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J Neuroeng Rehabil. 2017 Nov 14;14(1):115. doi: 10.1186/s12984-017-0325-z.

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

Author information

1
Institute for Biomedical Ethics, Faculty of Medicine, University of Basel, Bernoullistrasse 28, -4056, Basel, CH, Switzerland. marcello.ienca@unibas.ch.
2
Health Ethics & Policy Lab, Department of Health Sciences & Technology, ETH Zürich, Zürich, Switzerland. marcello.ienca@unibas.ch.
3
University Center for Medicine of Aging, Felix Platter Hospital, Basel, Switzerland.
4
Chair of Geriatrics, University of Basel, Basel, Switzerland.
5
Institute for Biomedical Ethics, Faculty of Medicine, University of Basel, Bernoullistrasse 28, -4056, Basel, CH, Switzerland.
6
Center for Bioethics and Medical Humanities, Institute for Health and Society, Medical College of Wisconsin, Madison, USA.
7
University Center for Legal Medicine, University of Geneva, Geneva, Switzerland.

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.

KEYWORDS:

Cybathlon; Ethics of assistive technology; Neuroethics; Proactive ethical design; User-centered; Value sensitive design

PMID:
29137639
PMCID:
PMC5686808
DOI:
10.1186/s12984-017-0325-z
[Indexed for MEDLINE]
Free PMC Article

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