Effects of preoperative physical training on functional capacity in esophageal surgery: a systematic review
Review - e235414 - Published 2024, Sept 25
DOI:
https://doi.org/10.33233/rbfex.v23i2.5414Keywords:
functional status, exercise therapy, esophageal neoplasmsAbstract
Introduction: Physical training is essential to improve cardiorespiratory function and muscle strength, directly impacting patients' functional capacity. Esophageal surgery, often performed in cases of cancer, is associated with high risks of morbidity and mortality. Objective: To summarize evidence on the effects of physical training on the functional capacity of individuals in the preoperative period of esophageal surgery. Methods: Systematic review in the Pubmed, VHL, EBSCOhost, Scielo and PEDro databases. Two independent reviewers carried out the search and selection of studies using the terms “Preoperative”, “Esophageal” and “Surgery Training”. Randomized clinical trials focused on physical training programs for patients in the preoperative period of esophageal surgery were included. The risk of bias of the studies was assessed using the PEDro scale. Results: The initial search identified 188 articles, of which three were considered eligible, covering a total sample of 149 patients, with 71.71% being men. The exercise programs ranged from inspiratory muscle training to aerobic and neuromuscular exercises, lasting 2 to 3 weeks. The majority of patients undergoing esophageal surgery had been diagnosed with cancer. Analysis of the studies indicated a moderate to low risk of bias. Conclusion: The evidence suggests that physical training in the preoperative period of esophageal surgery can improve functional capacity, muscle strength and cardiorespiratory function. In addition, these benefits may contribute to a reduction in pulmonary complications, reintubations and length of hospital stay.
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Copyright (c) 2024 Cleomara Pereira dos Santos, Ramon Martins Barbosa, Alan Carlos Nery dos Santos, Renata Ferreira de Moura, Jefferson Petto, Welton Cardoso dos Santos, Lais Oliveira Santos, Vinicius Afonso Gomes
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