Bewegungsbasierte Prähabilitation vor elektiven Eingriffen am Herzen: ein Überblick

Translated title of the contribution: xercise-Based Prehabilitation Before Elective Cardiac Procedure: An Overview

Carolin Steinmetz*, Birna Bjarnason-Wehrens, Katja Roth, Claudia Walther, Monika Sadlonova, Christine von Arnim, Thomas Schmidt

*Corresponding author for this work

Publication: Contribution to journalJournal articlesResearchpeer-review

Abstract

The care of multimorbid and very old patients poses enormous challenges for the healthcare system. This also applies to cardiology, cardiac surgery and cardiac rehabilitation. Reduced physical performance and the loss of physical functionality before, during and after hospitalisation have a negative impact on the quality of life, independence and everyday resilience of older patients. Especially before elective heart surgery, older patients are likely to benefit from specific prehabilitative preparation for the surgery. This article summarizes the main experiences and current scientific results in this field on the basis of a narrative review. The study comprises five systematic reviews with meta-analyses, published between 2012 and 2022. The results show that prehabilitative measures with an exercise-based focus (including endurance training, gymnastics and breathing training) before heart surgery can shorten hospital stay, improve functional capacity and reduce various postoperative complications. The limitation of this work is the enormous heterogeneity of the included studies with regard to the therapeutic interventions, the examined success parameters and the included cohorts. In future, it will be necessary to develop standardized and evidence-based prehabilitation programs for cardiology and cardiosurgery in order to achieve the greatest possible benefit for the individual patient, depending on the respective cohort. The prehabilitative multicentre studies “PRECOVERY and PRÄP-GO”, which are currently being carried out in Germany, could provide information in this regard. The long-term goal is to introduce and establish prehabilitation in the cardiological/cardiosurgical setting in Germany as a new form of care.
Translated title of the contributionxercise-Based Prehabilitation Before Elective Cardiac Procedure: An Overview
Original languageGerman
JournalB&G Bewegungstherapie und Gesundheitssport
Volume39
Issue number3
Pages (from-to)91-97
Number of pages7
DOIs
Publication statusPublished - 12.06.2023

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