A preoperative assessment and education program: implementation and outcomes

Roach, Janey A.; Tremblay, Lisa; Bowers, Deborah L.

doi:10.1016/0738-3991(94)00671-8

Cited by 38 publications

(21 citation statements)

References 2 publications

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“…The majority of published studies on the effects of a prehabilitation intervention used prehabilitation programmes of shorter duration, and these studies often show no or little effect of prehabilitation. 9,10,15,[31][32][33] Only one study in the literature incorporated a prehabilitation programme longer than the one presented here. Nuñ ez and colleagues (2006) used a 3-month prehabilitation programme for patients awaiting knee TJA; using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) as the primary outcome measure, they found that participants in the prehabilitation programme showed a significant improvement in self-reported function compared to a control group receiving usual pharmacological care.…”

Section: Discussionmentioning

confidence: 98%

Prehabilitation Improves Physical Function of Individuals with Severe Disability from Hip or Knee Osteoarthritis

Desmeules

Hall

Woodhouse

2013

Physiotherapy Canada

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Purpose: To evaluate the effects of prehabilitation (enhancing physical capacity before total hip or knee joint arthroplasty) on pain and physical function of adults with severe hip and knee osteoarthritis (OA). Methods: Consecutive patients (n ¼ 650) from 2006 to 2008 with hip or knee OA awaiting total joint arthroplasty (TJA) attended a hospital outpatient clinic for a prehabilitation assessment. All participants completed self-report (Lower Extremity Functional Scale [LEFS] and visual analogue scale for pain [VAS]) and functional performance measures (self-paced walk [SPW], timed stair, and timed up-and-go [TUG] tests). A subset of 28 participants with severe disability participated in a structured outpatient prehabilitation programme. Between-group differences were assessed via independent t-tests; paired Student's t-tests and Wilcoxon signed rank tests were used to compare changes in pain and function following the prehabilitation programme. Results: A total of 28 individuals (16 female) with mean age 67 (SD 10) years and BMI 33 (8) kg /m 2 awaiting TJA (10 hips, 18 knees) participated in a prehabilitation programme of 9 (6) weeks' duration. Relative to baseline, there was significant improvement in LEFS score (mean change 7.6; 95% CI, 1.7-13.5; p ¼ 0.013), SPW (mean change 0.17 m/s; 95% CI, 0.07-0.26; p ¼ 0.001), TUG (mean change 4.2 s; 95% CI, 2.0-6.4; p < 0.001), and stair test performance (mean change 3.8 s [SD 14.6]; p ¼ 0.005) following prehabilitation. Conclusion: This study presents preliminary evidence that prehabilitation improves physical function even in the most severely compromised patients with OA awaiting TJA.Key Words: arthroplasty; exercise; osteoarthritis; physical therapy specialty; rehabilitation. RÉ SUMÉ 116From the

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Section: Discussionmentioning

confidence: 98%

Prehabilitation Improves Physical Function of Individuals with Severe Disability from Hip or Knee Osteoarthritis

Desmeules

Hall

Woodhouse

2013

Physiotherapy Canada

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“…During hospitalization, ward nurses and patients would then have adequate time to deliver or receive preoperative information. Numerous studies have illustrated the positive effects of preoperative teaching on postoperative outcomes, such as a reduction in anxiety levels, recovery time, postoperative complications and analgesia use, and an increase in patient satisfaction and compliance with treatment regimes (Roach et al. 1995, Shuldham 1999).…”

Section: Introductionmentioning

confidence: 99%

Nurses’ perceptions of preoperative teaching for ambulatory surgical patients

Tse

2008

Journal of Advanced Nursing

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“…Use of pre-operative education for patients is widespread, especially in the USA (Lindeman, 1972;Crabtree, 1978;Wilson, 1981;Ziemer, 1983;Vallejo, 1987;Schoessler, 1989;Haines and Viellion, 1990;Orr, 1990;Allen et al, 1992;Haines, 1992;Recker, 1994;Roach et al, 1995;Brumfield et al, 1996;Lookinland and Pool, 1998;Claeys et al, 1998;Daltroy et al, 1998;Pellino et al, 1998). Other research on patient education has been carried out in Canada (Wong and Wong, 1985), Sweden (Lilja et al, 1998), Singapore (Lum et al, 2000), Australia (Lee and Lee, 2000) and the UK (Spalding, 1995;Gammon and Mulholland, 1996;Cooil and Bithell, 1997;Spalding, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Pre-operative education can be undertaken with any patient prior to a surgical intervention, including total hip replacement (Wong and Wong, 1985;Orr, 1990;Santavirta et al, 1994;Roach et al, 1995;Spalding, 1995;Butler et al, 1996;Gammon and Mulholland, 1996;Cooil and Bithell, 1997;Claeys et al, 1998;Daltroy et al, 1998). A consistent description of pre-operative education includes the process of informing clients about their condition, surgery and post-operative care, and instruction about compliance to a treatment regime.…”

Section: Introductionmentioning

confidence: 99%