Принципы оценки эффективности и безопасности использования экзоскелета у пациентов с параличами нижних конечностей (обзор)

В реабилитации больных, потерявших способность самостоятельно передвигаться из-за парализации нижних конечностей, перспективным направлением является использование экзоскелета. В последние годы разработано значительное число роботизированных устройств, улучшающих ходьбу лиц с нижним парапарезом. Однако сравнение между собой этих устройств затруднено из-за отсутствия стандартизированных подходов к оценке их эффективности и безопасности. В обзоре представлены сведения об общих принципах апробации внешних роботизированных устройств, проанализированы способы определения безопасности и удобства использования экзоскелета. Рассмотрены возможности оценки качественных и количественных показателей ходьбы в экзоскелете. Представлена характеристика опросников, стандартизированных тестов и биомеханических исследований, которые применяются при апробации экзоскелетных устройств у лиц с параличами нижних конечностей. Показаны возможные пути оценки энергозатрат при передвижении в экзоскелете. Обоснована необходимость разработки единой стратегии оценки ходьбы в экзоскелете.

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Rukina N.N., Kuznetsov A.N., Borzikov V.V., Komkova O.V., Belova A.N. Principles of Efficiency and Safety Assessment in Using Exoskeletons for Patients with Lower Limb Paralyses (Review). Sovremennye tehnologii v medicine 2016; 8(4): 231, https://doi.org/10.17691/stm2016.8.4.28