Physical Activity Pre and Post Surgery
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Original Editor - Wendy Walker
Top Contributors - Bridget Ward, Wendy Walker, Kim Jackson, Tony Lowe, Vidya Acharya, Simisola Ajeyalemi, Michelle Lee, Rucha Gadgil, Lauren Lopez, Lucinda hampton, Jess Bell and Bianca Rus
Benefits of Exercise pre and post surgery[edit | edit source]
There is good evidence that regular exercise has a useful effect on the coagulation cascade[1].
It has been known for some years that inspiratory muscle training provided pre-operatively reduces the risk of anaesthetic complications as well as reducing post-operative complications[2].
Pre-operative exercise reduces the length of stay both in Intensive Care facilities and in hospital[3][4].
Health benefits of exercise before surgery[edit | edit source]
A systematic review in 2010 found that preoperative exercise therapy is effective for reducing both postoperative complication rates and length of hospital stay after cardiac or abdominal surgery[5].
A study on patients undergoing colorectal surgery found benefits from exercise programmes pre-operatively: improved physical function, peak exercise capacity, mental health and self-perceived health[6],
Health benefits of exercise post surgery[edit | edit source]
There is clear evidence for the following surgeries:
- Spinal surgery - improved spinal mobility[7]
- Total Hip and Knee Replacement surgery - earlier discharge[8]
- Colorectal surgery - increased cardiovascular fitness[9]
- Breast surgery - fewer side-effects[10]
- In many surgeries: reduced risk of blood clots[11]
Contraindications to exercise pre/post surgery[edit | edit source]
In addition to the general contraindications (see
Resources[edit | edit source]
The Motivate2Move website, created by Wales Deanery, has a comprehensive section on surgery and exercise.
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Kokkinos, P and Myers, J. Exercise and physical activity: clinical outcomes and applications. ☀[/www.ncbi.nlm.nih.gov/pubmed/20956238 Circulation.] 2010 Oct 19;122(16):1637-48. doi: 10.1161/CIRCULATIONAHA.110.948349
- ↑ Hulzebos, EH, Helders, PJ, et al. Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial. ☀[/www.ncbi.nlm.nih.gov/pubmed/17047215 JAMA.] 2006 Oct 18;296(15):1851-7
- ↑ Arthur, HM, Daniels, C et al. Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. A randomized, controlled trial. ☀[/www.ncbi.nlm.nih.gov/pubmed/10929164%3Fdopt%3DAbstract Ann Intern Med.] 2000 Aug 15;133(4):253-6
- ↑ Doherty, AF, West, M, Jack, S and Grocott, MPW. Preoperative aerobic exercise training in elective intra-cavity surgery: a systematic review Br J Anaesth (2013) 110 (5): 679-689
- ↑ Valkenet, K. et al. The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clinical Rehabilitation, Volume: 25 issue: 2, page(s): 99-111 Article first published online: November 8, 2010;Issue published: February 1, 2011
- ↑ Mayo, NE et al. Impact of preoperative change in physical function on postoperative recovery: argument supporting prehabilitation for colorectal surgery. Surgery, 2011 Sep;150(3):505-14. doi: 10.1016/j.surg.2011.07.045
- ↑ McGregor, AH et al. Cochrane Review: Rehabilitation following surgery for lumbar spinal stenosis.
- ↑ Hansen, TB, Bredtoft, KH, Larson, K. Preoperative physical optimization in fast-track hip and knee arthroplasty. [/www.ncbi.nlm.nih.gov/pubmed/22293051 Dan Med J.] 2012 Feb;59(2):A4381.
- ↑ Carli, F, et al. Randomized clinical trial of prehabilitation in colorectal surgery. [/www.ncbi.nlm.nih.gov/pubmed/20602503 Br J Surg.] 2010 Aug;97(8):1187-97. doi: 10.1002/bjs.7102.
- ↑ Rebecca M. Speck & Kerry S. Courneya & Louise C. Mâsse & Sue Duval & Kathryn H. Schmitz An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv (2010) 4:87–100 DOI 10.1007/s11764-009-0110-5
- ↑ <header> Partsch, Hugo MD Bed rest versus ambulation in the initial treatment of patients with proximal deep vein thrombosis </header><section> </section><section> Current Opinion in Pulmonary Medicine: [/journals.lww.com/co-pulmonarymedicine/toc/2002/09000 September 2002 - Volume 8 - Issue 5 - pp 389-393] </section>