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 .
Inspiratory Muscle Training May Increase Peak Inspiratory Flow in Chronic Obstructive Pulmonary Disease
Background : When choosing a specific inhalation device for a chronic obstructive pulmonary disease ( COPD ) patient , the internal airflow resistance and the ability of the patient to overcome it and to create an optimal inspiratory flow are essential . Objectives : The purpose of the present study was to investigate : ( 1 ) the peak inspiratory flow ( PIF ) that a patient with COPD can generate while breathing through two dry powder inhalers and ( 2 ) whether in patients with low PIF  specific inspiratory muscle training ( SIMT ) will increase the PIF and exceed the minimal PIF that is considered necessary to guarantee optimal lung deposition of the drug . Methods : Inspiratory muscle strength and PIFs were measured in 60 patients with COPD . Then 28 patients with severe COPD and low PIF were r and omized to receive SIMT or to a control group . Results : With the Turbuhaler , 12 patients ( 20 % ) could not generate the optimal flow of 60 l/min . PIF correlated very well with maximal inspiratory mouth pressure ( PImax ) for the Diskus and the Turbuhaler , as well as for both males and females ( p < 0.001 ) . Following the training period , there was a statistically significant increase in the PImax in the training group . This increase was associated with a significant increase in the PIF . All patients overcame the minimal threshold PIF following the training . Conclusions : Some patients with severe COPD are not able to generate adequate flow to secure optimal lung deposition of the inhalation with the Turbuhaler . SIMT improves inspiratory muscle strength as well as PIF . Following 8 weeks of training , the optimal PIF enabling adequate lung deposition of the drug was attained in all the trained patients
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 .