身体供电型上肢假肢和肌电型上肢假肢的优势对比透视。

IF 5.2 2区 医学 Q1 ENGINEERING, BIOMEDICAL Journal of NeuroEngineering and Rehabilitation Pub Date : 2024-08-08 DOI:10.1186/s12984-024-01436-4
Susannah M Engdahl, Michael A Gonzalez, Christina Lee, Deanna H Gates
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引用次数: 0

摘要

背景:在美国,患者在使用体外动力和肌电上肢假肢时往往受到医疗保健系统的限制,该系统根据成本和感知价值确定假肢处方的优先次序。虽然这一体系的基本假设是,这些假肢之间的设计差异会导致每种假肢的相对优缺点,但支持这一观点的经验证据却很有限:这篇评论文章将回顾我们的研究团队进行的一系列研究,目的是区分假肢设计如何影响用户在各种相互关联领域的表现。我们的核心假设是,身体供电假肢和肌电假肢的设计和驱动方法可能会影响使用者在计划动作时获取感觉反馈和考虑设备特性的能力。因此,依赖于这些能力的其他领域也可能受到影响。虽然我们的研究表明,根据假肢设计,感觉反馈的可用性存在一些差异,但这并没有导致假肢体现、运动准确性、运动质量和整体运动模式的一致差异:总之,我们的研究结果表明,使用者的表现并不一定取决于假肢的设计,使用者可以根据具体情况成功使用任何一种假肢。处方实践应更多地考虑个人需求和偏好,而不是成本或假体设计。不过,我们也承认,目前仍缺乏可供决策参考的证据,扩大该领域的研究重点将大有裨益。
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Perspectives on the comparative benefits of body-powered and myoelectric upper limb prostheses.

Background: Patient access to body-powered and myoelectric upper limb prostheses in the United States is often restricted by a healthcare system that prioritizes prosthesis prescription based on cost and perceived value. Although this system operates on an underlying assumption that design differences between these prostheses leads to relative advantages and disadvantages of each device, there is limited empirical evidence to support this view.

Main text: This commentary article will review a series of studies conducted by our research team with the goal of differentiating how prosthesis design might impact user performance on a variety of interrelated domains. Our central hypothesis is that the design and actuation method of body-powered and myoelectric prostheses might affect users' ability to access sensory feedback and account for device properties when planning movements. Accordingly, other domains that depend on these abilities may also be affected. While our work demonstrated some differences in availability of sensory feedback based on prosthesis design, this did not result in consistent differences in prosthesis embodiment, movement accuracy, movement quality, and overall kinematic patterns.

Conclusion: Collectively, our findings suggest that performance may not necessarily depend on prosthesis design, allowing users to be successful with either device type depending on the circumstances. Prescription practices should rely more on individual needs and preferences than cost or prosthesis design. However, we acknowledge that there remains a dearth of evidence to inform decision-making and that an expanded research focus in this area will be beneficial.

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来源期刊
Journal of NeuroEngineering and Rehabilitation
Journal of NeuroEngineering and Rehabilitation 工程技术-工程:生物医学
CiteScore
9.60
自引率
3.90%
发文量
122
审稿时长
24 months
期刊介绍: Journal of NeuroEngineering and Rehabilitation considers manuscripts on all aspects of research that result from cross-fertilization of the fields of neuroscience, biomedical engineering, and physical medicine & rehabilitation.
期刊最新文献
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