Surgery and functional mobility: doing the right thing at the right time

Dronkers, Jaap; Witteman, BJ; Meeteren, Nico van

doi:10.1007/s10151-016-1487-6

Cited by 16 publications

(14 citation statements)

References 13 publications

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“…The most commonly performed major surgical operation in gynaecology is hysterectomy. It is an effective treatment for heavy menstrual bleeding however it is associated with physical and emotional complications as well as social and economic costs (van et al, 2016;Urbachet al, 2006).A review of incidence shows that physiotherapy management carried out soon as possible following gynaecological operation enhances the patient's quality oflife (Dronkers et al, 2016;Phansopkaret al, 2020;Schiemanck et al, 2006;).In these patients, the preventive aspect of physiotherapy needs to be promoted more. Post-operative gynaecological patients have been deprived of the management of physiotherapy and a large number of physiotherapists tend to prophylactically benefit patients with breathing exercises if followed.In our case report, patient confirmed abdominal pain and lower limb pain with insidious onset.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Effective Physical Therapy for Post-Operative Non-descent Vaginal Hysterectomy Patient

Tikhile¹

2021

Biosc Biotech Res Comm

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Menorrhagia is a prolonged and excessively serious menstrual bleeding (Walker et al., 2015). It is not due to any underlying disease, the likely reasons include hormone imbalance, ovary impairments, uterine fibroids, intra uterine devices, medications etc. Vaginal hysterectomy is a procedure in which the uterus is surgically removed via the vagina. Non descent vaginal hysterectomy (NVDH) is preferred for uterine removal as it is easy and time efficient.Immediate care with physiotherapy is recommended in post-operative patients for early recovery. This42-year-old woman was mainly concerned with per vaginal bleedingfor 2 months. Also complaints includedpain in lower abdomen and lower limb tingling and numbness.She was unable to perform her daily activities. Menorrhagia was confirmed with investigations like sonography and haematological investigations. Patient was treated withnon-descent vaginal hysterectomy and post-surgical physical therapy. Timely physiotherapy rehabilitation plan in post-surgical phase helps in early functional restoration.

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Section: Discussionmentioning

confidence: 99%

A Case Report of Effective Physical Therapy for Post-Operative Non-descent Vaginal Hysterectomy Patient

Tikhile¹

2021

Biosc Biotech Res Comm

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“…However, declines in fitness have not been seen in the control groups of other prehabilitation studies . Furthermore, the ethics of non‐exercise control groups has been questioned when there is a wealth of supportive evidence in favor of physical activity and improved perioperative outcomes . In addition, this study was designed to test the feasibility and effectiveness of our HIIT intervention in a specific patient group, endpoints which were wholly achievable without a control group.…”

Section: Discussionmentioning

confidence: 99%

Short‐term pre‐operative high‐intensity interval training does not improve fitness of colorectal cancer patients

Boereboom

Blackwell

Williams

et al. 2019

Scandinavian Med Sci Sports

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Background Pre‐operative cardiorespiratory fitness (CRF) in colorectal cancer (CRC) patients has been shown to affect post‐operative outcomes. The aim of this study was to test the feasibility of high‐intensity interval training (HIIT) for improving fitness in pre‐operative CRC patients within the 31‐day cancer waiting‐time targets imposed in the UK. Methods Eighteen CRC patients (13 males, mean age: 67 years (range: 52‐77 years) participated in supervised HIIT on cycle ergometers 3 or 4 times each week prior to surgery. Exercise intensity during 5 × 1‐minute HIIT intervals (interspersed with 90‐second recovery) was 100%‐120% maximum wattage achieved at a baseline cardiopulmonary exercise test (CPET). CPET before and after HIIT was used to assess CRF. Results Patients completed a mean of eight HIIT sessions (range 6‐14) over 19 days (SD 7). There was no significant increase in VO2 peak (23.9 ± 7.0 vs 24.2 ± 7.8 mL/kg/min (mean ± SD), P = 0.58) or anaerobic threshold (AT: 14.0 ± 3.4 vs 14.5 ± 4.5 mL/kg/min, P = 0.50) after HIIT. There was a significant reduction in resting systolic blood pressure (152 ± 19 vs 142 ± 19 mm Hg, P = 0.0005) and heart rate at submaximal exercise intensities after HIIT. Conclusions Our pragmatic HIIT exercise protocol did not improve the pre‐operative fitness of CRC patients within the 31‐day window available in the UK to meet cancer surgical waiting‐time targets.

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“…Diese Faktoren sind Indikatoren für das Anpassungsvermö-gen des Patienten (Homöostase und angemessene Antworten auf allostatische Belastungen) bei der Bewältigung psychophysiologischer Einflüsse durch größere Operationen [10]. Zum Beispiel sind Patienten, bei denen größere Abdominaleingriffe geplant sind, mit einer niedrigen kardiopulmonalen Leistungsfähigkeit, beispielsweise einer ventilatorischen Schwelle (VT) < 11 mL/kg/min oder einer maximalen Sauerstoffaufnahme (VO2) < 18 mL/kg/min, grundsätz-lich als Hochrisikopatienten einzustufen [20].…”

Section: High-risk Patients · Physical Fitness · Risk Stratification unclassified

Verbesserung des prä- und postoperativen Behandlungskonzepts

Punt

Most

Bongers

et al. 2017

Bundesgesundheitsbl

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Surgery and functional mobility: doing the right thing at the right time

Cited by 16 publications

References 13 publications

A Case Report of Effective Physical Therapy for Post-Operative Non-descent Vaginal Hysterectomy Patient

A Case Report of Effective Physical Therapy for Post-Operative Non-descent Vaginal Hysterectomy Patient

Short‐term pre‐operative high‐intensity interval training does not improve fitness of colorectal cancer patients

Verbesserung des prä- und postoperativen Behandlungskonzepts

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