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https://www.readbyqxmd.com/read/28410650/prehabilitation-for-the-frail-patient-approaching-esrd
#1
REVIEW
Anoop Sheshadri, Kirsten L Johansen
Frailty is a distinct phenotype that is highly prevalent in chronic kidney disease (CKD) and appears to be more prevalent with decreasing glomerular filtration rate. Exercise training or intervention to increase physical activity may ameliorate poor physical functioning and frailty, and even may improve survival in patients with CKD. Although exercise interventions improve outcomes across the spectrum of CKD, including patients treated with dialysis, patients treated with dialysis face barriers to exercise that patients with predialysis CKD do not...
March 2017: Seminars in Nephrology
https://www.readbyqxmd.com/read/28386715/radiologically-determined-sarcopenia-predicts-morbidity-and-mortality-following-abdominal-surgery-a-systematic-review-and-meta-analysis
#2
REVIEW
Keaton Jones, Alex Gordon-Weeks, Claire Coleman, Michael Silva
BACKGROUND: Individualised risk prediction is crucial if targeted pre-operative risk reduction strategies are to be deployed effectively. Radiologically determined sarcopenia has been shown to predict outcomes across a range of intra-abdominal pathologies. Access to pre-operative cross-sectional imaging has resulted in a number of studies investigating the predictive value of radiologically assessed sarcopenia over recent years. This systematic review and meta-analysis aimed to determine whether radiologically determined sarcopenia predicts post-operative morbidity and mortality following abdominal surgery...
April 6, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28352936/pre-surgery-exercise-and-post-operative-physical-function-of-people-undergoing-knee-replacement-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#3
Maria A Peer, Robert Rush, Peter D Gallacher, Nigel Gleeson
OBJECTIVE: To summarize the evidence regarding the effectiveness and dose-response characteristics of pre-operative exercise programmes on post-operative physical function following total knee arthroplasty. DATA SOURCES: CINAHL, Cochrane Library, PubMed, SPORTDiscus and EMBASE. STUDY SELECTION: Randomized controlled trials were eligible if they provided full description of physiological stress (i.e. mode, frequency, intensity and duration)...
March 29, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28349032/experience-of-sport-stacking-in-korean-older-adults
#4
Chae-Hee Park
Today sedentary lifestyles are a major public health concern and there are many evidences related to physical inactivity. The well-documented evidence is that regular physical activity is an essential part for improving overall health with advancing aging and the most efficient means playing roles of rehabilitation and prehabilitation. However, there are few activity programs which could motivate older adults to continue and maintain their active lifestyles. The purpose of the current study was to describe experience of sport stacking which applied to Korean older adults in the first time...
February 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28302377/stair-negotiation-as-a-rehabilitation-intervention-for-enhancing-recovery-following-total-hip-and-knee-replacement-surgery
#5
REVIEW
James P Gavin, Tikki Immins, Thomas Wainwright
BACKGROUND: Total hip replacement (THR) and total knee replacement (TKR) are common orthopaedic procedures. However, an optimal programme for post-operative rehabilitation has yet to be established. Stair negotiation is a challenging, habitual task, regularly used as a post-operative functional outcome measure; yet as a physical rehabilitation intervention it appears to be rarely used. AIM: The review purpose was to investigate the effectiveness of stair climbing as a rehabilitation intervention for THR and TKR patients...
October 20, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28300279/prehabilitation-in-perioperative-care
#6
K Moorthy, V Wynter-Blyth
No abstract text is available yet for this article.
March 16, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28289508/enhanced-recovery-after-surgery-current-research-insights-and-future-direction
#7
REVIEW
Aliza Abeles, Richard Mark Kwasnicki, Ara Darzi
Since the concept of enhanced recovery after surgery (ERAS) was introduced in the late 1990s the idea of implementing specific interventions throughout the peri-operative period to improve patient recovery has been proven to be beneficial. Minimally invasive surgery is an integral component to ERAS and has dramatically improved post-operative outcomes. ERAS can be applicable to all surgical specialties with the core generic principles used together with added specialty specific interventions to allow for a comprehensive protocol, leading to improved clinical outcomes...
February 27, 2017: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28258331/the-role-of-perioperative-surgical-home-on-health-and-longevity-in-society-importance-of-the-surgical-prehabilitation-program
#8
EDITORIAL
Masahiko Kawaguchi, Mitsuru Ida, Yusuke Naito
No abstract text is available yet for this article.
