Clinical trial NCT05794607: Investigation of the Effectiveness of Tele-pulmonary Rehabilitation After Lung Resection
Official title: Investigation of the Effectiveness of Tele-pulmonary Rehabilitation After Lung Resection
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Tele-pulmonary Rehabilitation
Lung Cancer
Lung Resection
Lead sponsor: Dr. Lutfi Kirdar Kartal Training and Research Hospital
Sponsor class: OTHER_GOV
First posted: 2023-04-03
Enrollment: 36
Sex: ALL
Minimum age (years): 55
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Patients who will undergo lung surgery for lung cancer
Primary purpose: SUPPORTIVE_CARE

Brief summary: As a result of the review in the literature, no study was found in which tele-pulmonary rehabilitation was applied after physiotherapist-supervised lung resection via video conferencing.

Therefore, in this study, it was planned to investigate the effectiveness of tele-pulmonary rehabilitation in patients diagnosed with lung cancer and undergoing lung resection.

Detailed description: Research; It was planned as a prospective and randomized controlled study. The research universe is Istanbul Kartal Dr. Lütfi Kırdar City Hospital Chest Surgery Clinic will consist of cases with a preliminary diagnosis of lung cancer. The sample of the study, on the other hand, will consist of patients who agreed to participate in the study and who met the inclusion criteria, who were planned for lung resection.

1. Study group (n=18); The treatment features of the tele-pulmonary rehabilitation group via videoconferencing are; Within the scope of the tele-pulmonary rehabilitation program, an exercise program consisting of lower-upper extremity strengthening training and flexibility training, breathing exercises training (diaphragmatic breathing, thoracic expansion exercises and forced expiration) and aerobic exercise training will be created before discharge, exercise session will be followed. Re-evaluation will be done after 8 weeks.Exercise intensity will be planned as 2 days a week with supervision and 1 day without supervision, 3 days a week in total. Exercise safety will be ensured by taking the severity of shortness of breath of the patients as a reference.
2. Control group (n=18); Patients in the tele-pulmonary rehabilitation control group will be given respiratory and aerobic exercise advice before discharge. Re-evaluation will be done after 8 weeks.

Eligibility criteria: Inclusion Criteria:

* Male and female patients aged 55-75 years diagnosed with lung cancer
* Patients who underwent lobectomy, segmentectomy, bilobectomy, and pneumonectomy by either VATS or thoracotomy surgeries
* Patients who can use phones and make video calls

Exclusion Criteria:

* Patients with heart failure or atrial fibrillation
* Patients with acute infection at the time of assessment
* Patients who have had myocardial infarction in the last six months
* Patients with any comorbidities such as uncontrolled diabetes mellitus and/or hypertension
* Patients with any problem that would limit physical activity

Primary outcomes:
measure: Functional exercises capacity
timeFrame: 8 weeks
measure: Pulmonary function test
timeFrame: 8 weeks
measure: Peripheral muscle strength
timeFrame: 8 weeks
measure: Upper extremity normal range of motion
timeFrame: 8 weeks
Secondary outcomes:
measure: Anxiety and depression
timeFrame: 8 weeks
measure: Determination of quality of life
timeFrame: 8 weeks
measure: Cognitive functions
timeFrame: 8 weeks
Other outcomes:
Locations:
Study officials:
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