#Prehabilitation

[sspacegodd]

PRE-HABILITATION NOW

Kids should go to jail immediately upon birth and be released when they are 16 years old. This will help them learn to live with others, work within a cubicle, and courtesy flush.

[daytonicuconsulting]

Prehab vs. Rehab: Which Approach Should be Prioritized in the ICU?

For the past five years, I have been engrossed in exploring the history and current culture of the ICU, as they relate to the ABCDEF Bundle.

As a result, I’ve been faced with having to compare my ingrained understanding of early mobility to the cultural “norms” I see at the bedside, as well as in the literature.

One of the key differences between these two perspectives, which I’ve been confronted with, is the timing and focus (or lack thereof) on early mobility in the ICU.

This contrast is captured in the comparison between prehab vs. rehab, and the debate about which approach should be prioritized in the ICU.

Prehab vs. Rehab: What’s the Difference?

If you want to understand the difference between prehab vs. rehab and learn which approach should be prioritized in the ICU, you’ve got to know what each one entails.

That being said, let’s explore the difference between prehabilitation and rehabilitation.

What Is Rehabilitation?

The Oxford Dictionary defines rehabilitation as “the action of restoring someone to health or normal life through training and therapy after illness.”

In the context of the ICU, the literature usually states that “Early rehabilitation is essential to reducing complications associated with PICS. ‘Early’ refers to rehabilitation interventions that commence immediately after stabilization of physiologic derangements, often while patients remain on mechanical ventilation and vasopressor infusions.”

And after years of attending conferences, visiting with dozens of ICU teams across the U.S., and reviewing their data and protocols, it is clear to me that rehabilitation in the ICU is perceived as the inevitable need for intensive physical recovery after mandatory and standard prolonged bed rest in the ICU.

But what we see in studies published within the last 6-8 years is that the “intensive rehabilitation” intervention groups did not even have patients sitting at the side of the bed until 8 or 9 days after intubation.

Even the recent TEAM study did not sit patients up at the side of the bed until 4-6 days after intubation following prolonged sedation at a median RASS of -3.

Yet the TEAM study is being hailed as the model of “ICU rehabilitation” and is considered an earlier and more aggressive level of rehabilitation than what you’ll find in most ICUs in the U.S.

What I’ve witnessed is that although many hospital protocols will allow for mobility to occur during critical illness, and while patients are on vasopressors, etc., it is not actually occurring in practice.

The approach shared by most of the ICU community is that mobility will happen when ventilator settings are minimal, when the patient follows commands, after extubation, after the tracheostomy, after vasopressors are discontinued, etc.

It seems as long as physical or occupational therapy consultation orders are entered before the patient transfers from the ICU, early mobility is checked off of the list as done.

But when you consider that on average, critically ill patients lose nearly 2% of skeletal muscle per day during their first week in the ICU, it’s clear that delaying mobility can lead to devastating consequences.

These consequences, including the loss of physical and cognitive function, result in a desperate need for ICU rehabilitation.

As a result, ICU rehab tends to be implemented as the recovery from delirium and ICU-acquired weakness on the back end of critical illness.

But what if we focused more on preventing delirium and ICU-acquired weakness?

What Is Prehabilitation?

Prehabilitation is defined as a process of improving the functional capability of a patient before a procedure or treatment so they’re able to withstand any inactivity and associated decline.

That being said, most patients do not anticipate sudden critical illness, so how does prehabilitation apply in the ICU?

In 2002, Robert Topp defined prehabilitation in the ICU as “The process of enhancing functional capacity of the individual to enable them to withstand the stressor of inactivity associated with an admission to ICU.”

A prehabilitative approach in the ICU respects the fact that patients arrive at the ICU with risk factors for delirium and ICU-acquired weakness and may have a long and complicated hospital stay ahead of them.

At this point, their physical, cognitive, and psychological function are already in peril and require proactive intervention focused on the preservation of functional capacities.

This leads ICU teams to promptly implement interventions to prevent delirium and ICU-acquired weakness, such as nutrition, early mobility, sleep hygiene, and family engagement.

