本文基于对中国知网(CNKI)与Web of Science数据库中相关文献的系统梳理,围绕全膝关节置换术后康复的“评估、干预、管理”三个关键环节,总结了医工结合技术的应用进展。以步态分析为代表的量化评估可提升功能评定的客观性与连续性,但...本文基于对中国知网(CNKI)与Web of Science数据库中相关文献的系统梳理,围绕全膝关节置换术后康复的“评估、干预、管理”三个关键环节,总结了医工结合技术的应用进展。以步态分析为代表的量化评估可提升功能评定的客观性与连续性,但受到数据标准不一等多因素制约;康复机器人具备可控和可追踪的优势,有望促进个体化处方实施,但存在设备成本、场景适配的问题;人工智能(artificial intelligence,AI)辅助决策可整合多源信息用于治疗方案推荐,优势在于提高决策效率与精准度,局限在于数据质量的依赖性;虚拟现实(virtual reality,VR)沉浸式训练可增强参与感,改善本体感觉并辅助疼痛管理,但受设备与人群耐受性影响;远程康复系统可显著提升管理的连续性,但其推广面临老年人接受度低、基础设施不完备等挑战。当前研究热点多集中在设备开发、数据整合与互通以及临床证据强化方面。未来需加强跨学科合作,开展高质量的临床研究,以实现可推广的智能化精准康复模式。展开更多
Flexible and wearable sensors offer immense potential for rehabilitation medicine,but most rely solely on electrical signals,lacking real-time visual feedback and limiting trainee's interactivity.Inspired by the s...Flexible and wearable sensors offer immense potential for rehabilitation medicine,but most rely solely on electrical signals,lacking real-time visual feedback and limiting trainee's interactivity.Inspired by the structural coloration of Cyanocitta stelleri feathers,we developed a dual-mode sensor by utilizing black conductive polymer hydrogel(CPH)-enhanced structural color strategy.This sensor integrates a hydroxypropyl cellulose(HPC)-based structural color interface with a designed CPH sensing component.Highly visible light-absorbing CPH(absorption rate>88%)serves as the critical substrate for enhancing structural color performance.By absorbing incoherent scattered light and suppressing background interference,it significantly enhances the saturation of structural color,thereby achieving a high contrast index of 4.92.Unlike the faint and hardly visible structural colors on non-black substrates,the HPC on CPH displays vivid,highly perceptible colors and desirable mechanochromic behavior.Moreover,the CPH acts as a flexible sensing element,fortified by hydrogen and coordination bond networks,and exhibits exceptional electromechanical properties,including 867.1 kPa tensile strength,strain sensitivity(gauge factor of 4.24),and outstanding durability(over 4400 cycles).Compared to traditional single-mode sensors,the integrated sensor provides real-time visual and digital dual feedback,enhancing the accuracy and interactivity of rehabilitation assessments.This technology holds promise for advancing next-generation rehabilitation medicine.展开更多
文摘本文基于对中国知网(CNKI)与Web of Science数据库中相关文献的系统梳理,围绕全膝关节置换术后康复的“评估、干预、管理”三个关键环节,总结了医工结合技术的应用进展。以步态分析为代表的量化评估可提升功能评定的客观性与连续性,但受到数据标准不一等多因素制约;康复机器人具备可控和可追踪的优势,有望促进个体化处方实施,但存在设备成本、场景适配的问题;人工智能(artificial intelligence,AI)辅助决策可整合多源信息用于治疗方案推荐,优势在于提高决策效率与精准度,局限在于数据质量的依赖性;虚拟现实(virtual reality,VR)沉浸式训练可增强参与感,改善本体感觉并辅助疼痛管理,但受设备与人群耐受性影响;远程康复系统可显著提升管理的连续性,但其推广面临老年人接受度低、基础设施不完备等挑战。当前研究热点多集中在设备开发、数据整合与互通以及临床证据强化方面。未来需加强跨学科合作,开展高质量的临床研究,以实现可推广的智能化精准康复模式。
基金supported by the Science and Technology Development Fund,Macao SAR(0065/2023/AFJ,0116/2022/A3)the National Natural Science Foundation of China(52402166)+4 种基金the Natural Science Foundation of Guangdong Province(2025A1515011120)the Australian Research Council(DE220100154)the financial support from the Science and Technology Development Fund(FDCT),Macao SAR(No.0149/2022/A),and(No.0046/2024/AFJ)Guangdong Science and Technology Department(2023QN10C305)for this workthe financial support from the National Natural Science Foundation of China(Grant No.22305185)。
文摘Flexible and wearable sensors offer immense potential for rehabilitation medicine,but most rely solely on electrical signals,lacking real-time visual feedback and limiting trainee's interactivity.Inspired by the structural coloration of Cyanocitta stelleri feathers,we developed a dual-mode sensor by utilizing black conductive polymer hydrogel(CPH)-enhanced structural color strategy.This sensor integrates a hydroxypropyl cellulose(HPC)-based structural color interface with a designed CPH sensing component.Highly visible light-absorbing CPH(absorption rate>88%)serves as the critical substrate for enhancing structural color performance.By absorbing incoherent scattered light and suppressing background interference,it significantly enhances the saturation of structural color,thereby achieving a high contrast index of 4.92.Unlike the faint and hardly visible structural colors on non-black substrates,the HPC on CPH displays vivid,highly perceptible colors and desirable mechanochromic behavior.Moreover,the CPH acts as a flexible sensing element,fortified by hydrogen and coordination bond networks,and exhibits exceptional electromechanical properties,including 867.1 kPa tensile strength,strain sensitivity(gauge factor of 4.24),and outstanding durability(over 4400 cycles).Compared to traditional single-mode sensors,the integrated sensor provides real-time visual and digital dual feedback,enhancing the accuracy and interactivity of rehabilitation assessments.This technology holds promise for advancing next-generation rehabilitation medicine.
