Concepts for exercise therapy in prehabilitation for elderly people with frailty or pre-frailty prior to elective surgery. A scoping review

Drewniok, Nils; Kiselev, Jörn; Daum, Nils; Mörgeli, Rudolf; Spies, Claudia; Schaller, Stefan J.

doi:10.1016/j.jbmt.2023.05.004

Cited by 3 publications

(2 citation statements)

References 45 publications

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“…Rekomendasi mengenai pengaturan, intensitas, serta efektivitas dari rekomendasi yang disebutkan sebelumnya masih perlu didiskusikan lebih lanjut. Hingga saat ini rekomendasi aktivitas fisik menurut WHO atau Organisasi Kesehatan Dunia untuk kelompok lansia berusia 65 tahun ke atas banyak disarankan sebagai latihan prehabilitasi untuk operasi penggantian sendi (Drewniok et al, 2023) (Hermann et al, 2016b;Skoffer et al, 2015). Peningkatan kekuatan otot ekstremitas bawah akan berkolerasi dengan fungsi fisik lansia seperti mempertahankan mobilitas dan kemampuan untuk bergerak dengan cepat dan efisien, serta berkontribusi besar terhadap kemandirian lansia dalam melakukan aktivitas sehari-hari tanpa bantuan.…”

Section: Hasil Dan Pembahasanunclassified

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Peran Latihan Prehabilitasi Pada Operasi Elektif Total Hip Replacement Pada Osteoarthritis Hip : Literatur Review

Rhona Agasti,

Dini Nur Alpiah,

Zeth Boroh

2024

JIS

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The increasing of elderly population, the prevalence of joint diseases including hip joints, and the need for a holistic approach to patient care have become major concerns in the development of prehabilitation exercise strategies that can be effectively applied. The length of stay, functional abilities, daily living activities, and post-total hip replacement (THR) quality of life are areas that need continuous improvement. This research aims to analyze the impact of prehabilitation exercises on post-operative outcomes in patients undergoing total hip replacement for hip osteoarthritis. A literature review study was conducted using PICO and MeSH search strategies in four databases, namely ProQuest, ScienceDirect, EMBASE, and MEDLINE. The screening process was performed according to criteria, and critical appraisal was conducted using a checklist. The literature search yielded a total of 20 articles meeting the criteria, indicating an impact on functional capacity in 12 articles and no impact in 4 articles. The length of hospital stay was discussed in 6 articles with the results of 3 significant articles and 3 insignificant articles. The most recommended type of exercise was strengthening/resistance exercise combined with endurance training. Although there is no guideline for prehabilitation exercises, it is recommended to perform exercises at least twice a week for a minimum of six weeks before surgery. Analysis indicates that prehabilitation exercises, especially strengthening and endurance exercises, are effective in improving functional capacity.

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Section: Hasil Dan Pembahasanunclassified

“…Studi (Drewniok et al, 2023) menyarankan latihan kekuatan sebaiknya dipertimbangkan dalam perancangan program prehabilitasi untuk pasien yang frail atau rapuh. Disarankan juga untuk menyertakan latihan pernapasan dan dukungan nutrisi.…”

Section: Hasil Dan Pembahasanunclassified

Peran Latihan Prehabilitasi Pada Operasi Elektif Total Hip Replacement Pada Osteoarthritis Hip : Literatur Review

Rhona Agasti,

Dini Nur Alpiah,

Zeth Boroh

2024

JIS

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Impact of pre-existing frailty on survival outcomes in solid-organ transplant candidates and recipients: A meta-analysis

Geng,

Wang,

et al. 2024

Ageing Research Reviews

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Peri‐operative pain management in adults: a multidisciplinary consensus statement from the Association of Anaesthetists and the British Pain Society

El‐Boghdadly,

Levy,

Fawcett

et al. 2024

Anaesthesia

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SummaryBackgroundNearly half of adult patients undergoing surgery experience moderate or severe postoperative pain. Inadequate pain management hampers postoperative recovery and function and may be associated with adverse outcomes. This multidisciplinary consensus statement provides principles that might aid postoperative recovery, and which should be applied throughout the entire peri‐operative pathway by healthcare professionals, institutions and patients.MethodsWe conducted a directed literature review followed by a four‐round modified Delphi process to formulate recommendations for organisations and individuals.ResultsWe make recommendations for the entire peri‐operative period, covering pre‐admission; admission; intra‐operative; post‐anaesthetic care unit; ward; intensive care unit; preparation for discharge; and post‐discharge phases of care. We also provide generic principles of peri‐operative pain management that clinicians should consider throughout the peri‐operative pathway, including: assessing pain to facilitate function; use of multimodal analgesia, including regional anaesthesia; non‐pharmacological strategies; safe use of opioids; and use of protocols and training for staff in caring for patients with postoperative pain.ConclusionsWe hope that with attention to these principles and their implementation, outcomes for adult patients having surgery might be improved.

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Concepts for exercise therapy in prehabilitation for elderly people with frailty or pre-frailty prior to elective surgery. A scoping review

Cited by 3 publications

References 45 publications

Peran Latihan Prehabilitasi Pada Operasi Elektif Total Hip Replacement Pada Osteoarthritis Hip : Literatur Review

Peran Latihan Prehabilitasi Pada Operasi Elektif Total Hip Replacement Pada Osteoarthritis Hip : Literatur Review

Impact of pre-existing frailty on survival outcomes in solid-organ transplant candidates and recipients: A meta-analysis

Peri‐operative pain management in adults: a multidisciplinary consensus statement from the Association of Anaesthetists and the British Pain Society

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