For the functional capacity and medical care parameters , preoperative combined aerobic , resistance , and inspiratory muscle training was shown to be effective if comprising one to four weeks , performing 1 - 3 sessions per week , with moderate intensity ( 50 % for endurance capacity ) .
Preoperative physical exercise protocol s prior to cancer surgery increased in popularity over recent years ; however , the beneficial effect of such protocol s is not well established , with conflicting results reported .
We conducted a systematic review and meta- analysis of r and omized controlled trials ( RCTs ) to assess the effects of different modalities or combinations of preoperative exercise interventions and /or prehabilitation multicomponent training in patients with non-small-cell lung cancer ( NSCLC ) after surgery on the outcomes related to functional capacity , mental wellness and medical care .
Systematic short-term pulmonary rehabilitation before lung cancer lobectomy: a randomized trial.
OBJECTIVES The goal of this study was to assess the impact of a preoperative 1-week , systematic , high-intensity inpatient exercise regimen on patients with lung cancer who had risk factors for postoperative pulmonary complications ( PPCs ) . METHODS We conducted a r and omized controlled trial with 101 subjects of a preoperative , 7-day systematic , integrated , high-intensity pulmonary exercise regimen .  The control group received st and ard preoperative care . We analysed the occurrence of PPCs in both groups as the primary outcome ; other outcomes included changes in blood gas , quality of life , peak expiratory flow rate , the 6-min walk distance and others . RESULTS The 6-min walk distance showed an increase of 22.9 ± 25.9 m in the intervention group compared with 4.2 ± 9.2 m in the control group , giving a between-group difference of 18.7 m ( 95 % confidence interval : 8.8 - 28.6 ; P < 0.001 ) ; the peak expiratory flow increased by 25.2 ± 24.6 l/min , compared with 4.2 ± 7.7 l/min ( between-group difference : 21.0 m , 95 % confidence interval : 7.2 - 34.8 ; P = 0.003 ) . The intervention group had a shorter average total ( 15.6 ± 3.6 vs 17.7 ± 5.3 days , P = 0.023 ) and postoperative length of stay ( 6.1 ± 3.0 vs 8.7 ± 4.6 days , P = 0.001 ) than the control group ; the incidence of PPCs ( 9.8 % , 5/51 vs 28.0 % , 14/50 , P = 0.019 ) was significantly lower . A multivariable analysis of the risk of PPCs identified short-term rehabilitation intervention to be an independent risk factor ( odds ratio = 0.156 , 95 % confidence interval : 0.037 - 0.649 , P = 0.011 ) . CONCLUSIONS The study results suggested that a systematic , high-intensity pulmonary exercise programme was a practical strategy when performed preoperatively in patients with lung cancer with risk factors for PPCs . CLINICAL TRIAL REGISTRATION ChiCTR-IOR-16008109
For the functional capacity and medical care parameters , preoperative combined aerobic , resistance , and inspiratory muscle training was shown to be effective if comprising one to four weeks , performing 1 - 3 sessions per week , with moderate intensity ( 50 % for endurance capacity ) .
Preoperative physical exercise protocol s prior to cancer surgery increased in popularity over recent years ; however , the beneficial effect of such protocol s is not well established , with conflicting results reported .
We conducted a systematic review and meta- analysis of r and omized controlled trials ( RCTs ) to assess the effects of different modalities or combinations of preoperative exercise interventions and /or prehabilitation multicomponent training in patients with non-small-cell lung cancer ( NSCLC ) after surgery on the outcomes related to functional capacity , mental wellness and medical care .