Zębalski Marcin Adam, Parysek Krzysztof, Krzywon Aleksandra, Nowosielski Krzysztof
Department of Gynecology, Obstetrics and Gynecological Oncology, University Clinical Center of the Medical University of Silesia, 40-752 Katowice, Poland.
Department of Movement Rehabilitation and Physical Therapy, University Clinical Center of the Medical University of Silesia, 40-752 Katowice, Poland.
Cancers (Basel). 2024 Jul 9;16(14):2493. doi: 10.3390/cancers16142493.
Prehabilitation is a novel strategy in preoperative management. The aim of this study was to investigate the effect of prehabilitation programs on peri- and postoperative outcomes and to verify if LUNA EMG has the capacity to monitor compliance with prehabilitation programs.
A total of seventy patients with suspected ovarian cancer were recruited between April 2021 and September 2022 and were divided into a prehabilitation group (36 patients) or a control group (34 patients). A LUNA EMG device was utilized to monitor muscle strength and tension.
Within the prehabilitation group, we observed a significant increase in the 6-Minute Walk Test distance by 17 m (median, IQR: 0-42.5, < 0.001) and a significant increase in muscle strength measured with LUNA EMG. In comparison to the control group, the prehabilitation group showed fewer complications according to the Clavien-Dindo classification (47.2% vs. 20.6%, = 0.02) and shorter postoperative hospital stays (median 5.0 days [IQR: 4.0-6.2] vs. 7.0 days [IQR: 6.0-10.0], < 0.001).
Prehabilitation has a positive effect on physical capacity and muscle strength and is associated with a reduction in the number of complications after surgery. LUNA EMG can be a useful tool for monitoring patients' adherence to prehabilitation programs.
术前康复是术前管理中的一种新策略。本研究的目的是调查术前康复计划对围手术期和术后结果的影响，并验证LUNA肌电图是否有能力监测对术前康复计划的依从性。
2021年4月至2022年9月期间，共招募了70例疑似卵巢癌患者，分为术前康复组（36例患者）和对照组（34例患者）。使用LUNA肌电图设备监测肌肉力量和张力。
在术前康复组中，我们观察到6分钟步行试验距离显著增加了17米（中位数，IQR：0 - 42.5，<0.001），并且用LUNA肌电图测量的肌肉力量显著增加。与对照组相比，根据Clavien-Dindo分类，术前康复组的并发症更少（47.2%对20.6%，=0.02），术后住院时间更短（中位数5.0天[IQR：4.0 - 6.2]对7.0天[IQR：6.0 - 10.0]，<0.001）。
术前康复对身体能力和肌肉力量有积极影响，并与术后并发症数量的减少有关。LUNA肌电图可以成为监测患者对术前康复计划依从性的有用工具。
