Multimodal Prehabilitation: a Mini Review of Contemporary Research

AbstractPurpose of the ReviewCombining interventions into a multimodal prehabilitation approach is recommended to maximize benefits due to synergistic and cumulative effects of modalities. The purpose of this review was to (i) highlight the rationale for multimodal prehabilitation, (ii) summarize related contemporary literature, and (iii) discuss emerging modalities that may be combined into a comprehensive, personalized prehabilitation program.Recent FindingsOur systematic search of multimodal prehabilitation literature over the past 5  years yielded 11 studies: five randomized controlled trials, four systematic reviews, and two meta-analyses. These studies included multimodal prehabilitation prior to major abdominal and cancer surgeries and have demonstrated benefits pre, peri-, and postoperatively. Evidence directly comparing u nimodal and multimodal prehabilitation remains limited.SummaryMultimodal prehabilitation has demonstrated benefits for patients undergoing major abdominal and cancer surgeries. Research is needed on the specific value of combining modalities, multimodal approaches in other treatment settings, and further personalization of prehabilitation to meet the unique needs of patients.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research