UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052086
Receipt number R000059448
Scientific Title Therapeutic effect of knee extension exercise with single-joint hybrid assistive limb following total knee arthroplasty: A Prospective, Randomized Controlled Trial
Date of disclosure of the study information 2023/09/01
Last modified on 2024/02/18 10:34:13

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Basic information

Public title

Therapeutic effect of knee extension exercise with single-joint hybrid assistive limb following total knee arthroplasty

Acronym

The effect of knee exercise with the robot after total knee arthroplasty

Scientific Title

Therapeutic effect of knee extension exercise with single-joint hybrid assistive limb following total knee arthroplasty: A Prospective, Randomized Controlled Trial

Scientific Title:Acronym

Therapeutic effect of knee extension exercise with single-joint hybrid assistive limb following total knee arthroplasty: A Prospective, Randomized Controlled Trial

Region

Japan


Condition

Condition

Knee osteoarthritis
After total knee arthroplasty

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the therapeutic effect of knee extension exercise with the single-joint hybrid assistive limb on the acute phase after total knee arthroplasty.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Pain intensity on knee motion
Active knee extension angle
Passive knee extension angle
Evaluate preoperatively, postoperative days 1 to 10, and weeks 2 and 4.

Key secondary outcomes

Walking speed
Timed up and Go test
Isometric knee extension strength
Knee injury and Osteoarthritis Outcome Score (KOOS)
Evaluate preoperatively and on postoperative weeks 2 and 4.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

The patients in intervention group performed knee extension exercises with robot suit HAL single joint 50 times per day. The intervention was performed 5 times per week, and a total of 10 times.

Interventions/Control_2

The patients in intervention group performed knee extension exercises without robot suit HAL single joint 50 times per day. The intervention was performed 5 times per week, and a total of 10 times.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The patients with end-stage knee osteoarthritis and scheduled primary total knee arthroplasty

Key exclusion criteria

History of a serious peripheral circulatory disturbance
Heart or respiratory problems
Central or peripheral neurological disorders
Dementia
spinal disease with lower extremity symptoms

Target sample size

72


Research contact person

Name of lead principal investigator

1st name Takaya
Middle name
Last name Maeda

Organization

Hirosaki Memorial Hospital

Division name

Department of Rehabilitation

Zip code

036-8102

Address

59-1, sakaizekinishida, Hirosaki, Aomori, Japan

TEL

0172-28-1211

Email

t.maeda.hirosaki@gmail.com


Public contact

Name of contact person

1st name Takaya
Middle name
Last name Maeda

Organization

Hirosaki Memorial Hospital

Division name

Department of Rehabilitation

Zip code

0368076

Address

59-1, sakaizekinishida, Hirosaki, Aomori, Japan

TEL

0172281211

Homepage URL


Email

t.maeda.hirosaki@gmail.com


Sponsor or person

Institute

Hirosaki Memorial Hospital

Institute

Department

Personal name

Takaya Maeda


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hirosaki Memorial Hospital ethics committee

Address

59-1, sakaizekinishida, Hirosaki, Aomori, Japan

Tel

0172-28-1211

Email

atsu-ono@triton.ocn.ne.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

弘前記念病院(青森県)


Other administrative information

Date of disclosure of the study information

2023 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://dx.doi.org/10.1038/s41598-024-53891-7

Number of participants that the trial has enrolled

76

Results

The HAL-SJ group significantly improved active and passive knee extension angles compared with the CPT group.
The HAL-SJ group showed immediate improvement in active knee extension angle through day 5. There were no significant differences in results between the performance tests and KOOS.
Knee extension exercises with the HAL-SJ improved knee pain and the angle of extension in the acute phase after TKA.

Results date posted

2024 Year 02 Month 18 Day

Results Delayed

Delay expected

Results Delay Reason

To be submitted for publication

Date of the first journal publication of results


Baseline Characteristics

The patients with end-stage knee osteoarthritis and scheduled primary total knee arthroplasty

Participant flow

The patients who matched the inclusion criteria and agree to the study were invited to the intervention group or conventional group.
The patients evaluated the above-mentioned pre-operation and started intervention 4 days after operation.
The pain intensity on knee motion and knee extension angle were evaluated before and after each intervention.
the evaluations were performed 2 and 4 weeks after operation.

Adverse events

None

Outcome measures

Pain intensity on knee motion
Active knee extension angle
Passive knee extension angle
Walking ability
Timed up and Go test
Isometric knee extension strength
Knee injury and Osteoarthritis Outcome Score (KOOS)

Plan to share IPD

None

IPD sharing Plan description

None


Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 01 Month 05 Day

Date of IRB

2018 Year 01 Month 11 Day

Anticipated trial start date

2018 Year 02 Month 05 Day

Last follow-up date

2019 Year 03 Month 26 Day

Date of closure to data entry

2020 Year 06 Month 16 Day

Date trial data considered complete

2022 Year 06 Month 16 Day

Date analysis concluded

2023 Year 06 Month 01 Day


Other

Other related information



Management information

Registered date

2023 Year 09 Month 01 Day

Last modified on

2024 Year 02 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059448