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人工智能在增龄相关衰弱患者康复中的应用专家共识OA

Expert Consensus on the Application of Artificial Intelligence in Rehabilitation Management for Age-Related Frailty Patients

中文摘要英文摘要

随着人口老龄化的加速,增龄相关衰弱作为一种以多系统生理功能储备随增龄进行性下降为特征的临床综合征,已成为影响老年人健康结局和生活质量的重要问题.该状态同时累及躯体、认知、心理及社会等多个维度,但传统评估方法在动态追踪与个体化干预方面存在明显不足.人工智能(AI)及智能康复技术凭借跨模态数据融合、动态监测与个体化建模等优势,为增龄相关衰弱的精准管理提供了全新路径.本共识由跨学科专家团队基于系统的文献检索与牛津循证医学中心(OCEBM)推荐等级标准制定,系统梳理并推荐了AI在增龄相关衰弱评估与干预中的应用.内容涵盖AI在感知、数据处理、模型融合及干预引导中的技术架构,提出了针对躯体、认知、心理和社会4个衰弱维度的典型AI辅助评估与干预策略,并形成了针对外骨骼机器人、虚拟现实(VR)结合脑机接口(BCI)、数字心理干预平台、社交陪伴机器人等多类技术的临床应用建议,同时给出相应循证推荐等级.此外,共识明确了AI在增龄相关衰弱康复中的应用适应证与禁忌证,强调了开展多中心临床验证、遵守伦理规范、保障数据安全以及推动跨学科合作的重要性.展望未来,AI技术将朝着数字孪生、个体化康复算法及多模态深度学习平台的方向发展,推动康复设备的家庭化、轻量化及一体化,构建覆盖全周期、多维度的"人-机"协同康复新生态.本共识旨在为临床医师、康复专家及相关从业人员提供实践指导,以促进AI技术在增龄相关衰弱患者康复中的科学、规范及可持续应用.

With the acceleration of population aging,age-related frailty,a clinical syndrome characterized by the progressive decline of physiological functional reserves across multiple organ systems with advancing age,has become a key public health con-cern affecting health outcomes and quality of life in older adults.This condition manifests across four dimensions:physical,cogni-tive,psychological,and social.Traditional assessment methods demonstrate significant limitations in dynamic monitoring and per-sonalized interventions.Artificial intelligence(AI)and intelligent rehabilitation technologies,which feature strengths including cross-modal data fusion,dynamic monitoring,and individualized predictive modeling,provide innovative approaches for the precise management of age-related multidimensional frailty.This consensus document was developed by an interdisciplinary expert panel following evidence-based methodological principles.Based on systematic literature review and the grading criteria of the Oxford Centre for Evidence-Based Medicine(OCEBM),this study systematically reviews current evidence and puts forward standardized recommendations for AI applications in the assessment and intervention of age-related multidimensional frailty.The content covers the technical framework of AI across perception,data processing,model integration,and intervention guidance.It proposes typical AI-assisted assessment and intervention pathways across the physical,cognitive,psychological,and social dimensions of frailty,and puts forward clinical application recommendations for various technologies,including exoskeleton robots,virtual reality(VR)com-bined with brain-computer interfaces(BCI),digital psychological intervention platforms,and social companion robots,with corre-sponding evidence-based recommendation grades.Furthermore,the consensus clarifies the indications and contraindications for AI applications in the rehabilitation of age-related multidimensional frailty,emphasizing the importance of multicenter clinical valida-tion,ethical compliance,data security,and interdisciplinary collaboration.In the future,AI technology will evolve towards digital twin systems,personalized rehabilitation algorithms,and multimodal deep learning platforms,promoting home-based,lightweight,and integrated development of rehabilitation devices,and constructing a new ecosystem of full-cycle,multi-dimensional human-ma-chine collaborative rehabilitation.This consensus aims to provide practical guidance for clinicians,rehabilitation specialists,and other relevant practitioners,so as to promote the scientific,standardized,and sustainable application of AI technology in the rehabilitation of patients with age-related frailty.

黄丽萍;邹永向;费燕琼;侯景明;黄瑞;李伟;刘晓旻;庞日朝;王志永;于宁波;张弼;江山;张立新;曹磊;周明;钱春生;张攻孜;徐佳宁

中国人民解放军总医院第一医学中心,北京 100853中国科学院自动化研究所,北京 100190上海交通大学,上海 200240中国人民解放军陆军军医大学第一附属医院,重庆 400038电子科技大学,四川 成都 611731山东大学,山东 济南 250100郑州大学,河南 郑州 450001西部战区总医院,四川 成都 610083哈尔滨工业大学(深圳),广东 深圳 518055南开大学,天津 300071中国科学院沈阳自动化研究所,辽宁 沈阳 110016中日友好医院,北京 100029中国医科大学附属盛京医院,辽宁 沈阳 110004首都医科大学宣武医院,北京 100053中国人民解放军总医院第一医学中心,北京 100853中国人民解放军联勤保障部队第九六二医院,黑龙江 哈尔滨 150086中国人民解放军总医院第一医学中心,北京 100853中国人民解放军总医院第四医学中心,北京 100048

增龄相关衰弱人工智能多维康复智能评估个体化干预专家共识

age-related frailtyartificial intelligencemultidimensional rehabilitationintelligent assessmentindividualized interventionexpert consensus

《康复学报》 2026 (7)

457-472,16

国家重点研发计划项目(2022YFB4703205)首都卫生发展科研专项项目(2026-2-5023)

10.3724/SP.J.1329.2026.07001

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