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In-Hospital Physiotherapy and Physical Recovery 3 Months After Lung Cancer Surgery: A Randomized Controlled Trial
Örebro University, School of Medical Sciences. Örebro University Hospital.ORCID iD: 0000-0001-8186-8562
Karolinska University Hospital, Stockholm, Sweden.
Örebro University, School of Health Sciences.ORCID iD: 0000-0003-1067-8627
Örebro University, Örebro, Sweden.
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2019 (English)In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 18, article id UNSP 1534735419876346Article in journal (Refereed) Published
Abstract [en]

Background: Lung cancer is the most frequently diagnosed cancer and one of the leading causes of cancer deaths. Surgery is the primary approach for curative treatment. Postoperative complications are common, and physiotherapy is often routinely provided for their prevention and treatment, even though the evidence is limited. The aim of this study was to examine the effect of in-hospital physiotherapy on postoperative physical capacity, physical activity, and lung function among patients undergoing lung cancer surgery.

Methods: A total of 107 patients undergoing elective thoracic surgery were included in a single-blinded randomized controlled trial, and randomized to a study group, receiving in-hospital physiotherapy treatment, or a control group, not receiving in-hospital physiotherapy treatment. The patients were assessed preoperatively and 3 months after surgery. The in-hospital physiotherapy treatment consisted of early mobilization, ambulation, breathing exercises, and thoracic range of motion exercises. Physical capacity was assessed with the 6-minute walk test. Level of physical activity was objectively assessed with an accelerometer and subjectively assessed with the International Physical Activity Questionnaire Modified for the Elderly.

Results: Physical capacity for the whole sample was significantly decreased 3 months postoperatively compared with preoperative values (P = .047). There were no statistically significant differences between the groups regarding physical capacity, physical activity, spirometric values, or dyspnea. However, patients in the study group increased their level of self-reported physical activity from preoperatively to 3 months postoperatively, while the patients in the control group did not.

Conclusions: No difference in physical capacity, physical activity, or lung function was found 3 months postoperatively in lung cancer surgery patients receiving in-hospital physiotherapy compared with control patients.

Place, publisher, year, edition, pages
Sage Publications, 2019. Vol. 18, article id UNSP 1534735419876346
Keywords [en]
lung cancer, physiotherapy, physical activity, surgery, physical function
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:oru:diva-77077DOI: 10.1177/1534735419876346ISI: 000486724600001PubMedID: 31530046Scopus ID: 2-s2.0-85072278929OAI: oai:DiVA.org:oru-77077DiVA, id: diva2:1358685
Funder
Swedish Cancer Society, CAN 2015/721
Note

Funding Agencies:

Research Committee of Orebro County Council  OLL-363321 OLL-686781

Swedish Heart and Lung Patients National Association  E o86/13

Available from: 2019-10-08 Created: 2019-10-08 Last updated: 2024-01-30Bibliographically approved

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Jonsson, MarcusHurtig-Wennlöf, AnitaVidlund, MårtenCao, YangWesterdahl, Elisabeth

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