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1142 The LUNA EMG as a marker of prehabilitation compliance in the ovarian cancer patients
  1. Marcin Adam Zebalski1,
  2. Jakub Szpiech1,
  3. Aleksandra Krzywon2 and
  4. Krzysztof Nowosielski1
  1. 1University Clinical Center of the Medical University of Silesia. Department of Gynecology, Obstetrics and Gynecological Oncology, Katowice, Poland
  2. 2Department of Biostatistics and Bioinformatics, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland

Abstract

Introduction/Background Properly conducted multimodal prehabilitation intervention can bring positive effects, mainly in the form of reducing the number of postoperative complications and shortening the duration of hospitalization. The effectiveness of the prehabilitation program is individual for each patient and depends on many factors. To assess compliance with the principles of the recommended program, we decided to use the LUNA EMG device measuring muscle tension potential as a marker of muscle strength.

Methodology The study group consists of 36 patients with ovarian cancer or suspected ovarian cancer who were qualified for the prehabilitation program before planned cytoreduction surgery. The patients were recommended an individualized physical exercise program, aerobic physical activity, and a high-protein diet, they were advised to quit smoking, psychological support was offered, and any deviations in laboratory tests were corrected. Before and after the prehabilitation period, muscle tension was assessed using the LUNA EMG device.

The control group consisted of 34 patients who did not undergo a prehabilitation intervention.

Results In the group of patients included in the prehabilitation program, there was an increase in maximum muscle tension by 20.4 mV (4.1–50.1; p<0.001), average muscle tension by 4.3 mV (0.3–13.3; p<0.001) and muscle tone by 0.3 mV (0–1.0; p=0.004).

In the study group, a shorter hospital stay after surgery was observed (5.0 vs. 7.0 days p<0.001). In the study group, we observed fewer complications in the postoperative period compared to the control group (47.2% vs. 20.6% of patients without postoperative complications according to the Clavien-Dindo classification, p = 0.02).

Conclusion Measuring muscle tension with the LUNA EMG device can be a useful marker of a prehabilitation compliance.

Proper preparation for cytoreductive surgery in the prehabilitation program reduces the number of postoperative complications and the duration of hospital stay.

Disclosures None.

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