An Evaluation of a Postoperative Rehabilitation Program After Spinal Surgery and Its Impact on Outcome

Spine ◽  
2012 ◽  
Vol 37 (7) ◽  
pp. E417-E422 ◽  
Author(s):  
Alison H. McGregor ◽  
Ania Henley ◽  
Tim P. Morris ◽  
Caroline J. Doré
Keyword(s):  
Spinal Surgery ◽  
Rehabilitation Program ◽  
Postoperative Rehabilitation

scholarly journals Cognitive, emotional and motor disorders and their impact on the postoperative rehabilitation of neurosurgical patients

2021 ◽  
Vol 13 (6) ◽  
pp. 35-40
Author(s):  
D. Fantalis ◽  
I. S. Preobrazhenskaya
Keyword(s):  
Cognitive Training ◽  
Postoperative Period ◽  
Spinal Surgery ◽  
Positive Impact ◽  
Neurological Status ◽  
Rehabilitation Program ◽  
Main Group ◽  
Motor Impairments ◽  
Postoperative Rehabilitation ◽  
Neurosurgical Patients

Pathological post-anesthetic changes can be determined by the type and duration of anesthesia, the somatic and neurological status of the patient in the preoperative period, age, etc.Objective: to assess the severity of cognitive (CI), emotional and motor impairments in patients who underwent spinal surgery.Patients and methods. The clinical study included 60 patients aged 30-74 years who underwent spinal surgery under general anesthesia. The neuropsychological, emotional, somatic, and neurological status were assessed at the baseline and one week, 3, and 6 months after the surgery. Thirty patients underwent a course of cognitive training (main group), and 30 patients were included in a comparison group.Results and discussion. In the postoperative period, pain indicators decreased in both groups. There was an improvement in cognitive functions, emotional state, and quality of life (QoL) in the main group 3 and 6 months after surgery. The inclusion of cognitive training in the rehabilitation program for patients undergoing neurosurgical spinal surgery improved cognitive and motor functions and the QoL of patients. Evaluation and treatment of neurosurgical patients are discussed, which are helpful to improve the results of rehabilitation and QoL in the postoperative period.Conclusion. Additional positive impact of cognitive-motor training for pain regression in patients after spinal surgery was observed.

scholarly journals Occupational Rehabilitation Following Open Mesh Surgical Repair of an Inguinal Hernia

2003 ◽  
Vol 83 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Kelly E Pesanelli ◽  
Joseph A Cigna ◽  
Shantanu G Basu ◽  
Andrew R Morin
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Surgical Repair ◽  
Occupational Rehabilitation ◽  
Rehabilitation Program ◽  
Full Time ◽  
Ability To Work ◽  
Postoperative Rehabilitation ◽  
Work Related ◽  
Open Mesh

Abstract Background and Purpose. The purpose of this case report is to describe an occupational rehabilitation program for a person whose work-related inguinal hernia was surgically repaired. Case Description. A 35-year-old baggage service attendant acquired an inguinal hernia while lifting at work. Postoperatively, the patient had discomfort in the groin, weakness of the lower extremities and trunk, limited ability to walk, and a decreased ability to work due to impaired tolerance.Outcomes. Following postoperative rehabilitation, the patient was able to return to full-time, full-duty work. Discussion. This case report describes occupational rehabilitation as a method to treat patients with work-related inguinal hernias following surgical repair.

scholarly journals General, 21-Day Postoperative Rehabilitation Program Has Beneficial Effect on Oxidative Stress Markers in Patients after Total Hip or Knee Replacement

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Bronisława Skrzep-Poloczek ◽  
Jakub Poloczek ◽  
Elżbieta Chełmecka ◽  
Wojciech Kazura ◽  
Agnieszka Dulska ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Superoxide Dismutase ◽  
Knee Replacement ◽  
Average Distance ◽  
Rehabilitation Program ◽  
Oxidative Stress Markers ◽  
Postoperative Rehabilitation ◽  
Total Hip ◽  
Stress Markers ◽  
Successful Recovery

Imbalance in prooxidant-antioxidant equilibrium plays an important role in the progression of osteoarthritis (OA). Postoperative rehabilitation significantly improves the functional activity of patients with OA. We aimed to assess the effect of the general 21-day postoperative rehabilitation on the oxidative stress markers in patients after total hip arthroplasty or knee replacement. Patients (n =41) started individually designed postoperative rehabilitation ca. 90 days after endoprosthesis implantation. We used the six-minute walk test (6MWT) to quantify the changes in their exercise capacity. We analyzed the oxidative stress markers: total antioxidant capacity (TAC), total superoxide dismutase (SOD), Cu-Zn-superoxide dismutase (CuZnSOD) and ceruloplasmin (Cp) activity, malondialdehyde (MDA) and lipofuscin (LPS) concentration in patients serum to asses changes in the oxidative stress intensity. We found that after 21-days postoperative rehabilitation program: the average distance walked by patients increased by 69 m; TAC increased by 0.20 ± 0.14 mmol/l; both SOD isoforms activities increased by 1.6 (±1.7) and 1.72 (±1.5) NU/ml, respectively; but Cp activity decreased by 1.8 (0.7-3.7) mg/dl. Also, we observed lower concentrations of lipid peroxidation markers: by 19.6 ± 24.4 μmol/l for MDA and by 0.4 ± 0.5 RF for LPS. A 21-day postoperative rehabilitation program effectively reduces oxidative processes, which helps the patients after total hip or knee replacement in a successful recovery.

