- Prehab is preconditioning for patients scheduled to undergo surgical procedures
- Joint replacements
- ACL repair
- RTC repair
- Cancer surgery and chemotherapy
- Can be used for:
- Education of surgical procedure, what to expect post-op, and possible use of AD
- To improve bed mobility and ambulation s/p surgery
- Increase ROM and strength for improved post-op outcomes
- Mentally prepare patient for what’s to come
- Stress importance of post-op compliance
- Not Just for orthopedic surgeries; Can be used for pre-chemo treatment, cardiac procedures, etc.
- Using Pre-op PT for total joint replacement, was associated with 29% decrease in use of post-acute care services (i.e. SNF, inpatient rehab, home health rehab) (avg of $1,215 cost reduction)
- Patients are in better physical condition when they come out of surgery – better starting point when patients start post-op rehab
- Athletes return to sport quicker
- Could be resistance from insurance coverage
- New in PT and is not standard practice or considered a pre-surgical tool yet
- Not meant to replace post-op rehab, but help get the most out of rehabilitation
- Example program:
- Can be 4-6 weeks
- Includes: cardiovascular conditioning, strengthening of key muscle groups, balance/posture assessment and training, and education.
- Goals of program: increased muscle strength for affected joint and surrounding area; improved body mechanics; decreased pain after surgery; greater confidence and motivation to recover
- Limited research currently
- Available research results show increased post-op rehab results when patients undergo pre-op rehab, when compared to post-op outcomes without pre-op rehab.