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  4. Rehabilitation during early postoperative period following total knee arthroplasty using single‑joint hybrid assistive limb as new therapy device: a randomized, controlled clinical pilot study

Rehabilitation during early postoperative period following total knee arthroplasty using single‑joint hybrid assistive limb as new therapy device: a randomized, controlled clinical pilot study

Archives of Orthopaedic and Trauma Surgery, 2022 · DOI: 10.1007/s00402-021-04245-9 · Published: November 16, 2021

OrthopedicsRehabilitation

Simple Explanation

The study investigates the use of a single-joint hybrid assistive limb (HAL-SJ) in early rehabilitation after total knee arthroplasty (TKA). The HAL-SJ is a neurologically controlled device that supports knee movement based on the patient's own bioelectrical signals. Patients were divided into two groups: one receiving HAL-SJ therapy and the other receiving continuous passive motion (CPM) therapy, a common rehabilitation method. The study aimed to assess whether HAL-SJ could improve range of motion, mobility, and patient satisfaction. The results indicated that HAL-SJ is a safe and feasible option for early rehabilitation after TKA, potentially offering advantages in improving daily life impairment compared to CPM. The HAL-SJ group showed a significant improvement in the Oxford knee score (OKS).

Study Duration
Between 09/2017 and 10/2020
Participants
34 patients, randomized into study (HAL-SJ) and control (CPM) group
Evidence Level
Level II, Randomized controlled clinical pilot study

Key Findings

  • 1
    The Oxford knee score (OKS) improved significantly in the HAL-SJ group postoperatively, indicating improvement in daily life impairment.
  • 2
    Both the HAL-SJ and CPM groups showed significant improvement in knee flexion between days 3/7 and 8 weeks postoperatively.
  • 3
    No complications related to the use of HAL-SJ were encountered during the study.

Research Summary

This study evaluated the use of the single-joint hybrid assistive limb (HAL-SJ) for early rehabilitation after total knee arthroplasty (TKA). Patients were randomized into HAL-SJ and continuous passive motion (CPM) groups, and their range of motion (ROM), mobility, and satisfaction were assessed. The results showed that HAL-SJ is safe and feasible, with the HAL-SJ group experiencing a significant improvement in the Oxford knee score (OKS). Knee flexion improved significantly in both groups. The study suggests that HAL-SJ may offer advantages in terms of daily life impairment. Future studies with larger groups and longer treatment periods are recommended.

Practical Implications

Clinical Practice

HAL-SJ can be considered a safe and feasible alternative to CPM for early rehabilitation after TKA.

Patient Care

HAL-SJ may improve patients' satisfaction and daily life activities following TKA.

Further Research

Future studies should investigate the long-term effects of HAL-SJ, optimal training protocols, and its cost-effectiveness.

Study Limitations

  • 1
    Small sample size
  • 2
    Short follow-up period
  • 3
    Strict exclusion criteria limited the patient population

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