Background: Prehabilitation is a novel strategy in preoperative management. The aim of this study was to investigate the effect of prehabilitation programs on peri- and postoperative outcomes and to verify if LUNA EMG has the capacity to monitor compliance with prehabilitation programs. Methods: A total of seventy patients with suspected ovarian cancer were recruited between April 2021 and September 2022 and were divided into a prehabilitation group (36 patients) or a control group (34 patients). A LUNA EMG device was utilized to monitor muscle strength and tension. Results: Within the prehabilitation group, we observed a significant increase in the 6-Minute Walk Test distance by 17 m (median, IQR: 0–42.5,p< 0.001) and a significant increase in muscle strength measured with LUNA EMG. In comparison to the control group, the prehabilitation group showed fewer complications according to the Clavien–Dindo classification (47.2% vs. 20.6%,p= 0.02) and shorter postoperative hospital stays (median 5.0 days [IQR: 4.0–6.2] vs. 7.0 days [IQR: 6.0–10.0],p< 0.001). Conclusion: Prehabilitation has a positive effect on physical capacity and muscle strength and is associated with a reduction in the number of complications after surgery. LUNA EMG can be a useful tool for monitoring patients’ adherence to prehabilitation programs.
背景：预康复是术前管理中的一项新兴策略。本研究旨在探讨预康复方案对围手术期及术后结局的影响，并验证LUNA肌电图设备监测预康复方案依从性的能力。方法：于2021年4月至2022年9月期间共招募70例疑似卵巢癌患者，随机分配至预康复组（36例）或对照组（34例）。采用LUNA肌电图设备监测肌肉力量与张力变化。结果：预康复组患者6分钟步行测试距离显著增加17米（中位数，四分位距：0-42.5，p<0.001），LUNA肌电图测量的肌力指标亦显著提升。与对照组相比，预康复组根据Clavien-Dindo分级评定的并发症发生率更低（47.2% vs. 20.6%，p=0.02），术后住院时间更短（中位数5.0天[四分位距：4.0-6.2] vs. 7.0天[四分位距：6.0-10.0]，p<0.001）。结论：预康复能有效提升患者体能储备与肌肉力量，并降低术后并发症发生率。LUNA肌电图可作为监测患者预康复方案依从性的有效工具。
肿瘤(癌症)患者之家