Mooiweer, Y. (Yvet) (2019) The relation between preoperative TUG and 6MWT and functional recovery after major abdominal surgery. thesis, Human Movement Sciences.
Full text available on request.Abstract
Background: The relation between the preoperative physical functioning and clinical outcomes after major abdominal surgery is relatively well established. However, these clinical outcomes are not a good measure for functional recovery as they are influenced by several non-clinical factors. Therefore, the aim of this study was to explore the relation between the preoperative physical functioning and the postoperative functional recovery. Method: Patients who underwent a major curative resection for a liver of pancreatic malignancy were included in the study. Preoperative the 6 minute walk test (6MWT) and timed up and go test (TUG) were performed to assess the preoperative functional status. Postoperative functional recovery was followed from the medical records and was defined as the first day patients had been able to tolerate solid food, mobilize and had defecation. Length of stay (LoS) was a secondary outcome measure. Factors relating significantly on the univariate multiple regression analysis were used in the multiple linear regression analysis. Results: Thirty-four patients were included in the analyses. The 6MWT and TUG did not relate significantly to the functional recovery in the multivariate analysis. Having a laparoscopic or robot surgery related on the postoperative functional recovery and resulted in a shorter duration to functional recovery. Considering the LoS stay, having a laparoscopic or robot surgery and walking a lower percentage of the predicted distance on the 6 minute walk test also resulted in a shorter LoS. Conclusion: A higher score on the 6MWT and TUG was not relate to a better functional recovery. Scores on the TUG were low compared to the previous found cut-off point of 20 seconds, and thus the TUG might not be suitable for this population. A larger study sample is needed to establish the possibility of the 6MWT to predict the functional recovery.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Keeken, dr. H. van and Wijk, L. van |
| Faculty: | Medical Sciences |
| Date Deposited: | 23 May 2022 10:14 |
| Last Modified: | 23 May 2022 10:14 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3421 |
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