Main Objectives: 1) Are patients with ASA III score undergoing primary or revision arthroplasty of the knee or hip, able to safely participate in a home-based preoperative High Intensity Interval Training (HIIT) program? 2) Does average daily…
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary parameters are study compliance and level of physical activity during 4
weeks prior to surgery
Secondary outcome
Secondary parameters are complications within 30 days after surgery,
independence during functional activities as measured by the modified Iowa
Level of Assistance Scale (mILAS), length of hospital stay and discharge
destination
Background summary
Preoperative exercise training has shown to reduce complication rates and
length of hospital stay after cardiac and abdominal surgery. One of the
rationales is that preoperative exercise training induces mild cardiac
ischemia, which adapts the heart*s physiology resulting in fewer complications.
In the literature, the effects of preoperative exercise training remain
inconclusive after arthroplasty. It has been suggested that those studied
patients are generally too fit to accomplish large benefits from preoperative
exercise. Patients who are more frail, deconditioned and who undergo more
elaborate procedures may be more susceptible to benefits from preoperative
exercise. In addition, more studies on home-based preoperative exercise
programs are needed, since in-hospital programs are more likely to have
participants that are more able-bodied and motivated, while the patients who
would need it most are the hardest to reach in these programs.
Although we think it will be challenging to mobilize this patient population,
we hypothesize that they will benefit from the effects of a home-based
preoperative exercise training program.
Study objective
Main Objectives: 1) Are patients with ASA III score undergoing primary or
revision arthroplasty of the knee or hip, able to safely participate in a
home-based preoperative High Intensity Interval Training (HIIT) program? 2)
Does average daily physical activity increase when patients participate in a
home-based preoperative HIIT program compared to standard care, when measured
with an activity tracker? Secondary Objectives: 1) Does a preoperative training
program decrease postoperative complications (< 30 days) after revision
arthroplasty of the knee or hip? 2) Does a preoperative training program
shorten length of hospital stay after revision arthroplasty? 3) Does a
preoperative training program alter discharge destination after revision
arthroplasty?
Study design
prospective single-blind pilot trial
Intervention
A preoperative home-based high-intensity interval training program 4 weeks
prior to surgery.
Study burden and risks
The burden of participation in this study consists watching an informational
video, completing a daily diary, wearing the GENEActiv wrist device and,
perform in a high-intensity interval training program. The risks of
participating in the training program are minimized by having a licensed
physiotherapist tailor the training program to each individual*s abilities. The
expected benefits from performing the training program are better fitness
levels, fewer complications, shorter length of stay and more often discharge to
the own home environment.
Toneellaan 2
Zoetermeer 2725 NA
NL
Toneellaan 2
Zoetermeer 2725 NA
NL
Listed location countries
Age
Inclusion criteria
- On waiting list or planned for primary or revision arthroplasty of the hip or
knee at the Reinier Haga Orthopedisch Center (RHOC)
- Classified with an ASA score of III
- As long as a joint infection is ruled out or not suspected, we will also
include patients that have a Girdlestone or spacer in situ in any joint
Exclusion criteria
- ASA I score, ASA II score, IV and ASA V score
- Revision surgery for isolated cup revision or suspected or confirmed joint
infection
- Periprosthetic fracture
- Patient is declared unfit to safely perform the prehabilitation program in an
at-home setting by orthopaedic surgeon, physical therapist, researcher,
anesthesiologist, cardiologist or other relevant health professional
- Patient-reported allergies to medical grade plastic, PU resin and/or nickel
free stainless steel
Design
Recruitment
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL82800.058.23 |