ON Chiropractic Winter 2014 - Page 14

Business COVER STORY / PREHABILITATION specific advice to these other health care practitioners or to the patient directly, chiropractors can play a greater role. The data outlined in this article with respect to the benefits of prehabilitation regimens suggest one area where chiropractors can play a greater role in the care of their existing patients who seek surgical joint replacement. Chiropractors can, in consultation with the surgeon on the case, provide instruction on dietary and exercise guidelines that can measurably improve patient satisfaction and other factors throughout the surgical experience. Most prehabilitation regimens for total joint arthroplasty call for a combination of aerobic and strengthening exercises. Chiropractors might consider encouraging a combination of the strengthening exercises outlined on page 12 to be completed twice daily for several weeks prior to surgery in conjunction with mild aerobic exercise. It is very important to ensure that patients are not receiving competing advice from their surgeon and their chiropractor. Sharing clinical notes and reaching out to the surgeon directly can help establish a productive relationship and enhance the patient’s experience. Patients should be advised to stop any exercise that causes increased joint discomfort and seek your advice. Conclusion: hiropractors have a great deal of expertise to offer patients who undergo surgery to correct severe MSK conditions. Prehabilitation regimens represent one opportunity to enhance patient outcomes and business success while demonstrating the greater role that chiropractors can and should be playing in the health of Ontarians across the province. ON C Recommended Reading Desmeules, F. et al. “Prehabilition Improves Physical Function of Individuals with Severe Disability from Hip and Knee Osteoarthritis,” Physiotherapy Canada 65:2 (2013): 116-124. Online. s  McKay, C. et al. “The Effect of Prehabilitation Exercise Program on Quadriceps Strength for Patients Undergoing total Knee Arthroplasty: A Randomized Controlled Pilot Study,” Journal of the American Academy of Phy