Body@Work

ProFyt (Preoperatieve Fysiotherapie)

PROJECT DESCRIPTION

 

Surgery and hospitalization aim to improve patients medical condition. But at the same time the hospital is also a risky environment. A harmful side effect is the functional decline which is common after hospitalization and major surgery. The reasons for functional decline include firstly a low physical activity level during hospital stay leading to deconditioning and secondly, physiological effects due to surgery and medication. Most surgical patients recover on their own within weeks or sometimes months to the preoperative functional status. But some patients do not succeed in regaining the functional status where they were used to. These mostly older patients have an additional risk for postoperative complications and sometimes protracted or permanent loss of mobility which can impair activities of daily live (ADL) compromising patients independence. These patients are the objective of this research project which will investigate this problem from a preoperative point of view. The focus will be the preoperative functional status of the patient both as predictor and improvement factor of the postoperative course. The statement is: the better the way in, the better the way out.

PERIOD

2010-2012

FUNDING

Gelderse Vallei Hospital, Ede, the Netherlands. Coaching hours from the promotor and co-promotores are paid  by TNO.

INVESTIGATORS
J.J. (Jaap) Dronkers PT, MSc

M. (Marijke) Hopman-Rock, PhD, MSc, MA

N.L.U. (Nico) van Meeteren, PhD, PT

A. M.J. (Astrid) Chorus, PhD

1 Gelderse Vallei Hospital, Ede, the Netherlands

2 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU University Medical Centre, Amsterdam, The Netherlands

3 TNO Quality of Life, Department of Physical Activity and Health, Leiden, The Netherlands

OBJECTIVES

The object of this PhD-thesis is the role of the various parts of the physical functional status both as predictor and as outcome measure in frail older patients who are scheduled for abdominal and thoracic surgery as major medical treatment. 

 

METHODS

Meta-analysis, observational research, RCT’s and exploratory research.

RESULTS

Determinants of physical functional status revealed to be strongly related with the postoperative course in old patients who had to undergo major abdominal or thoracic surgery. Preoperative therapeutic training of the functional status is feasible in old patients and seemed to positively affect the postoperative course. 

PUBLICATIONS

§          Valkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, and Backx FJ. The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clin Rehabil. 2010 Nov 8..

§          J.J. Dronkers, N.L.U. van Meeteren. Preoperative fysiotherapeutische zorg voor patiënten na bovenbuik- of thoraxchirurgie. 10e Gerontologiecongres 2010, 1 oktober, Ede, the Netherlands. In Tijdschrift voor Gerontologie en Geriatrie 41 (3): 13-14, 2010

§          T.J. Hoogeboom, J.J. Dronkers, C.H.M. van den Ende, E. Oosting, N.L.U. van Meeteren. Preoperative physical therapeutic intervention for fragile elderly patients who are scheduled for elective total hip replacement: A randomized pilot trial. Clin Rehabil. 2010 Oct;24(10):901-10.

§          Dronkers JJ, Lamberts H, Reutelingsperger IMMD, Naber RH, Dronkers-Landman CM, Veldman A, van Meeteren NLU. Preoperative exercise program for elderly patients scheduled for elective abdominal oncological surgery. A randomized controlled pilot study. Clin Rehabil. 2010 Jul;24(7):614-22.

§          Hoogeboom TJ, van den Ende CH, van der Sluis G, Elings J, Dronkers JJ, Aiken AB, van Meeteren NL. The impact of waiting for total joint replacement on pain and functional status: a systematic review. Osteoarthritis Cartilage. 2009 Nov;17(11):1420-7.

§          Dronkers J, Veldman A, Hoberg E, van der Waal C, van Meeteren N.

Prevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study. Clin Rehabil. 2008 Feb;22(2):134-42.

§          Dronkers, JJ, Hulzebos, EH, van Meeteren, NLU.

De zin van preoperatieve fysiotherapie Fysiopraxis  Jrg. 16, nr. 2 (2007) ; p. 18-19, 21

§          Naber RN , Dronkers CM, Lamberts H, Reutelingsperger IMMD, Veldman A, Dronkers, JJ.

Preoperatieve screening in ziekenhuis Gelderse Vallei. Fysiopraxis - Jrg. 16, nr. 2 (2007) ; p. 8-9, 11

§          Dronkers JJ, Hulzebos EHJ, van Meeteren NLU. Perioperatieve fysiotherapeutische zorg voor patiënten na bovenbuik- of thoraxchirurgie. In: Marinus J, Dijkstra PU, Nijs J, van Wilgen CP, editors. Jaarboek Fysiotherapie Kinesietherapie 2006. Houten: Bohn, Stafleu van Loghum; 2006. p. 146-61.

§          Dronkers JJ, Weuring II, van Meeteren NLU. Rubriek 'Meten in de praktijk' : het meten van ademfuncties : de monddrukmeter. Ned Tijdschr Fysiother 2005;115(6):171.

§          Dronkers JJ, Veldman A, Hobert E, van der Waal C, van Meeteren NLU. Preventie van longcomplicaties na bovenbuichirurgie: zes case studies over preoperatieve fysiotherapie. Ned Tijdschr Fysiother 2004 Dec;114(6):168-73.

 

Jaap Dronkers
More information:
e-mail: DronkersJ@zgv.nl
tel: +31 642071530