For most patients, prioritizing prevention rather than recovery can drastically change the outcomes they experience.

For instance, the timing of early mobility impacts short and long-term outcomes for patients in the ICU.

A recent study showed that when early mobility happens within 72 hours of ICU admission there is a positive impact on post-ICU syndrome, but these benefits are limited if early mobility is initiated after 72 hours have passed.

Another study revealed that mobilizing patients within less than 72 hours after intubation led to a 24% improvement in return to functional baseline and a two-day decrease in delirium and time on the ventilator.

We also know that mobilizing patients within 48 hours after intubation improves cognitive function by 20% one year after discharge.

Prehabilitation in Practice

For the first eight years of my career, I was unfamiliar with the term ICU rehabilitation.

All I knew was that physical and occupational therapy are a standard part of care with the same priority as antibiotics, vasopressors, and AM labs. Walking my intubated patients on the night shift was just as optional as their bed bath.

The word rehabilitation usually only came up on the rare occasion when we were disappointed that we were sending a patient to a care facility instead of back home.

Our shared goal was to have patients walk out of the doors and avoid extensive rehab.

But when I started working in an Awake and Walking ICU, our patients were mobilized within 12 hours after intubation unless there was a contraindication to mobilization.

The decisions of whether or not to start sedation, what type of sedation to use, and whether or not to mobilize patients were esteemed as a “clinical priority on a par with early resuscitation, early sepsis management, and a lung-protective strategy.”

When the teams I train adapt this prehabilitative approach, they immediately notice the contrast in patient outcomes and workload.

What’s more, they enjoy being able to protect patients from the occurrence and severity of ICU delirium and ICU-acquired weakness, rather than having to rehabilitate patients after these complications have developed.

I trained Andrea Silva’s team in Denver, Colorado about a year ago, and they have transformed their process of care from a back-end rehabilitation approach to a front-end prehabilitation approach.

Here’s what she had to say about it:

“Prehabilitating patients in the ICU not only decreases length of stay, but it also reduces vent days and prevents delirium. There is a sense of nursing satisfaction and fulfillment when you see your patients thrive and walk out of the ICU.

“The morale around the unit has had a positive shift by seeing our patients succeed. We used to rehabilitate patients in the ICU by doing mobility after extubation, but our delirium rates were high, everyone had tracheostomies and PEG tubes, and they were waiting for placement in care facilities. Now patients are walking home from the ICU.”

So, what if prehabilitation becomes the norm?

What if it took 2-3 clinicians to walk an intubated patient down the hall rather than 3-5 people to sit a patient at the side of the bed?

What if we reduced delirium rates from where they are now, at 60-80%, and turned delirium into something that rarely occurs in the ICU?

What if we were able to enjoy calm, cooperative, and functional patients?

What if we shifted our focus to proactive instead of reactive?

And what if our efforts were dedicated to protection rather than recovery from delirium and ICU-acquired weakness?

If we were to do all of these things, I can only imagine how many lives would be saved and preserved, and the effect this could have on generations of ICU patients and clinicians to come.

If you and your team are ready to master the ABCDEF Bundle and create an Awake and Walking ICU, please don’t hesitate to sign up for a free consultation.

[sydneywestphysio]

Prehabilitation: Your Path to a Successful Surgery and Speedy Recovery

Undergoing surgery can be a daunting prospect, but did you know that you have the power to influence the outcome of your procedure and your post-surgery recovery? Prehabilitation is a proactive approach to preparing your body before surgery, and can make it easier to return to everyday life. In this blog post, we’ll delve into the concept of prehabilitation and how it can significantly enhance your surgical experience.

https://sydneywestphysio.com.au/physiotherapy/prehabilitation-your-path-to-a-successful-surgery-and-speedy-recovery/

[cbccindia]

The Role of Physiotherapy in Post-Surgery Rehabilitation for Cancer Patients

Post-surgery rehabilitation is vital for cancer patients, aiding in regaining function, mobility, and quality of life after surgical interventions. Physiotherapy, a cornerstone of this rehabilitation process, offers tailored interventions to address the unique needs and challenges faced by cancer patients post-surgery. From managing pain and swelling associated with surgical sites to restoring strength, flexibility, and proprioception impacted by treatment, physiotherapy interventions guide patients through a structured recovery journey. This article explores the pivotal role of physiotherapy in post-surgery rehabilitation for cancer patients, highlighting various phases, modalities, techniques, and the importance of personalized care and ongoing support for successful outcomes.

