Hybrid Assistive Limb improves restricted hip extension after total hip arthroplasty

Setoguchi, Daisuke; Kinoshita, Koichi; Kamada, Shin; Sakamoto, Tetsuya; Kise, Naoki; Kotani, Naoya; Goto, Kyosuke; Shiota, Etsuji; Inoue, Takeshi; Yamamoto, Takuya

doi:10.1080/10400435.2020.1712498

Cited by 9 publications

(34 citation statements)

References 35 publications

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“…Lastly, in the study by Setoguchi et al, [ 20 ] HAL was used for training over 2 weeks (3 times a week) after THA. Gait analysis was performed before and after surgery, and comparisons were made between the 2 groups.…”

Section: Resultsmentioning

confidence: 99%

“…[ 19 ] Fukaya et al [ 22 ] performed the gait analysis to verify the effect of HAL on the kinematic and kinetic variables of lower limb joint function at 5 weeks after TKA. In studies using HAL, one [ 20 ] included patients undergoing post-THR rehabilitation. Gait analysis was performed before and after surgery, and comparisons were made between the 2 groups.…”

Section: Methodsmentioning

confidence: 99%

“…In studies using HAL, 6 [14][15][16]19,21,22] included patients having post-TKR rehabilitation and one [20] included patients undergoing post-THR rehabilitation. First of all, among 6 [14][15][16]19,21,22] studies, the outcome measures were analyzed descriptively (with exception of VAS) to evaluate the knee function in the studies by Kotani et al, [15] Goto et al [16] Improvement in active and passive knee ROM and strength of knee flexion were assessed for the evaluation of function in the study by Kotani et al [15] Goto et al [16] reported the effectiveness of HAL assisted rehabilitation through the extension lag.…”

Section: Data Synthesis and Statistical Analysismentioning

confidence: 99%

“…Indeed, outcome measurements for evaluating the functional recovery of TKR and THR were all different. [14][15][16][17][18][19][20][21][22] Consequently, the quantification and standardization of RAR through review of existing studies is clearly needed.…”

Section: Introductionmentioning

confidence: 99%

“…Robot-assisted rehabilitation (RAR) is used either in combination with conventional rehabilitation (CR) or alone and is believed to have satisfied the necessary external requirements for improving motor function. [14][15][16][17][18][19][20][21][22] In the meantime, the quantification of gait training intensity is needed to allow the standardization of gait parameters, because the applied robots are merely tools in the hands of physical therapists and therapists themselves, ultimately provide unique benefits to the treatment protocols in patients following TKR and THR. Indeed, outcome measurements for evaluating the functional recovery of TKR and THR were all different.…”

Section: Introductionmentioning

confidence: 99%

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Robot-assisted rehabilitation for total knee or hip replacement surgery patients: A systematic review and meta-analysis

Yoo

Lee

et al. 2022

Medicine

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Background: This study was performed to update the current evidence and evaluate the effects of robot-assisted rehabilitation (RAR) in comparison with conventional rehabilitation (CR) in patients following total knee (TKR) or hip replacements (THR).Methods: PubMed Central, OVID Medline, Cochrane Collaboration Library, and EMBASE for a comprehensive search for all relevant studies, from database inception to July 2022. The following inclusion criteria were used to determine eligibility for studies: randomized and matched controlled trials recruiting men and women who underwent TKR and THR; and studies examining the effect of RAR on outcome measures of physical function and pain.Results: A total of 9 studies (230 patients) were included in this review and 4 were included in the meta-analysis. The metaanalysis of 2 studies showed that Hybrid Assistive Limb (HAL) training for 5 days, significantly improved pain measured on a visual analogue scale, compared to CR in patients following TKR (SMD = 1.05, 95% confidence interval [Cl] 0.39-1.71). Heterogeneity for I 2 value was lower than moderate (tau^2 = 0.0121; I 2 = 5%; P = .30). There were 2 studies that assessed self-selected walking speed. The meta-analysis of these studies showed that HAL training was significantly superior to CR in patients following TKR (SMD = 48.70, 95% Cl -50.53 to 147.94) at 2 months. A high heterogeneity was detected (P < .01; I 2 = 97%). Conclusion:The result of this systematic review and meta-analysis suggest that RAR may be an effective treatment in TKR and THR patients. However, high-quality studies are needed to verify the long-term effect on their recovery. Abbreviations: CI = confidence interval, CR = conventional rehabilitation, HAL = hybrid assistive limb, MCID = minimally clinically important difference, MWS = maximum walking speed, NRS = numerical rating scale, RAR = robot-assisted rehabilitation, RCT = randomized clinical trial, ROM = range of motion, SMD = standardized mean difference, SWS = self-selected walking speed, TCRRT = trunk control rehabilitation robot training, THR = total hip replacements, TKR = total knee replacement, VAS = visual analog scale, WOMAC = Western Ontario and McMaster universities osteoarthritis index.

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Section: Resultsmentioning

confidence: 99%