Preserving pulmonary function and functional capacity in children undergoing open abdominal surgery: A one group pretest–posttest, quasiexperimental pilot trial

Sharma, Neha; Sree, Balija Satya; Aranha, Vencita Priyanka; Samuel, Asir John

doi:10.1016/j.jpedsurg.2019.10.058

Cited by 4 publications

(23 citation statements)

References 20 publications

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“…Sharma N et al published two studies in 2020 15 and in 2021 16 about the effects of prehabilitation on pulmonary function and FC in the patients undergoing elective abdominal surgeries and Felcar et al studied its effects in the reduction of postop pulmonary complications in children undergoing cardiac surgery. 17 In the two studies conducted by Sharma N et al 15,16 the effects of prehabilitation on FC and pulmonary functions were studied using a spirometer as a measurement tool.…”

Section: Discussionmentioning

confidence: 99%

“…The scales covered everything regarding the type, duration of the study, the sample sizes, characteristics of the population and about its randomization, the interventions used, and whether participants and therapists were blinded. A score of 9/12 was rated for the pre-post type of study done by Sharma N et al 15 A score of 7/14 was given for the RCT done by Sharma N et al 16 and Felcar et al 17 respectively.…”

Section: Qualitative Analysismentioning

confidence: 99%

“…Of the three studies, one study focused on the use of exercise-based prehabilitation in reducing pulmonary complications through chest physiotherapy, clearance techniques, support and guidance to parents, and early mobilization. 17 The other two studies included the N-PARP protocol 15 used for prehabilitation This protocol included exercises to be given from the pre-operative period till POD5 and included breathing exercises, ROM exercises, and ambulation. 15,16 Outcomes of the included studies Felcar et al 17 included the presence or absence of pulmonary complications as its major outcome measure.…”

Section: Intervention Of the Included Studiesmentioning

confidence: 99%

“…17 The other two studies included the N-PARP protocol 15 used for prehabilitation This protocol included exercises to be given from the pre-operative period till POD5 and included breathing exercises, ROM exercises, and ambulation. 15,16 Outcomes of the included studies Felcar et al 17 included the presence or absence of pulmonary complications as its major outcome measure. while Sharma N et al 15,16 had a pulmonary function and functional capacity (FC) as their main outcomes which included spirometer values and Six-minute walk test (6MWT) respectively and others being 10 minute walk test (10MWT), Timed up and go test (TUGT), chest expansion.…”

Section: Intervention Of the Included Studiesmentioning

confidence: 99%

“…15,16 Outcomes of the included studies Felcar et al 17 included the presence or absence of pulmonary complications as its major outcome measure. while Sharma N et al 15,16 had a pulmonary function and functional capacity (FC) as their main outcomes which included spirometer values and Six-minute walk test (6MWT) respectively and others being 10 minute walk test (10MWT), Timed up and go test (TUGT), chest expansion. A detailed explanation of the studies is given in Table 1.…”

Section: Intervention Of the Included Studiesmentioning

confidence: 99%

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Effects of exercise-based prehabilitation in children undergoing elective surgeries: a systematic review

et al. 2021

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Background: Prehabilitation is a therapeutic strategy involving preoperative physical exercises, nutritional support, and stress and anxiety reduction. This approach has been gaining popularity and has been seeing effective results in adults in terms of improving pre and postoperative outcomes. The purpose of this review was to summarise the evidence about the effects of exercise-based prehabilitation programs on various outcome measures in children post elective surgeries. Methods: PubMed, Scopus, Web of Science, PEDro, CINAHL/EBSCO and EMBASE electronic databases were searched from inception to June 2021. Based on the inclusion criteria, titles and abstracts were independently screened by the authors. After that, a data extraction table of the selected studies which included the participants, type, and details of exercise intervention, outcome measures and results were analysed after which the quality assessment of the studies was done. Results: The search yielded 2219 articles of which three articles fulfilled the inclusion criteria with two studies being randomized controlled trials and one being a quasi-experimental pre-post type of study. One randomized controlled trial was on the effects of exercise-based prehabilitation in reducing pulmonary complications post cardiac surgeries in children and the other two studies were on the effects of prehabilitation on functional capacity & pulmonary function. All the three articles found that exercise-based prehabilitation had a positive effect on children’s post-surgery. Conclusion: Although there is a paucity of evidence-based literature, we conclude based on the existing literature retrieved by our review that exercise-based prehabilitation improves postoperative outcomes and helps in reducing postoperative complications in children undergoing various surgeries.

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