Preparing for Post-Surgery Rehabilitation:

Preparation is key to a successful recovery for cancer patients. This phase involves:

Assessment: Evaluating the patient's current functional status, considering the impact of cancer and its treatment.

Goal Setting: Collaborating on rehabilitation goals tailored to address the specific needs of cancer patients.

Education: Informing patients about the rehabilitation process, emphasizing the importance of physiotherapy in recovery.

Home Preparation: Advising on home modifications to accommodate recovery needs.

Support Establishment: Highlighting the role of family and caregivers in the recovery process.

Prehabilitation: Introducing pre-surgery exercises to enhance physical conditioning, particularly important for patients undergoing major surgeries.

Progression Through Rehabilitation Phases:

Rehabilitation for cancer patients involves distinct phases:

Early Phase: Focused on managing post-operative pain and improving range of motion without overstressing the surgical site.

Intermediate Phase: Building strength and addressing specific limitations related to cancer treatments.

Advanced Phase: Restoring full function, with an emphasis on returning to daily activities and enhancing quality of life.

Regular assessments adjust the plan based on improvement, with a multidisciplinary approach ensuring comprehensive care.

Role of Physiotherapy Modalities and Techniques:

Physiotherapy employs a range of modalities and techniques tailored to the needs of cancer patients:

Manual Therapy: Addresses mobility issues and pain management.

Therapeutic Exercises: Customized exercises improve muscle function and joint stability, crucial for regaining physical independence.

Pain Management Modalities: Techniques like electrical stimulation offer relief from post-surgery pain and discomfort.

Lymphedema Management: Specialized physiotherapy techniques reduce the risk of lymphedema in patients who have undergone lymph node removal.

Functional Training: Focuses on daily living activities, considering the patient's energy levels and physical capabilities.

Monitoring Progress and Adjusting the Rehabilitation Plan:

Monitoring progress is essential, with regular assessments tracking improvements in mobility, strength, and functionality. Adjustments to the rehabilitation plan are made based on objective assessments and patient feedback, ensuring that interventions align with the patient's evolving needs. Collaboration with the healthcare team ensures a holistic approach, while patient education empowers individuals to actively participate in their recovery.

Conclusion:

Physiotherapy is crucial in post-surgery rehabilitation for cancer patients, offering customized interventions to meet their unique challenges. From initial preparation through various rehabilitation phases to employing diverse modalities and techniques, physiotherapy promotes recovery and improves the quality of life. Comprehensive Blood & Cancer Care and all CBCC hospitals provide specialized physiotherapy and rehabilitation services tailored to cancer patients, supported by state-of-the-art infrastructure. Our dedicated team is committed to assisting cancer patients in reaching their recovery milestones, restoring function and mobility, and guiding them toward a healthier, more active lifestyle. Contact us today to learn more and schedule your consultation.

[fortheloveofsportsandcamaraderie]

Cam Brink and Lexie Brown game day fits.

She looks happy. Hope she is doing okay mentally and physically. The announcers confirmed she has not yet undergone surgery and is still in prehabilitation. Though I am relieved to see Cam wearing NB sneakers. 😅

Wondering if she will also be in attendance vs the Lynx. Since I miss seeing her play these game day fits are the next best thing cause she also hasn’t been posting anything on her IG/Tiktok.

[siiorasurgicalspvtltd]

Orthopedic Prehabilitation: Preparing Your Body for Surgery and Beyond

Orthopedic prehabilitation, often referred to as "prehab," is a specialized approach in the field of orthopedics that focuses on preparing individuals for surgery or other orthopedic interventions.

