Journal of Rehabilitation and Assistive Technologies Engineering最新文献

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Development of an adaptive spine board overlay for interface pressure reduction during long-range aeromedical evacuation: Implication for pressure injury prevention. 远程航空医疗后送过程中用于界面减压的自适应脊柱板覆盖层的发展:对压力损伤预防的意义。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251349108
Veysel Erel, Allison Palomino, Alexandra Jamieson, Inderjeet Singh, Saurav Kumar, Yi-Ting Tzen, Muthu B J Wijesundara
{"title":"Development of an adaptive spine board overlay for interface pressure reduction during long-range aeromedical evacuation: Implication for pressure injury prevention.","authors":"Veysel Erel, Allison Palomino, Alexandra Jamieson, Inderjeet Singh, Saurav Kumar, Yi-Ting Tzen, Muthu B J Wijesundara","doi":"10.1177/20556683251349108","DOIUrl":"10.1177/20556683251349108","url":null,"abstract":"<p><p><b>Introduction:</b> Prolonged immobilization during long-range aeromedical evacuation (LAE) is vital for stabilizing patients with spinal fractures, spinal cord injuries, and traumatic brain injuries. However, pressure injuries are a significant risk during long periods of immobilization, as continuous high pressure on soft tissues can lead to ulceration. This paper introduces a novel adaptive spine board (ASB) overlay, an air-cell-based support surface, designed to optimize interface pressure redistribution during LAE. <b>Methods:</b> The ASB overlay was developed, tested, and compared with currently available MedEvac Litter and warrior evacuation litter pad (WELP) in terms of immersion and interface pressure. Furthermore, a pressure-maintaining algorithm was tested to ensure that the pressure within the air cells remains constant, regardless of environmental effects due to climate and elevation changes. <b>Results:</b> The American National Standard for Support Surfaces immersion test showed the ASB overlay achieved 10 mm more immersion than the WELP. The interface pressures for all regions of the ASB overlay were lower than those seen in the litter and the WELP, with values remaining below 40 mmHg. <b>Conclusions:</b> These results demonstrated that the ASB overlay can reduce more interface pressure compared to commercial support surfaces while maintaining set air cell pressure under varying pressure and temperature conditions.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251349108"},"PeriodicalIF":2.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Design, development, and evaluation of a pneumatically actuated soft wearable robotic elbow exoskeleton for reducing muscle activity and perceived workload. 用于减少肌肉活动和感知工作量的气动驱动柔性可穿戴机器人肘部外骨骼的设计、开发和评估。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251347517
Eshwara Prasad Sridhar, Veysel Erel, Aida Nasirian, Muthu B J Wijesundara, Mahmudur Rahman
{"title":"Design, development, and evaluation of a pneumatically actuated soft wearable robotic elbow exoskeleton for reducing muscle activity and perceived workload.","authors":"Eshwara Prasad Sridhar, Veysel Erel, Aida Nasirian, Muthu B J Wijesundara, Mahmudur Rahman","doi":"10.1177/20556683251347517","DOIUrl":"10.1177/20556683251347517","url":null,"abstract":"<p><strong>Introduction: </strong>To reduce muscle strain and enhance user comfort, a Pneumatically Actuated Soft Wearable Robotic Elbow Exoskeleton was developed. The design integrates human joint mechanics with a single-piece pneumatic structure for optimal assistance and reduced complexity.</p><p><strong>Methods: </strong>Nineteen participants performed tasks under \"Support On\" and \"Support Off\" conditions to evaluate their effectiveness and feasibility. Muscle activity was measured using Surface Electromyography, while torque output and inflation times were assessed to gauge mechanical performance.</p><p><strong>Results: </strong>The Soft Wearable Robotic Elbow Exoskeleton reduced muscle activity in the biceps by 22.36% and in the triceps by 18.19% at 18 PSI (Pounds per Square Inch). Torque tests revealed a maximum output of 4.39 Nm at 21 PSI. Inflation time tests showed that the exoskeleton could reach total inflation in as little as 0.22 seconds in high mode at 25 PSI, demonstrating the ability to achieve rapid actuation speed and efficiency.</p><p><strong>Conclusions: </strong>These results indicate that the Soft Wearable Robotic Elbow Exoskeleton significantly reduces muscle activation, which may help mitigate the risk of work-related musculoskeletal disorders. By providing effective assistance during repetitive tasks, the exoskeleton enhances both mechanical performance and user comfort.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251347517"},"PeriodicalIF":2.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Testing an adjustable prosthetic socket in a simulated military environment. 在模拟军事环境中测试一个可调节的假肢插座。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251341473
