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首页> 外文期刊>Physiotherapy theory and practice >Feasibility and preliminary effectiveness of preoperative therapeutic exercise in patients with cancer: a pragmatic study.
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Feasibility and preliminary effectiveness of preoperative therapeutic exercise in patients with cancer: a pragmatic study.

机译:癌症患者术前治疗性锻炼的可行性和初步有效性:一项实用研究。

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The aim of this pilot study is to determine the feasibility and preliminary effectiveness of an individually designed preoperative therapeutic exercise program (PreTEP), in patients recently diagnosed with cancer and awaiting elective surgery. The purpose is to improve their physical fitness levels during this waiting period with the intention of decreasing postoperative morbidity. A preexperimental pilot study was performed at the University Medical Center Utrecht, The Netherlands. Thirty-nine patients diagnosed with cancer, scheduled for elective abdominal/thoracic surgery, were referred to a multidisciplinary preoperative screening. Fifteen patients (38%) participated in PreTEP. Participants were satisfied and motivated during the period of training (on average 5 weeks) in which they attended 84% of the sessions. Cardiorespiratory fitness (A strand-test) and muscle strength (Handheld Dynamometry) increased significantly, from 25 to 33 mL/kg/min, respectively (p<0.01; 95% confidence interval [CI]=-0.011 to -0.004) and from 894 Newton (N) to 961N (p<0.01; 95% CI=-94.53 to -39.0). No adverse events occurred during the training period. PreTEP was shown to be feasible, safe, and well-tolerated and appreciated by participants. Despite the relatively short period of training, physical fitness improved in all participants.
机译:这项初步研究的目的是确定针对近期诊断为癌症并正在等待择期手术的患者,单独设计的术前治疗性锻炼计划(PreTEP)的可行性和初步有效性。目的是在等待期间提高他们的身体素质,以减少术后发病率。在荷兰乌得勒支大学医学中心进行了实验前的试验研究。计划进行腹部/胸腔外科手术的三十九名被诊断患有癌症的患者接受了多学科术前筛查。 15名患者(38%)参加了PreTEP。在培训期间(平均5周),参与者参加了84%的课程,对此他们感到满意和积极。心脏呼吸适应度(A链测试)和肌肉力量(手持测功)分别从25 mL / kg / kg / min显着增加(p <0.01; 95%置信区间[CI] =-0.011至-0.004)和894牛顿(N)至961N(p <0.01; 95%CI = -94.53至-39.0)。在培训期间,没有发生不良事件。 PreTEP被证明是可行的,安全的,耐受性良好的,并受到参与者的赞赏。尽管培训时间相对较短,但所有参与者的身体素质都得到了改善。

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