[yourhealthrescue]

Bilateral Knee Replacement in India: Your Path to a Pain-Free Life

Living with chronic knee pain can feel like carrying the weight of the world with every step. For many people suffering from severe arthritis or other degenerative knee conditions, bilateral knee replacement surgery can offer a life-changing solution. India, known for its world-class healthcare services at affordable prices, has become a leading destination for individuals seeking high-quality bilateral knee replacement surgery.

This article explores everything you need to know about bilateral knee replacement in India, including the cost, benefits, procedures, and why India is the preferred choice for many international patients.

What is Bilateral Knee Replacement?

Bilateral knee replacement is a surgical procedure where both knees are replaced simultaneously. This is often recommended for patients suffering from severe arthritis or joint degeneration in both knees. Unlike single knee replacement, this surgery eliminates the need for two separate operations, allowing patients to regain mobility faster.

This procedure is a ray of hope for those whose daily lives are impacted by pain, stiffness, and limited movement. If you feel like every step is a struggle, bilateral knee replacement might just be the life-altering solution you need.

Benefits of Bilateral Knee Replacement

Improved Mobility After surgery, most patients experience a significant improvement in their ability to walk, climb stairs, and perform daily activities without pain.

Enhanced Quality of Life Imagine waking up without the nagging pain that accompanies each step. Bilateral knee replacement helps patients regain their independence and lead a more active life.

Cost-Effective Getting both knees replaced in one surgery reduces the overall cost of hospitalization and recovery compared to undergoing two separate surgeries.

Why Choose India for Bilateral Knee Replacement?

India is quickly emerging as a top destination for medical tourism, and bilateral knee replacement is no exception. Here’s why:

Expertise of Surgeons India boasts some of the world’s most skilled orthopedic surgeons who are experienced in handling complex cases.

State-of-the-Art Hospitals Hospitals in India are equipped with the latest technology and adhere to international standards of care.

Affordable Costs The cost of bilateral knee replacement in India is significantly lower than in Western countries, making it accessible to more patients.

Cost of Bilateral Knee Replacement in India

The average cost of bilateral knee replacement surgery in India ranges from $6,000 to $9,000, depending on several factors, including:

Type of implant used

Hospital chosen

Surgeon’s expertise

Location within India

In comparison, the same procedure costs approximately $40,000 to $50,000 in countries like the US or UK.

Types of Implants Used

The type of implant plays a critical role in the success of knee replacement surgery. In India, patients can choose from a variety of high-quality options, including:

Titanium Implants: Known for their durability and strength

Ceramic Implants: Ideal for long-term use due to their low wear and tear

The Procedure for Bilateral Knee Replacement

Pre-Surgery Preparation Comprehensive medical evaluation Prehabilitation exercises to strengthen muscles

Surgical Process The procedure involves replacing damaged knee joints with prosthetics. The surgery usually takes 3–4 hours.

Recovery and Rehabilitation Patients are encouraged to start walking with assistance within a day or two after surgery. Physiotherapy is critical for regaining strength and mobility.

Best Hospitals for Bilateral Knee Replacement in India

Some of the top hospitals offering bilateral knee replacement in India include:

Apollo Hospitals, Chennai

Fortis Memorial Research Institute, Gurgaon

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Post-Surgery Care and Recovery

Recovery from bilateral knee replacement requires patience and commitment. Follow these tips:

Regular physiotherapy sessions

A healthy diet rich in calcium and protein

Avoiding high-impact activities like running

Potential Risks and Complications

While the success rate of bilateral knee replacement in India is over 95%, some risks include:

Blood clots

Infection

Implant wear over time

Success Stories of Bilateral Knee Replacement in India

Patients from around the globe have shared heartwarming stories of how bilateral knee replacement in India transformed their lives. For instance, many patients have regained their independence and returned to activities they love, like gardening, traveling, and spending quality time with loved ones.

FAQs

1. How much does bilateral knee replacement cost in India? The average cost ranges from $6,000 to $9,000, making it one of the most affordable options globally.

