导新技术的伦理实施,并促进跨学科对话。
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Striking the Balance: Embracing Technology While Upholding Humanistic Principles in Neurorehabilitation.

Background: The rapid advancement of technology-focused strategies in neurorehabilitation has brought optimism to individuals with neurological disorders, caregivers, and physicians while reshaping medical practice and training.

Objectives: We critically examine the implications of technology in neurorehabilitation, drawing on discussions from the 2021 and 2024 World Congress for NeuroRehabilitation. While acknowledging the value of technology, it highlights inherent limitations and ethical concerns, particularly regarding the potential overshadowing of humanistic approaches. The integration of technologies such as robotics, artificial intelligence, neuromodulation, and brain-computer interfaces enriches neurorehabilitation by offering interdisciplinary solutions. However, ethical considerations arise regarding the balance between compensation for deficits, accessibility of technologies, and their alignment with fundamental principles of care. Additionally, the pitfalls of relying solely on neuroimaging data are discussed, stressing the necessity for a more comprehensive understanding of individual variability and clinical skills in rehabilitation.

Results: From a clinical perspective, the article advocates for realistic solutions that prioritize individual needs, quality of life, and social inclusion over technological allure. It underscores the importance of modesty and honesty in responding to expectations while emphasizing the uniqueness of each individual's experience. Moreover, it argues for the preservation of human-centric approaches alongside technological advancements, recognizing the invaluable role of clinical observation and human interaction in rehabilitation.

Conclusion: Ultimately, the article calls for a balanced attitude that integrates both scientific and humanistic perspectives in neurorehabilitation. It highlights the symbiotic relationship between the sciences and humanities, advocating for philosophical questioning to guide the ethical implementation of new technologies and foster interdisciplinary dialogue.

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