Feasibility and efficacy of knee extension training using a single-joint          hybrid assistive limb, versus conventional rehabilitation during the early postoperative          period after total knee arthroplasty

Yoshioka, Tomokazu; Kuzuhara, Shigeki; Sugaya, Hisashi; Arai, Norihito; Hyodo, Koji; Kanamori, Akira; Yamazaki, Masashi

doi:10.2185/jrm.2020-024

Cited by 21 publications

(40 citation statements)

References 16 publications

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“… 11 , 12 Recently, the effects of using robotics for walking exercises have been examined, 13 - 15 and exoskeletal robotic exercises have been proposed for patients who have undergone TKA to improve postoperative knee function and walking ability. 16 - 19 However, several of these devices are heavy and have a strong exoskeleton mechanism to provide lower leg support because they are intended to be used during repetitive walking exercises for severely paralyzed patients. As patients after TKA surgery do not have severe paralysis, these exoskeleton-type robotic devices may not be efficient in clinical settings because of the large scale of the devices and time it takes to fit them.…”

Section: Introductionmentioning

confidence: 99%

Early Recovery of Walking Ability in Patients After Total Knee Arthroplasty Using a Hip-Wearable Exoskeleton Robot: A Case-Controlled Clinical Trial

Koseki

Mutsuzaki

Yoshikawa

et al. 2021

Geriatr Orthop Surg Rehabil

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Introduction: The Honda Walking Assist (HWA) is a hip-wearable exoskeleton robot for gait training that assists in hip flexion and extension movements to guide hip joint movements during gait. This study aimed to evaluate the effects of walking exercises with HWA in patients who underwent total knee arthroplasty (TKA). Materials and Methods: This study involved 10 patients (11 knees) in the HWA group and 11 patients (11 knees) in the control group who underwent conventional physical therapy. The patients assigned to the HWA group underwent a total of 17-20 gait training sessions, each lasting approximately 20 min from week 1 to 5 following TKA. Self-selected walking speed (SWS), maximum walking speed (MWS), range of motion (ROM), knee extension and flexion torque, and Western Ontario and McMaster Universities Osteoarthritis Index subscales of pain (WOMAC-p) and physical function (WOMAC-f) scores were measured preoperatively, at 2, 4, and 8 weeks following TKA. Results: Interventions were successfully completed in all patients, with no severe adverse events. A significant difference was noted in the time × group interaction effect between preoperative and week 2 SWS and MWS. Regarding knee function, there was a significant difference in the time × group interaction between preoperative and week 2 active ROM extension; however, no significant difference in knee torque, WOMAC-p, and WOMAC-f scores were observed. In the between-group post hoc analysis, WOMAC-f in the HWA group was higher than that in the control group at week 8. Discussion: Although the control group showed a temporary reduction in SWS and MWS 2 weeks after TKA, the HWA group did not. These results suggest that HWA intervention promotes early improvement in walking ability after TKA. Conclusions: The gait training using HWA was safe and feasible and could be effective for the early improvement of walking ability in TKA patients.

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Section: Introductionmentioning

confidence: 99%

Early Recovery of Walking Ability in Patients After Total Knee Arthroplasty Using a Hip-Wearable Exoskeleton Robot: A Case-Controlled Clinical Trial

Koseki

Mutsuzaki

Yoshikawa

et al. 2021

Geriatr Orthop Surg Rehabil

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“…18 로봇 재활은 뇌병변 환자에게 사용되고 있고, 19,20 인공무릎관절치 환술 환자에게도 사용되고 있다. 16,[21][22][23] 최근에 엉덩관절 관절염 환자 에게 웨어러블 로봇 재활을 실시한 하나의 사례연구가 보고되었다. 24 선행연구에서 사용된 로봇은 환자가 엉덩관절에 웨어러블 로봇을…”

Section: Korean Physical Therapyunclassified

Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study

Kim

Cho

et al. 2021

J Kor Phys Ther

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“…There are a number of studies of postoperative rehabilitation using the HAL lower limb type for myelopathy [8,9], cerebral palsy [10], and knee osteoarthritis [11,12]. Rehabilitation using the HAL single-joint type after surgery for knee osteoarthritis has also been reported [13,14]. In this study, we focused on the HAL lumbar type.…”

Section: Introductionmentioning

confidence: 99%

Early Postoperative Rehabilitation Using the Hybrid Assistive Limb (HAL) Lumbar Type in Patients With Hip Fracture: A Pilot Study

Fujikawa¹,

Takahashi²,

Shinohara³

et al. 2022

Cureus

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Objective: To extend life expectancy after surgery, patients with hip fractures need to improve their mobility quickly through postoperative rehabilitation. Voluntary hip joint motion supported by the hybrid assistive limb (HAL) lumbar type, an exoskeleton robot suit characterized by its ability to detect the wearer's intentions through the bioelectrical signals and assist hip extension motions at an optimal timing, may be effective to improve mobility in patients with hip joint dysfunction after surgery. We aimed to introduce rehabilitation using the HAL lumbar type in the early period after hip fracture surgery.Methods: Patients who underwent internal fixation for hip fracture at a single institution were prospectively enrolled. They received early postoperative rehabilitation (forward and backward bending of the lumbar spine, pelvic tilt forward and backward, standing up, and squatting) using the HAL lumbar type (six times a week for 15 min per session). Five-times-sit-to-stand (FTSS) and timed-up-and-go (TUG) tests were conducted at baseline before HAL rehabilitation (pre-HAL) and after the HAL rehabilitation (post-HAL) intervention.Results: We enrolled 14 patients (one man, 13 women) in this study. There were no adverse events, and all patients were able to complete the entire rehabilitation program. Post-HAL FTSS showed significant improvement compared with pre-HAL and had a large effect size of 1.81 (95% CI = 0.93 to 2.66) and sufficient power.Conclusions: Robotic rehabilitation with HAL lumbar type could be introduced without adverse events, even in the early postoperative period following surgery for hip fracture. Further study is needed to develop an appropriate rehabilitation protocol using the HAL lumbar type.

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Feasibility and efficacy of knee extension training using a single-joint hybrid assistive limb, versus conventional rehabilitation during the early postoperative period after total knee arthroplasty

Cited by 21 publications

References 16 publications

Early Recovery of Walking Ability in Patients After Total Knee Arthroplasty Using a Hip-Wearable Exoskeleton Robot: A Case-Controlled Clinical Trial

Early Recovery of Walking Ability in Patients After Total Knee Arthroplasty Using a Hip-Wearable Exoskeleton Robot: A Case-Controlled Clinical Trial

Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study

Early Postoperative Rehabilitation Using the Hybrid Assistive Limb (HAL) Lumbar Type in Patients With Hip Fracture: A Pilot Study

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