J C Mertens, C A Price, M E Baumann, N S DeGrasse, K J Allyn, A Salazar, W L Childers, J E Sanders
{"title":"Testing an adjustable prosthetic socket in a simulated military environment.","authors":"J C Mertens, C A Price, M E Baumann, N S DeGrasse, K J Allyn, A Salazar, W L Childers, J E Sanders","doi":"10.1177/20556683251341473","DOIUrl":"10.1177/20556683251341473","url":null,"abstract":"<p><p><b>Introduction:</b> The purpose of this study was to test the performance of an adjustable socket for transtibial prosthesis users during military relevant tasks. <b>Methods:</b> Investigational sockets with motor-driven adjustable panels were fabricated for each participant. Sensors to detect liner-to-socket distance were embedded in the socket wall during fabrication, and collected data were used to calculate a socket fit metric (SFM). Participants completed two military readiness assessments, the Readiness Evaluation during simulated Dismounted Operations and the Common Military Tasks, in each of three socket volume adjustment modes: static (non-adjustable), user-adjusted (using a phone app), and auto (adjusted by a controller). Socket and participant performance and self-reported outcome metrics were collected. <b>Results:</b> In 11 Service members or Veterans, the SFM distribution was significantly lower for the auto mode compared with the user-adjusted and static modes (<i>P</i> = 0.023, 0.010, respectively). The socket volume was adjusted more often (<i>P</i> = 0.003) and underwent a greater range of adjustment (<i>P</i> = 0.001) for auto versus user-adjusted. The change in pre- and post-activity socket comfort score (SCS) was not significantly different between modes. <b>Conclusions:</b> The results highlight the errors in socket fit in static and user-adjusted sockets and demonstrate how an automatically adjusting socket can minimize error without impeding task performance.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251341473"},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring VR in municipal mental health services: A pilot study. 探索VR在城市精神卫生服务中的应用:一项试点研究。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251336126
Solveig Osborg Ose, Hedvig Amanda Lestander, Per Lund Hoffmann, Yvonne Bokseth, Lotte Sundnes, Nina Onsaker Skjelbred, Ingvild Halset Bævre, Kristin Thaulow
{"title":"Exploring VR in municipal mental health services: A pilot study.","authors":"Solveig Osborg Ose, Hedvig Amanda Lestander, Per Lund Hoffmann, Yvonne Bokseth, Lotte Sundnes, Nina Onsaker Skjelbred, Ingvild Halset Bævre, Kristin Thaulow","doi":"10.1177/20556683251336126","DOIUrl":"https://doi.org/10.1177/20556683251336126","url":null,"abstract":"<p><p><b>Introduction:</b> The study reports the results from piloting an 8-step program for social skills training using VR technology in a municipal mental health service. <b>Method:</b> 14 mental health service users were recruited to test the 8-step programme. Eight mental health professionals delivered the programme and registered information about the participants and their experiences. <b>Results:</b> All participants lived socially isolated lives before they started, and various social and personal problems contributed to the complexity of their situation. Seven participants completed the programme, while seven did not. Two participants did not complete because they stopped isolating themselves before completing and these two, and the seven that completed the programme, experienced a positive effect on their social skills. Two of those who did not complete were able to attend group therapy sessions instead, and two were too ill to complete. The last one just stopped showing up to the appointments. <b>Conclusion:</b> The pilot study shows promising results and efforts should now be made to develop relevant, flexible, and high-quality VR scenarios, as this technology has the potential to help socially isolated persons become more socially active and thus increase their quality of life.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251336126"},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maintaining upright posture during perturbed standing in a motor-assisted hybrid neuroprosthesis with powered ankle joints: A feasibility and proof-of-concept study. 在有动力踝关节的运动辅助混合神经假体中,在不安站立时保持直立姿势:可行性和概念验证研究。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-04-24 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251335203
