Laza-Cagigas, Roberto, Seijo Bujia, Marcos ORCID: 0000-0003-1637-6670 , Swaine, Ian ORCID: 0000-0002-3747-1370 , Rampal, Tara and Naclerio, Fernando ORCID: 0000-0001-7405-4894 (2023) Commentary. Key aspects of multimodal prehabilitation in surgical patients with cancer: a practical approach to integrating resistance exercise programmes. Evaluation and the Health Professions. ISSN 0163-2787 (Print), 1552-3918 (Online) (doi:https://doi.org/10.1177/01632787231218993)

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Abstract

Surgical prehabilitation aims to optimise patients’ physiological reserves to better withstand the stress of surgery, reduce the risk of postoperative complications, and promote a faster and optimal recovery. The purpose of this commentary is to outline the key aspects of prehabilitation before surgery for cancer which seem to impact its effectiveness and wider implementation. Particular attention is paid to the role and integration of resistance training programmes as a key component of multimodal prehabilitation for patients with cancer. We firstly analyse some of the barriers currently hindering the implementation of prehabilitation programmes in the National Health Service (United Kingdom). Later, we describe essential aspects of resistance training design, such as exercise modality and order execution, volume and intensity, rest periods between sets or exercises, and workout frequency. Furthermore, we propose a methodology to use the perception of effort to control patients' progression during a prehabilitation programme.

Item Type:	Article
Uncontrolled Keywords:	preoperative interventions; post-surgery recovery; physical activity; perception of effort
Subjects:	L Education > L Education (General) Q Science > Q Science (General) R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Last Modified:	09 Jan 2024 15:45
URI:	http://gala.gre.ac.uk/id/eprint/45024

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