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Inspiratory Muscle Training in High-Risk Patients Following Lung Resection May Prevent a Postoperative Decline in Physical Activity Level
Aalborg University Hospital, Aalborg, Denmark.
Aalborg University Hospital, Aalborg, Denmark; Aalborg University, Aalborg, Denmark.
Örebro University, School of Health Sciences. Örebro University Hospital. Uppsala University, Uppsala, Sweden.
2018 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 17, no 4, p. 1095-1102Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To describe postoperative self-reported physical activity (PA) level and assess the effects of 2 weeks of postoperative inspiratory muscle training (IMT) in patients at high risk for postoperative pulmonary complications following lung resection.

METHODS: This is a descriptive study reporting supplementary data from a randomized controlled trial that included 68 patients (mean age = 70 ± 8 years), randomized to an intervention group (IG; n = 34) or a control group (CG; n = 34). The IG underwent 2 weeks of postoperative IMT added to a standard postoperative physiotherapy given to both groups. The standard physiotherapy consisted of breathing exercises, coughing techniques, and early mobilization. We evaluated self-reported physical activity (Physical Activity Scale 2.1 questionnaire) and health status (EuroQol EQ-5D-5L questionnaire), assessed the day before surgery and 2 weeks postoperatively.

RESULTS: A significant percentage of the patients in the IG reported less sedentary activity 2 weeks postoperatively when compared with the CG (sedentary 6% vs 22%, low activity 56% vs 66%, moderate activity 38% vs 12%, respectively; P = .006). The mean difference in EQ-5D-5L between the IG and CG 2 weeks postoperatively was nonsignificant ( P = .80). The overall preoperative EQ-5D-5L index score for the study population was comparable to a reference population.

CONCLUSION: Postoperative IMT seems to prevent a decline in PA level 2 weeks postoperatively in high-risk patients undergoing lung resection. More research is needed to confirm these findings.

Place, publisher, year, edition, pages
Sage Publications, 2018. Vol. 17, no 4, p. 1095-1102
Keywords [en]
Activity level, lung cancer, physiotherapy, postoperative, randomized controlled trial, respiratory muscle training, surgery
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-68598DOI: 10.1177/1534735418796286ISI: 000450322400010PubMedID: 30136589Scopus ID: 2-s2.0-85056277150OAI: oai:DiVA.org:oru-68598DiVA, id: diva2:1242070
Funder
Swedish Cancer Society, CAN 205/721
Note

Funding agencies:

Danish Cancer Society

Aalborg University Hospital

Available from: 2018-08-27 Created: 2018-08-27 Last updated: 2018-12-05Bibliographically approved

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Westerdahl, Elisabeth

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