Clinical trial NCT06813144: Effectiveness of Respiratory Muscle Training with a Mobile Application After Lobectomy
Official title: Evaluation of the Effectiveness of Respiratory Muscle Training with a Mobile Application in the Early Postoperative Period After Lobectomy
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Video Assisted Thoracic Surgery (VATS)
Thoracic Surgery
Respiratory Muscle
Lung Cancer (NSCLC)
Keywords: lung cancer
vats
inspiratory muscle training
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2025-02-06
Enrollment: 45
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: It has been observed that there are negative effects on respiratory muscle strength following lobectomy. This has led to the necessity of respiratory muscle training to mitigate these adverse effects. Most studies conducted so far focus on the late postoperative period, and there are only a few studies evaluating the effectiveness of early postoperative inspiratory muscle training (IMT). It is believed that this method could be useful for facilitating patient follow-up and increasing patient motivation through visual feedback.

Detailed description: It has been observed that there are negative effects on respiratory muscle strength following lobectomy. This has led to the necessity of respiratory muscle training to mitigate these adverse effects. Most studies conducted so far focus on the late postoperative period, and there are only a few studies evaluating the effectiveness of early postoperative inspiratory muscle training (IMT). Additionally, there is currently no study assessing the effectiveness of IMT using a smart adapter in patients who have undergone lobectomy. It is believed that this method could be useful for facilitating patient follow-up and increasing patient motivation through visual feedback. The aim of this study is to examine the changes in respiratory muscle strength and exercise capacity in patients after lobectomy via VATS, comparing classical IMT, mobile application-supported IMT, and a control group that does not receive IMT.

Eligibility criteria: Inclusion Criteria:

* Volunteering to participate in the study,
* Being clinically stable,
* Being a lung cancer patient with a planned lobectomy with VATS,
* Being between the ages of 18-65,
* Being able to cooperate with the tests to be performed.

Exclusion criteria:

* Having any orthopedic or neurological problem that prevents walking,
* Having undergone any surgery related to the thoracic wall,
* Having diseases that will affect respiratory parameters such as severe heart failure, severe chronic obstructive pulmonary disease (COPD).

Primary outcomes:
measure: Inspiratory muscle strength
timeFrame: Measurements will be performed before surgery (the day before surgery), at discharge and during the follow-up period after surgery (10-15 days after discharge).
measure: Expiratory muscle strength
timeFrame: Measurements will be performed before surgery (the day before surgery), at discharge and during the follow-up period after surgery (10-15 days after discharge).
Secondary outcomes:
measure: Functional exercise capacity
timeFrame: Evaluations will be made before surgery (the day before surgery) and during the follow-up period (10-15 days after discharge).
measure: Postoperative Pulmonary Complications
timeFrame: Postoperative first-fifth days.
measure: Exercise Motivation
timeFrame: The evaluation will be made during the control period (10-15 days after discharge).
measure: Dyspnea Level
timeFrame: An evaluation will be made in the preoperative (the day before surgery) and control period (10-15 days after discharge).
measure: Quality of Life
timeFrame: The evaluation will be made during the preoerative (the day before surgery) and control (10-15 days after discharge) period.
measure: Physical Performance
timeFrame: Evaluations will be made in the preoperative (the day before surgery) and control (10-15 days after discharge) periods.
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University
Study officials:
affiliation: Hacettepe University
name: Ebru Calik Kutukcu, Professorr
role: STUDY_DIRECTOR
References: