Pilot Study – 10,000 Step challenge as a tool for prehabiliatation for radical cystectomy
Author(s):
Miss Emma Marsdin
,
Miss Emma Marsdin
Affiliations:
Dr Christopher Ramsden
,
Dr Christopher Ramsden
Affiliations:
Mr Huw Gilbert
Mr Huw Gilbert
Affiliations:
BAUS ePoster online library. Marsdin E. 06/26/17; 177332; P1-4
Ms. Emma Marsdin
Ms. Emma Marsdin
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Abstract
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Pre-habilitation enhances outcomes for surgical patients by improving morbidity, mortality and psychological well-being. To date, trials have used strenuous exercise on expensive gym equipment led by costly physiotherapists trainers, which isn’t affordable for everyday use within the NHS.

Our pilot study examined the achievability of using 10,000-step exercise challenge to encourage patients to independently pre-habilitate, using pedometers, to encourage activity prior to undergoing radical cystectomy. The average person walks only 3000 to 4000 steps daily, although the uro-oncology MDT members averaged 8004 steps in a preliminary trial.

10 patients were recruited to complete the 10000-step challenge prior to their radical cystectomy. Completed data was collected for 70%. Outcomes both physical and psychological of 10 patients were reviewed.

The average daily number of steps was 10254 (range of 2691 to 21959) steps. An average daily step rate over 10000 was achieved by 57% prior to their cystectomy.
The 6-minute Walk Test showed improvement in patients of an average 44m. The hospital anxiety and depression scale (HADS) improved by 2 points

This pilot study showed that a simple intervention such as the 10000-step challenge is feasible and may improve both physical and psychological well-being prior to radical cystectomy. From this pilot study, we are planning to extend and expand to a full trial to see if this simple intervention can improve morbidity and mortality.
Pre-habilitation enhances outcomes for surgical patients by improving morbidity, mortality and psychological well-being. To date, trials have used strenuous exercise on expensive gym equipment led by costly physiotherapists trainers, which isn’t affordable for everyday use within the NHS.

Our pilot study examined the achievability of using 10,000-step exercise challenge to encourage patients to independently pre-habilitate, using pedometers, to encourage activity prior to undergoing radical cystectomy. The average person walks only 3000 to 4000 steps daily, although the uro-oncology MDT members averaged 8004 steps in a preliminary trial.

10 patients were recruited to complete the 10000-step challenge prior to their radical cystectomy. Completed data was collected for 70%. Outcomes both physical and psychological of 10 patients were reviewed.

The average daily number of steps was 10254 (range of 2691 to 21959) steps. An average daily step rate over 10000 was achieved by 57% prior to their cystectomy.
The 6-minute Walk Test showed improvement in patients of an average 44m. The hospital anxiety and depression scale (HADS) improved by 2 points

This pilot study showed that a simple intervention such as the 10000-step challenge is feasible and may improve both physical and psychological well-being prior to radical cystectomy. From this pilot study, we are planning to extend and expand to a full trial to see if this simple intervention can improve morbidity and mortality.
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