Multimodal prehabilitation before elective hip or knee replacement for frail older adults

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot randomized controlled trial at Landspítali–University Hospital will screen patients aged 70+ scheduled for elective hip or knee arthroplasty using PRISMA-7, the Clock Drawing Test, and the Timed Up and Go; those positive on any screen will be randomized to multimodal prehabilitation or standard care. The intervention includes a comprehensive geriatric assessment, medication review, and individually tailored physiotherapy plus other targeted supports delivered before surgery. Patients already in frequent physiotherapy, those undergoing redo procedures, or those who do not proceed to planned surgery are excluded. The trial aims to establish feasibility and gather preliminary outcome data to inform a larger study.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients aged 70 years or older assigned to undergo hip/knee replacement at Landspítali University Hospital.
* Inclusion will be offered to patients who have previously presented at the outpatient orthopedic department and been scheduled for an elective (with a waiting period ≥2 months before surgery) hip/knee replacement.
* Patients who are willing to participate and sign informed consent and are willing to be randomized to the control or intervention arm.

Exclusion Criteria:

* Patients who screen negative for all frailty tools will be excluded from the study.
* Patients who are already in active physiotherapy, meeting with a physiotherapist \>1 every month, will also be excluded.
* In addition, those who do not undergo planned surgery, are undergoing redo hip/knee prosthesis replacement will be excluded

Where it's running

• Landspitali University hospital
  Reykjavik, Iceland Recruiting

Study contacts

• Study coordinator: Martin I Sigurdsson, MD, PhD
• Email: mingi@hi.is
• Phone: +354-824-8282

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.