Sandra K Hnat, Marshaun N Fitzpatrick, Musa L Audu, Ronald J Triolo, Roger D Quinn
{"title":"Maintaining upright posture during perturbed standing in a motor-assisted hybrid neuroprosthesis with powered ankle joints: A feasibility and proof-of-concept study.","authors":"Sandra K Hnat, Marshaun N Fitzpatrick, Musa L Audu, Ronald J Triolo, Roger D Quinn","doi":"10.1177/20556683251335203","DOIUrl":"https://doi.org/10.1177/20556683251335203","url":null,"abstract":"<p><strong>Introduction: </strong>Maintaining balance during perturbations is essential for the effectiveness of exoskeletal assistive devices in individuals with spinal cord injuries (SCI). We tested new ankle actuators in a muscles-first, motor-assisted hybrid neuroprosthesis (MAHNP) to evaluate their ability to maintain upright posture under various perturbations.</p><p><strong>Methods: </strong>Participants with SCI (<i>n</i> = 2) performed standing balance tasks while wearing the MAHNP with and without ankle control, combined with electrical stimulation for one participant. A proportional, integral, derivative (PID) controller maintained 5° dorsiflexion based on input from an angle encoder. MAHNP's balance control mechanisms were evaluated by the center of pressure (CoP) excursion during unexpected perturbations for both participants, while hands-free standing, range-of-motion tasks, and functional reach tests were completed by one participant.</p><p><strong>Results: </strong>Active control provided important functional benefits by improving forward reach by 4.3 cm compared to no control, and extending hands-free standing time by 28.3% compared to no control. Additionally, variance in mediolateral CoP excursion was reduced from approximately 57% with no control to around 50% with control.</p><p><strong>Conclusion: </strong>These findings suggest that while PID-controlled ankle actuators perform well in quiet standing, further optimization may be required for tasks involving more dynamic movements and voluntary postural tasks.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251335203"},"PeriodicalIF":2.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of the RightWheel manual wheelchair wheel rolling resistance clinical decision support system through iterative clinician interviews. 通过反复的临床医生访谈开发RightWheel手动轮椅车轮滚动阻力临床决策支持系统。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251336184
Holly Wilson-Jene, Rachel E Cowan, Zachary Roy, Jonathan Pearlman
{"title":"Development of the RightWheel manual wheelchair wheel rolling resistance clinical decision support system through iterative clinician interviews.","authors":"Holly Wilson-Jene, Rachel E Cowan, Zachary Roy, Jonathan Pearlman","doi":"10.1177/20556683251336184","DOIUrl":"https://doi.org/10.1177/20556683251336184","url":null,"abstract":"<p><strong>Introduction: </strong>Manual wheelchair users (MWU) frequently experience upper limb (UL) injury and pain. Clinical practice guidelines (CPG) provide guidance on how to reduce risk of UL injury and pain but the recommendations provide only general advice such as to minimizing repetitive strain by reducing rolling resistance (RR). RR is due to energy loss between wheels and ground during wheelchair propulsion and is a major contributor of repetitive strain for MWUs. Motivated by the recommendation to reduce RR, we developed a clinical decision support system (CDSS) to provide client-specific RR predictions across several wheelchair setups to allow clinicians and users to make informed decisions.</p><p><strong>Methods: </strong>An iterative user-centered design process (mixed methods) recruited ATP certified occupational or physical therapists to suggest modifications, assess usability and usefulness, identify client use cases, and provide rear wheel and caster selection criteria.</p><p><strong>Results: </strong>Six clinicians participated and suggested over 100 modifications. Usability (SUS = 83.8; modified QUIS = 7.5) and perceived usefulness (TAQ = 4.7) were acceptable. Client use cases and rear wheel and caster selection criteria were identified. All clinicians thought it would be a useful tool.</p><p><strong>Conclusions: </strong>RightWheel online CDSS provides user-customized RR estimates for equipment options in an easy-to-understand format, and was deemed ready for pilot launch.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251336184"},"PeriodicalIF":2.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of conventional versus 3D-printed cosmetic covers on user satisfaction and psychosocial well-being in lower limb prostheses users: A randomised crossover trial. 传统与3d打印化妆品罩对下肢假肢使用者满意度和心理健康的影响:一项随机交叉试验
