Fatigue and Physiotherapy in Liver Transplant Recipients

Year 2019, Volume: 9 Issue: 3, 278 - 282, 30.09.2019

Tuba Ergene Didem Karadibak Kamil Yalcin Polat

https://doi.org/10.33808/clinexphealthsci.599730

Cited By: 3

Abstract

         Liver transplantation surgery is a life-saving treatment option for
life-threatening end-stage liver diseases and acute liver failure. While the
health-related quality of life of liver transplant recipients is related to the
success of the transplantation procedure; fatigue, malnutrition, loss of muscle
mass, decrease in exercise capacity, negative respiratory and metabolic changes
as the findings of organ failure are among the causes of functional loss in the
posttransplant period. The prevalence of the fatigue, as the frequently
experienced symptom in the end-stage liver diseases, varies depending on the
specific forms of liver disease and it adversely affects pre and postoperative
functional levels of the patients, liver transplantation results and also
survival. The severity of the fatigue decreases after the transplantation
surgery, but it continues to be seen as the most compelling clinical symptom
experienced during the postoperative first year. Current literature data
emphasize the necessity of physiotherapy programs and active early mobilization
which applied in the early period in the intensive care unit following
transplantation surgery and physiotherapy and rehabilitation approaches
including strength and endurance training contributes to the functional level
in this population. These findings suggest that there is a need for structured
physiotherapy programs in order to increase muscle strength and exercise
capacity and prevent fatigue.

Keywords

Exercise training, fatigue, liver transplantation, physiotherapy

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