Alternative physical treatments for deep venous thrombosis prophylaxis in surgical patients: a systematic review

Berner, Juan Enrique; Geoghegan, Luke; Kyriazidis, Ioannis; Nanchahal, Jagdeep; Jain, Abhilash

doi:10.1016/j.physio.2021.05.002

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…One study supports the idea that DVT is a contradiction to postoperative physiotherapy, 15 while intermittent pneumatic compression and active/passive ankle motion are advocated by the Cochrane literature, 16 and the role of physiotherapy is insufficient in preventing DVT. 7 , 17 In the present study, physiotherapy was discontinued in all patients with increased d-dimer levels and worsening PE. None of the patients in either group in this study developed into proximal DVT from calf muscle vein thrombosis after physiotherapy was performed, which partly proved its safety since distal DVT was verified desirable relative to proximal thrombosis over PE ratings.…”

Section: Discussionmentioning

confidence: 80%

Postoperative subacute static progressive stretch does not increase the risk of distal lower limb venous thromboembolism

Zhu¹,

Wu²,

Yang³

et al. 2023

Chinese Journal of Traumatology

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Section: Discussionmentioning

confidence: 80%

Postoperative subacute static progressive stretch does not increase the risk of distal lower limb venous thromboembolism

Zhu¹,

Wu²,

Yang³

et al. 2023

Chinese Journal of Traumatology

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“…D-dimer levels are clinically important indicators for monitoring the occurrence of lower extremity DVT after TKA [ 32 ]. There is evidence that massage can prevent DVT, but most studies strongly recommend that massage should be combined with anticoagulants, compression stockings, and pneumatic compression therapy to be effective for DVT prevention [ 33 ]. Our results suggest that the addition of massage therapy to routine rehabilitation was ineffective in reducing D-dimer levels after TKA.…”

Section: Discussionmentioning

confidence: 99%

Massage for rehabilitation after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials

Chen,

Jin,

Jin

et al. 2024

J Orthop Surg Res

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Objective This study aimed to evaluate the effectiveness of massage for postoperative rehabilitation after total knee arthroplasty (TKA). Data sources The PubMed, Web of Science, EMBASE, Cochrane Library, and China National Knowledge Infrastructure (CNKI) databases were systematically searched from inception to May 2024. Study selection Any randomized controlled trials on the use of massage for postoperative TKA rehabilitation were included. Data extraction A meta-analysis of outcomes, including postoperative pain, knee range of motion (ROM), postoperative D-dimer levels, and length of hospital stay, was performed. The Cochrane Risk of Bias Assessment Tool was used to assess the risk of bias, and the data for each included study were extracted independently by two researchers. Data synthesis Eleven randomized controlled clinical trials with 940 subjects were included. The results showed that compared with the control group, the massage group experienced more significant pain relief on the 7th, 14th and 21st days after the operation. Moreover, the improvement in knee ROM was more pronounced on postoperative days 7 and 14. In addition, the massage group reported fewer adverse events. However, there was no statistically significant difference in the reduction in postoperative D-dimer levels between the patients and controls. Subgroup analysis revealed that massage shortened the length of hospital stay for postoperative patients in China but not significantly for patients in other regions. Nevertheless, the heterogeneity of the studies was large. Conclusions Increased massage treatment was more effective at alleviating pain and improving knee ROM in early post-TKA patients. However, massage did not perform better in reducing D-dimer levels in patients after TKA. Based on the current evidence, massage can be used as an adjunctive treatment for rehabilitation after TKA.

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“…As an essential aspect of enhanced recovery after surgery (ERAS) pathways (17), early mobilization, especially postoperative ambulation activity, has been proven to be a practical approach for reducing respiratory, thromboembolic, and other postoperative complications associated with bed rest (18,19).…”

Section: Outcome Measures Early Mobilization After the Operationmentioning

confidence: 99%

Investigation of preoperative physical activity level in kidney transplant recipients and its impact on early postoperative recovery: A retrospective cohort study

Guo

Guo²,

Zhao³

et al. 2023

Front. Surg.

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ObjectiveTo retrospectively investigate the preoperative physical activity (PA) level in kidney transplant recipients (KTRs) and its impact on early postoperative recovery.MethodsA total of 113 patients who received kidney transplantation at West China Hospital of Sichuan University were enrolled in this retrospective cohort study. According to the PA level measured by the Chinese version of the International Physical Activity Questionnaire—Long Version, the patients were allocated into the low PA level group (Group L, n = 55) and medium to high PA level group (Group MH, n = 58). The kidney function recovery indicators, including estimated glomerular filtration rate (eGFR), postoperative complications, postoperative length of stay (LOS), and unscheduled readmission within three months of discharge, were evaluated and documented. A association analysis was applied to analyze and compare the association between indicators.ResultsThe median PA levels of the KTRs were 1701.0 MTEs * min/week. Regarding the postoperative recovery indicators, the KTRs spent a mean time of 19.63 h to achieve transfer out of bed after the operation (Group L: 19.67 h; Group MH: 19.53 h; P = 0.952) and reached a mean distance of 183.10 m as the best ambulatory training score within two days after the operation (Group L: 134.91 m; Group MH: 228.79 m; P < 0.001). The preoperative PA level showed a moderate positive association with early postoperative ambulation distance (ρ = 0.497, P < 0.001). However, no significant between-group difference in eGFR on postoperative days 1, 3, and 5 (P = 0.913, 0.335, and 0.524) or postoperative complications, including DGF (P = 0.436), infection (P = 0.479), postoperative LOS (P = 0.103), and unscheduled readmission (P = 0.698), was found.ConclusionsThe preoperative PA level of KTRs is lower than that of the general population. KTRs with moderate or high preoperative PA levels showed higher ambulatory function in the early postoperative period than those with low preoperative PA levels, but no between-group differences in other early recovery indicators were observed.

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Alternative physical treatments for deep venous thrombosis prophylaxis in surgical patients: a systematic review

Cited by 5 publications

References 29 publications

Postoperative subacute static progressive stretch does not increase the risk of distal lower limb venous thromboembolism

Postoperative subacute static progressive stretch does not increase the risk of distal lower limb venous thromboembolism

Massage for rehabilitation after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials

Investigation of preoperative physical activity level in kidney transplant recipients and its impact on early postoperative recovery: A retrospective cohort study

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