Randomized Controlled Study to Evaluate the Efficacy of a Preoperative Respiratory Rehabilitation Program to Prevent Postoperative Pulmonary Complications after Esophagectomy

2015 ◽  
Vol 32 (5) ◽  
pp. 331-337 ◽  
Author(s):  
Ippei Yamana ◽  
Shinsuke Takeno ◽  
Tatsuya Hashimoto ◽  
Kenji Maki ◽  
Ryosuke Shibata ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Cancer Patients ◽  
Rehabilitation Program ◽  
Pulmonary Complications ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Postoperative Pulmonary Complications ◽  
Postoperative Rehabilitation ◽  
Randomized Controlled ◽  
Respiratory Rehabilitation

Background/Aims: Patients with postoperative pulmonary complications after esophagectomy often have increased mortality. The purpose of the study was to examine the efficacy of preventing postoperative pulmonary complications by an intensive preoperative respiratory rehabilitation (PR) program for esophageal cancer patients. Methods: This study was a prospective randomized controlled study. Thirty patients in the PR group and 30 patients in the no preoperative respiratory rehabilitation (NPR) group were included. The PR group received preoperative rehabilitation for more than 7 days, while the NPR group did not receive any preoperative rehabilitation. All patients underwent postoperative rehabilitation from the first postoperative day. The postoperative pulmonary complications were evaluated using the Clavien-Dindo classification (CDC) and the Utrecht Pneumonia Scoring System (UPSS). Results: The CDC grade in the PR group was significantly lower than that in the NPR group (p = 0.014). The UPSS score in the PR group was significantly lower than that in the NPR group at postoperative day 1 (p = 0.031). In the multivariate analysis, NPR was an independent risk factor for postoperative pulmonary complications greater than CDC grade II (OR: 3.99, 95% CI: 1.28-12.4, p = 0.017). Conclusions: This study showed that the intensive PR program was capable of reducing the postoperative pulmonary complications in esophageal cancer patients.

Complications after Elastic Stable Intramedullar Osteosynthesis of Femur Diaphysis Fractures in Children

2011 ◽  
Vol 18 (3) ◽  
pp. 38-43
Author(s):  
Suleyman Israilovich Yandiev ◽  
S I Yandiev
Keyword(s):  
Surgical Treatment ◽  
Preoperative Planning ◽  
Rehabilitation Program ◽  
Postoperative Rehabilitation ◽  
Fractures In Children ◽  
Femur Diaphysis ◽  
Osteosynthesis Technique

Results of surgical treatment for femur diaphysis fractures were analyzed for 115 children (119 operations of osteosynthesis). In all cases technique of elastic stable intramedullar osteosynthesis (ESIO) was used. Analysis of complications after ESIO was performed in 13 (11.3%) patients according to their types and time of development. It was detected that in femur diaphysis fractures a great number of ESIO complications could be either avoided or minimized with strict determinations of indications to ESIO, correct preoperative planning, observance of osteosynthesis technique and rational postoperative rehabilitation program.

scholarly journals Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2202 ◽  
Author(s):  
Wojciech Skrobot ◽  
Ewelina Liedtke ◽  
Katarzyna Krasowska ◽  
Katarzyna P. Dzik ◽  
Damian J. Flis ◽  
...  
Keyword(s):  
Vitamin D ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Recovery Process ◽  
Rehabilitation Program ◽  
Vitamin D Supplementation ◽  
Early Rehabilitation ◽  
Lumbar Interbody Fusion ◽  
Postoperative Rehabilitation ◽  
Risk Of Falls

