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 .
The effects of short-term preoperative physical therapy and education on early functional recovery of patients younger than 70 undergoing total hip arthroplasty.
BACKGROUND / AIM Hip arthroplasty is a routine operation which relieves pain in patients with osteoarthritis . The role of physical therapy after hip arthroplasty was recognized , but the importance of preoperative physical therapy and education is still to be judged . The aim of this paper was to investigate the effect of short-term preoperative program of education and physical therapy on patients ' early functional recovery immediately after total hip arthroplasty ( THA ) . METHODS This prospect i ve study included 45 patients with hip osteoarthritis scheduled to undergo primary THA and admitted to the Department of Orthopedics of Military Medical Academy . They were r and omized into 2 groups : study and control one ( with and without preoperative education and physical therapy ) . Preoperative education was conducted through conversation ( 1 appointment with physiatrist ) and brochure . The study group was instructed to perform exercises and basic activities from the postoperative rehabilitation program ( 2 practical classes with physiotherapist ) . Effects were measured with question naires ( Harris , Oxford and Japanese Orthopaedic Association ( JOA ) hip scores ) , range of motion and visual analog scale of pain . Marks showing ability to perform basic activities and endurance were from 0 ( did not perform activity ) to 5 ( independent and secure ) . Analyses examined differences between the groups over the preoperative and immediate postoperative periods and 15 months after the operation . RESULTS There were no differences between the groups at discharge according to pain , range of motion , Harris hip score and JOA hip score . Oxford hip score did not differ between the groups 15 months after the operation . The groups started to walk at the same time , but the study group walked up and down stairs ( 3.7+/-1.66 vs 5.37+/-1.46 , p < or = 0.002 ) , used toilet ( 2.3+/-0.92 vs 3.2+/-1.24 , p < or = 0.02 ) and chair ( 2.2+/-1.01 vs 3.25+/-1.21 , p < or = 0.006 ) significantly earlier than the control group . On the third day after the operation the study group was significantly more independent than the control one while performing any basic activities ( changing position in bed from supine to side lying , from supine to sitting on the edge of the bed , from sitting to st and ing , from st and ing to lying in the bad , st and ing , walking , using toilet and chair ) . At discharge the patients from the control group still needed the therapist help for walking up and down stairs ( 3+/-1.26 ) , while the patients from the study group performed there activities independently ( 4.85+/-0.37 ) ( p < or = 0.000 ) . Endurance while walking was significantly better in the study group than in the control one . The length of hospital stay after the operation was similar for both groups , but the patients from the study group needed significantly less classes with the therapist ( 5.2+/-2.35 vs 6.85+/-1.14 , p < or = 0.02 ) during hospital stay . CONCLUSION The short-term preoperative program of education with the elements of physical therapy accelerated early functional recovery of patients ( younger than 70 ) immediately after THA and we recommend it for routine use
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 .