BoneFit: Multimodal Prehabilitation for People Preparing for Orthopaedic Surgery

BoneFit: A Student-led Multimodal Prehabilitation Service for Orthopaedic Surgical Patients in Hull

To conduct a pilot feasibility study to determine the effect of a student-led prehabilitation service in people awaiting total hip or knee replacement surgery.

The aim of BoneFit is to provide local people living in the Hull region with a needs-based prehabilitation care package to improve their physical and mental health, quality of life & reduce their length of hospital stay, complications and readmission rates to hospital following orthopaedic surgery (total hip replacement, or total knee replacement.

Currently, Hull University Teaching Hospitals do not offer a prehabilitation service for local patients. The University of Hull will partner with them to provide a student-led multimodal prehabilitation service for referred patients awaiting orthopaedic surgery.

Inclusion Criteria:

• Waiting for unilateral total hip or knee replacement surgery for a minimum of 6 months;
• Able to provide informed consent;

Exclusion Criteria:

• Previous hip or knee surgery;
• Any medical conditions for which moderate to vigorous exercise is contraindicated;
• Patellar or hip joint instability;
• Any other disease/condition which severely effects functional performance e.g. stroke or Parkinson's disease;
• Chronic depression or significant psychiatric disorder;
• Enrolled in a clinical trial (or recently completed one);
• Cognitive impairment which would affect compliance to BoneFIt service;
• Patients unable or unwilling to commit to required study follow-ups
• Pregnancy;