Efficacy of Preoperative Muscle Training on Postoperative Orthopaedic Surgery Recovery

NCT ID: NCT03483519

Last Updated: 2021-06-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 55 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-12-31
• Study Completion Date: 2020-10-14

Brief Summary

The purpose of this study is to assess the effectiveness of a preoperative muscle training program on hip or knee TJA (Total Joint Arthroplasty). It aims to improve hospital discharge readiness and functional capacity in both the short and long-term. One of the key factors affecting recovery after TJA is how well the patient functions before their surgery. Thus, interventions addressing preoperative function are expected to be beneficial.

Detailed Description

Although total hip or knee joint replacement is beneficial in treating severe hip or knee osteoarthritis, a significant number of patients take longer to recover in the hospital or have a non-optimal quality of life after the surgery. These patients often have difficulties in accomplishing basic essential everyday tasks such as walking and stair climbing, both shortly and long after surgery. It has been previously shown through research that difficulties to do basic tasks before surgery delays recovery and negatively affects long-term function. It has also been shown that these difficulties are associated with reduced strength in hip or knee muscles present before surgery, caused by lack of activity of patients. This study will determine if a hip or knee muscle strengthening exercise program accomplished before surgery can improve hospital recovery, capacity to accomplish basic activities, and quality of life two days, six weeks and six months after joint replacement surgery. If this exercise program is shown to be beneficial, it will be easily used by patients when waiting for their surgery.

Conditions

Arthroplasty; Osteoarthritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Prehabilitation

Patients in the Prehabilitation Group and are randomized to the Experimental Group will undergo a 6 Week Exercise Program plus Standard of Care

Group Type: EXPERIMENTAL

Rehabilitation

Intervention Type: OTHER

Patients randomized to the Experimental Group will undergo a 6 Week Exercise Program plus Standard of Care

Standard of Care

Patients in the Standard of Care will not receive an additional an exercise program, patients will receive the usual care received by all orthopaedic patients.

Group Type: ACTIVE_COMPARATOR

Standard of Care

Intervention Type: OTHER

Patients randomized to the Active Comparator Group will not undergo an exercise program, patients will receive the standard of care used at The Ottawa Hospital for hip and knee surgeries. Standard of care protocol will be explained by each individual surgeon.

Interventions

Rehabilitation

Patients randomized to the Experimental Group will undergo a 6 Week Exercise Program plus Standard of Care

Intervention Type: OTHER

Standard of Care

Patients randomized to the Active Comparator Group will not undergo an exercise program, patients will receive the standard of care used at The Ottawa Hospital for hip and knee surgeries. Standard of care protocol will be explained by each individual surgeon.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients aged 18 and older undergoing unilateral total hip or knee arthroplasty due to osteoarthritis;
• WOMAC functional subscale less than 66.5/100.

Exclusion Criteria

• Patients under 18 years of age;
• Patients undergoing joint revision on the affected side;
• patients under the same day discharge protocol;
• Patients undergoing bilateral arthroplasty;
• Patients suffering from other previously diagnosed lower-limb problems limiting their capacity to accomplish the exercise program;
• Patients having surgery in less than 16 weeks after verbal consent;
• Patients unable or unwilling to commit to required study follow-ups;
• Patients with no fixed address;
• Patients with a cognitive impairment that may preclude questionnaire completion;
• Pregnant or suspected pregnant women as dual-energy x-ray (DXA) used in this study may be harmful to a fetus.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Ottawa Hospital Academic Medical Association

OTHER

Sponsor Role: collaborator

Ottawa Hospital Research Institute

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Paul Beaule, MD

Role: PRINCIPAL_INVESTIGATOR

Ottawa Hospital

Locations

The Ottawa Hospital

Ottawa, Ontario, Canada

Countries

Canada

References

Sled EA, Khoja L, Deluzio KJ, Olney SJ, Culham EG. Effect of a home program of hip abductor exercises on knee joint loading, strength, function, and pain in people with knee osteoarthritis: a clinical trial. Phys Ther. 2010 Jun;90(6):895-904. doi: 10.2522/ptj.20090294. Epub 2010 Apr 8.

Reference Type: BACKGROUND

PMID: 20378679 (View on PubMed)

Pacheco-Brousseau L, Dobransky J, Jane A, Beaule PE, Poitras S. Feasibility of a preoperative strengthening exercise program on postoperative function in patients undergoing hip or knee arthroplasty: a pilot randomized controlled trial. Pilot Feasibility Stud. 2022 Jul 30;8(1):162. doi: 10.1186/s40814-022-01126-9.

Reference Type: DERIVED

PMID: 35908037 (View on PubMed)

Other Identifiers

20150684

Identifier Type: -

Identifier Source: org_study_id