Use and evaluation of assistive technologies for upper limb function in tetraplegia.

Autor:	Readioff R; School of Pharmacy and Bioengineering, Keele University, Stoke-on-Trent, UK., Siddiqui ZK; Academic Department of Rehabilitation Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK., Stewart C; School of Pharmacy and Bioengineering, Keele University, Stoke-on-Trent, UK.; The Orthotic Research and Locomotor Assessment Unit (ORLAU), the Robert Jones and Agnes Hunt Orthopaedic Hospital, NHS Foundation Trust, Oswestry, UK., Fulbrook L; The Orthotic Research and Locomotor Assessment Unit (ORLAU), the Robert Jones and Agnes Hunt Orthopaedic Hospital, NHS Foundation Trust, Oswestry, UK., O'Connor RJ; Academic Department of Rehabilitation Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK., Chadwick EK; School of Engineering, University of Aberdeen, Aberdeen, UK.
Jazyk:	angličtina
Zdroj:	The journal of spinal cord medicine [J Spinal Cord Med] 2022 Nov; Vol. 45 (6), pp. 809-820. Date of Electronic Publication: 2021 Feb 19.
DOI:	10.1080/10790268.2021.1878342
Abstrakt:	Context: More than half of all spinal cord injuries (SCI) occur at the cervical level leading to loss of upper limb function, restricted activity and reduced independence. Several technologies have been developed to assist with upper limb functions in the SCI population. Objective: There is no clear clinical consensus on the effectiveness of the current assistive technologies for the cervical SCI population, hence this study reviews the literature in the years between 1999 and 2019. Methods: A systematic review was performed on the state-of-the-art assistive technology that supports and improves the function of impaired upper limbs in cervical SCI populations. Combinations of terms, covering assistive technology, SCI, and upper limb, were used in the search, which resulted in a total of 1770 articles. Data extractions were performed on the selected studies which involved summarizing details on the assistive technologies, characteristics of study participants, outcome measures, and improved upper limb functions when using the device. Results: A total of 24 articles were found and grouped into five categories, including neuroprostheses (invasive and non-invasive), orthotic devices, hybrid systems, robots, and arm supports. Only a few selected studies comprehensively reported characteristics of the participants. There was a wide range of outcome measures and all studies reported improvements in upper limb function with the devices. Conclusions: This study highlighted that assistive technologies can improve functions of the upper limbs in SCI patients. It was challenging to draw generalizable conclusions because of factors, such as heterogeneity of recruited participants, a wide range of outcome measures, and the different technologies employed.
Databáze:	MEDLINE
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