2. How long does it take to recover from bilateral knee replacement? Recovery typically takes about 3–6 months, with significant improvements noticeable within the first few weeks.

3. Why is India a preferred destination for bilateral knee replacement? India offers world-class medical facilities, experienced surgeons, and affordable costs, attracting patients from across the globe.

4. What are the success rates of bilateral knee replacement in India? India boasts a success rate of over 95%, thanks to skilled surgeons and advanced medical technologies.

5. Are there risks involved in bilateral knee replacement? Like any surgery, risks include infection, blood clots, or implant-related issues. However, these are rare and manageable with proper care.

[tsquaredphysiotherapy]

Physiotherapy is no longer just about healing injuries; it’s a game-changer for athletes aiming to optimise their performance. Here’s how:

✨ Key Benefits for Athletes:

Optimised Movement: Advanced techniques like motion capture technology, force plates, and Functional Movement Screening (FMS) help analyze movement mechanics, assess balance and power output, and identify imbalances or weaknesses that could hinder performance or increase the risk of injury.

Enhanced Flexibility: Techniques like PNF and myofascial release improve mobility and prevent injuries.

Injury Prevention: Prehabilitation strengthens muscles and joints, reducing the risk of sports-related injuries.

Faster Recovery: Methods like cryotherapy and active recovery alleviate fatigue and muscle soreness.

Mental Edge: Physiotherapy boosts confidence, resilience, and readiness for competition.

Whether it’s addressing weak points, correcting muscle imbalances, or building core strength, physiotherapy empowers athletes to achieve their best on and off the field.

💪 Ready to discover the secrets to sustained athletic excellence? 👉 Read the full article now and enhance your game! #SportsPhysio #AthleticPerformance #InjuryPrevention #PeakPerformance

[drankitdaveortho]

Exercises to Strengthen Your Hips Before and After Hip Replacement Surgery

Hip replacement surgery can be life-changing, alleviating chronic pain and improving mobility for those with hip damage from arthritis, injury, or other degenerative conditions. Post successful surgery, proper preparation and rehabilitation through targeted hip exercises are essential to optimize recovery, improve strength, and prevent complications. In this blog, Dr Ankit Dave — one of the best hip replacement surgeons in Nairobi — outlines exercises to help strengthen the hips before and after surgery to ensure a smoother recovery and long-term success.

Why Pre- and Post-Operative Exercises Matter

Let’s understand why strengthening the hip muscles around the joint is crucial. Strong hip muscles help stabilize the joint and enhance your ability to move pain-free. Building strength before surgery (known as “prehabilitation”) prepares your body to recover faster and reduces muscle loss. After surgery, exercises target weakened muscles and support the new hip joint as you regain full mobility.

Key Considerations Before Starting

Consult Your Doctor: Always discuss exercise plans with your healthcare provider or any of the best orthopedic surgeons in Nairobi, like Dr Ankit Dave, to avoid activities that might strain or injure the hip.

Gentle Movements First: Avoid any high-impact exercises before surgery, and focus on range-of-motion exercises immediately after.

Consistency Over Intensity: Aim for consistent daily practice rather than intense, infrequent sessions. Slow, steady progress is most beneficial for hip recovery.

Pre-Surgery Hip Strengthening Exercises

These exercises target essential muscle groups surrounding the hip joint, including the glutes, quadriceps, hamstrings, and core.

1. Bridges

● How to Do It: Lie on your back with your knees bent and feet flat on the floor, hip-width apart. Engage your core, squeeze your glutes, and lift your hips towards the ceiling. Hold for 3–5 seconds, then lower back down slowly.

● Reps: 10–15 repetitions

● Benefits: Bridges activate and strengthen the glute muscles, which play a crucial role in stabilizing the hip.

2. Seated Knee Extension

● How to Do It: Sit in a chair with your feet flat on the floor. Slowly extend one knee until your leg is straight. Hold for a few seconds, then lower it back down.

● Reps: 10–15 repetitions on each leg

● Benefits: Knee extensions strengthen the quadriceps, the primary muscle group on the front of your thigh, which supports your hip when walking and moving.