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-04-04 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251330996
Nerrolyn Ramstrand, Maria Riveiro, Lars Eriksson, Michael Ceder
{"title":"Effects of conventional versus 3D-printed cosmetic covers on user satisfaction and psychosocial well-being in lower limb prostheses users: A randomised crossover trial.","authors":"Nerrolyn Ramstrand, Maria Riveiro, Lars Eriksson, Michael Ceder","doi":"10.1177/20556683251330996","DOIUrl":"https://doi.org/10.1177/20556683251330996","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study was to evaluate the effects of prescribing a traditional foam cosmetic cover versus a more recently developed 3D printed cosmetic cover on the satisfaction and psychosocial wellbeing of prosthesis users.</p><p><strong>Methods: </strong>Transtibial and transfemoral prosthesis users were randomly assigned into two groups. One group was fitted with a foam cosmesis with a nylon stocking while the other received a 3D printed cosmetic cover. Cosmeses were worn for 12 weeks before being switched to the alternate design. Outcomes related to satisfaction and psychosocial wellbeing (ABIS-R, TAPES, QUEST) were collected on 3 occasions. Linear mixed effects models assessed for differences between the cosmetic covers.</p><p><strong>Results: </strong>10 participants completed all outcome measures on 3 occasions. Significant differences in favour of the 3D printed cosmesis were observed for TAPES general psychosocial adjustment (<i>p</i> = .03), TAPES aesthetic satisfaction (<i>p</i> = .04) and ABIS-R (<i>p</i> = .025). Adjustment to physical limitations were higher for the foam cover (<i>p</i> = .008). No differences were observed in QUEST scores. Covariates; age, time since amputation, extroversion, did not have any significant effects.</p><p><strong>Conclusion: </strong>Results suggest that cosmetic cover design can significantly affect prosthesis users' psychosocial wellbeing and satisfaction with aesthetic appearance. Variance between participants is high indicating diverse preferences.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251330996"},"PeriodicalIF":2.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combining neural stimulation and a powered exoskeletal knee to enhance walking after stroke. 结合神经刺激和动力外骨骼膝盖来增强中风后的行走能力。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251329256
Marshaun N Fitzpatrick, Lisa M Lombardo, Sandra K Hnat, Brian M Becker, Stephen M Selkirk, Musa L Audu, Ronald J Triolo, Roger D Quinn, Nathaniel S Makowski
{"title":"Combining neural stimulation and a powered exoskeletal knee to enhance walking after stroke.","authors":"Marshaun N Fitzpatrick, Lisa M Lombardo, Sandra K Hnat, Brian M Becker, Stephen M Selkirk, Musa L Audu, Ronald J Triolo, Roger D Quinn, Nathaniel S Makowski","doi":"10.1177/20556683251329256","DOIUrl":"10.1177/20556683251329256","url":null,"abstract":"<p><p><b>Introduction:</b> In this study, we developed a unilateral, hybrid exoskeleton designed to augment post-stroke mobility through integration of noninvasive neural stimulation and a motorized knee orthosis. We evaluated proof of concept for this hybrid exoskeleton in a stroke survivor by assessing whether: (1) the motor and transmission possess sufficient backdrivability to facilitate effective muscle-generated movements, (2) the motor can independently drive movement, and (3) the combined application of stimulation and motor generate kinematic improvements superior to either modality used in isolation. <b>Methods:</b> The device was evaluated on an ambulatory stroke survivor under four overground walking conditions: (1) without the device, (2) stimulation only while wearing the exoskeleton, (3) motor assistance only, and (4) hybrid stimulated and motorized assistance. A motion capture system was used to obtain lower limb joint angles to assess the differences in each walking condition. <b>Results:</b> Changes towards neurotypical hip, knee and ankle angles were found between the gait with no device compared to the assistive conditions. Hip-knee cyclograms suggest hybrid assistance most resembled neurotypical gait. <b>Conclusions:</b> Individually, neural stimulation and motor assistance resulted in improved gait kinematics and hybrid assistance provided greater improvement than each form of individual assistance.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251329256"},"PeriodicalIF":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advanced design and fabrication of a medial linkage reciprocal orthosis for patients with spinal cord injury. 脊髓损伤患者内侧联动互惠矫形器的先进设计与制造。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-03-23 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251329789
