Feasibility of a preoperative strengthening exercise program on postoperative function in patients undergoing hip or knee arthroplasty: a pilot randomized controlled trial

Lissa Pacheco-Brousseau, Johanna Dobransky, Alanna Jane, Paul E Beaulé, Stéphane Poitras, Lissa Pacheco-Brousseau, Johanna Dobransky, Alanna Jane, Paul E Beaulé, Stéphane Poitras

Abstract

Background: There are conflicting results on the effect of preoperative exercise programs on long-term function and little evidence on short-term function. The aim is to assess the feasibility of a preoperative strengthening exercise program in patients undergoing hip or knee joint arthroplasty in terms of trial design, recruitment, and follow-up rates.

Methods: A randomized controlled feasibility study with patients undergoing hip or knee joint arthroplasty. Patients were randomized to a preoperative strengthening exercise program or standard of care. Feasibility outcome measures were recruitment rate (≥ 50%) and loss to follow-up (≤ 15%).

Results: Of the 129 eligible participants, 63 participants consented to participate in the study (49%), and 27 were successfully randomized prior to surgery (43%). All 27 participants completed the baseline assessment. Of these, 6 (22%) had surgery during the exercise period. Of the remaining 21 participants, 20 (95%) completed the pre-surgery assessment. The study was terminated before five participants could be eligible for the 6-month assessment. Sixteen (76%) participants completed the 6-week post-surgery assessment. Twelve participants completed the 6-month assessment (75%).

Conclusion: Given the recruitment rate, randomization barriers, and study participant loss to follow-up, the study was discontinued since it was not considered feasible in this current form at our clinical site despite modifications made to the protocol. Future investigations into a modified intervention via telerehabilitation should be explored.

Trial registration: ClinicalTrials.gov, NCT03483519 . Retrospectively registered in March 2018.

Keywords: Feasibility study; Hip arthroplasty; Joint arthroplasty; Knee arthroplasty; Osteoarthritis; Pilot study; Preoperative exercises; Randomized control trial.

Conflict of interest statement

The authors declare that they have no competing interests.

© 2022. The Author(s).

Figures

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Fig. 1
CONSORT flowchart

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