Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study

Background: Effective rehabilitation following total knee arthroplasty (TKA) is crucial for enhancing both range of motion (ROM) and functional outcomes. While robotics has demonstrated its potential in various medical contexts, the evidence on its application in TKA rehabilitation is still scarce....

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Detalles Bibliográficos
Autores: Barquín Santos, Eva, Cumplido Trasmonte, Carlos, García Fogeda, María Dolores Gor, Plaza Flores, Alberto, López Morón, A.L., Fernández, Roemi, García Armada, Elena
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/374803
Acceso en línea:http://hdl.handle.net/10261/374803
Access Level:acceso abierto
Palabra clave:arthroplasty
knee
MAK
rehabilitation
robotics
TKA
Descripción
Sumario:Background: Effective rehabilitation following total knee arthroplasty (TKA) is crucial for enhancing both range of motion (ROM) and functional outcomes. While robotics has demonstrated its potential in various medical contexts, the evidence on its application in TKA rehabilitation is still scarce. The marsi active knee (MAK), a robotic device that has already proven to be safe and beneficial in people with neurological disease, has been tested to facilitate the rehabilitation of TKA patients. Objective: This study aims to evaluate the safety, patient satisfaction, and clinical impact of integrating the MAK into an early rehabilitation regimen for TKA patients. Methods: The intervention comprised 14 onehour sessions administered thrice a week, utilizing the MAK within 48 h postTKA surgery. The rehabilitation sessions incorporated exercises involving passive mobilizations, sittostand transitions, and gait training. Comprehensive data encompassing safety parameters, patient satisfaction, and clinical outcomes were meticulously collected and analyzed. Results: Six participants successfully completed the rehabilitation protocol with the MAK device. Notably, no significant adverse events were documented. Application of the device corresponded to perceptible reductions in selfreported pain levels. Vital signs remained within minimal variance pre and postrehabilitation. Participants proficiently engaged in all assisted exercises facilitated by the device, culminating in a high overall satisfaction rating of 4.6 � 0.5 out of 5. Conclusion: The findings indicate that the MAK device exhibits a commendable level of safety while obtaining considerable patient satisfaction during the early rehabilitation phase following TKA, suggesting this device may be a reliable adjunct to TKA protocols.