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 .
Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial.
BACKGROUND The feasibility and practicality of preoperative rehabilitation ( PR ) programs remains quite controversial in the treatment of lung cancer ( LC ) . This study explored whether a short-term high-intensity rehabilitation program could improve postoperative outcomes compared to those achieved with conventional inspiratory muscle training ( IMT ) . METHODS A three-armed r and omized controlled trial comparing the two training modalities and routine care was conducted in surgical LC patients . Patient groups received one of three treatment regimens : ( I ) high-intensity pulmonary rehabilitation ( PR ) that combined IMT with conventional resistance training ( CRT ) ( combined PR group ) ; ( II ) conventional PR ( single IMT group ) ; or ( III ) routine preoperative preparation ( control group ) . The primary endpoint was a change in the occurrence of post-operative pulmonary complications ( PPCs ) that occurred within 30 days after surgery , while secondary endpoints included changes in length of hospital stay , quality of life ( QoL ) scores , 6-min walk distance ( 6-MWD ) and peak expiratory flow ( PEF ) . RESULTS A total of 90 enrolled patients were r and omized into three groups with a computer-based 1:1:1 ratio . The intention-to-treat analysis of the study revealed that , compared with the Control Group , the Combined PR Group had a significant increase in ∆6-MWD ( by 32.67 m , P=0.002 ) , ∆PEF ( by 14.3 L/min , P=0.001 ) , ∆global scores ( by 3.7 , P=0.035 ) ; and a reduced ∆average total hospital stay ( by 3.2 d , P=0.001 ) and ∆postoperative stay ( by 3.6 d , P=0.001 ) . With regard to PPC rate , the Combined PR Group had a somewhat lower PPC severity ( grade II-V ) compared to the Control Group . CONCLUSIONS This hospital-based short-term program of PR combining high-intensity IMT with CRT was significantly superior to the conventional IMT program , indicating that this approach would be a feasible strategy for treating LC patients , especially those waiting operations with surgery-related risk factors
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 .