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https://www.readbyqxmd.com/read/27913000/surgical-prehabilitation-in-patients-with-cancer-state-of-the-science-and-recommendations-for-future-research-from-a-panel-of-subject-matter-experts
#1
REVIEW
Francesco Carli, Julie K Silver, Liane S Feldman, Andrea McKee, Sean Gilman, Chelsia Gillis, Celena Scheede-Bergdahl, Ann Gamsa, Nicole Stout, Bradford Hirsch
This review by a 10-member panel of experts in surgical prehabilitation addresses processes that may improve oncologic care. Surgical prehabilitation is the process on the continuum of care that occurs between the time of cancer diagnosis and the beginning of surgical treatment. The panel focused on the current state-of-the-science and recommended future research that would help to identify the elements that enhance preoperative physical, nutritional, and psychological health in anticipation of surgery, mitigate the burden of disease, facilitate the return of patient health status to baseline values, decrease postoperative morbidity, and reduce health care costs...
February 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27909230/the-protective-role-of-sex-hormones-in-females-and-exercise-prehabilitation-in-males-on-sternotomy-induced-cranial-hypoperfusion-in-aortic-banded-mini-swine
#2
T Dylan Olver, Jessica A Hiemstra, Jenna C Edwards, Brian S Ferguson, Harold Laughlin, Craig A Emter
During cardiac surgery, specifically sternotomy, cranial hypoperfusion is linked to cerebral ischemia, increased risk of perioperative watershed stroke and other neurocognitive complications. The purpose of this study was to retrospectively examine the effect of sex hormones in females and exercise prehabilitation in males on median sternotomy-induced changes in cranial perfusion in a large animal model of heart failure. Cranial blood flow (CBF) before, 10- and 60 min post-sternotomy was analyzed in eight groups of Yucatan mini-swine: female-control, aortic-banded, ovariectomized, and ovariectomized+aortic-banded; male-control, aortic-banded, aortic-banded+continuous exercise trained, and aortic-banded+interval exercise trained...
December 1, 2016: Journal of Applied Physiology
https://www.readbyqxmd.com/read/27862675/the-physiotherapist-and-the-esophageal-cancer-patient-from-prehabilitation-to-rehabilitation
#3
REVIEW
E M Guinan, J Dowds, C Donohoe, J V Reynolds, J Hussey
Esophageal cancer is a serious malignancy often treated with multimodal interventions and complex surgical resection. As treatment moves to centers of excellence with emphasis on enhanced recovery approaches, the role of the physiotherapist has expanded. The aim of this review is to discuss the rationale behind both the evolving prehabilitative role of the physiotherapist and more established postoperative interventions for patients with esophageal cancer. While a weak association between preoperative cardiopulmonary fitness and post-esophagectomy outcome is reported, cardiotoxicity during neoadjuvant chemotherapy and/or radiotherapy may heighten postoperative risk...
November 9, 2016: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/27822378/changes-in-exercise-capacity-muscle-strength-and-health-related-quality-of-life-in-esophageal-cancer-patients-undergoing-esophagectomy
#4
Takayuki Inoue, Satoru Ito, Masahiko Ando, Motoki Nagaya, Hiromichi Aso, Yota Mizuno, Keiko Hattori, Hiroki Nakajima, Yoshihiro Nishida, Yukiko Niwa, Yasuhiro Kodera, Masahiko Koike, Yoshinori Hasegawa
BACKGROUND: Surgery for cancer of the thoracic esophagus is a challenging procedure associated with high morbidity and mortality. Perioperative rehabilitation has been introduced to promote early mobilization of the patients and to prevent postoperative pulmonary complications. The purpose of the present study was to characterize the preoperative functional exercise capacity, muscle strength, anxiety, depression, and health-related quality of life (QOL) in patients with esophageal cancer, and to evaluate the impact of radical esophagectomy on these parameters...
2016: BMC Sports Science, Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27771094/%C3%A2-fast-track%C3%A2-and-intestinal-surgery-for-crohn-s-disease-factors-associated-with-prolonged-hospital-stay
#5
José María Enriquez-Navascués, Garazi Elorza, Carlos Placer, Ander Timoteo, Leyre Velaz, Nerea Borda, Yolanda Saralegui
OBJECTIVE: The aim of this study was to determine factors associated with a prolonged postoperative stay (PS) in patients operated on with bowel resection for Crohn's disease (CD) included in an enhanced recovery program (ERP). METHODS: We included patients operated on for CD between January 2013 and December 2015. ERP was organized following an 8-point protocol. Variables studied were: age, sex, PS, ASA, location and type of CD, presence of perianal disease, Harvey-Bradshaw index, previous resection, type of surgery (minimally invasive vs...
