Preoperative exercise therapy consisting of inspiratory muscle training or exercise training prior to cardiac or abdominal surgery led to a shorter hospital stay and reduced postoperative complication rates .
By contrast , length of hospital stay and complication rates of patients after joint replacement surgery were not significantly affected by preoperative exercise therapy consisting of strength and /or mobility training .
Conclusion : Preoperative exercise therapy can be effective for reducing postoperative complication rates and length of hospital stay after cardiac or abdominal surgery .
Objective : To summarize the current evidence on the effects of preoperative exercise therapy in patients awaiting invasive surgery on postoperative complication rate and length of hospital stay .
Effect of pre-operative physiotherapy in patients with end-stage osteoarthritis undergoing hip arthroplasty
Objective : To examine the effect of pre-operative physiotherapy before hip arthroplasty in patients with end-stage hip osteoarthritis . Design : A prospect i ve r and omized controlled study . Setting : Physical medicine and rehabilitation and orthopaedic departments of Policlinico Gemelli of Rome . Subjects : Twenty-three patients r and omized in study and control groups . Intervention : The study group took part in an educational and physiotherapy programme one month before surgery . Both groups took part in the same inpatient rehabilitation programme after surgery . Main outcome measures : Both groups were evaluated one month ( T0 ) and the day before arthroplasty ( T1 ) , after 15 days ( T2 ) , four weeks ( T3 ) and three months ( T4 ) post surgery , using the Barthel Index , the Short Form-36 ( SF-36 ) , the Western Ontario and McMaster Osteoarthritis Index ( WOMAC ) , the Hip Harris Score ( HHS ) , visual analogue scale ( VAS ) , the British Medical Research Council ( BMRC ) measures of hip abductor and quadriceps strength and range of hip abduction and external rotation . Results : There were no significant differences between groups with regard to the Barthel Index , SF-36 , WOMAC and HHS at T4 . The study group presented significant improvements of the SF-36 physical composite score at T1 . The hip external rotation was significantly higher in the study group at each evaluation and the visual analogue scale values were lower at T1 , T3 and T4 . Conclusion : Pre-operative physiotherapy in patients undergoing hip arthroplasty does not improve impairment and health-related quality of life after intervention . Physiotherapy and educational therapy may be useful for end-stage osteoarthritis
Preoperative exercise therapy consisting of inspiratory muscle training or exercise training prior to cardiac or abdominal surgery led to a shorter hospital stay and reduced postoperative complication rates .
By contrast , length of hospital stay and complication rates of patients after joint replacement surgery were not significantly affected by preoperative exercise therapy consisting of strength and /or mobility training .
Conclusion : Preoperative exercise therapy can be effective for reducing postoperative complication rates and length of hospital stay after cardiac or abdominal surgery .
Objective : To summarize the current evidence on the effects of preoperative exercise therapy in patients awaiting invasive surgery on postoperative complication rate and length of hospital stay .