Proactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon Lesson

Abstract Background Rapid advancements in rehabilitation science and the widespread application of engineering techniques are opening the prospect of a new phase of clinical and commercial maturity for Neuroengineering, Assistive and Rehabilitation Technologies (NARTs). As the field enters this new...

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Main Authors: Marcello Ienca, Reto W. Kressig, Fabrice Jotterand, Bernice Elger
Format: Article
Language:English
Published: BMC 2017-11-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12984-017-0325-z
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author Marcello Ienca
Reto W. Kressig
Fabrice Jotterand
Bernice Elger
author_facet Marcello Ienca
Reto W. Kressig
Fabrice Jotterand
Bernice Elger
author_sort Marcello Ienca
collection DOAJ
description Abstract Background Rapid advancements in rehabilitation science and the widespread application of engineering techniques are opening the prospect of a new phase of clinical and commercial maturity for Neuroengineering, Assistive and Rehabilitation Technologies (NARTs). As the field enters this new phase, there is an urgent need to address and anticipate the ethical implications associated with novel technological opportunities, clinical solutions, and social applications. Main idea In this paper we review possible approaches to the ethics of NART, and propose a framework for ethical design and development, which we call the Proactive Ethical Design (PED) framework. Conclusion A viable ethical framework for neuroengineering, assistive and rehabilitation technology should be characterized by the convergence of user-centered and value-sensitive approaches to product design through a proactive mode of ethical evaluation. We propose four basic normative requirements for the realization of this framework: minimization of power imbalances, compliance with biomedical ethics, translationality and social awareness. The aims and values of the CYBATHLON competition provide an operative model of this ethical framework and could drive an ethical shift in neuroengineering and rehabilitation.
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spelling doaj.art-355ba666371b4197b2e32afcfa4d59c82022-12-22T01:18:02ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032017-11-0114111110.1186/s12984-017-0325-zProactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon LessonMarcello Ienca0Reto W. Kressig1Fabrice Jotterand2Bernice Elger3Institute for Biomedical Ethics, Faculty of Medicine, University of BaselUniversity Center for Medicine of Aging, Felix Platter HospitalInstitute for Biomedical Ethics, Faculty of Medicine, University of BaselInstitute for Biomedical Ethics, Faculty of Medicine, University of BaselAbstract Background Rapid advancements in rehabilitation science and the widespread application of engineering techniques are opening the prospect of a new phase of clinical and commercial maturity for Neuroengineering, Assistive and Rehabilitation Technologies (NARTs). As the field enters this new phase, there is an urgent need to address and anticipate the ethical implications associated with novel technological opportunities, clinical solutions, and social applications. Main idea In this paper we review possible approaches to the ethics of NART, and propose a framework for ethical design and development, which we call the Proactive Ethical Design (PED) framework. Conclusion A viable ethical framework for neuroengineering, assistive and rehabilitation technology should be characterized by the convergence of user-centered and value-sensitive approaches to product design through a proactive mode of ethical evaluation. We propose four basic normative requirements for the realization of this framework: minimization of power imbalances, compliance with biomedical ethics, translationality and social awareness. The aims and values of the CYBATHLON competition provide an operative model of this ethical framework and could drive an ethical shift in neuroengineering and rehabilitation.http://link.springer.com/article/10.1186/s12984-017-0325-zEthics of assistive technologyProactive ethical designUser-centeredValue sensitive designNeuroethicsCybathlon
spellingShingle Marcello Ienca
Reto W. Kressig
Fabrice Jotterand
Bernice Elger
Proactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon Lesson
Journal of NeuroEngineering and Rehabilitation
Ethics of assistive technology
Proactive ethical design
User-centered
Value sensitive design
Neuroethics
Cybathlon
title Proactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon Lesson
title_full Proactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon Lesson
title_fullStr Proactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon Lesson
title_full_unstemmed Proactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon Lesson
title_short Proactive Ethical Design for Neuroengineering, Assistive and Rehabilitation Technologies: the Cybathlon Lesson
title_sort proactive ethical design for neuroengineering assistive and rehabilitation technologies the cybathlon lesson
topic Ethics of assistive technology
Proactive ethical design
User-centered
Value sensitive design
Neuroethics
Cybathlon
url http://link.springer.com/article/10.1186/s12984-017-0325-z
work_keys_str_mv AT marcelloienca proactiveethicaldesignforneuroengineeringassistiveandrehabilitationtechnologiesthecybathlonlesson
AT retowkressig proactiveethicaldesignforneuroengineeringassistiveandrehabilitationtechnologiesthecybathlonlesson
AT fabricejotterand proactiveethicaldesignforneuroengineeringassistiveandrehabilitationtechnologiesthecybathlonlesson
AT berniceelger proactiveethicaldesignforneuroengineeringassistiveandrehabilitationtechnologiesthecybathlonlesson