TY - JOUR AU - Maier, André AU - Eicher, Cornelia AU - Kiselev, Joern AU - Klebbe, Robert AU - Greuèl, Marius AU - Kettemann, Dagmar AU - Gaudlitz, Marcel AU - Walter, Bertram AU - Oleimeulen, Ursula AU - Münch, Christoph AU - Meyer, Thomas AU - Spittel, Susanne PY - 2021 DA - 2011/12/6 TI -增强机器人辅助系统在肌萎萎性侧索硬化症相关运动损伤患者中的应用:观察在线研究JO - JMIR Rehabil Assist technology SP - e18972 VL - 8 IS - 4 KW -肌萎缩性侧索硬化症KW -辅助机器人KW -技术承诺KW -机械臂辅助AB -背景:肌萎缩性侧索硬化症(ALS)是一种致命的神经退行性疾病，其特征是四肢进行性麻痹和丧失手动功能。由于这种疾病带来严重的功能损害，ALS需要提供全面的护理和一套复杂的辅助技术设备。为了减轻护理人员的负担，提高ALS患者的自主性，机器人辅助系统正在开发中。这项试验旨在评估技术的总体接受程度，以及渐冻人症患者对机械臂辅助的接受程度，以便为开发半自动机械臂奠定基础。半自动机械臂可由人类通过多模态用户界面控制，允许用户处理物体并照顾自己的身体。目的:本研究旨在从肌萎缩侧索硬化症患者的角度对机器人辅助系统的技术承诺和接受程度进行系统分析。方法:调查作为前瞻性队列研究进行。只有被诊断为肌萎缩性侧索硬化症的参与者才被纳入研究。数据收集是通过在Ambulanzpartner soziotechnology互联网平台上的在线问卷进行的。技术承诺采用尼尔短量表进行测量。 Furthermore, a multidimensional questionnaire was specially developed to analyze participant acceptance of robotic arm assistance: the Acceptance Measure of Robotic Arm Assistance (AMRAA). This questionnaire was accompanied by a video introducing the robot arm. ALS severity was ascertained using the ALS Functional Rating Scale–Extended (ALSFRS-EX). Results: A total of 268 people with ALS participated in the survey. Two-thirds of the participants were male. The overall mean ALS severity score was 42.9 (SD 11.7) points out of 60 on the ALSFRS-EX, with the most relevant restrictions on arms and legs (<60% of normal functioning). Technological commitment ranked high, with the top third scoring 47.2 points out of 60. Younger participants and males showed significantly higher values. The AMRAA score was, again, significantly higher among younger participants. However, the gender difference within the overall cohort was not significant. The more limited the arm functioning of participants according to the ALSFRS-EX subscale, the higher the acceptance rate of robotic assistance. This relationship proved significant. Conclusions: People with ALS display high technological commitment and feel positive about using technological assistance systems. In our study, younger participants were more open to technology use, in general, and robotic assistance, in particular. Self-appraisal of technology acceptance, competence, and control conviction were generally higher among men. However, any presumed gender difference vanished when users were asked to rate the anticipated usefulness of the technology, in particular the robotic arm. The acceptance was also reflected in users’ increased willingness to use a robotic arm as the functionality of their own arms decreased. From the perspective of people with ALS, robotic assistance systems are critical to promoting individual autonomy. Another key consideration in the development of future assistive technologies should be the reduction of caregiver burden. Trial Registration: German Clinical Trials Register DRKS00012803; https://tinyurl.com/w9yzduhd SN - 2369-2529 UR - https://rehab.www.mybigtv.com/2021/4/e18972 UR - https://doi.org/10.2196/18972 UR - http://www.ncbi.nlm.nih.gov/pubmed/34874891 DO - 10.2196/18972 ID - info:doi/10.2196/18972 ER -