Preoperative therapeutic programme for elderly patients scheduled for elective abdominal oncological surgery: a randomized controlled pilot study

Clinical Rehabilitation - Tập 24 Số 7 - Trang 614-622 - 2010
JJ Dronkers1, H Lamberts2, IMMD Reutelingsperger3, RH Naber4, CM Dronkers-Landman4, André Veldman4, NLU van Meeteren5
1Gelderse Vallei Hospital, Department of Physiotherapy, PO Box 9025, 6710 HN Ede, The Netherlands.
2Abakus B.V., Ede, ,
3VieCuri Medical Centre, Venlo
4Gelderse Vallei Hospital, Department of Physiotherapy, Ede
5Department Physical Activity and Health, TNO Quality of Life, Leiden, The Netherlands

Tóm tắt

Objective: Investigation of the feasibility and preliminary effect of a short-term intensive preoperative exercise programme for elderly patients scheduled for elective abdominal oncological surgery. Design: Single-blind randomized controlled pilot study. Setting: Ordinary hospital in the Netherlands. Subjects: Forty-two elderly patients (>60 years). Interventions: Patients were randomly assigned to receive a short-term intensive therapeutic exercise programme to improve muscle strength, aerobic capacity, and functional activities, given in the outpatient department (intervention group; n =22), or home-based exercise advice (control group; n=20). Main measures: Parameters of feasibility, preoperative functional capacity and postoperative course. Results: The intensive training programme was feasible, with a high compliance and no adverse events. Respiratory muscle endurance increased in the preoperative period from 259 ± 273 to 404 ± 349 J in the intervention group and differed significantly from that in the control group (350 ± 299 to 305 ± 323 J; P<0.01). Timed-Up-and-Go, chair rise time, LASA Physical Activity Questionnaire, Physical Work Capacity and Quality of Life (EORTC-C30) did not reveal significant differences between the two groups. There was no significant difference in postoperative complications and length of hospital stay between the two groups. Conclusion: The intensive therapeutic exercise programme was feasible and improved the respiratory function of patients due to undergo elective abdominal surgery compared with home-based exercise advice.

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Clinical Rehabilitation

Tập 24 Số 7

614-622

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