Arthroplasty, Replacement, Knee
Conditions
Brief summary
The aim of this study is to determine the clinical efficacy of gait rehabilitation robot through cortico-spinal-muscular pathway activation of the muscles remotely located from the end-effecter in patients after total knee arthroplasty.
Detailed description
pre-interventional evaluation; within 1 day of intervention start primary end point; 3 days after intervention start secondary end point; 5 days after intervention start
Interventions
gait training with Morning walk three times during 5 minutes with 5 minute break a day over 5 weekdays
gait training with ground walker until corresponding 200 steps during 5 minutes with 5 minute break a day over 5 weekdays
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients after Unilateral Total Knee Arthroplasty
Exclusion criteria
* brain disease, spinal cord injury, peripheral neuropathy, myopathy * Inability to ambulate fully due to muscukoskeletal disorders * MMSE\<23 * history of arthroplasty surgery on either of legs * Cardiac pacemaker * Refusal of participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Isometric muscle strength | 0 day( within 6 hours before the treatment start) and 5 day(within 6 hours after treatment stop) | peak torque (Nm/㎡), Maximal ratio of torque development (RTD) (degree/sec) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of Cortico-motor Excitability | 0 day( within 6 hours before the treatment start) and 5 day(within 6 hours after treatment stop) | maximum & mean amplitude of peak to peak MEP (mV and mV), amplitude of peak to peak MEP/maximum M-wave (mV/mV) |
| Change of Spinal Motor-neuron Excitability | 0 day( within 6 hours before the treatment start) and 5 day(within 6 hours after treatment stop) | Peak to peak Max. H-reflex (mV/mV), Peak to peak Max. H-wave/Max. M-reflex (mV/mV\*㎡) |
| Change of Cross-sectional area and volume of thigh muscle | 0 day( within 6 hours before the treatment start) and 5 day(within 6 hours after treatment stop) | Cross-sectional area (c㎡) and and volume (cm3) |
| Change of Muscle work | 0 day( within 6 hours before the treatment start) and 5 day(within 6 hours after treatment stop) | peak and mean amplitude of CMAP (mV and mV) and mean area & total area of CMAP (c㎡/sec and c㎡/sec) |
Countries
South Korea