Physiotherapy based on PNF concept for elderly people after conventional colon surgery

Area of Science:

• Geriatrics
• Surgical Rehabilitation
• Physiotherapy

Background:

• The aging population is undergoing an increasing number of major abdominal surgeries (MAS).
• Physiotherapy post-MAS aims to prevent complications and reduce functional limitations in elderly patients.
• Early postoperative physiotherapy is crucial for functional recovery in this demographic.

Purpose of the Study:

• To assess the functional status of elderly individuals following major abdominal surgery.
• To evaluate the effectiveness of early postoperative physiotherapy interventions.

Main Methods:

• A prospective randomized study involving 34 patients aged 65+ undergoing elective MAS.
• Patients were assigned to either Proprioceptive Neuromuscular Facilitation (PNF) or conventional physiotherapy.
• Functional assessments included spirometry (FVC, FEV1, PEF) and mobility tests (gait speed, up&go) pre- and post-surgery.

Main Results:

• Major abdominal surgery led to decreased gait speed, longer up&go times, and reduced lung function (FVC, FEV1, PEF) postoperatively.
• The PNF group demonstrated significantly higher postoperative independence (SAP) and shorter hospital stays compared to the conventional physiotherapy group.
• Postoperative independence scores positively correlated with functional test results.

Conclusions:

• Major abdominal surgery negatively impacts walking efficiency and lung function in patients over 65 during the early postoperative period.
• Specific PNF techniques may enhance postoperative independence and reduce hospitalization duration in elderly patients after MAS.
• Early physiotherapy interventions are vital for mitigating the functional decline associated with major abdominal surgery in older adults.