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Clin Rehabil. 2010 Jul;24(7):614-22. doi: 10.1177/0269215509358941. Epub 2010 Jun 8.

Preoperative therapeutic programme for elderly patients scheduled for elective abdominal oncological surgery: a randomized controlled pilot study.

Author information

1
Gelderse Vallei Hospital, Department of Physiotherapy, PO Box 9025, 6710 HN Ede, The Netherlands. DronkersJ@zgv.nl

Abstract

OBJECTIVE:

Investigation of the feasibility and preliminary effect of a short-term intensive preoperative exercise programme for elderly patients scheduled for elective abdominal oncological surgery.

DESIGN:

Single-blind randomized controlled pilot study.

SETTING:

Ordinary hospital in the Netherlands.

SUBJECTS:

Forty-two elderly patients (>60 years).

INTERVENTIONS:

Patients were randomly assigned to receive a short-term intensive therapeutic exercise programme to improve muscle strength, aerobic capacity, and functional activities, given in the outpatient department (intervention group; n =22), or home-based exercise advice (control group; n=20).

MAIN MEASURES:

Parameters of feasibility, preoperative functional capacity and postoperative course.

RESULTS:

The intensive training programme was feasible, with a high compliance and no adverse events. Respiratory muscle endurance increased in the preoperative period from 259 +/- 273 to 404 +/- 349 J in the intervention group and differed significantly from that in the control group (350 +/- 299 to 305 +/- 323 J; P<0.01). Timed-Up-and-Go, chair rise time, LASA Physical Activity Questionnaire, Physical Work Capacity and Quality of Life (EORTC-C30) did not reveal significant differences between the two groups. There was no significant difference in postoperative complications and length of hospital stay between the two groups.

CONCLUSION:

The intensive therapeutic exercise programme was feasible and improved the respiratory function of patients due to undergo elective abdominal surgery compared with home-based exercise advice.

PMID:
20530651
DOI:
10.1177/0269215509358941
[Indexed for MEDLINE]

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