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 .
Prophylactic Inspiratory Muscle Training in Patients Undergoing Coronary Artery Bypass Graft
Pulmonary complications after cardiac surgery are a leading cause of postoperative morbidity and mortality . Respiratory muscle weakness may contribute to the postoperative pulmonary abnormalities . We hypothesized that : ( 1 ) there is a decrease in inspiratory muscle strength ( PImax at residual volume ) and endurance ( Pmpeak/PImax ) following coronary artery bypass graft ( CABG ) ; ( 2 ) this weakness is associated with reduced pulmonary function tests ( PFTs ) , impaired gas exchange , and a higher rate of pulmonary complications ; and ( 3 ) prophylactic inspiratory muscle training ( IMT ) can prevent those changes . Eighty-four c and i date s for CABG , with ages ranging from 33 to 82 years , were evaluated prior to operation and r and omized into two groups : 42 patients underwent IMT using a threshold trainer for 30 min/day for 2 weeks , 1 month before operation ( group A ) ; 42 patients served as a control group and underwent sham training ( group B ) . There was a significant decrease in respiratory muscle function , PFTs , and gas exchange in the control group following CABG , whereas these parameters remained similar to those before entering the study in the training group . The differences between the groups were statistically significant . In addition , 11 ( 26 % ) patients in the control group but only 2 ( 5 % ) in the training group needed postsurgical mechanical ventilation longer than 24 hours . CABGs have a significant deteriorating effect on inspiratory muscle function , PFTs , and arterial blood gases . The decrease in these parameters can be prevented by prophylactic inspiratory muscle training , which may also prevent postsurgical pulmonary complications
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 .