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Improving Postoperative Care Through Mindfulness-Based and Isometric Exercise Training Interventions: Systematic

Allie Reynolds1, Alireza Hamidian Jahromi2

  • 1Biological Sciences Division, University of Chicago Medicine, Chicago, IL, United States.

JMIR Perioperative Medicine
|June 10, 2022
PubMed
Summary

Mindfulness-based interventions (MBIs) and isometric exercise training (IET) show benefits for postoperative recovery, including pain relief and improved physical function. However, research on their combined effects is lacking, suggesting a need for further investigation.

Keywords:
cognitive therapyimproving careisometric exercisemeditationmindfulnessmindfulness-based interventionspostoperativepostoperative caresystematic review

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Area of Science:

  • Rehabilitation Medicine
  • Integrative Health
  • Evidence-Based Practice

Background:

  • Mindfulness-based interventions (MBIs) and isometric exercise training (IET) are emerging approaches for postoperative care.
  • These interventions aim to improve physical functioning, manage pain, and prevent joint stiffness and muscle atrophy.
  • Their individual benefits in postoperative recovery are recognized, but their combined impact remains unexplored.

Purpose of the Study:

  • To review the impacts of mindfulness-based interventions (MBIs) and isometric exercise training (IET) in postoperative care.
  • To specifically assess the combined effects of MBIs and IET, which has not been previously evaluated.
  • To identify existing literature on these interventions for enhancing patient outcomes post-surgery.

Main Methods:

  • A systematic literature search was conducted using PubMed and Cochrane databases.
  • The search adhered to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.
  • Keyword combinations identified 39 studies meeting the inclusion criteria for the review.

Main Results:

  • Mindfulness-based interventions (MBIs) demonstrated positive effects on pain relief and physical functioning.
  • Isometric exercise training (IET) primarily improved physical functioning.
  • Both interventions showed potential for broader benefits like enhanced quality of life and reduced opioid use, though further research is needed.

Conclusions:

  • Individual MBIs and IET offer significant benefits for postoperative care.
  • There is a notable gap in research regarding the combined application of MBIs and IET.
  • The combination of MBIs and IET may offer synergistic or complementary advantages, warranting further investigation in postoperative recovery protocols.