October 19, 2016: Cirugía Española
https://www.readbyqxmd.com/read/27711026/preoperative-functional-assessment-and-optimization-in-surgical-patient-changing-the-paradigm
#6
Francesco Carli, Enrico M Minnella
Functional capacity has been shown to be a major determinant of surgical outcome since it is related to postoperative complications, activity and daily function, level of independence and quality of life. Anesthesiologists as "perioperative physicians", can identify those scoring systems that assess functional capacity, whether from the basic physical history and walk test to the most complex such as cardiopulmonary exercise testing (CPET), and formulate intraoperative and postoperative interventions (rehabilitation) to minimize the impact of surgery on the recovery process...
October 6, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27672836/poster-68-feasibility-of-a-prehabilitation-program-for-patients-with-potentially-resectable-pancreatic-cancer-pilot-study
#7
An Ngo-Huang, Nathan Parker, Vanessa A Martinez, Maria Qb Petzel, David Fogelman, Holly M Holmes, Satinderpal S Dhah, Matthew Katz
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27648892/exercise-and-nutrition-prehabilitation-for-the-evaluation-of-risk-and-therapeutic-potential-in-cancer-patients-a-review
#8
Lisa Loughney, Michael P W Grocott
No abstract text is available yet for this article.
2016: International Anesthesiology Clinics
https://www.readbyqxmd.com/read/27599984/enhanced-recovery-after-bariatric-surgery-in-the-severely-obese-morbidly-obese-super-morbidly-obese-and-super-super-morbidly-obese-using-evidence-based-clinical-pathways-a-comparative-study
#9
Aparna Sinha, Lakshmi Jayaraman, Dinesh Punhani, Pradeep Chowbey
BACKGROUND: We discuss the anesthetic outcome in morbidly obese patients under the enhanced recovery after surgery (ERAS) protocol. Our evidence-based clinical pathways focused on prehabilitation and included interventions like aggressive preoperative optimization of medical comorbidities, familiarizing with perioperative protocols, thromboprophylaxis, opioid free multimodal analgesia, and early ambulation. METHODS: We did a retrospective analysis of prospectively collected data of 823 patients who underwent laparoscopic bariatric surgery...
September 6, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27539507/evidence-based-clinical-practice-update-practice-guidelines-for-anterior-cruciate-ligament-rehabilitation-based-on-a-systematic-review-and-multidisciplinary-consensus
#10
Nicky van Melick, Robert E H van Cingel, Frans Brooijmans, Camille Neeter, Tony van Tienen, Wim Hullegie, Maria W G Nijhuis-van der Sanden
AIM: The Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. DESIGN: Clinical practice guideline underpinned by systematic review and expert consensus. DATA SOURCES: A multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline...
December 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27539131/four-week-prehabilitation-program-is-sufficient-to-modify-exercise-behaviors-and-improve-preoperative-functional-walking-capacity-in-patients-with-colorectal-cancer
#11
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
https://www.readbyqxmd.com/read/27538757/use-of-the-prepare-prehabilitation-physical-activity-and-exercise-program-to-improve-outcomes-after-lumbar-fusion-surgery-for-severe-low-back-pain-a-study-protocol-of-a-person-centred-randomised-controlled-trial
#12
Hanna Lotzke, Max Jakobsson, Helena Brisby, Annelie Gutke, Olle Hägg, Rob Smeets, Marlies den Hollander, Lars-Eric Olsson, Mari Lundberg
BACKGROUND: Following lumbar fusion surgery, a successful outcome is empirically linked to effective rehabilitation. While rehabilitation is typically postoperative, the phase before surgery - termed prehabilitation - is reportedly an ideal time to prepare the patient. There are presently no guidelines for prehabilitation before lumbar fusion surgery. Physical activity has well-known health benefits, and staying physically active despite pain is a major principle in non-pharmacological chronic low back pain treatment...
August 18, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27537777/evaluation-of-reliability-of-myzone-mz-3-heart-rate-monitor-a-study-for-the-future-of-telephysiotherapy-for-preoperative-prehabilitation-in-cancer-patients
#13
Luis Cuadros, Hilmy Ismail, Kwok Ho
BACKGROUND: There are a number of commercially available heart rate (HR) monitors on the market. The reliability of these monitors has had varying results. To the best of our knowledge, there are no telemonitoring services utilizing these devices for perioperative prehabilitation services for patients undergoing major surgery. The goal of this study is to pilot the MYZONE(®) MZ-3 HR monitor to assess its level of reliability to provide a feasible telephysiotherapy prehabilitation service through prescription-based exercise programs to patients presenting for major cancer surgery within our leading oncological health service...
