In-hospital resistance training to encourage early mobilization for enhanced recovery programs after colorectal cancer surgery: A feasibility study

Schram, Alexandra; Ferreira, Vanessa; Minnella, Enrico Maria; Awasthi, Rashami; Carli, Francesco; Scheede‐Bergdahl, Celena

doi:10.1016/j.ejso.2019.04.015

Cited by 26 publications

(32 citation statements)

References 18 publications

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“…This study suggests that simply walking in the confined environment of the hospital may not provide sufficient stimulation to induce a positive response in these patients. Schram et al proposed a new alternative for postoperative physical activity intervention which is a supervised progressive resistance exercise program adapted to physical ability (either lying, sitting, or standing) and reported that it is feasible in the early postoperative period [ 10 ]. With few studies on the effects of exercise in the early postoperative period, it remains unclear whether resistance exercise is an effective strategy to enhance the improvement of postoperative physical activity in patients with gastrointestinal cancer.…”

Section: Introductionmentioning

confidence: 99%

“…With few studies on the effects of exercise in the early postoperative period, it remains unclear whether resistance exercise is an effective strategy to enhance the improvement of postoperative physical activity in patients with gastrointestinal cancer. Laparoscopic surgery is less invasive and may enable patients to perform active exercises early in the postoperative period [ 10 , 11 ]. On the other hand, resistance exercise can be hindered by poor adherence caused by surgery-induced pain and fatigue in the clinical setting.…”

Section: Introductionmentioning

confidence: 99%

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Resistance Exercise After Laparoscopic Surgery Enhances Improvement in Exercise Tolerance in Geriatric Patients With Gastrointestinal Cancer

Tanaka¹,

Taoda²,

Kashiwagi³

2021

Cureus

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Introduction: Early mobilization after cancer surgery is generally recommended. However, the effects of postoperative resistance exercise during a hospital stay have been rarely investigated. This study aimed to clarify the effects of resistance exercise after laparoscopic surgery on exercise tolerance and skeletal muscle mass in geriatric patients with gastrointestinal cancer.Methods: This single-center retrospective observational study included patients with gastrointestinal cancer who admitted for laparoscopic surgery. Exercise tolerance and skeletal muscle mass were assessed using a six-minute walking test (6MWT) and skeletal muscle index (SMI) at admission and discharge, respectively. Intergroup comparisons of absolute changes in 6MWT and SMI were analyzed by the unpaired t-test or Mann-Whitney U test according to whether resistance exercise was performed or not. Multivariable linear regression analyses were used to analyze the association of resistance exercise with changes in 6MWT and SMI. The analyses were adjusted for age, sex, cancer stage, postoperative complication, and preoperative exercise tolerance and skeletal muscle mass.Results: Altogether, 66 patients (mean age 69.9 years; 60.6% men) were recruited. Of them, 72.7% performed the resistance exercise and started at a median of 4.5 postoperative days. There were no significant intergroup differences in absolute changes in the 6MWT and the SMI (p = 0.153, p = 0.476, respectively). Multivariable linear regression analysis showed that resistance exercise was independently and positively associated with the 6MWT at discharge (β = 1.70, 95% confidence interval, 1.88 to 71.09) and did not significantly contribute to the SMI at discharge (95% confidence interval, -0.21 to 0.27). Conclusion:Resistance exercise may enhance the improvement in postoperative exercise tolerance in geriatric patients with gastrointestinal cancer who underwent laparoscopic surgery.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Resistance Exercise After Laparoscopic Surgery Enhances Improvement in Exercise Tolerance in Geriatric Patients With Gastrointestinal Cancer

Tanaka¹,

Taoda²,

Kashiwagi³

2021

Cureus

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“…Additionally, preventing both tumour seeding and recurrence are included in the components of ERAS protocols 2,3 . In recent years, similar promising studies have been gradually reported for various types of surgery with important clinical bene ts, especially in colorectal surgery [4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

A Clinical Observational Study on the Application of Enhanced Recovery After Laparoscopic Pancreaticoduodenectomy