March 3, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28258290/-improving-pre-and-perioperative-hospital-care-major-elective-surgery
#9
Ilona M Punt, Roel van der Most, Bart C Bongers, Anouk Didden, Erik H J Hulzebos, Jaap J Dronkers, Nico L U van Meeteren
Surgery is aimed at improving a patient's health. However, surgery is plagued with a risk of negative consequences, such as perioperative complications and prolonged hospitalization. Also, achieving preoperative levels of physical functionality may be delayed. Above all, the "waiting" period before the operation and the period of hospitalisation endanger the state of health, especially in frail patients.The Better in Better out™ (BiBo™) strategy is aimed at reducing the risk of a complicated postoperative course through the optimisation and professionalisation of perioperative treatment strategies in a physiotherapy activating context...
April 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28252474/physical-and-nutritional-prehabilitation-in-older-patients-with-colorectal-carcinoma-a-systematic-review
#10
Stéphanie M L M Looijaard, Monique S Slee-Valentijn, René H J Otten, Andrea B Maier
BACKGROUND AND PURPOSE: Sarcopenia and malnourishment are highly prevalent in older patients with colorectal cancer (CRC), who form a growing group of patients at risk of adverse outcome after surgery. Intervention on physical function and/or nutritional status may decrease the risk of postoperative complications. However, the overall effect of preoperative physical and nutritional interventions (better known as prehabilitation) in older patients with CRC remains unknown. The objective was to review the literature on physical and nutritional prehabilitation performed as observational cohort studies or randomized controlled trials in patients 60 years and older undergoing elective CRC surgery...
March 1, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28247331/exercise-based-interventions-for-injury-prevention-in-tackle-collision-ball-sports-a-systematic-review
#11
REVIEW
Nicola Sewry, Evert Verhagen, Mike Lambert, Willem van Mechelen, Wayne Viljoen, Clint Readhead, James Brown
BACKGROUND: The injury burden in collision sports is relatively high compared to other team sports. Therefore, participants in these sports would benefit by having effective injury prevention programs. Exercise-based interventions have successfully reduced injuries in soccer, but evidence on exercise-based interventions in tackle collision sports is limited. OBJECTIVE: The objective of this review is to systematically examine the evidence of exercise-based intervention programs reducing injuries in tackle collision sports...
February 28, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28243813/systematic-review-the-impact-of-exercise-on-mesenteric-blood-flow-and-its-implication-for-preoperative-rehabilitation
#12
REVIEW
K A Knight, S J Moug, M A West
BACKGROUND: Exercise in the preoperative period, or prehabilitation, continues to evolve as an important tool in optimising patients awaiting major intra-abdominal surgery. It has been shown to reduce rates of post-operative morbidity and length of hospital stay. The mechanism by which this is achieved remains poorly understood. Adaptations in mesenteric flow in response to exercise may play a role in improving post-operative recovery by reducing rates of ileus and anastomotic leak. AIMS: To systematically review the existing literature to clarify the impact of exercise on mesenteric arterial blood flow using Doppler ultrasound...
March 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/28208990/swiss-ball-versus-mat-exercises-for-core-activation-of-transverse-abdominis-in-recreational-athletes
#13
Prateek Srivastav, Nirmala Nayak, Sudeep Nair, Lobsang Bhuti Sherpa, Diana Dsouza
INTRODUCTION: Core stability is an essential component for improving athletic performance and injury prevention. Exercises on a Swiss ball and on the mat are two different ways of improving core stability. Comparison of these methods can help physiotherapists incorporate the better method for athletic training and rehabilitation. AIM: To compare swiss ball and mat exercises for core stability of transverse abdominis in recreational athletes. MATERIALS AND METHODS: This pilot randomized control trial was performed on a total of 25 recreational athletes...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28161527/a-systematic-review-of-prehabilitation-programs-in-abdominal-cancer-surgery
#14
REVIEW
Yasser Hijazi, Umair Gondal, Omer Aziz
INTRODUCTION: Prehabilitation programs aim to optimise patients in order to enhance post-operative recovery. This study aims to review the composition of prehabilitation programs for patients undergoing major abdominal cancer surgery and define the outcome measures that are used to evaluate this intervention. METHODS: A systematic literature review of all comparative studies on prehabilitation versus standard care in patients undergoing abdominal cancer surgery was performed in accordance with PRISMA guidelines...
March 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28079430/multimodal-prehabilitation-improves-functional-capacity-before-and-after-colorectal-surgery-for-cancer-a-five-year-research-experience
#15
Enrico Maria Minnella, Guillaume Bousquet-Dion, Rashami Awasthi, Celena Scheede-Bergdahl, Francesco Carli
BACKGROUND: Multimodal prehabilitation is a preoperative conditioning intervention in form of exercise, nutritional assessment, whey protein supplementation, and anxiety-coping technique. Despite recent evidence suggesting that prehabilitation could improve functional capacity in patients undergoing colorectal surgery for cancer, all studies were characterized by a relatively small sample size. The aim of this study was to confirm what was previously found in three small population trials...
