脊髓损伤康复工程新技术的应用及展望

Applications and prospects of new rehabilitation engineering technologies for spinal cord injury

  • 摘要: 脊髓损伤是一种严重的神经系统疾病,全球每年新增病例数高达25万至50万,传统康复模式由于疗效欠佳、费用高昂,难以满足与日俱增的临床需求,故各种康复与治疗的新技术应运而生。本综述系统梳理了新兴的康复技术,包括神经接口技术、功能性电刺激、康复机器人和神经调控技术,阐述了各技术作用机制,讨论其在脊髓损伤临床康复中可发挥的作用,为未来临床康复发展提供理论基础。这些技术正将脊髓损伤的治疗理念从被动的功能代偿提升至主动的神经重建,尽管已展现巨大潜力,但其大规模临床应用仍面临挑战,如信号稳定性、安全性和缺乏大规模临床证据。未来,这些技术的融合、人工智能驱动的个性化康复,以及居家化康复将是主要趋势,最终目标是构建精准、高效的闭环式智能康复系统。

     

    Abstract: Spinal cord injury(SCI) is a severe neurological disease, with an estimated 250,000 to 500,000 new cases worldwide each year. Traditional rehabilitation approaches, limited by suboptimal efficacy and high costs, have struggled to meet the rapidly growing clinical demand; consequently, a range of new rehabilitation and therapeutic technologies has emerged. This review systematically summarizes emerging rehabilitation techniques, including neuro-interface technologies, functional electrical stimulation, rehabilitation robotics, and neuromodulation, explains their mechanisms of action, and discusses their potential roles in clinical rehabilitation for SCI, thereby providing a theoretical basis for future development in clinical rehabilitation. These technologies are elevating the treatment concept for SCI from passive functional compensation to active neural reconstruction. Although they have demonstrated substantial potential, large-scale clinical application still faces challenges, such as signal stability, safety concerns, and a lack of large-scale clinical evidence. Looking ahead, integration of these technologies, artificial intelligence-driven personalized rehabilitation, and home-based rehabilitation are expected to be key trends, with the ultimate goal of establishing a precise, efficient, closed-loop intelligent rehabilitation system.

     

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