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Guillaume Bousquet-Dion, Rashami Awasthi, Sarah-Ève Loiselle, Enrico M Minnella, Ramanakumar V Agnihotram, Andreas Bergdahl, Francesco Carli, Celena Scheede-Bergdahl
BACKGROUND: Prehabilitation has been previously shown to be more effective in enhancing postoperative functional capacity than rehabilitation alone. The purpose of this study was to determine whether a weekly supervised exercise session could provide further benefit to our current prehabilition program, when comparing to standard post-surgical rehabilitation. METHODS: A parallel-arm single-blind randomized control trial was conducted in patients scheduled for non-metastatic colorectal cancer resection...
January 12, 2018: Acta Oncologica
Iain Waite, Ranjit Deshpande, Max Baghai, Tania Massey, Olaf Wendler, Sharlene Greenwood
BACKGROUND: Evidence suggests that elective cardiac patients are at risk of functional and psychological deterioration in the time preceding surgery. This poses a risk to successful post-operative rehabilitation. This prospective one-group pre-test, post-test evaluation was designed to assess a clinical Pre-operative Rehabilitation (PREHAB) home-based exercise programme, to optimise pre-operative physical function and frailty in patients awaiting elective Coronary Artery By-Pass Graft (CABG) or Valve Surgery...
October 26, 2017: Journal of Cardiothoracic Surgery
Matthew Mossanen, Mark A Preston
No abstract text is available yet for this article.
August 31, 2017: European Urology
Bertrand Le Roy, Bruno Pereira, Corinne Bouteloup, Frédéric Costes, Ruddy Richard, Marie Selvy, Caroline Pétorin, Johan Gagnière, Emmanuel Futier, Karem Slim, Bernard Meunier, Jean-Yves Mabrut, Christophe Mariette, Denis Pezet
INTRODUCTION: Perioperative chemotherapy is the gold standard treatment of the resectable gastro-oesophageal adenocarcinoma. However, 70% of patients cannot receive the complete sequence because of a postoperative complication or a decrease in functional and nutritional reserves. Recently, a new concept appeared in digestive surgery: prehabilitation. This interventional process consists of patient preparation, between surgical consultation and surgery, and is based on 3 components: (1) physical management, (2) nutritional care and (3) psychological care...
December 7, 2016: BMJ Open
Brian P Chen, Rashami Awasthi, Shane N Sweet, Enrico M Minnella, Andreas Bergdahl, Daniel Santa Mina, Francesco Carli, Celena Scheede-Bergdahl
PURPOSE: High complication rates following colorectal surgery render many patients unable to fully regain functional capacity, thus seriously compromising quality of life. The aim of this study was to assess whether a 4-week trimodal prehabilitation program (exercise, nutritional supplementation, and counseling on relaxation techniques), implemented during the preoperative period, is sufficient to modify exercise behaviors and improve functional capacity of elderly patients scheduled for colorectal cancer surgery...
January 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Fredrik Tjernström, Per-Anders Fransson, Babar Kahlon, Mikael Karlberg, Sven Lindberg, Peter Siesjö, Måns Magnusson
OBJECTIVE: To evaluate auditory and vestibular function after presurgical treatment with gentamicin in schwannoma patients. BACKGROUND: The vestibular PREHAB protocol aims at diminishing the remaining vestibular function before vestibular schwannoma surgery, to ensure less acute symptoms from surgery, and initiate a more efficient vestibular rehabilitation already before surgery. However, the potential cochleotoxicity of gentamicin is a concern, since modern schwannoma surgery strives to preserve hearing...
November 2016: Ear and Hearing
(no author information available yet)
Being diagnosed with cancer is traumatic enough, but being told you will need major surgery as part of your treatment only serves to increase the sense of foreboding and trepidation. Venetia Wynter-Blyth responded by developing a programme that has proved so successful that her patients' experience of care has been transformed, and last week she was named RCN Nurse of the Year.
