■要对使用机械辅助装置对功能的影响进行系统审查,上肢损伤者的活动和参与表现,并综合这些设备的优点和局限性。
■三位独立审稿人对2003年至2023年在Compendex上发表的文章进行了系统的搜索,Inspec,Embase,PubMed/Medline,IEEEXplore,和WebofScience,以及在RESNA网站上手动搜索同一时期的会议论文。使用QualSyst工具评估文章的方法学质量。
■从34项保留的研究中,确定了28个机械设备,并将其分为两类:(1)旨在执行多种活动的移动臂支撑(MAS),和(2)用于辅助特定日常生活活动(ADL)的装置。总的来说,MAS帮助用户在海拔和/或重力下执行手动活动。特定的ADL设备允许用户执行需要精细运动技能的独特活动,例如打开药物容器。其中一些设备具有便携性等优点,适应性,低成本,和易用性。最常报告的限制包括干扰或移动性限制。
■这篇综述综合了机械设备对国际功能分类的三个领域的影响,上肢损伤患者的残疾与健康(ICF)。对活动中的职能和绩效的影响比对参与的衡量更多。未来的研究应包括与参与相关的结果,考虑到这一方面可能有利于继续使用辅助设备。
机械移动手臂支撑可以弥补上肢肌肉无力,并帮助用户对抗重力进行各种活动,包括自我照顾,生产力和休闲活动。专为特定日常生活活动(ADL)而设计的机械辅助设备可以提高用户执行需要手动灵巧和精细运动技能的活动的能力,比如吃饭,手写,进行个人护理或演奏乐器。便携性,适应性,低成本,和易用性最常被报告为特定ADL设备的优势,而干扰和移动性限制是仍然需要相对于机械移动臂支撑件减少的方面。
UNASSIGNED: To conduct a systematic review on the impacts of using mechanical assistive devices on function, performance in activities and participation of persons with upper extremity
impairments, and to synthesize the strengths and limitations of these devices.
UNASSIGNED: Three independent reviewers conducted systematic searches of articles published between 2003 and 2023 in Compendex, Inspec, Embase, PubMed/Medline, IEEE Xplore, and Web of Science, as well as manual searches on the RESNA website for conference papers over the same period. The methodological quality of articles was appraised using the QualSyst tool.
UNASSIGNED: From the 34 retained studies, 28 mechanical devices were identified and classified into two categories: (1) mobile arm supports (MASs) designed to perform multiple activities, and (2) devices used to assist with a specific activity of daily living (ADL). Overall, MASs helped users to perform manual activities in elevation and/or against gravity. Specific ADL devices allowed users to perform unique activities requiring fine motor skills such as opening a medicine container. Some of these devices have advantages like portability, adaptability, low cost, and ease of use. Limitations most often reported included interference or mobility restraints.
UNASSIGNED: This review synthesizes the impacts of mechanical devices on the three domains of the International Classification of Functioning, Disability and Health (ICF) for individuals with upper extremity
impairments. Impacts regarding function and performance in activities were more often measured than participation. Future studies should include outcomes related to participation, as taking this aspect into account might favor successful continued use of assistive devices.
Mechanical mobile arm supports can compensate for upper extremity muscle weakness and help users to perform diverse activities against gravity, including self-care, productivity and leisure activities.Mechanical assistive devices designed for specific activities of daily living (ADLs) can increase users’ ability to perform activities requiring manual dexterity and fine motor skills, such as eating, handwriting, performing personal care or playing a musical instrument.Portability, adaptability, low cost, and ease of use are most often reported as strengths of specific ADL devices, while interference and mobility restrictions are aspects that still need to be reduced with respect to mechanical mobile arm supports.