3. Heel Slides

● How to Do It: Lie on your back with legs extended. Slide one heel toward your buttocks, bending the knee as far as possible without pain, then slide it back to the starting position.

● Reps: 10–15 repetitions per leg

● Benefits: Heel slides improve flexibility in the hip flexors and help maintain a good range of motion in the hip joint.

Post-Surgery Hip Recovery Exercises

After surgery, exercises focus on gentle movements and building up strength without overloading the hip joint. The best hip replacement surgeons in Nairobi recommend starting with low-impact exercises, gradually increasing intensity as your strength and mobility improve.

1. Ankle Pumps

● How to Do It: While lying on your back, flex your ankle to point your toes toward your body and then point them away.

● Reps: 10–20 repetitions per leg

● Benefits: Ankle pumps help stimulate blood flow in the lower legs, reducing the risk of blood clots and swelling post-surgery.

2. Quad Sets

● How to Do It: Lie on your back with your legs extended. Tighten the muscles on the top of your thigh (quadriceps) by pressing the back of your knee down towards the floor. Hold for 5 seconds, then relax.

● Reps: 10–15 repetitions per leg

● Benefits: Quad sets engage the thigh muscles, preventing atrophy and preparing the leg for weight-bearing.

3. Gluteal Squeezes

● How to Do It: Lie on your back and squeeze your glute muscles together, holding the contraction for 5 seconds before releasing.

● Reps: 10–15 repetitions

● Benefits: Gluteal squeezes build strength in the glute muscles without putting any strain on the hip joint itself, which is essential in the early stages of recovery.

4. Seated Marching

● How to Do It: Sit on a sturdy chair with your feet flat on the floor. Lift one knee toward your chest, keeping your back straight. Lower it back down and repeat on the other side.

● Reps: 10–15 repetitions per side

● Benefits: Seated marching helps rebuild strength in the hip flexors and improves hip joint mobility without putting weight on the new joint.

Tips for Success in Hip Recovery

Go Slow and Gradual: Recovery exercises are designed to gently build strength. Avoid pushing through pain, and only increase reps or difficulty as advised by your physical therapist.

Practice Good Posture: Stand and sit with a straight back to reduce strain on your hips and improve overall balance.

Stay Hydrated: Proper hydration is vital for joint health and muscle recovery.

Listen to Your Body: If any exercise feels uncomfortable or causes pain, stop and consult your physical therapist for alternatives.

Final Thoughts

Strengthening your hips through targeted exercises is crucial both before and after hip replacement surgery. The best orthopedic surgeons in Nairobi advise pre and post surgery exercises since they help enhance stability, reduce pain, and support long-term joint health. Remember to follow your doctor or physical therapist’s recommendations closely, as individualized advice is essential for safe and effective recovery. With dedication and patience, you’ll be well on your way to a stronger, more mobile future with your new hip joint.

[drsimonthoma]

A guide to the best reasons to consult to healthcare experts about knee replacement

Knee replacement is a procedure given to patients who suffer from pain and disability due to injury to the knee. Bones that weaken the knee are unhealthy for the individual, and they are substituted with prostheses produced in factories. However, many patients report relief from pain after this process and an increased ability to continue with day-to-day activities. Moreover, full knee replacement surgery in delhi is often indicated when other treatment modes or medications are unsatisfactory in their results. Therefore, choose the expert surgeons and the best medical facilities for patients seeking this treatment.

The top reasons to talk to healthcare experts about knee replacement

You can empower yourself to make good decisions and participate with professionals, which will help raise the standard of living. Do not be afraid to approach them since they are there to guide you through this vital journey. The following are the top reasons to consider:

Understanding the condition

Knee pains could be linked to arthritis, trauma, or just wear and tear, among many more. Since knowing what ails knee pain is critical, nobody should get knee replacement surgery until they get it right about what pains knee joints. A health professional will identify the problem and describe how that particular problem impairs knee function. That knowledge provides the foundation for informed decision-making about the treatment options available. Moreover, knowing your knee problems will likely deteriorate will allow you to make informed decisions regarding the pros and cons of surgery.

