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Virtual rehabilitation and upper limb prosthesis: A Systematic Scoping Review

(2020)

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Ghazi_Hugo_41331500_2019-2020.pdf
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Abstract
Rationale: Upper limb amputee prosthesis rehabilitation is a long and grueling process. There are virtual systems that exist to ease this process. However, there is no list summarizing all these virtual systems for the patient and the clinician. There is also little clinical evidence proving their efficiency. Objectives: To (1) discover the different virtual tools created towards upper limb amputee prosthesis rehabilitation and understand the rationale behind each of those tools and to (2) investigate the type of clinical evidence supporting the different virtual systems available. Methods: Systematic scoping review. Search was conducted in 10 different databases. Article selection was conducted by 2 experts. Data was extracted in standardized forms and synthetized. Results: 2059 records were found, and 55 studies were included in the review. Most virtual systems were 3D simulators (54%; n=32) and most used displays were 2D displays (85%; n=47). A majority of studies designed their virtual tool towards a training purpose (98%; n=54) but none developed a prosthesis choosing application. On the 55 studies, 4 conducted randomized controlled trials (7%) and 16 (29%) assessed their tool through expert opinion. Conclusions: This scoping review highlights a lack of clinical trials to prove the virtual tools efficiency, and an opportunity for new virtual systems allowing amputee patients to try different prosthesis and choose one according to their own activities.