August 18, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27536795/the-effectiveness-of-prehabilitation-for-adults-having-elective-surgery-a-systematic-review-protocol
#14
Stephen Wright, Richard Wiechula, Paul McLiesh
No abstract text is available yet for this article.
February 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27504465/kinematics-of-shooting-in-high-school-and-collegiate-lacrosse-players-with-and-without-low-back-pain
#15
Joseph G Wasser, Cong Chen, Heather K Vincent
BACKGROUND: Low back pain (LBP) and motion alterations can occur in athletes who engage in high-speed throwing motions. The relationship between LBP and shooting motion in lacrosse players is not yet known. PURPOSE: To quantify the effects of LBP on key kinematic parameters of the lacrosse shot and determine the contribution of the severity of LBP on specific kinematic parameters of the shooting motion. STUDY DESIGN: Controlled laboratory study...
July 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27495749/performance-based-measures-associate-with-frailty-in-patients-with-end-stage-liver-disease
#16
Jennifer C Lai, Michael L Volk, Debra Strasburg, Neil Alexander
BACKGROUND: Physical frailty, as measured by the Fried Frailty Index, is increasingly recognized as a critical determinant of outcomes in patients with cirrhosis. However, its utility is limited by the inclusion of self-reported components. We aimed to identify performance-based measures associated with frailty in patients with cirrhosis. METHODS: Patients with cirrhosis, aged 50 years or older, underwent: 6-minute walk test (cardiopulmonary endurance), chair stands in 30 seconds (muscle endurance), isometric knee extension (lower extremity strength), unipedal stance time (static balance), and maximal step length (dynamic balance/coordination)...
December 2016: Transplantation
https://www.readbyqxmd.com/read/27490007/rehabilitation-following-anterior-cruciate-ligament-tears-in-children-a-systematic-review
#17
Joseph L Yellin, Peter D Fabricant, Alex Gornitzky, Elliot M Greenberg, Sara Conrad, Julie Ann Dyke, Theodore J Ganley
BACKGROUND: Anterior cruciate ligament (ACL) tears are increasingly prevalent in the pediatric population. ACL rehabilitation is an essential component of recovery following injury and reconstruction, yet there are few explicit descriptions of pediatric-specific ACL rehabilitation protocols in the literature, especially in the context of varying treatment interventions. Our aim was to systematically review the literature on rehabilitation following ACL tears in children in order to describe common principles among different treatment options and areas of future research...
January 19, 2016: JBJS Rev
https://www.readbyqxmd.com/read/27476586/patients-with-poor-baseline-walking-capacity-are-most-likely-to-improve-their-functional-status-with-multimodal-prehabilitation
#18
Enrico M Minnella, Rashami Awasthi, Chelsia Gillis, Julio F Fiore, A Sender Liberman, Patrick Charlebois, Barry Stein, Guillaume Bousquet-Dion, Liane S Feldman, Francesco Carli
BACKGROUND: Evidence suggests that multimodal prehabilitation programs comprising interventions directed at physical activity, nutrition, and anxiety coping can improve functional recovery after colorectal cancer operations; however, such programs may be more clinically meaningful and cost-effective if targeted to specific subgroups. This study aimed to estimate the extent to which patients with poor baseline functional capacity improve their functional capacity. METHODS: Data for 106 participants enrolled in a multimodal, prehabilitation program before colorectal operations were analyzed...
October 2016: Surgery
https://www.readbyqxmd.com/read/27456182/feasibility-and-acceptability-of-remotely-monitored-pedometer-guided-physical-activity
#19
J N Darvall, A Parker, D A Story
Nearly 70% of the Australian adult population are either sedentary, or have low levels of physical activity. There has been interest in addressing this problem by the 'mHealth', or mobile Health, arena, which is concerned with the confluence of mobile technology and health promotion. The newer generation of activity pedometers has the ability to automatically upload information, to enable aggregation and meta-data analysis of individual patient data. We conducted a ten-week pilot trial of the Fitbit Zip® pedometer using a validated tool in ten volunteers, finding it highly acceptable to both participants and investigators...
July 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27441877/the-impact-of-prehabilitation-on-postoperative-functional-status-healthcare-utilization-pain-and-quality-of-life-a-systematic-review
#20
C J Cabilan, Sonia Hines, Judy Munday
BACKGROUND: "Preoperative rehabilitation" or prehabilitation has been increasingly studied alongside the deleterious effects of surgery and functional decline. Prehabilitation is the preoperative optimization of physical functionality to enable the individual to maintain a normal level of function during and after surgery. This systematic review evaluates the effectiveness of prehabilitation on functional status, healthcare utilization, quality of life, and pain postoperatively. METHODS: Trials registries and databases of published and unpublished literature were extensively searched...
July 2016: Orthopaedic Nursing
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