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Post-operative rehabilitation

What is Pre and Post-operative Rehabilitation?

Pre-operative rehabilitation involves strengthening muscles and improving flexibility before knee replacement surgery. Post-operative rehabilitation includes early mobility, pain management, and physical therapy to restore knee function and strength. Both phases are crucial for optimizing outcomes and promoting a smooth recovery process.

Benefits of Exercise Pre and Post-Surgery

The effect of exercise on outcomes after surgery has been extensively studied in a number of populations. The most common populations studied are:

  1. Post-hip replacement
  2. Post-knee replacement
  3. Post-cardiac surgery
  4. Post-abdominal surgery
  5. Other surgical groups such as colorectal, thoracic, post-cancer resection, vascular and urological.

What Are the Benefits of Preoperative Exercise?

Pre-operative exercise reduces the length of stay both in Intensive Care facilities and in hospital[8][1]. It also exerts beneficial effects on physical fitness and postoperative outcomes measures across various surgical fields, including cardiac surgery, orthopaedic surgery, abdominal surgery, thoracic surgery, vascular surgery and urologic surgery[9]. In their scoping study, conclude that more research is needed to focus on heterogeneous outcome measures, patient populations and guidelines for exercise regimes

Hip Replacement

In patients undergoing this surgery, significant improvements (small to moderate effect sizes) have been observed in pain, function, and length of stay with exercise interventions preoperatively.

Knee Replacement

Minimal evidence so far supporting education and exercise

interventions pre-operatively, compared with no physiotherapy or usual care. Interventions reviewed in the 10 RCTs were preoperative exercise; combined exercise and education; combined exercise and acupuncture; neuromuscular electrical stimulation; and acupuncture versus exercise. Outcomes assessed were knee strength, ambulation, and pain.

Pre and post-operative rehabilitation are crucial components of knee replacement surgery to optimize outcomes and ensure a smoother recovery process. Here are some key points for each phase:

PRE-OPERATIVE REHABILITATION INVOLVES IN :-

  1. Strength and Flexibility: Strengthening the muscles around the knee and improving flexibility can help enhance stability and support for the joint.
  2. Range of Motion Exercises: Gentle range of motion exercises can help maintain or improve the knee’s flexibility before surgery.
  3. Education: Patients should be educated about the surgery, what to expect during recovery, and the importance of following post-operative rehabilitation protocols.

What is Pre-operative Rehabilitation Services in Mability?

Pre-operative rehabilitation refers to a program of exercises and interventions aimed at preparing a patient physically and mentally for surgery. It typically involves strengthening exercises, range of motion activities, and pain management techniques to optimize the patient’s condition before undergoing a surgical procedure. The goals of pre-operative rehabilitation include improving muscle strength, increasing joint flexibility, reducing pain, and enhancing overall functional ability to promote a smoother recovery and better outcomes post-surgery. This proactive approach can also help patients cope better with the physical demands of surgery and improve their overall quality of life during the rehabilitation process.

Post-operative Rehabilitation:

  1. Early Mobility: Starting with gentle movement and weight-bearing exercises as soon as possible after surgery can prevent stiffness and promote healing.
  2. Pain Management: Managing pain effectively is essential for patients to engage in rehabilitation exercises and regain mobility.
  3. Physical Therapy: Structured physical therapy sessions tailored to the individual’s needs are vital for restoring strength, flexibility, and

function.

    • Gradual Progression: Rehabilitation should progress gradually,starting with simple exercises and gradually increasing intensity and complexity as the knee heals.
    • Patience and Persistence: Recovery from knee replacement surgery takes time and patience. Consistent participation in rehabilitation exercises and following the surgeon’s instructions are essential for successful outcomes.

What is post operative Rehabilitation Services in Mability?

Post-operative rehabilitation is a structured program of exercises and therapies designed to aid recovery and restore function following

surgery. In the context of knee replacement, post-operative rehabilitation typically involves a combination of exercises to improve strength,

flexibility, and mobility in the knee joint. Physical therapy sessions, often supervised by a licensed therapist, focus on gradually increasing range of motion, reducing pain and swelling, and regaining functional abilities such as walking and stair climbing. The goals of post-operative rehabilitation are to optimize healing, minimize complications, and help patients return to their normal activities with improved function and reduced discomfort. Consistent participation in post-operative rehabilitation is essential for achieving the best possible outcomes after knee replacement surgery.

Role of Occupational Therapy in Pre and Post-operative Rehabilitation:

Occupational therapy plays a critical role in both pre and post-operative rehabilitation for individuals undergoing knee replacement surgery.

Pre-operative Rehabilitation:

    1. Assessment and Education: Occupational therapists assess the patient’s functional status, identify any barriers to independence, and provide education on adaptive strategies and equipment that may be helpful after surgery.
    2. Preparation for Home Environment: They help patients prepare their home environment for post-surgery recovery, including recommending modifications and assistive devices to enhance safety and accessibility.
    3. Instruction on Precautions: Occupational therapists provide guidance on precautions and movement techniques to prevent falls and injuries before surgery.

Role of occupational therapy in Post-operative Rehabilitation:

    1. Functional Mobility Training: Occupational therapists work with patients to improve mobility skills such as transferring in and out of bed, using assistive devices like walkers or canes, and navigating stairs safely.
    2. Activities of Daily Living (ADL) Training: They assist patients in regaining independence with daily tasks such as dressing, bathing, grooming, and household activities, adapting techniques as needed to accommodate limitations during the recovery period.
    3. Joint Protection Techniques: Occupational therapists teach patients techniques to protect their new knee joint during functional activities, minimizing stress and strain on the surgical site.
    4. Pain Management Strategies: They educate patients on pain management techniques and assistive devices to alleviate discomfort and facilitate participation in rehabilitation activities.
    5. Psychosocial Support: Occupational therapists address emotional and psychosocial aspects of recovery, providing support and encouragement to help patients cope with the challenges of rehabilitation and adjust to lifestyle changes.

Overall, occupational therapy interventions in both pre and post-operative stages aim to maximize functional independence, promote safe and efficient movement, enhance quality of life, and facilitate a

successful recovery following knee replacement surgery.

Role of Psychologists in Pre and Post-operative Rehabilitation Patients:

Psychologists assess patients’ emotional readiness, provide coping strategies, and address fears and anxieties before surgery. In post-operative rehabilitation, they help patients cope with emotional distress, adapt to functional changes, and manage pain perception through cognitive-behavioral techniques. Psychologists also offer support to families, facilitating communication and addressing caregiver stress for a comprehensive approach to recovery.

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