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Preoperative exercise training prevents functional decline after lung resection surgery: a randomized, single-blind
Raquel Sebio García1, Maria Isabel Yáñez-Brage1, Esther Giménez Moolhuyzen2
11 Physiotherapy Department, University of A Coruña, A Coruña, Spain.
Clinical Rehabilitation
|July 22, 2017
Summary
Preoperative pulmonary rehabilitation significantly improved exercise capacity and strength in lung cancer patients undergoing surgery. This intervention may prevent postoperative functional decline, enhancing recovery for thoracic surgery patients.
Area of Science:
- Thoracic Surgery
- Pulmonary Rehabilitation
- Oncology
Background:
- Video-assisted thoracic surgery (VATS) for lung cancer can lead to postoperative functional decline.
- Prehabilitation programs aim to optimize patient condition before surgery.
Purpose of the Study:
- To investigate the effectiveness of a preoperative pulmonary rehabilitation program in lung cancer patients undergoing VATS.
- To assess the impact of prehabilitation on exercise capacity, muscle strength, quality of life, and postoperative outcomes.
Main Methods:
- Randomized, single-blind controlled trial involving patients with lung cancer undergoing VATS.
- Intervention group received combined endurance, resistance, and breathing exercises.
- Outcomes measured included exercise capacity, muscle strength (Senior Fitness Test), and quality of life (SF-36).
Main Results:
- The prehabilitation group showed significant improvements in exercise tolerance, physical quality of life, and muscle strength post-intervention.
- No immediate postoperative differences were observed between groups.
- Three months postoperatively, significant differences favored the prehabilitation group in exercise capacity, physical quality of life, and strength.
Conclusions:
- Preoperative pulmonary rehabilitation appears to enhance the preoperative condition of lung cancer patients.
- This program may help prevent functional decline following VATS, improving long-term recovery.
- Clinical Trial Registration: NCT01963923.
