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 effect of preoperative physiotherapy and education on the outcome of total hip replacement: a prospective randomized controlled trial
Objective : To investigate the effects of preoperative physical therapy for patients undergoing total hip replacement . Design : Prospect i ve r and omized controlled study . Setting : Department of Orthopaedics and Traumatology in a university hospital . Subjects : Sixty patients with osteoarthritis of the hip scheduled to receive total hip replacement were r and omly assigned into two groups . Interventions : Subjects in the study group received preoperative physiotherapy design ed to strengthen the muscles of the upper and lower limbs and to improve range of motion of the hip , beginning from eight weeks before the operation . These patients also received an educational programme about living with a prosthesis . The control group received no preoperative physiotherapy or educational programme . Main outcome measures : Patients were evaluated at baseline ( study group only , eight weeks prior to operation ) , before surgery , at discharge , three months and two years postoperatively using Harris Hip Score , visual analogue scale and range at hip abduction . Results : Although patients in the study group performed transfer activities earlier than the control group , there were no significant differences between the groups at discharge with regard to the improvement in Harris Hip Score ( p < 0.48 ) and hip adduction ( p < 0.97 ) and visual analogue scale at rest ( p < 0.54 ) and activity ( p < 0.89 ) . At the latest follow-up ( two years postoperatively ) both groups had improved in Harris Hip Score , but rate of improvement between the groups was similar ( p < 0.05 ) . Conclusions : We conclude that the routine use of preoperative physiotherapy and education programme is not useful in total hip replacement surgery
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 .