Robotische Assistenz bei den Aktivitäten des täglichen Lebens am Beispiel der Nahrungsaufnahme

Abstract

Zusammenfassung Die Ausübung der Aktivitäten des täglichen Lebens (ADL, auch Basisaktivitäten) ist bei Funktionseinschränkungen und -verlusten, die mit dem Altern, mit Krankheiten oder Behinderung einhergehen, eingeschränkt bzw. nicht mehr möglich. Dafür gibt es heute schon eine Reihe von Hilfsmitteln und sogar robotische Produkte. Ziel dieses Beitrages ist es, exemplarisch für die Basisaktivität Nahrungsaufnahme einen Überblick über die vorhandenen Produkte für Menschen mit einer Tetraplegie aufgrund eines Unfalls oder neurologischer Erkrankungen wie multipler Sklerose oder amyotrophischer Lateralsklerose zu geben. Die Verbreitung dieser Systeme ist heute noch sehr überschaubar. Dazu werden hemmende und fördernde Faktoren für deren Verbreitung und Nutzung aufgezeigt.

Development and Use of Assistive Technologies in Spinal Cord Injury: A Narrative Review of Reviews on the Evolution, Opportunities, and Bottlenecks of Their Integration in the Health Domain

“…The reviews in the range of explored a variety of issues related to ATs, such as the intervention areas [13], the determinants of health and the key factors [34], and innovative technological integration. Many of these reviews focused on the effectiveness of ATs, including robotics, Functional Electric Stimulation (FES), and brain-computer interfaces (BCIs) in clinical rehabilitation [12,15,17,18,20,[23][24][25][26][27][28]35,36,38]. The economic impact, acceptance, and quality of ATs were also examined [16,19,22,36,37], along with ethical and regulatory considerations [12,21].…”

“…The integration of assistive technologies (ATs) was subjected to numerous investigations, with 14 studies delving into their technological effectiveness, specific applications, and clinical targets [12,15,17,18,20,[23][24][25][26][27][28]35,36,38].…”

“…Pirrera et al [12] highlighted the state of the art of ATs based on the tongue barbell piercing, emphasizing their high acceptance in mechatronics integration, particularly in quadriplegia patients with severe movement limitations. Klein and Baumeister [15] analyzed mechatronics and robotics as ATs for food administration, highlighting their limited use also in the most developed countries. Clark et al [17] advocated for the integration of virtual reality (VR) and robotics for rehabilitation to increase its efficacy.…”

“…Further research is required to determine their optimal effectiveness and applicability in clinical settings. Reference Highlights [12] Reported the state of the art of ATs based on the tongue barbell piercing, emphasizing their high acceptance in mechatronics integration, particularly in quadriplegia [15] Analyzed mechatronics and robotics as ATs for food administration, highlighting their limited use also in the most developed countries.…”

Evaluation and intention to use the interactive robotic kitchen system AuRorA in older adults

“…Klein refers to eating and drinking as "basic activities" that play a central role in every life [15]. However, most assistive systems available in Germany only serve the purpose of supporting the intake of food, but do not offer help preparing it [21].…”