Fariba Fallah Cham Asmani, Mokhtar Arazpour, Mobina Khosravi, Zeinab Gasavi Nezhad, Mahdi Shafieian, Armen Adamian
{"title":"Advanced design and fabrication of a medial linkage reciprocal orthosis for patients with spinal cord injury.","authors":"Fariba Fallah Cham Asmani, Mokhtar Arazpour, Mobina Khosravi, Zeinab Gasavi Nezhad, Mahdi Shafieian, Armen Adamian","doi":"10.1177/20556683251329789","DOIUrl":"10.1177/20556683251329789","url":null,"abstract":"<p><p><b>Background:</b> Individuals with spinal cord injuries (SCI) face substantial mobility challenges that affect their independence and quality of life. Traditional medial linkage reciprocal gait orthoses (MLRGO) often lack efficiency in enhancing mobility and stability. This study introduces the Advanced MLRGO, designed to overcome these limitations and improve walking function for SCI patients. <b>Material and methods:</b> The Advanced MLRGO was developed using orthopedic engineering and biomechanics principles, with detailed simulations performed in COMSOL Multi-physics to evaluate force distribution and resistance. A clinical trial involving five individuals with SCI was conducted to compare the performance of the Advanced MLRGO against the Prime-Walk orthosis and the standard MLRGO. <b>Results:</b> Results showed that the MLRGO system significantly improved walking speed (<i>p</i> = 0.03) and distance traveled (<i>p</i> = 0.04) compared to the Prime-Walk. The Advanced MLRGO also exhibited notable enhancements over the standard MLRGO, showing increased walking speed (<i>p</i> = 0.033) and distance (<i>p</i> = 0.026), as well as reduced donning time (<i>p</i> = 0.048). <b>Conclusion:</b> These findings indicate that the Advanced MLRGO significantly enhances mobility and independence for individuals with thoracic SCI. Future research should focus on improving doffing efficiency and assessing individual user experiences to maximize these benefits.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251329789"},"PeriodicalIF":2.0,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"It's always happy to see me": Exploring LOVOT robots as companions for older adults. “看到我总是很开心”:探索LOVOT机器人作为老年人的伴侣。
IF 2
Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1177/20556683251320669
Lillian Hung, Joey Wong, Karen Lok Yi Wong, Kelvin Cheng-Kian Tan, Vivian Wei-Qun Lou
{"title":"\"It's always happy to see me\": Exploring LOVOT robots as companions for older adults.","authors":"Lillian Hung, Joey Wong, Karen Lok Yi Wong, Kelvin Cheng-Kian Tan, Vivian Wei-Qun Lou","doi":"10.1177/20556683251320669","DOIUrl":"10.1177/20556683251320669","url":null,"abstract":"<p><strong>Background: </strong>AI-enabled social robots present the potential to resolve the loneliness and social isolation of older adults in long-term care (LTC). There is limited research on how older adults perceive and make sense of these robots and how human-robot companionship is formed. This study investigated older adults' experiences using LOVOT, a social robot.</p><p><strong>Methods: </strong>Using an ethnographic study design, we introduced LOVOT robots to a Canadian LTC home for four weekly interaction sessions. Thirty-six residents, seven family members and two healthcare staff participated. Data collection involved observational field notes and conversational interviews. The analysis was guided by ikigai, a Japanese well-being concept.</p><p><strong>Findings: </strong>Reflexive thematic analysis identified four key themes. 1) Joy: The robot offers joy and excitement through interactions. 2) Acceptance: For older adults with mobility or cognitive impairments, LOVOT gives consistent positive responses, offering a sense of unconditional acceptance. 3) Creativity: The robot's non-verbal communication allows older adults to grow creative imagination, encouraging personal expression and expanding interaction possibilities. 4) \"Not for me\": Not all participants like the LOVOT robot.</p><p><strong>Conclusion: </strong>AI-enabled social robots show potential in supporting the psychosocial needs of older adults, which have broader implications for LTC practices and future research directions. Future research should further explore the creative utility of social robots among LTC residents.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"12 ","pages":"20556683251320669"},"PeriodicalIF":2.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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