综述上肢助行设备，揭示其在康复与生活辅助中的潜力与瓶颈。
Design and use of devices to assist movement of the upper limb: review of the literature
- 系统梳理从矫形器到机器人等各类上肢辅助技术。
- 多数原型效果良好，但商业化少，难落地使用。
- 强调用户中心设计，推动模块化易用设备研发。
本文基于PRISMA方法开展系统性文献综述，探讨针对残疾人群体上肢运动的辅助设备。研究涵盖从矫形器到先进机器人技术，旨在补偿或补充运动功能障碍。结果显示，这些设备应用广泛（如康复、日常生活活动），作用部位包括远端、近端或整体肢体，控制方式与交互界面多样。尽管诸多原型表现优异，但真正实现商业化的设备极少，限制了对终端用户的实际影响。现有技术虽能提升功能自主性与生活质量，仍面临人因工程、成本与便携性挑战。文章强调用户中心设计理念，并提出开发创新、模块化、可及性强的辅助设备的发展方向。
原文摘要 · Abstract (English)
This article explores assistive devices for upper limb movement in people with disabilities through a systematic review based on the PRISMA methodology. The studied devices encompass technologies ranging from orthoses to advanced robotics, aiming to compensate for or supplement motor impairments. The results highlight the diversity of applications (rehabilitation, daily living activities), targeted body segments (distal, proximal, or global), as well as control mechanisms and interfaces used. However, despite the variety of promising prototypes, few devices are commercially available, limiting their real impact on end users. Existing technologies, while effective in improving functional autonomy and quality of life, still face challenges in terms of ergonomics, cost, and portability. In conclusion, this article emphasizes the importance of a user-centered approach and proposes avenues for the development of innovative, modular, and accessible assistive devices.
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