New wearable walking-type continuous passive motion device for postsurgery walking rehabilitation
| Autor: | Yong Zhu, Hideki Kohno, Tadahiro Horiuchi, Hidetsugu Terada, Hirotaka Haro, Takahashi Rei, Masahiro Nakamura |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Walking Osteoarthritis Knee Joint Continuous passive motion Physical medicine and rehabilitation Humans Medicine Postoperative Period Arthroplasty Replacement Knee Gait Balance (ability) Analysis of Variance Braces Rehabilitation business.industry Mechanical Engineering Motion Therapy Continuous Passive Equipment Design General Medicine medicine.disease Arthroplasty Physical therapy Female business Range of motion human activities |
| Zdroj: | Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. 227:733-745 |
| ISSN: | 2041-3033 0954-4119 |
| DOI: | 10.1177/0954411913481557 |
| Popis: | While total knee arthroplasty is useful for treating osteoarthritis of the knee, the success of this treatment depends on effective rehabilitation. The goal of this study was to develop an assistive device for post–total knee arthroplasty patients for walking rehabilitation and for shortening the hospitalization period. We developed a brace electronic assist system termed the knee assistive instrument for walking rehabilitation (KAI-R) to illustrate the need for training during postoperative rehabilitation. Sixteen osteoarthritis patients (1 male and 15 females; average age 68.9 years) who underwent total knee arthroplasty were analyzed before operation and 2–4 weeks after operation, and 25 healthy individuals (14 males and 11 females; average age 26.2 years) formed the control group. Based on the pre- and postoperative data on peak knee flexion angle, foot height, and walking velocity, we developed the KAI-R, which consists of an assistive mechanism for the knee joint, a hip joint support system, and a foot pressure sensor system and is driven by a CPU board that generates the walking pattern. We then tested the walking gait in seven healthy volunteers with and without KAI-R assistance. KAI-R increased the peak flexion angle of the knee and foot height in all seven volunteers; their range of motion of the knee joint was increased. However, KAI-R also decreased the walking velocity of subjects, which was explained by reaction delay and slightly compromised physical balance, which was caused by wearing the KAI-R. KAI-R is useful for gait improvement. In future studies, KAI-R will be investigated in a clinical trial for its ability for walking rehabilitation in post–total knee arthroplasty patients. |
| Databáze: | OpenAIRE |
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