May 11, 2016: Nursing Standard
Andrew N Stammers, D Scott Kehler, Jonathan Afilalo, Lorraine J Avery, Sean M Bagshaw, Hilary P Grocott, Jean-Francois Légaré, Sarvesh Logsetty, Colleen Metge, Thang Nguyen, Kenneth Rockwood, Jitender Sareen, Jo-Ann Sawatzky, Navdeep Tangri, Nicholas Giacomantonio, Ansar Hassan, Todd A Duhamel, Rakesh C Arora
INTRODUCTION: Frailty is a geriatric syndrome characterised by reductions in muscle mass, strength, endurance and activity level. The frailty syndrome, prevalent in 25-50% of patients undergoing cardiac surgery, is associated with increased rates of mortality and major morbidity as well as function decline postoperatively. This trial will compare a preoperative, interdisciplinary exercise and health promotion intervention to current standard of care (StanC) for elective coronary artery bypass and valvular surgery patients for the purpose of determining if the intervention improves 3-month and 12-month clinical outcomes among a population of frail patients waiting for elective cardiac surgery...
March 9, 2015: BMJ Open
Jo-Ann V Sawatzky, D Scott Kehler, A Elizabeth Ready, Neal Lerner, Sue Boreskie, Darlene Lamont, Dean Luchik, Rakesh C Arora, Todd A Duhamel
OBJECTIVE: To determine the feasibility of a cardiac prehabilitation (Prehab) program for patients waiting for elective coronary artery bypass graft (CABG). DESIGN: A two-group parallel randomized controlled trial. SETTING: Medical fitness facility. SUBJECTS: Seventeen preoperative elective CABG surgery patients were randomized to standard care (n = 9) or Prehab (n = 8). INTERVENTION: Standard care: three-hour preassessment appointment...
July 2014: Clinical Rehabilitation
Mats Lindegarth, Ulf Bergström, Johanna Mattila, Sergej Olenin, Markku Ollikainen, Anna-Leena Downie, Göran Sundblad, Martynas Bučas, Martin Gullström, Martin Snickars, Mikael von Numers, J Robin Svensson, Anna-Kaisa Kosenius
We evaluated performance of species distribution models for predictive mapping, and how models can be used to integrate human pressures into ecological and economic assessments. A selection of 77 biological variables (species, groups of species, and measures of biodiversity) across the Baltic Sea were modeled. Differences among methods, areas, predictor, and response variables were evaluated. Several methods successfully predicted abundance and occurrence of vegetation, invertebrates, fish, and functional aspects of biodiversity...
February 2014: Ambio
Daniel P Lemanu, Primal P Singh, Andrew D MacCormick, Bruce Arroll, Andrew G Hill
BACKGROUND: This systematic review aims to investigate the extent to which preoperative conditioning (PREHAB) improves physiologic function and whether it correlates with improved recovery after major surgery. METHODS: An electronic database search identified randomized controlled trials (RCTs) investigating the safety and efficacy of PREHAB. The outcomes studied were changes in cardiorespiratory physiologic function, clinical outcomes (including length of hospital stay and rates of postoperative complications), and measures of changes in functional capacity (physical and psychological)...
April 2013: World Journal of Surgery
Måns Magnusson, Mikael Karlberg, Fredrik Tjernström
A sudden unilateral loss or impairment of vestibular function causes vertigo, dizziness and impaired postural function. In most occasions, everyday activities supported or not by vestibular rehabilitation programs will promote compensation and the symptoms subside. As the compensatory process requires sensory input, matching performed motor activity, both motor learning of exercises and matching to sensory input are required. If there is a simultaneous cerebellar lesion found during surgery of the posterior cranial fossa, there may be a risk of a combined vestibulo-cerebellar lesion, with reduced compensatory abilities and with prolonged or sometimes permanent disability...
2011: NeuroRehabilitation
Robert Topp, Ann M Swank, Peter M Quesada, John Nyland, Arthur Malkani
OBJECTIVE: The purpose of this study was to examine the effect of a preoperative exercise intervention on knee pain, functional ability, and quadriceps strength among patients with knee osteoarthritis before and after total knee arthroplasty (TKA) surgery. DESIGN: A repeated-measures design was used to compare 2 groups over 4 data collection points. SETTING AND PATIENTS: Community-dwelling subjects with osteoarthritis of the knee who were scheduled for a unilateral TKA were recruited from a single orthopedic surgeon's office and were randomized into control (n = 28) or prehab groups (n = 26)...
