Postoperative physical training following colorectal surgery: a randomised, placebo-controlled study

Area of Science:

• Geriatric Medicine
• Surgical Recovery
• Rehabilitation Science

Background:

• Major surgery frequently leads to post-operative fatigue and diminished physical function.
• Older adults undergoing elective colorectal surgery are particularly susceptible to these declines.

Purpose of the Study:

• To investigate the efficacy of a postoperative physical training program in mitigating fatigue and enhancing physical function in patients aged 60 and above.
• To compare the effects of structured physical training versus relaxation and massage interventions.

Main Methods:

• A randomized, placebo-controlled, single-blinded study involving 60+ year-old patients undergoing elective colorectal surgery.
• Intervention group A engaged in muscular strength and work capacity training.
• Intervention group B underwent relaxation exercises, hot wrappings, and massage.

Main Results:

• While fatigue increased post-surgery in both groups, physical training (Group A) showed a trend towards lower fatigue levels in the hospital compared to the control group (Group B).
• No significant differences in fatigue or physical function were observed between groups at 30 and 90 days post-surgery.
• Physical function indices initially decreased but returned to pre-operative levels by day 90 for both groups.

Conclusions:

• Postoperative physical training did not lead to significant improvements in long-term physical function following colorectal surgery.
• The study suggests that physical training may offer short-term benefits in reducing in-hospital fatigue.