Evidence of benefit of lower limb exercise immediately after major abdominopelvic surgery
DOI:
https://doi.org/10.18203/2320-6012.ijrms20251309Keywords:
Abdominopelvic, Lower-limb exercise, SurgeryAbstract
Background: Repeated active dorsiflexion of the ankle joint in knee and hip flexion state (moving the whole lower limb) i.e. active lower limb exercise (ALLE). Benefits of ALLE over non-ALLE approaches during the postoperative period in patients following major abdominopelvic surgery was studied. The aims of the study were to determine whether early return of intestinal peristaltic sound (IPS), early pain relief, early control of blood sugar in diabetic patients and early return of wellbeing of patients occurred in patients undergoing major abdominopelvic surgery.
Methods: Randomized comparative study was done. 100 patients above 15 years of age who underwent major abdominopelvic surgery participated in this study from one of the government medical colleges. Samples were randomly allocated to the experimental and control group. Experimental group were counselled, motivated, and trained in pre-operative period, to do ALLE in short interval after operation. Data was collected on post operative day (POD) 0, POD 1, POD 2, and POD 3. The tools used to collect data was visual analogue scale (VAS) for pain, capillary blood glucose (CBG) for blood sugar level, IPS for intestinal motility and WHO-5 well-being index for assessment of wellbeing.
Results: Patients who were in the test group showed- better pain relief and lees use of analgesic (p value=0.0259), better control of blood sugar in diabetic patients (p value=0.0076), early return of IPS (p value=0.0002) and early return of wellbeing (p value=0.0056).
Conclusions: ALLE after major abdominopelvic surgery is very effective practice for better relief of pain, early return of IPS, better control of blood sugar in diabetic patients and less anxiety and more comfort.
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References
Sullivan K, Reeve J, Boden I, Lane R. Physiotherapy following emergency abdominal surgery. Act Prob Emerg Abdomin Surg. 2016:109-28. DOI: https://doi.org/10.5772/63969
Reeve JC, Boden I. The physiotherapy management of patients undergoing abdominal surgery. N Z J Physiother. 2016;44(1):254. DOI: https://doi.org/10.15619/NZJP/44.1.05
Vega JA, Cobo J. Structural and biological basis for proprioception. Proprioception. IntechOpen. 2021.
Price CJ, Hooven C. Interoceptive awareness skills for emotion regulation: theory and approach of mindful awareness in body-oriented therapy (MABT). Front Psychol. 2018;9:798.
Morisawa T, Takahashi T, Nishi S. The effect of a physiotherapy intervention on intestinal motility. J Phys Ther Sci. 2015;27(1):165-8.
Lima LV, Abner TSS, Sluka KA. Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. J Physiol. 2017;595(13):4141-50.
Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, et al. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. J Am Acad Orthopaed Surg. 2018;2(3). DOI: https://doi.org/10.5435/JAAOSGlobal-D-17-00088
Crichton N. Visual analogue scale (VAS). J Clin Nurs. 2001 Sep 1;10(5):706-6.
Bech P, Gudex C, Johansen KS. The WHO (Ten) well-being index: validation in diabetes. Psychother Psychosom. 1996;65(4):183-90. DOI: https://doi.org/10.1159/000289073
Bech P, Olsen LR, Kjoller M, Rasmussen NK. Measuring well‐being rather than the absence of distress symptoms: a comparison of the SF‐36 Mental Health subscale and the WHO‐Five well‐being scale. Int J Methods Psychiatr Res. 2003;12(2):85-91. DOI: https://doi.org/10.1002/mpr.145
Morisawa T, Takahashi T, Nishi S. The effect of a physiotherapy intervention on intestinal motility. J Phys Ther Sci. 2015;27(1):165-8. DOI: https://doi.org/10.1589/jpts.27.165
Vega JA, Cobo J. Structural and Biological Basis for Proprioception. Proprioception. IntechOpen. 2021.
Price CJ, Hooven C. Interoceptive awareness skills for emotion regulation: theory and approach of mindful awareness in body-oriented therapy (MABT). Front Psychol. 2018;9:798. DOI: https://doi.org/10.3389/fpsyg.2018.00798
Lima LV, Abner TSS, Sluka KA. Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. J Physiol. 2017;595(13):4141-50. DOI: https://doi.org/10.1113/JP273355
Bacchi E, Negri C, Zanolin ME, Milanese C, Faccioli N, Trombetta M, et al. Metabolic effects of aerobic training and resistance training in type 2 diabetic subjects: a randomized controlled trial (the RAED2 study). Diabetes Care. 2012;35(4):676-82. DOI: https://doi.org/10.2337/dc11-1655
Fenicchia LM, Kanaley JA, Azevedo Jr JL, Miller CS, Weinstock RS, Carhart RL, et al. Influence of resistance exercise training on glucose control in women with type 2 diabetes. Metabolism. 2004;53(3):284-9. DOI: https://doi.org/10.1016/j.metabol.2003.10.007
Vather R, Trivedi S, Bissett I. Defining postoperative ileus: results of a systematic review and global survey. Journal of gastrointestinal surgery. 2013 May 1;17(5):962-72. DOI: https://doi.org/10.1007/s11605-013-2148-y
Lobo DN, Bostock KA, Neal KR, Perkins AC, Rowlands BJ, Allison SP. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet. 2002;359(9320):1812-8. DOI: https://doi.org/10.1016/S0140-6736(02)08711-1
Tanaka M, Nakamura F. Effect of physical activity on gastrointestinal function and autonomic nervous system activity in patients with functional constipation. J Phys Ther Sci. 2011;23(5):751-5.
Story SK, Chamberlain RS. A comprehensive review of evidence-based strategies to prevent and treat postoperative ileus. Digest Surg. 2009;26(4):265-75. DOI: https://doi.org/10.1159/000227765
Craft LL, Perna FM. The benefits of exercise for the clinically depressed. Prim Care Companion J Clin Psychiatr. 2004;6(3):104. DOI: https://doi.org/10.4088/PCC.v06n0301
Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017(4). DOI: https://doi.org/10.1002/14651858.CD011279.pub2
Nieman DC, Wentz LM. The compelling link between physical activity and the body’s defense system. J Sport Health Sci. 2019;8(3):201-17. DOI: https://doi.org/10.1016/j.jshs.2018.09.009
Netz Y, Wu MJ, Becker BJ, Tenenbaum G. Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychol Aging. 2005;20(2):272. DOI: https://doi.org/10.1037/0882-7974.20.2.272
World Health Organization. The World Health Organization-five well-being index (WHO-5). Geneva: World Health Organization; 2024.
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