Che

Li³

et al. 2021

Preprint

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Background: The safety and feasibility of enhanced recovery after surgery (ERAS) for laparoscopic pancreaticoduodenectomy (LPD) are unclear. The aim of this retrospective clinical study was to evaluate the impact of ERAS protocols for LPD.Methods: Between March 2016 and December 2018, a total of 34 consecutive patients with ERAS for LPD were prospectively enrolled and compared with 68 consecutive patients previously treated for non-ERAS after LPD during an equal time frame. The intraoperative and postoperative data were collected and comparatively analyzed. Results: The mean length of postoperative hospital stay (15.8±3.4 and 23.1±5.1 days, P<0.001) and total medical costs (¥14.3±4.8 x104 and ¥15.8±4.9 x104, P=0.017) were reduced significantly in ER group than those in non-ER group. The operation time (462.7±117.0 vs 450.9±109.8 min, P=0.627) and intraoperative blood loss (523.5±270.0 vs 537.5±241.8 mL, P=0.800) were similar in the two groups. The complications of patients with ERAS protocols were not increased (P>0.05). No difference in mortality and readmission rates was found.Conclusions: The ERAS is safe and effective in the perioperative period of LPD. It could effectively reduce the length of postoperative stay and medical costs, and does not increase the incidence of postoperative complications.

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“…Colorectal cancer surgery and recovery programs have also been reported in the literature providing a further adjunct to studies on abdominal cancer surgery and physical activity. 13,14 What remains unanswered are the factors that go beyond physical performance, therefore consideration should be given to tailoring exercise interventions that take into account individual physical activity levels, attitudes toward exercise willingness and preferences through a deeper understanding in relation to adherence. 15 Our participants underwent focus group (FG) exploration of their perioperative recollections of self-efficacy to undertake an isometricresistance program in order to prospectively inform our RCT evaluating physical function improvement after cancer surgery (forthcoming).…”

Section: Introductionmentioning

confidence: 99%

The importance of cancer patients' functional recollections to explore the acceptability of an isometric‐resistance exercise intervention: A qualitative study

Hashem

Corbett

Stephensen

et al. 2020

Health Science Reports

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Background and Aims: Although it has been widely recognized the potential of physical activity to help cancer patients' preparation for and recovery from surgery, there is little consideration of patient reflections and recovery experiences to help shape adherence to exercise programs. The aim was to explore the acceptability of our newly proposed isometric exercise program in a large general hospital trust in England providing specialist cancer care by using patient recollections of illness and therapy prior to undertaking a randomized controlled trial. Methods: Four Focus groups (FGs) were conducted with cancer survivors with an explicit focus on patient identity, functional capacity, physical strength, exercise advice, types of activities as well as the timing of our exercise program and its suitability. Thematic framework analysis was used with NVivo 11. Results: FG data was collected in January 2016. A total of 13 patients were participated, 10 were male and 3 were female with participants' ages ranging from 39 to 77. Data saturation was achieved when no new information had been generated reaching "information redundancy." Participants reflected upon their post-surgery recovery experiences on the appropriateness and suitability of the proposed intervention, what they thought about its delivery and format, and with hindsight what the psychological enablers and barriers would be to participation. Conclusion: Based upon the subjective recollections and recovery experiences of cancer survivors, isometric-resistance exercise interventions tailored to individuals with abdominal cancer has the potential to be acceptable for perioperative patients to help increase their physical activity and can also help with emotional and psychological recovery.

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In-hospital resistance training to encourage early mobilization for enhanced recovery programs after colorectal cancer surgery: A feasibility study

Cited by 26 publications

References 18 publications

Resistance Exercise After Laparoscopic Surgery Enhances Improvement in Exercise Tolerance in Geriatric Patients With Gastrointestinal Cancer

Resistance Exercise After Laparoscopic Surgery Enhances Improvement in Exercise Tolerance in Geriatric Patients With Gastrointestinal Cancer

A Clinical Observational Study on the Application of Enhanced Recovery After Laparoscopic Pancreaticoduodenectomy

The importance of cancer patients' functional recollections to explore the acceptability of an isometric‐resistance exercise intervention: A qualitative study

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