Subject(s)
Aging/physiology , Disabled Persons , Health Promotion , Accidental Falls/prevention & control , Adult , Aged , Ambulatory Care , Biomedical Research , Chronic Disease , Delivery of Health Care, Integrated , Disabled Persons/rehabilitation , Europe , Frail Elderly , France , Health Personnel/education , Health Policy , Home Care Services , Humans , Independent Living , Malnutrition/prevention & control , Middle Aged , Patient Care Team , Public-Private Sector Partnerships , Regional Medical Programs , Self-Help Devices , Social Support , Social WorkABSTRACT
OBJECTIVE: To evaluate the reliability and functional acceptability of the ''Synthetic Autonomous Majordomo'' (SAM) robotic aid system (a mobile Neobotix base equipped with a semi-automatic vision interface and a Manus robotic arm). MATERIALS AND METHODS: An open, multicentre, controlled study. We included 29 tetraplegic patients (23 patients with spinal cord injuries, 3 with locked-in syndrome and 4 with other disorders; mean SD age: 37.83 13.3) and 34 control participants (mean SD age: 32.44 11.2). The reliability of the user interface was evaluated in three multi-step scenarios: selection of the room in which the object to be retrieved was located (in the presence or absence of visual control by the user), selection of the object to be retrieved, the grasping of the object itself and the robot's return to the user with the object. A questionnaire was used to assess the robot's user acceptability. RESULTS: The SAM system was stable and reliable: both patients and control participants experienced few failures when completing the various stages of the scenarios. The graphic interface was effective for selecting and grasping the object even in the absence of visual control. Users and carers were generally satisfied with SAM, although only a quarter of patients said that they would consider using the robot in their activities of daily living.
Subject(s)
Patient Acceptance of Health Care , Robotics , Self-Help Devices , Task Performance and Analysis , Activities of Daily Living , Adult , Arm , Housing , Humans , Microcomputers , Middle Aged , Quadriplegia/rehabilitation , Young AdultABSTRACT
Subacute combined degeneration (SCD) of the spinal cord is known to present histopathologically degenerative lesions in the spinal cord, but few studies on the neuroradiological findings have so far been reported. We present the interest of initial and follow-up MR findings in three cases of SCD. In the three cases, a causal event precipitated the onset of neurological symptoms: general anesthesia for the first and the third one and folic acid treatment for the second one. Clinical evolution was favorable after specific treatment with nearly total recovery. The initial MR study disclosed lesions predominantly involving the posterior columns of the spinal cord: high intensity on T2 weighted image was seen in the initial MR study and disappeared three months after treatment in correlation with good recovery, but with a delay. The recognition of this MR pattern suggests that MRI may be used in conjunction with clinical assessment to confirm the diagnosis and to monitor the efficacity of treatment in SCD.