Exploring treatment options

Insurance also covers a doctor explaining the options available to treat knee pain. They can describe both non-surgical and surgical routes so that one might compare and contrast them. Conservative treatments, which might include injections, braces, or physical therapy, may be quite helpful for some conditions and delay surgery. A discussion of these options is a way to develop a plan that best fits one's lifestyle and needs. If the surgery is indicated, the procedure needs to be understood. There are types of knee replacements, such as total or partial. An expert will explain these with their benefits and risks, thus allowing better insight.

Assessing risks and benefits

All the surgical procedures carry certain risks and benefits, and knee replacement is no exception. A discussion with a health professional will consider weighing these careful factors. They can explain the possible complications-maybe an infection or blood clots-and also how often they happen. Moreover, knowing this will help you come to a balanced decision about whether it is right for you. On the other hand, specialists can delineate the possible advantages of knee replacement. Thus, sparking a highly improved quality of life. With these results, you can weigh how much your knee pain impacts your daily life against the risks.

Preparing for surgery

If one chooses to proceed with knee replacement, preparation is necessary. Moreover, health professionals will advise before surgery, which may include lifestyle changes, exercise, or control of body weight. They may also suggest prehabilitation to strengthen the knee and improve recovery outcomes. All these will go a long way in making a difference after surgery. The other specialists will also tell one what to expect when undergoing the surgery and after the surgery. If you want it to be shorter, this will help lower your anxiety. Further, inquire about what kind of anaesthesia will be used during the operation.

Care and the rehabilitation after surgery

Your health professionals are always better positioned to advise on the right rehabilitation program to suit your case. They will also define, in detail, the part played by physical therapy in regaining those muscles and the ability to move. Participation in these exercises, as guided, will go a long way in ensuring the best overall recovery. They can also counsel them on managing pain and other symptoms. They will also discuss the medications to take, levels of activity, and complications to look for while recovering. When instructions and someone knows what support they will have, day-to-day activities will become much easier.

Setting realistic expectations

One of the most important things is discussing it with healthcare professionals, which means setting realistic expectations. They can provide insight into what outcomes are typical after surgery, including the general timeframe for return to normal activities. Knowing that recovery could be a little time-consuming may help set your mind for the journey ahead. Another important thing experts can do is help cut through common misconceptions. In contrast, many people experience a significant reduction in pain without much trouble. Understanding such timelines allows you to set achievable goals and minimise disappointment.

Access to supportive networks

The professionals will also introduce you to support networks during your recovery. These networks may take the form of support groups for knee replacement patients or physical therapy with your peers. Sharing experiences with others might be a source of encouragement and practical tips on dealing with challenges during your recovery. Accessing a community during such a process helps one feel much less alone. Connecting with others who can relate to what one may be experiencing can emotionally encourage and motivate one. This lets the person know that one doesn't have to be in it alone and that resources are present.

Longer-term health considerations

Finally, knee replacement consultation with health practitioners enables consideration of long-term health implications. One can discuss, among others, how the surgery may affect your joints and activity level as you age. This conversation is important in understanding how to live healthily after recovery. Also, experts may advise on certain future treatments or procedures that one might need down the line. Understanding what to expect in terms of long-term care helps you plan as required and take proactive steps in managing your health, thus resulting in better outcomes and a more fulfilling life after surgery.

Final words

To sum up, knee replacement improves mobility and decreases pain in patients with extreme knee disorders. Prosthetics is also a surgical procedure whereby damaged cartilage and bone are replaced with an artificial one, thus making life easier for a patient. If one wants this option, consulting the most experienced doctors is essential. Total knee transplants in Delhi are vital for patients who wish to receive quality medical treatment. Therefore, patients should maintain realistic expectations and follow the doctor's guidance for optimal outcomes.

[sspacegodd]

Kids need a little prehabilitation BEFORE they misbehave.

