中国康复和辅助机器人的发展：困境与解决方案

doi:10.1007/s12204-023-2596-9

J Shanghai Jiaotong Univ Sci ›› 2023, Vol. 28 ›› Issue (3): 382-390.doi: 10.1007/s12204-023-2596-9

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中国康复和辅助机器人的发展：困境与解决方案

赵玲玲¹，郭遥²

（1. 中共杭州市委党校公共管理教研部，杭州 310024；2. 上海交通大学生物医学工程学院医疗机器人研究院，上海200240)

收稿日期:2022-07-30 修回日期:2023-03-10 接受日期:2023-05-28 出版日期:2023-05-28 发布日期:2023-05-22

Development of Rehabilitation and Assistive Robots in China: Dilemmas and Solutions

ZHAO Lingling^1*(赵玲玲),GUO Yao²(郭遥)

(1. Department of Public Administration, Party School of CPC Hangzhou Committee, Hangzhou 310024, China; 2. Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai 200240, China)

Received:2022-07-30 Revised:2023-03-10 Accepted:2023-05-28 Online:2023-05-28 Published:2023-05-22

摘要/Abstract

摘要： 中国正在迅速进入老龄化社会，因此对慢性疾病管理和个性化医疗产生了巨大需求。在中国，康复和辅助机器人的发展在研究和工业领域都受到了极大的关注。康复和辅助机器人可以帮助指导患者完成康复训练，也能协助功能受损的人进行日常活动。在过去的几十年里，我们见证了具有不同的功能和用途的康复和辅助机器人的发展。然而，与研究领域的蓬勃发展相比，专门的法规和政策建设相对滞后。由于康复和辅助机器人需要与人类密切合作和互动，所以在相关伦理问题和法律法规方面建设带来了前所未有的挑战。本文旨在概述中国康复和辅助机器人主要发展困境，并提出相应的潜在对策。

关键词: 康复和辅助机器人，康复训练和个人协助，法规和法律，伦理问题

Abstract: China is rapidly becoming an aging society, leading to a significant demand for chronic disease management and personalized healthcare. The development of rehabilitation and assistive robotics in China has gathered significant attention not only in research fields but also in industries. Such robots aim to either guide patients in completing therapeutic training or assist people with impaired functions in performing their daily activities. In the past decades, we have witnessed the advancement in rehabilitation and assistive robotics, with diverse mechanical designs, functionalities, and purposes. However, the construction of dedicated regulations and policies is relatively lagged compared with the flourishing development in research fields. Moreover, these kinds of robots are working or collaborating closely with human beings, bringing unprecedented considerations on ethical issues. This paper aims to provide an overview of major dilemmas in the development of rehabilitation and assistive robotics in China and propose several potential solutions.

Key words: rehabilitation and assistive robotics, therapeutic training and personal assistance, regulation and laws, ethical issues

中图分类号:

TP 242.6

赵玲玲1，郭遥2. 中国康复和辅助机器人的发展：困境与解决方案[J]. J Shanghai Jiaotong Univ Sci, 2023, 28(3): 382-390.

ZHAO Lingling1*(赵玲玲),GUO Yao2(郭遥). Development of Rehabilitation and Assistive Robots in China: Dilemmas and Solutions[J]. J Shanghai Jiaotong Univ Sci, 2023, 28(3): 382-390.