August 2009: PM & R: the Journal of Injury, Function, and Rehabilitation
Måns Magnusson, Babar Kahlon, Mikael Karlberg, Sven Lindberg, Peter Siesjö, Fredrik Tjernström
A sudden unilateral loss or impairment of vestibular function causes vertigo, dizziness, and impaired postural function. In most occasions, everyday activities supported or not by vestibular rehabilitation programs will promote a compensation and the symptoms subside. As the compensatory process requires sensory input, matching performed motor activity, both motor learning of exercises and matching to sensory input are required. If there is a simultaneous cerebellar lesion caused by the tumor or the surgery of the posterior cranial fossa, there may be a risk of a combined vestibulocerebellar lesion, with reduced compensatory abilities and with prolonged or sometimes permanent disability...
May 2009: Annals of the New York Academy of Sciences
F Tjernström, P-A Fransson, B Kahlon, M Karlberg, S Lindberg, P Siesjö, M Magnusson
BACKGROUND: Unilateral vestibular deafferentation (uVD), as performed in vestibular schwannoma surgery, results in a chronic vestibular deficit, though most of the insufficiency can be compensated by other sensory input. By vestibular training (prehabituation) performed before surgery, motor adaptation processes can be instigated before the actual lesion. The adaptation processes of the altered sensory input could be affected if the vestibular ablation and surgery were separated in time, by pretreating patients who have remaining vestibular function with gentamicin...
November 2009: Journal of Neurology, Neurosurgery, and Psychiatry
Måns Magnusson, Babar Kahlon, Mikael Karlberg, Sven Lindberg, Peter Siesjö
CONCLUSIONS: Preoperative gentamicin in combination with vestibular 'prehab' offers a possibility to reduce postoperative malaise and speed up recovery and may be used for patients undergoing such surgery when there is remaining vestibular function. OBJECTIVES: Removal of pontine angle tumours in a patient with remaining vestibular function causes symptoms of acute vestibular loss. A simultaneous cerebellar lesion can cause a combined vestibule-cerebellar lesion...
December 2007: Acta Oto-laryngologica
Peter Peduzzi, Zhenchao Guo, Richard A Marottoli, Thomas M Gill, Katy Araujo, Heather G Allore
OBJECTIVE: To evaluate the mechanisms of action in two successful geriatric clinical trials that tested multicomponent physical conditioning programs and to determine whether the pathways for overall benefit were through improvement in physical ability and/or self-confidence. STUDY DESIGN AND SETTING: PREHAB and DRIVER were conducted by the Yale Pepper Center. PREHAB participants received an individualized program that focused on the impairments present (standardly tailored design); DRIVER participants received the entire intervention (global design)...
January 2007: Journal of Clinical Epidemiology
Thomas M Gill, Dorothy I Baker, Margaret Gottschalk, Evelyne A Gahbauer, Peter A Charpentier, Paul T de Regt, Sarah J Wallace
OBJECTIVES: To describe the development and implementation of a preventive, home-based physical therapy program (PREHAB) and to provide evidence for the safety and interrater reliability of the PREHAB protocol. DESIGN: Demonstration study. SETTING: General community. PARTICIPANTS: Ninety-four physically frail, community-living persons, aged 75 years or older, who were randomized to the PREHAB program in a clinical trial...
March 2003: Archives of Physical Medicine and Rehabilitation
(no author information available yet)
The following model was one of four recommended by Nurses Improving Care to the Hospitalized Elderly (NICHE), a national initiative designed to help hospitals prepare for the nation's burgeoning aging population. For more information on other NICHE models, see the January issue of Patient-Focused Care and Satisfaction.
February 1998: Patient-focused Care and Satisfaction
R M Palmer, C S Landefeld, D Kresevic, J Kowal
Older patients often experience a loss of independent physical functioning during the course of an acute illness requiring hospitalization. This functional decline is associated with serious sequelae including prolonged hospital stay, nursing home placement, and mortality. Elements of hospitalization may contribute to the progression or persistence of functional decline. The Unit for Acute Care of the Elderly (ACE Unit) at University Hospitals of Cleveland is an acute care general medical service that is designed to foster the independent functioning of patients...
May 1994: Journal of the American Geriatrics Society
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