Robot-aided assessment of lower extremity functions: a review

Journal of NeuroEngineering and Rehabilitation, 2016 · DOI: 10.1186/s12984-016-0180-3 · Published: July 21, 2016

Simple Explanation

The paper reviews assessment methods for lower extremities, focusing on sensorimotor functions and walking. It discusses clinical assessments versus instrumented technologies. It aims to guide the design of robot-aided functional assessments, their validation, and clinical translation. Robotic devices can overcome limitations in traditional assessments by providing objective, sensitive, reliable, and time-efficient measurements. However, clinical needs must be understood to develop integrated robot-aided assessment methods. The review categorizes assessments using the International Classification of Functioning, Disability and Health (ICF), considering body functions, activity, and participation. It highlights the importance of validity and reliability in robot-based assessments.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Review

Key Findings

1
Robotic devices offer more objective, sensitive, reliable and time-efficient assessments compared to traditional clinical methods.
2
Robotic assessments can be integrated into training sessions without additional setup time, and training variables can be used to indicate patient performance.
3
The review identifies gaps in robot-assisted methods for lower limb assessment, suggesting areas where robotic technologies can solve current issues in sensorimotor function assessment.

Research Summary

The paper reviews robot-aided assessment methods for lower extremity functions, contrasting clinical practices with instrumented technologies. It emphasizes the need for high-quality, clinically relevant, and easily implementable robotic assessment tools. The study highlights the potential of robotic devices to improve assessment quality, standardization, and integration into therapy. It suggests an interdisciplinary approach involving researchers, clinicians, and manufacturers. The paper concludes that developing valid, reliable, and responsive robot-based assessment methods is crucial for improving rehabilitation outcomes and reducing recovery time.

Practical Implications

Improved Clinical Practice

Robot-aided assessments can provide more objective and sensitive measures, enabling better therapy planning and adjustment.

Enhanced Clinical Trials

Sensitive and reliable robotic assessments can improve the detection of treatment effects in clinical trials.

Guidance for Future Research

The review provides recommendations for developing and validating new robotic assessment tools, addressing clinical needs and practical constraints.

Study Limitations

1
Limited validation studies for robotic measures.
2
Potential for abstract outcome measures from robotic devices that do not translate to function.
3
Challenges in integrating robotic assessments into clinical practice due to setup time and technical knowledge requirements.

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