[biomedres]

Oral Nutrition Supplements in Enhanced Recovery After Surgery (ERAS): The Pandora’s Box for Prehabilitation Practice

Oral Nutrition Supplements in Enhanced Recovery After Surgery (ERAS): The Pandora’s Box for Prehabilitation Practice in Biomedical Journal of Scientific & Technical Research

Background: Malnutrition is present in 25 to 54% of hospitalized patients upon admission and it has a direct association with increased morbidity, mortality, length of stay (LOS), increased readmissions, and cost of care. The high level of insulin will block the lipolysis and the usage of FAs as the primary fuel (insulin inhibits ketogenesis). Therefore, the body will shift towards gluconeogenesis and use amino acids as the main fuel. This process will lead to protein and skeletal muscle wasting and increase the risk of malnutrition and other postoperative complications. Prehabilitation includes the process of improving the patient’s overall condition before surgery to keep a higher level of the patient’s functional body capacity during surgery and also inhibit postoperative consequences including complications caused by metabolic stress. One of the best practical methods of prehabilitation is the Enhanced Recovery After Surgery (ERAS) protocol. ERAS is a multi professional model to educate patients and improve their physical and nutritional status prior to surgery. The ERAS protocol mainly targets the inflammatory responses and hormonal changes during metabolic stress. This can alter the metabolism leading to suppression of protein-sparing resulting in a decrease in protein wasting. The ERAS program was initially started at CRMC as a pilot quality improvement project in 2017. Furthermore, there is no standardized protocol for ERAS, especially on Oral Nutrition Supplementation (ONS). To date, there is sufficient data to support the benefits of oral nutrition supplementation for patients undergoing metabolic stress. Nonetheless, there is not enough evidence regarding the effectiveness of any specific product over others for improving the patients’ nutritional status prior to surgery and the patients’ overall survival and complications post surgery. Materials and Methods: In this review paper we sought to compare some of the most common nutritional supplements and their ingredients used for ERAS programs in the United States by focusing on the cell signaling effect they may have on metabolism, protein sparing, some elective amino acids, insulin resistance, and glycemic index. Results: The main results revealed that an optimal oral nutrition supplementation should provide an opportunity to trigger the cell signaling pathways that would increase the transcriptional level of endogenous protein synthase while other ingredients would provide further benefits. Conclusion: Despite several review articles and clinical trials and clinical outcome measurements, there is very limited metabolic research on prehabilitation biochemical mechanisms and cell signaling responses pathways. There is an absolute need for mechanistic studies that will help to select the most appropriate formulas.

For more articles in Journals on Biomedical Sciences click here bjstr

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[physicaltherapistsnyc]

"Get ready to reconstruct"! ACL reconstruction can be a daunting surgery and waiting for the big day can be even harder. Research shows participating in prehabilitation before surgery might improve your outcomes. Call Evolve Physical Therapy in Brooklyn Today to schedule your first appointment! 1-718-258-3300

physicaltherapy #sportsPT #sportsphysicaltherapy #DPT #Brooklyn #physicaltherapists #wellness #fitness #NYC #prehab #acl #anteriorcruciateligament #aclrepair #aclreconstruction #aclsurgery #aclsurgeryrehab #aclsurgeryrecovery #aclphysicaltherapy #aclphysiotherapy

[wellnessattheclinic]

Preventing Injuries: The Importance of Prehabilitation

Prehabilitation is key to preventing injuries by strengthening the body before surgery or intense physical activity. It prepares muscles, improves flexibility, and boosts recovery. Learn how prehabilitation can keep you injury-free and improve outcomes through Physiotherapy.

For More Details : https://wellnessattheclinic.blogspot.com/2024/08/preventing-injuries-importance-of.html

[physiobliss]

Searching for the best physiotherapy clinic in Vadodara?

Looking for a physiotherapy clinic in Vadodara? Physiobliss is one of the best physiotherapy clinics in Vadodara, Gujarat they offer therapeutic modalities, postural correction, ergonomics, degenerative conditions, prehabilitation, sports and geriatric physiotherapy services. Contact today!