dc.contributor.author |
Labuschage, Rozelle
|
|
dc.contributor.author |
Roos, Ronel
|
|
dc.date.accessioned |
2023-11-16T04:54:08Z |
|
dc.date.available |
2023-11-16T04:54:08Z |
|
dc.date.issued |
2022-09 |
|
dc.description.abstract |
BACKGROUND : Elderly patients report a decrease in function and activities of daily living following abdominal surgery. The objectives of our pilot study were to determine the effects of a single pre-operative physiotherapy session consisting of education and exercise on clinical and physical function outcomes in elderly patients.
METHODS/DESIGN : A single-blind pilot randomised controlled trial evaluated clinical and functional outcomes of elderly patients following surgery in a private hospital in Pretoria, South Africa. The outcomes included length of hospital stay (LOS), postoperative pulmonary complications (PPC), first mobilisation uptime, DeMorton Mobility Index (DEMMI), 6-minute walk test (6MWT), Lawton–Brody’s instrumental activities of daily living (IADL) and the Functional Comorbidity Index (FCI). Descriptive and inferential statistics were undertaken, and statistical significance was set at p ≤ 0.05.
DISCUSSION : Twelve participants (n = 11 female [91.67%] and n = 1 [8.33%] male) with a mean age of 65.75 (±4.47) years were included. Most participants (n = 10, 83.33%) underwent lower abdominal laparotomy (n = 10, 83.33%). The median hospital LOS was n = 4 (IQR 3.25–4) days; walking distance at first mobilisation was 130 m (IQR (85–225), with intervention participants walking further (intervention: 177 m, IQR 100–242.50; control: 90, IQR 60 m – 245 m; p = 0.59). Recruitment was low, with only 10.95% referrals and 47.82% nonconsents.
CONCLUSION : A single physiotherapy session prior to surgery demonstrated a potential favourable change in elderly patients’ mobility postoperatively; however, further research is necessary.
CLINICAL IMPLICATION : A once-off pre-operative physiotherapy session could enhance recovery in elderly patients. |
en_US |
dc.description.department |
Physiotherapy |
en_US |
dc.description.librarian |
hj2023 |
en_US |
dc.description.sdg |
SDG-03:Good heatlh and well-being |
en_US |
dc.description.sponsorship |
The National Research Foundation of South Africa Thuthuka Programme and the Research Foundation, South African Society of Physiotherapy. |
en_US |
dc.description.uri |
http://www.sajp.co.za |
en_US |
dc.identifier.citation |
Labuschagne, R. & Roos, R., 2022, ‘Pre-operative physiotherapy for elderly patients undergoing abdominal surgery’, South African Journal of Physiotherapy 78(1), a1782.
https://doi.org/10.4102/sajp.v78i1.1782. |
en_US |
dc.identifier.issn |
0379-6175 (print) |
|
dc.identifier.issn |
2410-8219 (online) |
|
dc.identifier.other |
10.4102/sajp.v78i1.1782 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/93317 |
|
dc.language.iso |
en |
en_US |
dc.publisher |
AOSIS |
en_US |
dc.rights |
© 2022. The Authors.
Licensee: AOSIS. This work
is licensed under the
Creative Commons
Attribution License. |
en_US |
dc.subject |
Physiotherapy |
en_US |
dc.subject |
Prehabilitation |
en_US |
dc.subject |
Pre-operative |
en_US |
dc.subject |
Function |
en_US |
dc.subject |
Elderly |
en_US |
dc.subject |
DeMorton Mobility Index (DEMMI) |
en_US |
dc.subject |
Abdominal surgery |
en_US |
dc.subject |
6-minute walk test (6MWT) |
en_US |
dc.subject |
Length of hospital stay (LOS) |
en_US |
dc.subject |
Postoperative pulmonary complications (PPC) |
en_US |
dc.subject |
Lawton–Brody’s instrumental activities of daily living (IADL) |
en_US |
dc.subject |
Functional Comorbidity Index (FCI) |
en_US |
dc.subject |
SDG-03: Good health and well-being |
en_US |
dc.title |
Pre-operative physiotherapy for elderly patients undergoing abdominal surgery |
en_US |
dc.type |
Article |
en_US |