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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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
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spelling Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept studyBarquín Santos, EvaCumplido Trasmonte, CarlosGarcía Fogeda, María Dolores GorPlaza Flores, AlbertoLópez Morón, A.L.Fernández, RoemiGarcía Armada, ElenaarthroplastykneeMAKrehabilitationroboticsTKABackground: 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.Consejería de Educación e Investigación de la Comunidad de Madrid through Grant IND2022/TIC23501.Peer reviewedJohn Wiley & SonsComunidad de MadridBarquín Santos, Eva [0000-0002-9517-5262]Cumplido Trasmonte, Carlos [0000-0002-2878-9272]García Fogeda, María Dolores Gor [0000-0001-6791-813X]Plaza Flores, Alberto [000]0-0003-3126-9048López Morón, A.L.Fernández, Roemi [0000-0003-0552-5407]García Armada, Elena [0000-0002-8495-6151]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202420242024info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10261/374803reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttps://doi.org/ 10.1002/pri.2134Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3748032026-05-22T06:33:51Z
dc.title.none.fl_str_mv Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
title Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
spellingShingle Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
Barquín Santos, Eva
arthroplasty
knee
MAK
rehabilitation
robotics
TKA
title_short Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
title_full Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
title_fullStr Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
title_full_unstemmed Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
title_sort Early implementation of MAK robotic device in total knee arthroplasty rehabilitation: A proof-of-concept study
dc.creator.none.fl_str_mv Barquín Santos, Eva
Cumplido Trasmonte, Carlos
García Fogeda, María Dolores Gor
Plaza Flores, Alberto
López Morón, A.L.
Fernández, Roemi
García Armada, Elena
author Barquín Santos, Eva
author_facet Barquín Santos, Eva
Cumplido Trasmonte, Carlos
García Fogeda, María Dolores Gor
Plaza Flores, Alberto
López Morón, A.L.
Fernández, Roemi
García Armada, Elena
author_role author
author2 Cumplido Trasmonte, Carlos
García Fogeda, María Dolores Gor
Plaza Flores, Alberto
López Morón, A.L.
Fernández, Roemi
García Armada, Elena
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comunidad de Madrid
Barquín Santos, Eva [0000-0002-9517-5262]
Cumplido Trasmonte, Carlos [0000-0002-2878-9272]
García Fogeda, María Dolores Gor [0000-0001-6791-813X]
Plaza Flores, Alberto [000]0-0003-3126-9048
López Morón, A.L.
Fernández, Roemi [0000-0003-0552-5407]
García Armada, Elena [0000-0002-8495-6151]
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv arthroplasty
knee
MAK
rehabilitation
robotics
TKA
topic arthroplasty
knee
MAK
rehabilitation
robotics
TKA
description 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.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/374803
url http://hdl.handle.net/10261/374803
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/ 10.1002/pri.2134

dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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