FitJoints Program for Hip and Knee Osteoarthritis
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to assist people with osteoarthritis who are awaiting hip or knee replacement surgery by reducing their frailty, a condition of physical weakness and increased vulnerability to health issues. It evaluates whether the FitJoints Multi-modal Intervention—a program featuring exercise, nutrition counseling, and medication review—can enhance recovery after surgery. Participants will either engage in this specialized program or continue with usual care, which includes general health advice. Suitable candidates for this trial are individuals aged 60 or older who are frail and awaiting hip or knee replacement surgery. As an unphased trial, this study provides a unique opportunity to potentially enhance recovery and improve quality of life before surgery.
Will I have to stop taking my current medications?
The trial includes a medication review with prescribing recommendations, but it doesn't specify if you must stop your current medications. It's best to discuss your specific situation with the trial team.
What prior data suggests that the FitJoints multimodal frailty intervention is safe?
Research shows that the FitJoints program is safe and well-tolerated by patients. Previous studies indicate it aids recovery after surgery. The program includes exercise, nutrition advice, and a medication review to prepare patients for joint replacement surgery. Participants in earlier trials reported no major side effects. By building strength and improving health before surgery, the program may reduce pain and weakness. This approach aligns with international guidelines on reducing frailty, defined as weakness and vulnerability due to age or illness. Overall, existing research considers the FitJoints program safe.12345
Why are researchers excited about this trial?
Researchers are excited about the FitJoints Multi-modal Intervention for hip and knee osteoarthritis because it goes beyond typical treatments like pain relievers and physical therapy. This program combines a variety of approaches, potentially offering a more comprehensive solution by integrating physical activity, patient education, and lifestyle modifications. Unlike standard care, which often focuses on individual aspects of treatment, FitJoints aims to address multiple factors of osteoarthritis management simultaneously, possibly leading to better outcomes for patients.
What evidence suggests that the FitJoints multimodal frailty intervention is effective for improving post-operative outcomes in hip and knee osteoarthritis patients?
Research has shown that the FitJoints program, which participants in this trial may receive, might benefit those undergoing hip or knee replacement surgery. Previous participants reported feeling stronger, experiencing less pain, and enjoying a better quality of life. The program includes exercise, advice on healthy eating, and a review of medications. Together, these steps aim to enhance recovery after surgery. Early results suggest this approach can improve recovery, making it a promising choice for those preparing for joint replacement.23456
Who Is on the Research Team?
Alexandra Papaioannou
Principal Investigator
McMaster University
Are You a Good Fit for This Trial?
The FitJoints trial is for individuals aged 60 or older who are waiting for hip or knee replacement surgery due to osteoarthritis and have a frailty score of 1-5. They must be facing a wait time of 4 to 15 months for the surgery. Those with inflammatory arthritis, active cancer, renal disorders, current participation in an exercise program or another protein supplement trial, neuromuscular disorders, or language barriers without caregiver support cannot join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Multimodal Intervention
Participants undergo a multimodal frailty reduction intervention including exercise, nutrition, and medication optimization for 3 to 6 months before surgery
Surgery
Participants undergo hip or knee joint replacement surgery
Follow-up
Participants are monitored for safety and effectiveness after surgery, with assessments of physical performance, nutrition, and quality of life
What Are the Treatments Tested in This Trial?
Interventions
- FitJoints Multi-modal Intervention
Trial Overview
This study tests a multimodal intervention called FitJoints designed to reduce frailty before joint replacement surgery. It includes physiotherapist-led exercises, dietary counseling for better nutrition and protein intake, and medication review. Participants will either receive this intervention for 3-6 months or usual care until their operation date.
How Is the Trial Designed?
2
Treatment groups
Active Control
Participants in the control arm will receive usual care which involves patient education that all participants who are scheduled for hip/knee replacement receive at the arthroplasty centre. This may include recommendations to attend fitness classes or discuss nutrition tips and smoking cessation initiatives with their family doctor or other healthcare provider before surgery.
Find a Clinic Near You
Who Is Running the Clinical Trial?
McMaster University
Lead Sponsor
Hamilton Health Sciences Corporation
Collaborator
St. Joseph's Health Care London
Collaborator
London Health Sciences Centre
Collaborator
Alberta Health services
Collaborator
Citations
Getting fit for hip and knee replacement: The Fit-Joints ...
This trial provides strong evidence of feasibility and indications of improvements in postoperative clinical outcomes.
Getting fit for hip and knee replacement: The Fit-Joints ...
This trial provides strong evidence of feasibility and indications of improvements in postoperative clinical outcomes.
FitJoints: Getting Fit for Hip and Knee Replacement
To utilize the FitJoints multimodal frailty intervention to build resilience of patients undergoing joint replacement surgery to improve post-operative outcomes ...
4.
trialx.com
trialx.com/clinical-trials/listings/237588/fitjoints-getting-fit-for-hip-and-knee-replacement/FitJoints: Getting Fit for Hip and Knee Replacement
The proposed study is the first multi-site randomized controlled trial (RCT) to examine whether a multimodal frailty reduction intervention ...
5.
pilotfeasibilitystudies.biomedcentral.com
pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-018-0316-2Getting fit for hip and knee replacement: a protocol for the Fit ...
This is the first study to examine the feasibility of multi-modal frailty intervention in pre-frail/frail older adults undergoing hip or knee replacement.
Getting fit for hip and knee replacement: a protocol for the ...
Fit Joints study is a pilot parallel group RCT comparing a 3–10 months, pre-operative multi-modal frailty intervention, and usual care among pre ...
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