February 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28067102/preoperative-modifiable-risk-factors-in-colorectal-surgery-an-observational-cohort-study-identifying-the-possible-value-of-prehabilitation
#16
Stefanus van Rooijen, Francesco Carli, Susanne O Dalton, Christoffer Johansen, Jeanne Dieleman, Rudi Roumen, Gerrit Slooter
BACKGROUND: Colorectal cancer (CRC) is the second most prevalent type of cancer in the world. Surgery is the most common therapeutic intervention, and associated with 20-40% reduction in physiological and functional capacity. Postoperative complications occur in up to 50% of patients resulting in higher mortality rates and greater hospital costs. The number and severity of complications is closely related to patients' preoperative performance status. The aim of this study was to identify the most important preoperative modifiable risk factors that could be part of a multimodal prehabilitation program...
February 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28067101/promoting-a-culture-of-prehabilitation-for-the-surgical-cancer-patient
#17
REVIEW
Francesco Carli, Chelsia Gillis, Celena Scheede-Bergdahl
BACKGROUND: Traditional rehabilitative approaches to perioperative cancer care have focused on the postoperative period to facilitate the return to presurgical baseline conditions. However, there is some realization that the preoperative period can be a very effective time for intervention as the patients are more amenable to target their physiological condition to prepare to overcome the metabolic cost of the surgical stress. METHODS: We undertook a narrative review of the current literature on surgical prehabilitation and discussed the current evidence of preoperative interventions before cancer surgery in order to increase physiological reserve before surgery and accelerate postoperative recovery...
February 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28064173/interventions-to-prevent-or-reduce-the-level-of-frailty-in-community-dwelling-older-adults-a-scoping-review-of-the-literature-and-international-policies
#18
REVIEW
Martine T E Puts, Samar Toubasi, Melissa K Andrew, Maureen C Ashe, Jenny Ploeg, Esther Atkinson, Ana Patricia Ayala, Angelique Roy, Miriam Rodríguez Monforte, Howard Bergman, Kathy McGilton
BACKGROUND: frailty impacts older adults' ability to recover from an acute illness, injuries and other stresses. Currently, a systematic synthesis of available interventions to prevent or reduce frailty does not exist. Therefore, we conducted a scoping review of interventions and international policies designed to prevent or reduce the level of frailty in community-dwelling older adults. METHODS AND ANALYSIS: we conducted a scoping review using the framework of Arksey and O'Malley. We systematically searched articles and grey literature to identify interventions and policies that aimed to prevent or reduce the level of frailty...
January 6, 2017: Age and Ageing
https://www.readbyqxmd.com/read/27994677/positive-prehabilitative-effect-of-intense-treadmill-exercise-for-ameliorating-cancer-cachexia-symptoms-in-a-mouse-model
#19
Hyunseok Jee, Ji-Eun Chang, Eun Joo Yang
Due to the importance of exercise in prehabilitation, we conducted this study to understand the effects of different exercise intensities on cancer-related cachexia. Forty adult male CDF1 mice were randomly divided into a non-cancer control group (N=10, NC), cancer control group (N=10, CC), cancer with moderate exercise group (N=10, ME, 70% maxHR), and cancer with intense exercise group (N=10, SE, 90% maxHR) for obtaining data such as tissue weight and body weight changes, quality of life (QoL) indicators, and levels of cytokines and a muscle homeostasis regulatory protein...
2016: Journal of Cancer
https://www.readbyqxmd.com/read/27943606/balancing-give-and-take-between-patients-and-their-spousal-caregivers-in-hematopoietic-stem-cell-transplantation
#20
Sara Beattie, Sophie Lebel, Danielle Petricone-Westwood, Keith G Wilson, Cheryl Harris, Gerald Devins, Lothar Huebsch, Jason Tay
OBJECTIVE: \Hematopoietic stem cell transplant (HSCT) is a demanding treatment. Spouses of HSCT patients assume caregiving responsibilities that can induce feelings of burden and disrupt relationship equity. Based on equity theory, we propose a conceptual framework examining the individual and dyadic experience of HSCT patients and their caregivers. The model includes feelings of inequity, patient self- perceived burden (SPB), caregiver burden and distress. METHODS: HSCT patients and their spousal caregivers were recruited prior to HSCT between March 2011 and September 2012...
December 10, 2016: Psycho-oncology
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