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18 Feb2014

18 February 2014.

Written by Liesbeth Raymakers
Posted in Various

Written by Liesbeth Raymakers18-02-2014 08:30:00. Posted in Various

Prehabilitation may reduce length of hospitalization and provide postoperative benefits (Image by: theknee.com)

Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis

The authors explored 21 studies that examined the effects of pre-operative total-body exercise (aerobic training and strength training) with peri- and postoperative outcome analysis. Surgery varied from arthroplasty to oncology.   

Compared with standard care, the majority of studies found that total-body prehabilitation improved postoperative pain, length of stay (LOS) and physical function, and the largest benefits are obtained shortly after surgery.    

Prehabilitation was not consistently effective in improving health-related quality of life (QOL) or aerobic fitness (VO2 max) in the studies that examined these outcomes. Adverse events were reported in 2 of 669 exercising participants, thus deeming it safe. Average length of training program is 6 weeks.   

Conclusion: Although the overall quality of studies was poor to moderate, and many different measures used, early evidence exists that prehabilitation may reduce length of hospitalization and provide postoperative benefits. A potential role for physiotherapists! >> From: Santa Mina et al., Physiotherapy (2013) (Epub ahead of print). All rights reserved to Elsevier Ltd.

Visit the PubMed summary for more information or your article access.

Prehabilitation exercise before knee replacement surgery
(Image by: news.ualberta.ca)

Tags: Quality of life, surgery, Postoperative outomes, Prehabilitation, Better in better out

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About the Author
Liesbeth Raymakers
Liesbeth Raymakers
Liesbeth Raymakers has been working as a Physiotherapist since 1998, mainly in hospital based care, ICU and intensive rehab. Originally from the Nethe...

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  • Articles
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        • Shoulder
        • Elbow
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        • Hand
      • Lower extremity
        • Hip
        • Knee
        • Ankle
        • Foot
      • Spine
        • Pelvis
        • Lumbar
        • Thoracic
        • Rib cage
        • Cervical
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