Item – Theses Canada

OCLC number
922008100
Link(s) to full text
LAC copy
Author
Li, Chao,
Title
Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery : a pilot study
Degree
M. Sc. -- McGill University, 2013
Publisher
[Montreal] : McGill University Libraries, [2013]
Description
1 online resource
Notes
Thesis supervisor: Franco Carli (Internal/Cosupervisor2).
Thesis supervisor: Liane S Feldman (Internal/Supervisor).
Includes bibliographical references.
Abstract
"Background: Patients undergoing colorectal cancer resections are at risk for delayed recovery. A previous prehabilitation program using exercise alone has shown limited impact in enhancing functional capacity and recovery. We compared the impact of a new trimodal prehabilitation program which includes exercise, nutritional and psychological therapy to patients undergoing standard care. Literature Review: Limited literature exists in enhancing functional capacity in abdominal surgery. Studies have focused on exercise alone and have reported negative results. Protein supplementation combined with exercise may stimulate muscle gain and anxiety reduction may improve compliance and recovery. Methods: In this pre/post intervention study, functional walking capacity during prehabilitation and at 8 weeks after surgery was compared between 42 patients having completed the trimodal prehabilitation intervention and 45 previously assessed controls. Results: Functional walking capacity improved by an average 42 ± 41 meters during prehabilitation. At 8 weeks after surgery, patients undergoing prehabilitation were 64 meters above controls on multivariate analysis. 81% of prehabilitated patients were considered recovered versus 40% of controls. There was no difference in postoperative complication rates. Conclusion: A trimodal prehabilitation program improved both functional capacity preoperatively and postoperative functional recovery."--
Other link(s)
digitool.Library.McGill.CA
digitool.library.mcgill.ca
Subject
Health Sciences Medicine and Surgery