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 .
Seven-day intensive preoperative rehabilitation for elderly patients with lung cancer: a randomized controlled trial.
BACKGROUND As a newly developed treatment , preoperative pulmonary rehabilitation ( PR ) has been studied in depth . However , few studies have assessed the relationship between advanced age and a shorter term intensive pattern of preoperative PR in patients with lung cancer ( LC ) and especially those patients waiting for therapeutic LC surgeries . This study investigated short-term preoperative PR combined with inspiratory muscle training ( IMT ) and aerobic endurance training in elderly patients scheduled to undergo LC lobectomy . METHODS A prospect i ve r and omized controlled trial with a total of 60 subjects aged ≥70 y was conducted . The intervention group ( PR group ) was treated for 1 wk with systematic and highly intensive preoperative PR training before lobectomy , and the control group ( NPR group ) was treated with conventional preoperative respiratory management . We analyzed the 6-min walking distance ( 6-MWD ) , the peak expiratory flow ( PEF ) , and quality -of-life scores before and after the rehabilitation regimen as well as the incidence of postoperative pulmonary complications ( PPCs ) . RESULTS In total , 30 patients ( PR group ) completely executed the 7-d intensive preoperative PR , and 30 patients ( NPR group ) served as the control group . The two groups were comparable at baseline . During the preoperative PR , a significantly longer 6-MWD ( increase : 28.6 ± 18.2 versus 9.4 ± 27.0 m ; between-groups difference : 19.2 m , P = 0.029 ) and an increased PEF ( increase : 26.2 ± 22.5 versus 8.2 ± 10.3 L/min ; between-groups difference : 18.0 L/min , P < 0.001 ) were noted in the PR group compared with the NPR group . After LC surgery , the mean postoperative length of stay ( 6.9 ± 4.4 versus 10.7 ± 6.4 d , P = 0.010 ) and total hospital stay ( 16.0 ± 4.5 versus 19.7 ± 6.5 d , P = 0.012 ) were significantly reduced in the PR group . Thirty-day PPCs were noted in four ( 13.3 % ) patients in the PR group and 11 ( 36.7 % ) patients in the NPR group , with a significant difference between the two groups ( P = 0.037 ) . CONCLUSIONS For elderly LC patients scheduled to undergo surgery in China , a 7-d intensive pattern of preoperative PR combined with IMT and aerobic endurance training may be a feasible rehabilitation strategy with positive physical and psychological effects
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 .