Evidence map›Paper›PMID 34262793›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2021

Early Recovery of Walking Ability in Patients After Total Knee Arthroplasty Using a Hip-Wearable Exoskeleton Robot: A Case-Controlled Clinical Trial.

Kazunori Koseki, Hirotaka Mutsuzaki, Kenichi Yoshikawa, Koichi Iwai, Yuko Hashizume, Ryo Nakazawa, Yutaka Kohno

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07147530 (Study to Verify Effectiveness and Safety of the Electrically Powered Orthopedic Exercise Device on Gait Ability in Patients With Hip Joint Diseases), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07147530 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Study to Verify Effectiveness and Safety of the Electrically Powered Orthopedic Exercise Device on Gait Ability in Patients With Hip Joint Diseases: Investigator Initiated, Single Center, Single Group Clinical Trial

TypeinterventionalSponsorYonsei UniversityRan2025 to 2026Enrolled30ConditionsHip DiseaseArmsElectrically Powered Orthopedic Exercise Device
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Kazunori KosekiDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.ORCID https://orcid.org/0000-0001-7864-8753
Hirotaka MutsuzakiCenter for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
Kenichi YoshikawaDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.
Koichi IwaiCenter for Humanities and Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
Yuko HashizumeDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.
Ryo NakazawaDepartment of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Ibaraki, Japan.
Yutaka KohnoCenter for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan.
Ibaraki Prefectural University of Health Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Honda Walking Assist (HWA) is a hip-wearable exoskeleton robot for gait training that assists in hip flexion and extension movements to guide hip joint movements during gait. This study aimed to evaluate the effects of walking exercises with HWA in patients who underwent total knee arthroplasty (TKA). MATERIALS AND

methodsThis study involved 10 patients (11 knees) in the HWA group and 11 patients (11 knees) in the control group who underwent conventional physical therapy. The patients assigned to the HWA group underwent a total of 17-20 gait training sessions, each lasting approximately 20 min from week 1 to 5 following TKA. Self-selected walking speed (SWS), maximum walking speed (MWS), range of motion (ROM), knee extension and flexion torque, and Western Ontario and McMaster Universities Osteoarthritis Index subscales of pain (WOMAC-p) and physical function (WOMAC-f) scores were measured preoperatively, at 2, 4, and 8 weeks following TKA.

resultsInterventions were successfully completed in all patients, with no severe adverse events. A significant difference was noted in the time × group interaction effect between preoperative and week 2 SWS and MWS. Regarding knee function, there was a significant difference in the time × group interaction between preoperative and week 2 active ROM extension; however, no significant difference in knee torque, WOMAC-p, and WOMAC-f scores were observed. In the between-group post hoc analysis, WOMAC-f in the HWA group was higher than that in the control group at week 8. DISCUSSION: Although the control group showed a temporary reduction in SWS and MWS 2 weeks after TKA, the HWA group did not. These results suggest that HWA intervention promotes early improvement in walking ability after TKA.

conclusionsThe gait training using HWA was safe and feasible and could be effective for the early improvement of walking ability in TKA patients.

Indexed as

early recoveryexoskeleton robottotal knee arthroplastywalking abilitywalking exercise

Identifiers

PMID34262793
PMCPMC8243097
OpenAlexW3177270782

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.