The effects of inspiratory muscle training on aerobic capacity, pulmonary functions and functional status in patients with ankylosing spondylitis

Taşkın, Harun; Atalay, Orçin Telli; Kabul, Elif Gür; Yıldız, Ali; Aslan, Ümmühan Baş; Taşçı, Murat; Bıçakcı, Fahrettin

doi:10.1183/1393003.congress-2017.pa3283

Cited by 1 publication

(1 citation statement)

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“…IMT, which aims specifically at increasing respiratory muscle strength and endurance, has been shown to reduce postoperative atelectasis and pneumonia and shorten length of hospital stay [ 137 ]. This additional prehabilitative intervention might be particularly useful either in CD patients at high-risk of pulmonary complications (CD patients with restrictive respiratory disease ankylosing spondylitis-related) or in CD patients requiring laparotomies (especially upper gastrointestinal surgery), frequent in CD patients requiring multiple surgeries [ 138 ]. Typically, patients are asked to breath in through an inspiratory threshold-loading device at a pre-defined percentage of their maximal inspiratory strength (Pimax), 5 to 7 sessions per week, each lasting 15–30 min [ 137 , 139 ].…”

Section: Functional Capacity and Muscle Strength Optimizationmentioning

confidence: 99%

Multimodal Prehabilitation for Patients with Crohn’s Disease Scheduled for Major Surgery: A Narrative Review

Fiorindi,

Giudici,

Testa

et al. 2024

Nutrients

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Approximately 15–50% of patients with Crohn’s disease (CD) will require surgery within ten years following the diagnosis. The management of modifiable risk factors before surgery is essential to reduce postoperative complications and to promote a better postoperative recovery. Preoperative malnutrition reduced functional capacity, sarcopenia, immunosuppressive medications, anemia, and psychological distress are frequently present in CD patients. Multimodal prehabilitation consists of nutritional, functional, medical, and psychological interventions implemented before surgery, aiming at optimizing preoperative status and improve postoperative recovery. Currently, studies evaluating the effect of multimodal prehabilitation on postoperative outcomes specifically in CD are lacking. Some studies have investigated the effect of a single prehabilitation intervention, of which nutritional optimization is the most investigated. The aim of this narrative review is to present the physiologic rationale supporting multimodal surgical prehabilitation in CD patients waiting for surgery, and to describe its main components to facilitate their adoption in the preoperative standard of care.

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