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Preoperative exercise training prevents functional decline after lung resection surgery: a randomized, single-blind controlled trial.
Clin Rehabil 2017; 31(8):1057-1067CR

Abstract

OBJECTIVES

To investigate the effects of a preoperative pulmonary rehabilitation programme in patients with lung cancer undergoing video-assisted thoracic surgery.

DESIGN

Randomized, single-blind controlled trial.

SETTING

Teaching hospital.

SUBJECTS

Patients with suspected or confirmed lung cancer undergoing video-assisted thoracic surgery.

INTERVENTION

Participants were randomized to either a prehabilitation group or a control group. Participants in the prehabilitation group underwent a combination of moderate endurance and resistance training plus breathing exercises three to five times per week.

MAIN MEASURES

The primary outcome of the study was exercise capacity. Secondary outcomes were muscle strength (Senior Fitness Test), health-related quality of life (Short-Form 36) and the postoperative outcomes. Patients were evaluated at baseline (before randomization), presurgery (only the prehabilitation group), after surgery and three months post-operatively.

RESULTS

A total of 40 patients were randomized and 22 finished the study (10 in the prehabilitation group and 12 in the control group). Three patients were lost to follow-up at three months. After the training, there was a statistically significant improvement in exercise tolerance (+397 seconds, p = 0.0001), the physical summary component of the SF-36 (+4.4 points, p = 0.008) and muscle strength (p < 0.01). There were no significant differences between groups after surgery. However, three months postoperatively, significant differences were found in the mean change of exercise capacity (p = 0.005), physical summary component (p = 0.001) and upper and lower body strength (p = 0.045 and p = 0.002).

CONCLUSIONS

A pulmonary rehabilitation programme before video-assisted thoracic surgery seems to improve patients' preoperative condition and may prevent functional decline after surgery. Clinical Registration Number: NCT01963923 (Registration date 10/10/2013).

Authors+Show Affiliations

1 Physiotherapy Department, University of A Coruña, A Coruña, Spain.1 Physiotherapy Department, University of A Coruña, A Coruña, Spain.2 Thoracic Department, University Hospital of A Coruña, A Coruña, Spain.3 DC Fisioterapia Ares, A Coruña, Spain.1 Physiotherapy Department, University of A Coruña, A Coruña, Spain.2 Thoracic Department, University Hospital of A Coruña, A Coruña, Spain.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

28730888

Citation

Sebio García, Raquel, et al. "Preoperative Exercise Training Prevents Functional Decline After Lung Resection Surgery: a Randomized, Single-blind Controlled Trial." Clinical Rehabilitation, vol. 31, no. 8, 2017, pp. 1057-1067.
Sebio García R, Yáñez-Brage MI, Giménez Moolhuyzen E, et al. Preoperative exercise training prevents functional decline after lung resection surgery: a randomized, single-blind controlled trial. Clin Rehabil. 2017;31(8):1057-1067.
Sebio García, R., Yáñez-Brage, M. I., Giménez Moolhuyzen, E., Salorio Riobo, M., Lista Paz, A., & Borro Mate, J. M. (2017). Preoperative exercise training prevents functional decline after lung resection surgery: a randomized, single-blind controlled trial. Clinical Rehabilitation, 31(8), pp. 1057-1067. doi:10.1177/0269215516684179.
Sebio García R, et al. Preoperative Exercise Training Prevents Functional Decline After Lung Resection Surgery: a Randomized, Single-blind Controlled Trial. Clin Rehabil. 2017;31(8):1057-1067. PubMed PMID: 28730888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative exercise training prevents functional decline after lung resection surgery: a randomized, single-blind controlled trial. AU - Sebio García,Raquel, AU - Yáñez-Brage,Maria Isabel, AU - Giménez Moolhuyzen,Esther, AU - Salorio Riobo,Marta, AU - Lista Paz,Ana, AU - Borro Mate,Jose María, Y1 - 2016/12/20/ PY - 2017/7/22/entrez PY - 2017/7/22/pubmed PY - 2018/5/23/medline KW - Cancer KW - exercise programme KW - preoperative care KW - pulmonary rehabilitation KW - quality of life SP - 1057 EP - 1067 JF - Clinical rehabilitation JO - Clin Rehabil VL - 31 IS - 8 N2 - OBJECTIVES: To investigate the effects of a preoperative pulmonary rehabilitation programme in patients with lung cancer undergoing video-assisted thoracic surgery. DESIGN: Randomized, single-blind controlled trial. SETTING: Teaching hospital. SUBJECTS: Patients with suspected or confirmed lung cancer undergoing video-assisted thoracic surgery. INTERVENTION: Participants were randomized to either a prehabilitation group or a control group. Participants in the prehabilitation group underwent a combination of moderate endurance and resistance training plus breathing exercises three to five times per week. MAIN MEASURES: The primary outcome of the study was exercise capacity. Secondary outcomes were muscle strength (Senior Fitness Test), health-related quality of life (Short-Form 36) and the postoperative outcomes. Patients were evaluated at baseline (before randomization), presurgery (only the prehabilitation group), after surgery and three months post-operatively. RESULTS: A total of 40 patients were randomized and 22 finished the study (10 in the prehabilitation group and 12 in the control group). Three patients were lost to follow-up at three months. After the training, there was a statistically significant improvement in exercise tolerance (+397 seconds, p = 0.0001), the physical summary component of the SF-36 (+4.4 points, p = 0.008) and muscle strength (p < 0.01). There were no significant differences between groups after surgery. However, three months postoperatively, significant differences were found in the mean change of exercise capacity (p = 0.005), physical summary component (p = 0.001) and upper and lower body strength (p = 0.045 and p = 0.002). CONCLUSIONS: A pulmonary rehabilitation programme before video-assisted thoracic surgery seems to improve patients' preoperative condition and may prevent functional decline after surgery. Clinical Registration Number: NCT01963923 (Registration date 10/10/2013). SN - 1477-0873 UR - https://www.unboundmedicine.com/medline/citation/28730888/Preoperative_exercise_training_prevents_functional_decline_after_lung_resection_surgery:_a_randomized_single_blind_controlled_trial_ L2 - http://journals.sagepub.com/doi/full/10.1177/0269215516684179?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -