Theme lead
Professor Thomas Bandholm
Background
Enhanced
Recovery After Surgery (ERAS) research is a multi-modal approach to the design
of best-evidence care pathways to enhance recovery of patients undergoing
surgery. One important modality of ERAS is exercise and physical activity.
Exercise and physical activity is part of first-line, non-surgical patient care
and post-operative rehabilitation for many types of surgery. For exercise, the
focus can be local (i.e., operated joint muscles and joint function) or more
remote or global (i.e., metabolism and health status). In case of physical
activity, the focus is almost always metabolism and health status.
Focus
We
want to understand if and how exercise and physical activity can enhance
recovery after major surgery. We
investigate exercise and physical activity-interventions before
surgery to understand if they can help coordinate non-surgical and surgical
care and the decision to have surgery - or impact post-operative recovery, if
operated. We investigate exercise and physical activity interventions during
hospitalization to understand if and how they can reduce risk and promote early
safe discharge. We investigate exercise and physical activity interventions after
surgery to understand if and how they can enhance post-operative recovery. We
are particularly interested in researching health care interventions that are
common practice but are implemented based on tradition more that scientific
evidence. We try very hard to ask questions that challenge our own and other’s
preconception or cognitive biases.
We believe that it is not enough to be
able to develop fantastic research questions if the efforts to answer them are
poor. We therefor conduct “research on research” to identify problems in
current research practice. We develop clinical research methodology tools to
address identified problems and to help us do better research.
Examples of ongoing work
Selected
outputs
Bandholm T, Wainwright TW, Kehlet H.
Rehabilitation strategies for optimisation of functional recovery after major
joint replacement. J Exp Orthop.
2018 Oct 11;5(1):44.
Jakobsen
TL, Jakobsen MD, Andersen LL, Husted H, Kehlet H, Bandholm T.
Quadriceps muscle activity during commonly used strength training exercises shortly after total knee
arthroplasty: implications for home-based
exercise-selection. J Exp Orthop. 2019 Jul 2;6(1):29.
Bandholm T, Christensen R, Thorborg K,
Treweek S, Henriksen M.
Preparing for what the reporting checklists will not
tell you: the PREPARE Trial guide for planning clinical research to avoid
research waste. Br J Sports Med. 2017 Oct;51(20):1494-1501.
Bandholm T, Thorborg K, Ardern CL,
Christensen R, Henriksen M.
Writing
up your clinical trial report for a scientific journal: the REPORT trial guide
for effective and transparent research reporting without spin Br J Sports Med
2022 (Epub
ahead of print).