我们真的需要这个机器人吗?前庭康复的技术要求:患者和临床医生的意见

IF 5.3 2区 计算机科学 Q1 COMPUTER SCIENCE, CYBERNETICS
Liran Kalderon , Azriel Kaplan , Amit Wolfovitz , Yoav Gimmon , Shelly Levy-Tzedek
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引用次数: 0

摘要

背景在许多类型的物理康复治疗中,患者能否坚持完成推荐的练习是一项主要挑战。前庭康复是治疗前庭失调引起的头晕、眩晕、失衡和恶心等症状的最有效方法,但由于康复计划要求患者在白天进行许多短时间的锻炼,这可能会在短期内加重症状并损害平衡,因此患者的坚持率特别低。技术工具具有提高坚持率的潜力,但迄今为止,还没有针对前庭康复对技术的具体需求、技术的局限性以及对技术使用的担忧进行过全面分析。在此,我们希望为未来基于人机交互(HCI)和人机交互(HRI)的前庭康复技术的开发提供实用信息。三组前庭障碍患者(18 人)和三组物理治疗师(21 人)参加了此次研究。参与者回答了有关前庭康复技术的结构化问题,观看了两段社交辅助机器人(SAR)的视频演示,并完成了一项在线调查。研究采用了混合演绎和归纳的专题分析方法对数据进行分析。他们希望技术能够适应康复的不同阶段、游戏化、易于使用、安全、可靠、便携,并且治疗师可以远程访问。他们表示,该技术应能对运动表现的质量和数量提供反馈,并对这些因素进行监测,同时考虑到随之而来的干扰症状的耐受性。与标准护理相比,与会者希望将技术作为康复过程的一部分可以缩短锻炼时间并改善临床效果。结论虽然合成孔径雷达有可能被用于提高运动依从性,但手机应用似乎是更适合这一目的的媒介,引起用户的关注也更少。我们对前庭康复技术的优缺点进行了总结,并提出了一系列具体要求,这些要求可为今后开发特定的支持性技术提供参考。此外,我们还采用了焦点小组的方法,证明了参与式设计在康复辅助技术开发中的重要性,因为参与者能够识别出前庭康复的特殊情况下合成孔径雷达可能存在的不适宜性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Do we really need this robot? Technology requirements for vestibular rehabilitation: Input from patients and clinicians

Background

A main challenge in many types of physical rehabilitation is patient adherence to recommended exercises. Vestibular rehabilitation is the most effective treatment for the symptoms of dizziness, vertigo, imbalance, and nausea caused by vestibular disorders, but adherence levels are particularly low as the rehabilitation program calls for many short exercise sets during the day, which can worsen symptoms and impair balance in the short term. Technological tools have the potential to increase adherence, but to date, there has been no comprehensive analysis, in the context of vestibular rehabilitation, of the specific needs from technology, of its limitations, and of concerns regarding its use.

Objective

The aim of the study is to identify the main features required from technology for vestibular rehabilitation, as perceived by patients with vestibular disorders and by vestibular physical therapists, using a socially assistive robot as a test case. We seek here to provide practical information for the development of future vestibular rehabilitation technologies which are based on human-computer interaction (HCI) and human-robot interaction (HRI).

Methods

We conducted a qualitative study with six focus groups (N = 39). Three groups of patients with vestibular disorders (N = 18) and three groups of physical therapists (N = 21) participated in this study. The participants answered structured questions on technologies for vestibular rehabilitation, watched a presentation of two videos of a socially assistive robot (SAR), and completed an online survey. Thematic analysis with a mixed deductive and inductive approach was used to analyze the data.

Results

Participants preferred phone applications or virtual/augmented reality platforms over an embodied robotic platform. They wanted technology to be adaptive to the different stages of rehabilitation, gamified, easy to use, safe, reliable, portable, and accessible remotely by the therapist. They reported that the technology should provide feedback on the quality and quantity of exercise performance and monitor these factors while considering the tolerability of the ensuing disruptive symptoms. Participants expected that using technology as part of the rehabilitation process would shorten exercise sessions and improve clinical outcomes compared to standard care. SARs for vestibular rehabilitation were perceived as useful mostly for children and patients with chronic vestibular disorders, and their potential use for rehabilitation raised concerns regarding safety, ethics, and technical complexity.

Conclusions

Although SARs can potentially be used to increase exercise adherence, a phone application appears to be a more suitable medium for this purpose, raising fewer notable concerns from users. We provide a summary of perceived advantages and disadvantages of technology for vestibular rehabilitation, as well as a set of specific requirements from it, which may inform the future development of specific supportive technologies. In addition, the focus group methodology employed demonstrates the importance of participatory design in the development of rehabilitation-supportive technology as participants were able to identify the likely inappropriateness of SARs for the specific case of vestibular rehabilitation.

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来源期刊
International Journal of Human-Computer Studies
International Journal of Human-Computer Studies 工程技术-计算机:控制论
CiteScore
11.50
自引率
5.60%
发文量
108
审稿时长
3 months
期刊介绍: The International Journal of Human-Computer Studies publishes original research over the whole spectrum of work relevant to the theory and practice of innovative interactive systems. The journal is inherently interdisciplinary, covering research in computing, artificial intelligence, psychology, linguistics, communication, design, engineering, and social organization, which is relevant to the design, analysis, evaluation and application of innovative interactive systems. Papers at the boundaries of these disciplines are especially welcome, as it is our view that interdisciplinary approaches are needed for producing theoretical insights in this complex area and for effective deployment of innovative technologies in concrete user communities. Research areas relevant to the journal include, but are not limited to: • Innovative interaction techniques • Multimodal interaction • Speech interaction • Graphic interaction • Natural language interaction • Interaction in mobile and embedded systems • Interface design and evaluation methodologies • Design and evaluation of innovative interactive systems • User interface prototyping and management systems • Ubiquitous computing • Wearable computers • Pervasive computing • Affective computing • Empirical studies of user behaviour • Empirical studies of programming and software engineering • Computer supported cooperative work • Computer mediated communication • Virtual reality • Mixed and augmented Reality • Intelligent user interfaces • Presence ...
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