PMID- 31053478
OWN - NLM
STAT- Publisher
LR  - 20190504
IS  - 1532-2157 (Electronic)
IS  - 0748-7983 (Linking)
DP  - 2019 Apr 25
TI  - In-hospital resistance training to encourage early mobilization for enhanced
      recovery programs after colorectal cancer surgery: A feasibility study.
LID - S0748-7983(19)30407-X [pii]
LID - 10.1016/j.ejso.2019.04.015 [doi]
AB  - BACKGROUND: The enhancement of post-operative care is under constant evolution
      and, with the addition of enhanced recovery programs, is changing the traditional
      in-hospital paradigm. Despite these advances, there is a clear lack of focus
      regarding early post-surgical mobilization, which has been identified as an
      important aspect of recovery. This pilot study investigates the feasibility of
      initiating resistance exercise to promote early mobilization in colorectal cancer
      patients during the in-hospital period. METHOD: Patients participated in a
      supervised progressive resistance exercise program, adapted to their physical
      ability (either in bed, seated or standing), within the first 24h following
      surgery. They were seen each day during the hospital stay and encouraged to
      continue exercising upon discharge. All patients were asked to return to the lab 
      at four weeks after surgery for re-evaluation to establish recovery. RESULTS:
      Patient compliance to the in-hospital program was high, with 90% of patients
      engaging in exercise on the first post-operative day (POD 1) and no adverse
      effects reported during study. By POD 2, over 70% of patients met enhanced
      recovery after surgery (ERAS) recommendations. CONCLUSION: It is feasible to
      initiate a progressive post-operative resistance exercise program in patients
      undergoing colorectal resection. The results suggest the positive aspects of
      incorporating resistance exercise into post-operative care. This may facilitate a
      clear and easy to implement exercise intervention that can take into
      consideration patient physical status and limited facility space in the hospital 
      environment.
CI  - Copyright (c) 2019 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and
      the European Society of Surgical Oncology. All rights reserved.
FAU - Schram, Alexandra
AU  - Schram A
AD  - Department of Kinesiology and Physical Education, McGill University, Currie
      Gymnasium, 475 Pine Avenue West, Montreal, Quebec, H2W 1S4, Canada; Department of
      Anesthesia, McGill University, Montreal General Hospital, 1650 Cedar Avenue,
      D10-144, Montreal, Quebec, H3G 1A4, Canada.
FAU - Ferreira, Vanessa
AU  - Ferreira V
AD  - Department of Kinesiology and Physical Education, McGill University, Currie
      Gymnasium, 475 Pine Avenue West, Montreal, Quebec, H2W 1S4, Canada; Department of
      Anesthesia, McGill University, Montreal General Hospital, 1650 Cedar Avenue,
      D10-144, Montreal, Quebec, H3G 1A4, Canada.
FAU - Minnella, Enrico M
AU  - Minnella EM
AD  - Department of Anesthesia, McGill University, Montreal General Hospital, 1650
      Cedar Avenue, D10-144, Montreal, Quebec, H3G 1A4, Canada.
FAU - Awasthi, Rashami
AU  - Awasthi R
AD  - Department of Anesthesia, McGill University, Montreal General Hospital, 1650
      Cedar Avenue, D10-144, Montreal, Quebec, H3G 1A4, Canada.
FAU - Carli, Francesco
AU  - Carli F
AD  - Department of Anesthesia, McGill University, Montreal General Hospital, 1650
      Cedar Avenue, D10-144, Montreal, Quebec, H3G 1A4, Canada.
FAU - Scheede-Bergdahl, Celena
AU  - Scheede-Bergdahl C
AD  - Department of Kinesiology and Physical Education, McGill University, Currie
      Gymnasium, 475 Pine Avenue West, Montreal, Quebec, H2W 1S4, Canada; Department of
      Anesthesia, McGill University, Montreal General Hospital, 1650 Cedar Avenue,
      D10-144, Montreal, Quebec, H3G 1A4, Canada; McGill Research Centre for Physical
      Activity & Health, McGill University, Faculty of Education, 3700 McTavish,
      Montreal, Quebec, H3A 1Y2, Canada. Electronic address: celena.scheede@mcgill.ca.
LA  - eng
PT  - Journal Article
DEP - 20190425
PL  - England
TA  - Eur J Surg Oncol
JT  - European journal of surgical oncology : the journal of the European Society of
      Surgical Oncology and the British Association of Surgical Oncology
JID - 8504356
OTO - NOTNLM
OT  - Colorectal cancer surgery
OT  - Early mobilization
OT  - In-hospital exercise
OT  - Resistance exercise
EDAT- 2019/05/06 06:00
MHDA- 2019/05/06 06:00
CRDT- 2019/05/05 06:00
PHST- 2019/04/10 00:00 [received]
PHST- 2019/04/24 00:00 [accepted]
PHST- 2019/05/05 06:00 [entrez]
PHST- 2019/05/06 06:00 [pubmed]
PHST- 2019/05/06 06:00 [medline]
AID - S0748-7983(19)30407-X [pii]
AID - 10.1016/j.ejso.2019.04.015 [doi]
PST - aheadofprint
SO  - Eur J Surg Oncol. 2019 Apr 25. pii: S0748-7983(19)30407-X. doi:
      10.1016/j.ejso.2019.04.015.