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Does the amount of physical exercise before arthroplasty influence the postoperative outcome?

Rottbøll Nielsen, P and Tønnesen, Hanne LU (2011) In Clinical Health Promotion 1(2). p.55-61
Abstract
Background:

Clinical studies have evaluated a correlation between preoperative walking capacity or function and outcome

after hip and knee joint replacement surgery with contradictory results. Our aim was to investigate the effect of preoperative

metabolic and/or aerobic exercise on surgical outcome, as well as to evaluate the effect of cumulated exercise by using a cutoff

value at 3.5 hours through a systematic review.



Methods:

The literature search was performed in Pubmed, Embase, and Cochrane Library databases. The inclusion criteria

were randomised controlled trials, full paper publications, describing the preoperative exercise program and reporting

... (More)
Background:

Clinical studies have evaluated a correlation between preoperative walking capacity or function and outcome

after hip and knee joint replacement surgery with contradictory results. Our aim was to investigate the effect of preoperative

metabolic and/or aerobic exercise on surgical outcome, as well as to evaluate the effect of cumulated exercise by using a cutoff

value at 3.5 hours through a systematic review.



Methods:

The literature search was performed in Pubmed, Embase, and Cochrane Library databases. The inclusion criteria

were randomised controlled trials, full paper publications, describing the preoperative exercise program and reporting

outcome data. Exclusion criteria were inadequate randomisation, and unclear interventions or outcomes. The final literature

analysis involved 12 studies. The review included meta-analyses on postoperative complications, specifically deep venous

thrombosis, and length of stay.



Results:

The trials included 616 patients in samples sizing from 20 to 131. The duration of follow-up ranged from 12 to 96

weeks. The preoperative period of training ranged from 4 to 8 weeks; the number and duration of individual sessions varied

from 9 to 56 and from 30 to 60 minutes, respectively. All trials reported one or more primary outcome. Meta-analyses were

possible for postoperative complications and lengths of stay. Neither development of deep venous thrombosis, odds ratio

0.48 (95% CI 0.18 to1.25) nor the total complication was significantly reduced, 1.08 (0.64 to 1.86). The result for length of stay was –0.22 (-0.86 to 0.42).



Conclusion:

This review showed that preoperative exercise had no effect on the surgical outcome, neither overall nor for the

cut-off value of 3.5 hours per week. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Health Promotion
volume
1
issue
2
pages
55 - 61
ISSN
2226-5864
language
English
LU publication?
yes
id
ee2a0298-ce7c-49f9-ac56-78e95410704a (old id 2364133)
alternative location
http://www.clinhp.org/index.php?option=com_content&view=article&id=11&Itemid=64
date added to LUP
2012-05-04 10:26:08
date last changed
2016-09-30 05:53:48
@misc{ee2a0298-ce7c-49f9-ac56-78e95410704a,
  abstract     = {Background:<br/><br>
Clinical studies have evaluated a correlation between preoperative walking capacity or function and outcome<br/><br>
after hip and knee joint replacement surgery with contradictory results. Our aim was to investigate the effect of preoperative<br/><br>
metabolic and/or aerobic exercise on surgical outcome, as well as to evaluate the effect of cumulated exercise by using a cutoff<br/><br>
value at 3.5 hours through a systematic review.<br/><br>
<br/><br>
Methods:<br/><br>
The literature search was performed in Pubmed, Embase, and Cochrane Library databases. The inclusion criteria<br/><br>
were randomised controlled trials, full paper publications, describing the preoperative exercise program and reporting<br/><br>
outcome data. Exclusion criteria were inadequate randomisation, and unclear interventions or outcomes. The final literature<br/><br>
analysis involved 12 studies. The review included meta-analyses on postoperative complications, specifically deep venous<br/><br>
thrombosis, and length of stay.<br/><br>
<br/><br>
Results:<br/><br>
The trials included 616 patients in samples sizing from 20 to 131. The duration of follow-up ranged from 12 to 96<br/><br>
weeks. The preoperative period of training ranged from 4 to 8 weeks; the number and duration of individual sessions varied<br/><br>
from 9 to 56 and from 30 to 60 minutes, respectively. All trials reported one or more primary outcome. Meta-analyses were<br/><br>
possible for postoperative complications and lengths of stay. Neither development of deep venous thrombosis, odds ratio<br/><br>
0.48 (95% CI 0.18 to1.25) nor the total complication was significantly reduced, 1.08 (0.64 to 1.86). The result for length of stay was –0.22 (-0.86 to 0.42).<br/><br>
<br/><br>
Conclusion:<br/><br>
This review showed that preoperative exercise had no effect on the surgical outcome, neither overall nor for the<br/><br>
cut-off value of 3.5 hours per week.},
  author       = {Rottbøll Nielsen, P and Tønnesen, Hanne},
  issn         = {2226-5864},
  language     = {eng},
  number       = {2},
  pages        = {55--61},
  series       = {Clinical Health Promotion},
  title        = {Does the amount of physical exercise before arthroplasty influence the postoperative outcome?},
  volume       = {1},
  year         = {2011},
}