Evidence map›Paper›PMID 40050814›Full record

Trial reportBMC musculoskeletal disorders2025

The effect of prehabilitation for older patients awaiting total hip replacement. A randomized controlled trial with long-term follow up.

Odd-Einar Svinøy, Jakob Vangen Nordbø, Are Hugo Pripp, May Arna Risberg, Astrid Bergland, Pål Oliver Borgen, Gunvor Hilde

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03602105 (Better Before - Better After), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03602105 naunknown statusnot on this map

Better Before - Better After: Prehabilitation Program for Older Patients Awaiting Total Hip Replacement. A Randomised Controlled Trial

TypeinterventionalSponsorOslo Metropolitan UniversityRan2019 to 2026Enrolled103ConditionsArthritis of HipArmsExercise
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Randomized controlled trial of orthosis after kyphoplasty: activity, pain and posture.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Trial
  2. Review
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Odd-Einar SvinøyFaculty of Health Sciences, Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway. odd-einar.svinoy@oslomet.no.ORCID http://orcid.org/0000-0002-0206-1283
Jakob Vangen NordbøDepartment of Orthopedic Surgery, Akershus University Hospital, Lørenskog, Norway.
Are Hugo PrippFaculty of Health Sciences, Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.
May Arna RisbergDepartment of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.ORCID http://orcid.org/0000-0002-9511-1314
Astrid BerglandFaculty of Health Sciences, Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.
Pål Oliver BorgenDepartment of Orthopedics, Martina Hansens Hospital, Bærum, Norway.
Gunvor HildeFaculty of Health Sciences, Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.ORCID http://orcid.org/0000-0002-9931-8080

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrehabilitation involving a planned exercise program before surgery is proposed to improve rehabilitation and postoperative outcomes. However, the current evidence on the efficacy of prehabilitation for patients awaiting total hip replacement is conflicting. The aim of this study was to evaluate efficacy of preoperative exercises and education (AktivA®) for adults 70 years or older awaiting total hip replacement.

methodsIn a two-armed randomized controlled trial we recruited 98 participants aged 70 years or older with a Harris Hip Score less than 60 awaiting elective primary total hip replacement. Participants were recruited at three hospitals in Norway between 2019 and 2022. Participants were randomly assigned to prehabilitation or usual care. The prehabilitation group received a tailored exercise program for 6-12 weeks in addition to patient education. Gait speed, the primary outcome, was measured by the 40 m Fast-Paced Walk Test. Secondary outcomes included performance-based tests (Chair Stand Test, Timed Up & Go Test, 6-Minute Walk Test, Stair Climb Test) and patient-reported outcomes (Hip Disability and Osteoarthritis Outcome Score (HOOS) and EQ-5D). Outcomes were assessed at baseline, post intervention, and further 6 weeks, 3-, 6-, and 12 months post-surgery.

resultsFor the primary outcome gait speed at the primary endpoint (3 months post-surgery), no significant between-group differences were observed. However, post-intervention (before surgery), we found a significant improvement in favor of prehabilitation for both gait speed (0.15 m/s, 95% CI 0.02-0.28) and the HOOS quality of life subscale (11.93, 95% CI 3.38-20.48). No other significant differences were found at any post-surgery follow-up for these outcomes. For other secondary outcomes, there were no between-group differences at any point of assessment. Both groups showed improvement across all outcomes 3-12 months after surgery.

conclusionsThe AktivA

trial registrationClinicalTrials.gov Identifier: NCT03602105-initial release: 06/06/2018.

Indexed as

Arthroplasty, Replacement, HipExercise TherapyOsteoarthritis, HipPreoperative ExerciseAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleNorwayPatient Education as TopicPatient Reported Outcome MeasuresTime FactorsTreatment OutcomeWalking SpeedElderlyGait speedHip arthritisPrehabilitationQuality of lifeTotal hip replacement

Identifiers

PMID40050814
PMCPMC11884013

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.