Background: The introduction of early rehabilitation exercise is the foundation of treatment post-Posterior lumbar interbody fusion (PLIF) surgery, and the search for additional sources of reinforcement physiotherapy seems to be very important. Methods: The patients were randomly divided into the vitamin D3 (n = 15; D3) supplemented group and received 3200 IU per day for five weeks before surgery and the placebo group (n = 18; Pl) received vegetable oil during the same time. The patients began the supervisor rehabilitation program four weeks after surgery. Results: The limits of stability (LOS) were significantly improved in the D3 group after 5 and 14 weeks (p < 0.05), while in the Pl group, progress was only observed after 14 weeks (p < 0.05). The LOS were also higher in the D3 group than in the Pl group after five weeks of supervised rehabilitation (p < 0.05). In the postural stability (PST) test, significant progress was observed in the D3 group after 14 weeks (p < 0.02). In addition, neither rehabilitation nor supplementation had significant effects on the risk of falls (RFT). Conclusions: Vitamin D supplementation seems to ameliorate the effects of an early postoperative rehabilitation program implemented four weeks after posterior lumbar interbody fusion. Early physiotherapy treatment after PLIF surgery combined with vitamin D supplementation appears to be a very important combination with regard to the patients’ recovery process.

scholarly journals Immediate Accelerated Shoulder Rehabilitation (IASR) vs. Standard Protocol following Reverse Total Shoulder Arthroplasty: A Randomized Controlled Trial.

2020 ◽  
Author(s):  
Paul DeVito ◽  
Ryan Hatch ◽  
Avias Raja ◽  
Lauren Smudge ◽  
Travis Cambronne ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
The United States ◽  
Rehabilitation Program ◽  
Reverse Total Shoulder Arthroplasty ◽  
Postoperative Rehabilitation ◽  
Randomized Controlled ◽  
Post Surgery ◽  
Accelerated Rehabilitation ◽  
Reverse Total Shoulder

Abstract Background: Recently, the reverse total shoulder arthroplasty (rTSA) became the most frequently performed form of shoulder replacement in the United States and abroad. While physical therapy is universally accepted and routinely practiced, published postoperative rehabilitation guidelines and modifications are based on protocols developed in 1975. Since then, the principle components and temporal concepts of timing and intensity of postoperative rehabilitation and protected immobilization have been controversially applied and expertly discussed without a prevailing consensus. Comparative literature that prospectively addresses treatment differences, influences on outcomes, and superiority or inferiority versus control does not exist. Thus, the objective of this pilot study is to compare an accelerated and immediate active shoulder rehabilitation (IASR) rehabilitation program with standard care in patients following rTSA.Methods: A prospective, randomized, controlled, parallel-designed, two-armed, non-blinded, superiority pilot trial. The comparator arms are an accelerated rehabilitation (IASR) strategy versus standardized care following rTSA (CPT: 23472). The primary outcome measures will be the change from pre-surgical baseline to 52 weeks post-surgery in the American Shoulder and Elbow (ASES) score, Simple Shoulder Test (SST), and global health assessment (PROMIS-10. Secondary and tertiary outcomes will assess subscapularis integrity, implant status, and overall rehabilitation costs compared to formal control. Patients will be recruited from a single site (TRIA Orthopaedic Center, Bloomington, MN) neighboring the fourteenth largest US metropolitan area.Discussion: This trial will be the first study to compare the efficacy and safety of two different postoperative rehabilitation strategies for patients following rTSA. Further, this will be the first study to investigate an accelerated rehabilitation program without a period of protected immobilization following rTSA. Finally, the results will assist in the shared clinical and surgical treatment decision-making process.

Implications of a Postoperative Rehabilitation Program on Quality of Life in Women with Primary Breast Cancer Treated with Sentinel Lymph Node Biopsy or Complete Axillary Lymph Node Dissection

2008 ◽  
Vol 15 (12) ◽  
pp. 3342-3349 ◽  
Author(s):  
Marcela Ponzio Pinto e Silva ◽  
Luis Otávio Sarian ◽  
Sirlei Siani Morais ◽  
Maria Teresa Pace do Amaral ◽  
Mariana Maia Freire de Oliveira ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Lymph Node ◽  
Rehabilitation Program ◽  
Lymph Node Biopsy ◽  
Axillary Lymph ◽  
Node Dissection ◽  
Postoperative Rehabilitation ◽  
Node Biopsy

Total Hip Replacement in an Ipsilateral Above-the-Knee Amputation

2013 ◽  
Vol 12 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Francesc Malagelada ◽  
Moisès Coll Rivas ◽  
Albert Jiménez Obach ◽  
Jaume Auleda ◽  
Lluis Guirao ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Lower Limb ◽  
Hip Replacement ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Hip Osteoarthritis ◽  
Rehabilitation Program ◽  
Postoperative Rehabilitation ◽  
Total Hip ◽  
Knee Amputation ◽  
Hip Replacements

In this article, we present a case report of a 62-year-old patient who previously underwent an above-the-knee amputation for vascular disease and we performed a total hip replacement on him because of hip osteoarthritis. As the only postoperative complication, the patient developed a methicillin-resistant Staphylococcus aureus surgical site infection, which was successfully treated. The surgical technique and the postoperative rehabilitation program are described in detail in an attempt to detect and face the challenges that patients with major lower limb amputations may present. The literature is reviewed and all known cases of hip replacements in amputees are presented.

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