参考文献 25

[1]	CAMPISI J, KAPAHI P, LITHGOW G J, et al. From discoveries in ageing research to therapeutics for healthy ageing [J]. Nature, 2019, 571(7764): 183-192.
[2]	GUO Y, CHEN W D, ZHAO J, et al. Medical robotics: Opportunities in China [J]. Annual Review of Control, Robotics, and Autonomous Systems, 2022, 5: 361-383.
[3]	HOU Y J, DAN X L, BABBAR M, et al. Ageing as a risk factor for neurodegenerative disease [J]. Nature Reviews Neurology, 2019, 15(10): 565-581.
[4]	FULLMAN N, YEARWOOD J, ABAY S M, et al. Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016 [J]. The Lancet, 2018, 391(10136): 2236-2271.
[5]	WU S M, WU B, LIU M, et al. Stroke in China: Advances and challenges in epidemiology, prevention, and management [J]. The Lancet Neurology, 2019, 18(4): 394-405.
[6]	LO A C, GUARINO P D, RICHARDS L G, et al. Robot-assisted therapy for long-term upper-limb impairment after stroke [J]. The New England Journal of Medicine, 2010, 362(19): 1772-1783.
[7]	DELLON B, MATSUOKA Y. Prosthetics, exoskeletons, and rehabilitation [grand challenges of robotics] [J]. IEEE Robotics & Automation Magazine, 2007, 14(1): 30-34.
[8]	MCCOLL D, NEJAT G. Meal-time with a socially assistive robot and older adults at a long-term care facility [J]. Journal of Human-Robot Interaction, 2013, 2(1): 152-171.
[9]	GULL M A, BAI S P, BAK T. A review on design of upper limb exoskeletons [J]. Robotics, 2020, 9(1): 16.
[10]	MENDEZ V, IBERITE F, SHOKUR S, et al. Current solutions and future trends for robotic prosthetic hands [J]. Annual Review of Control, Robotics, and Autonomous Systems, 2021, 4: 595-627.
[11]	WANG L J, WANG J C, CHEN W D. Path planning and navigation for intelligent wheelchair in dynamic environments [J]. Journal of Shanghai Jiao Tong University, 2010, 44(11): 1524-1528 (in Chinese).
[12]	MATARI?M J. Socially assistive robotics: Human augmentation versus automation [J]. Science Robotics, 2017, 2(4): eaam5410.
[13]	GUO Y, GU X, YANG G Z. Human–robot interaction for rehabilitation robotics [M]//Digitalization in healthcare. Cham: Springer, 2021: 269-295.
[14]	YANG G Z, CAMBIAS J, CLEARY K, et al. Medical robotics — Regulatory, ethical, and legal considerations for increasing levels of autonomy [J]. Science Robotics, 2017, 2(4): eaam8638.
[15]	KREBS H I, HOGAN N, AISEN M L, et al. Robot-aided neurorehabilitation [J]. IEEE Transactions on Rehabilitation Engineering, 1998, 6(1): 75-87.
[16]	NEF T, MIHELJ M, RIENER R. ARMin: A robot for patient-cooperative arm therapy [J]. Medical & Biological Engineering & Computing, 2007, 45(9): 887-900.
[17]	ANGOLD H K R, HARDING N, RICHMOND K, et al. Ekso bionics-ekso bionics [J]. IEEE Spectrum, 2015, 49(1): 30-32.
[18]	ESQUENAZI A, TALATY M, PACKEL A, et al. The ReWalk powered exoskeleton to restore ambulatory function to individuals with thoracic-level motor-complete spinal cord injury [J]. American Journal of Physical Medicine & Rehabilitation, 2012, 91(11): 911-921.
[19]	TAN X D, LIU X X, SHAO H Y. Healthy China 2030: A vision for health care [J]. Value in Health Regional Issues, 2017, 12: 112-114.
[20]	D′IAZ I, GIL J J, SA′NCHEZ E. Lower-limb robotic rehabilitation: Literature review and challenges [J]. Journal of Robotics, 2011, 2011: 1-11.
[21]	MIRIYEV A, STACK K, LIPSON H. Soft material for soft actuators [J]. Nature Communications, 2017, 8(1): 1-8.
[22]	LEWIS M, SYCARA K, WALKER P. The role of trust in human-robot interaction [M]//Foundations of trusted autonomy. Cham: Springer, 2018: 135-159.
[23]	CHENG L, CHEN M, LI Z W. Design and control of a wearable hand rehabilitation robot [J]. IEEE Access, 2018, 6: 74039-74050.
[24]	GOPINATH D, JAIN S, ARGALL B D. Human-in-the-loop optimization of shared autonomy in assistive robotics [J]. IEEE Robotics and Automation Letters, 2017, 2(1): 247-254.
[25]	POWLES J, HODSON H. Google DeepMind and healthcare in an age of algorithms [J]. Health and Technology, 2017, 7(4): 351-367.

中国康复和辅助机器人的发展：困境与解决方案

Development of Rehabilitation and Assistive Robots in China: Dilemmas and Solutions

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