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Cited by 20Pelvic floor disorders treatmentsPhysical Activity and HealthIntensive Care Unit Cognitive Disorders

Impact of postoperative instructions on physical activity following pelvic reconstructive surgery: a randomized controlled trial.

Arunachalam, Divya, Heit, Michael H.·2020·International Urogynecology Journal
DOI 10.1007/s00192-020-04239-y
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Abstract

Introduction and hypothesis There is little information on the impact that postoperative instructions have on physical activity to help guide physicians in providing these recommendations after surgery. Our study objective was to evaluate the impact of postoperative instructions on physical activity. We hypothesized that there would be no differential effect of instructions on activity.Methods In this randomized controlled trial, patients undergoing prolapse repair were randomized to receive either liberal or restricted postoperative activity instructions between February 2017 and February 2019. Physical activity was measured using the Activities Assessment Scale (AAS) and tri-axial accelerometers measured at baseline and 2 and 6 weeks after surgery. A sample size of 146 patients was planned to compare these activity measurements. AAS scores and accelerometer readings of the two groups were compared using separate variance t tests.Results A total of 157 women were recruited between February 2017 and February 2019, including 146 patients with completed study data (n = 72 liberal, n = 74 restricted). There was no difference in physical activity at 2 weeks between the liberal and the restricted instruction groups, as measured by AAS scores (70.47 ± 12.83, 69.54 ± 12.22, p = 0.66), total steps (4,582.20 ± 2,164.5, 5,014.47 ± 3,025.46, p = 0.32), active minutes (4.22 ± 6.17, 4.96 ± 9.65, p = 0.25), and 10-min intervals (0.76 ± 1.11, 0.77 ± 0.93, p = 0.95) respectively. Similarly, there was no difference in activity at 6 weeks between the liberal and the restricted instruction groups. as measured by AAS scores (81.86 ± 8.25, 81.31 ± 10.31, p = 0.72), total steps (6,316.25 ± 3,173.53, 6,589.94 ± 3,826.43, p = 0.64), active minutes (8.79 ± 10.5,11.36 ± 18.18, p = 0.98), and 10-min intervals (1.37 ± 1.34, 1.34 ± 1.40, p = 0.89) respectively.Conclusion Postoperative instructions do not have an impact on physical activity measures in patients who have undergone pelvic reconstructive surgery.

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Crossref · 10.1007/s00192-020-04239-y

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  • The abdominal surgery literature regarding postoperative activity is limited; a recent systematic review identified only 2 randomized trials.

    “The abdominal surgery literature regarding postoperative activity is limited. A recent systematic review of activity restrictions after abdominal surgery identified only 2 randomized trials.5,6,7”

    From Standard Restrictions vs Expedited Activity After Pelvic Organ Prolapse Surgery (2023) · cites this paper as [6]

  • A randomized trial found that liberal versus restrictive postoperative instructions after prolapse surgery did not affect objective or subjective measures of activity.

    “The first found that randomizing women undergoing prolapse surgery to receive either liberal or restrictive postoperative instructions did not have an effect on objective or subjective measures of activity.6”

    From Standard Restrictions vs Expedited Activity After Pelvic Organ Prolapse Surgery (2023) · cites this paper as [6]

  • A previous trial did not find significantly different levels of relative postoperative activity between patients randomized to liberal vs restricted instructions after prolapse surgery.

    “A previous trial similarly did not find significantly different levels of relative postoperative activity between patients who were randomized to receiving liberal vs restricted instructions after prolapse surgery.6”

    From Standard Restrictions vs Expedited Activity After Pelvic Organ Prolapse Surgery (2023) · cites this paper as [6]

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Authors
Arunachalam, D., & Heit, M. H.
Affiliations
Indiana University (US)
Corresponding author
Arunachalam, Divya
ORCID
Venue
International Urogynecology Journal
Publisher
Springer Science and Business Media LLC
Published
2020-02-15
Volume
31
Issue
7
Pages
1337-1345
ISSN
  • 0937-3462 (ISSN-L)
  • 1433-3023
DOI
10.1007/s00192-020-04239-y
OpenAlex
W3005845133
Cited by
20
References
26
Citations by year
2026: 4 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 1 · 2020: 6
FWCI
1.88
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Urogynecology Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
Keywords
postoperative physical activity, pelvic reconstruction, pelvic organ prolapse surgery, postoperative recovery, accelerometer-measured activity, women's health
MeSH terms
Female, Humans, Postoperative Period, Exercise, Plastic Surgery Procedures, Pelvic Organ Prolapse

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