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骨关节炎患者全膝关节置换术后早期使用单关节混合辅助肢体进行膝关节伸展训练

Knee-Extension Training with a Single-Joint Hybrid Assistive Limb during the Early Postoperative Period after Total Knee Arthroplasty in a Patient with Osteoarthritis.

作者信息

Yoshioka Tomokazu, Sugaya Hisashi, Kubota Shigeki, Onishi Mio, Kanamori Akihiro, Sankai Yoshiyuki, Yamazaki Masashi

机构信息

Division of Regenerative Medicine for Musculoskeletal System, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan; Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

出版信息

Case Rep Orthop. 2016;2016:9610745. doi: 10.1155/2016/9610745. Epub 2016 Sep 28.

DOI:10.1155/2016/9610745
PMID:27774330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5059619/
Abstract

The knee range of motion is an important outcome of total knee arthroplasty (TKA). According to previous studies, the knee range of motion temporarily decreases for approximately 1 month after TKA due to postoperative pain and quadriceps dysfunction following surgical invasion into the knee extensor mechanism. We describe our experience with a knee-extension training program based on a single-joint hybrid assistive limb (HAL-SJ, Cyberdyne Inc., Tsukuba, Japan) during the acute recovery phase after TKA. HAL-SJ is a wearable robot suit that facilitates the voluntary control of knee joint motion. A 76-year-old man underwent HAL-SJ-based knee-extension training, which enabled him to perform knee function training during the acute phase after TKA without causing increased pain. Thus, he regained the ability to fully extend his knee postoperatively. HAL-SJ-based knee-extension training can be used as a novel post-TKA rehabilitation modality.

摘要

膝关节活动范围是全膝关节置换术（TKA）的一项重要疗效指标。根据以往研究，TKA术后由于手术侵入膝关节伸肌机制导致术后疼痛和股四头肌功能障碍，膝关节活动范围会暂时减小约1个月。我们描述了在TKA术后急性康复阶段基于单关节混合辅助肢体（HAL-SJ，日本筑波赛博 Dyn公司）进行伸膝训练计划的经验。HAL-SJ是一种可穿戴机器人套装，有助于膝关节运动的自主控制。一名76岁男性接受了基于HAL-SJ的伸膝训练，这使他能够在TKA术后急性期进行膝关节功能训练而不会导致疼痛加剧。因此，他术后恢复了膝关节完全伸直的能力。基于HAL-SJ的伸膝训练可作为一种新型的TKA术后康复方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/6152d1b16740/CRIOR2016-9610745.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/8024185ebb13/CRIOR2016-9610745.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/87192afbc0c3/CRIOR2016-9610745.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/512c6f5f2718/CRIOR2016-9610745.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/b49006ba0c95/CRIOR2016-9610745.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/6152d1b16740/CRIOR2016-9610745.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/8024185ebb13/CRIOR2016-9610745.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/87192afbc0c3/CRIOR2016-9610745.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/512c6f5f2718/CRIOR2016-9610745.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/b49006ba0c95/CRIOR2016-9610745.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cf/5059619/6152d1b16740/CRIOR2016-9610745.005.jpg

相似文献

[1]
Knee-Extension Training with a Single-Joint Hybrid Assistive Limb during the Early Postoperative Period after Total Knee Arthroplasty in a Patient with Osteoarthritis.

Case Rep Orthop. 2016

[2]
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[3]
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[6]
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[7]
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[8]
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[9]
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J Clin Med. 2024-8-16

[2]
Single-Joint Type Hybrid Assistive Limb for Knee Training in the Acute Postoperative Phase After Opening Wedge High Tibial Osteotomy: A Feasibility and Safety Trial.

Cureus. 2024-5-11

[3]
Safety and Efficacy of Early Rehabilitation With Assistance From a Single-Joint Hybrid Assistive Limb in Patients With Total Knee Arthroplasty: A Randomized Controlled Clinical Pilot Study.

Cureus. 2024-4-6

[4]
Human-Robot Cooperative Strength Training Based on Robust Admittance Control Strategy.

Sensors (Basel). 2022-10-12

[5]
Single-joint Hybrid Assistive Limb in Knee Rehabilitation after ACL Reconstruction: An Open-label Feasibility and Safety Trial.

Prog Rehabil Med. 2022-7-21

[6]
The effects of elastic band exercise on the pain, kinesiophobia, functional, and psychological status after total knee arthroplasty: a randomized controlled trial.

Clin Rheumatol. 2022-10

[7]
Electromyographic examination of knee training using a hybrid assistive limb after anterior cruciate ligament reconstruction: A case report.

Asia Pac J Sports Med Arthrosc Rehabil Technol. 2022-2-1

[8]
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.

Arch Orthop Trauma Surg. 2022-12

[9]
Effect of Training With the Hybrid Assistive Limb on Gait Cycle Kinematics After Total Knee Arthroplasty.

Geriatr Orthop Surg Rehabil. 2021-10-8

[10]
Rehabilitation training using a single-joint type hybrid assistive limb for the knee after anterior cruciate ligament reconstruction: an initial case report indicating safety and feasibility.

J Phys Ther Sci. 2021-1

本文引用的文献

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Rehabilitative Guidelines after Total Knee Arthroplasty: A Review.

J Knee Surg. 2016-4

[2]
The voluntary driven exoskeleton Hybrid Assistive Limb (HAL) for postoperative training of thoracic ossification of the posterior longitudinal ligament: a case report.

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Knee Surg Sports Traumatol Arthrosc. 2015-6

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Case Rep Orthop. 2013

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BMC Neurol. 2013-10-7

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Arch Phys Med Rehabil. 2013-1-10

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BMC Musculoskelet Disord. 2007-8-17

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