None listed
Conditions
Brief summary
The purpose of this study is to assess the effect of early intervention exercise after surgery on mood and post-operative outcomes. Who is it for? You may be eligible for this study if you are aged 18 or over, and undergoing major foregut cancer surgery. Study details Participants in this study will be randomised by blocking, into two groups. Participants in one group will receive standard care which includes, enhanced recovery after surgery protocol. The other group will start exercise from the first post-operative day until discharge from hospital. The exercises will involve two sessions daily, one resistance training and one cardio training. The resistance training will involve chest press, knee extension, bicep curl, shoulder press, lateral raise, calf raises and sit to stand. The cardio training will involve walking, arm cycling, leg cycling, and step ups. The sessions will last approximately 10-45 minutes. As a part of this study, all participants will answer questionnaires and undergo simple fitness tests prior to surgery, when leaving the hospital, and at 1 month and 3 months after discharge from hospital. It is hoped this research will demonstrate starting exercise sooner will results in improved mood and physical outcomes.
Interventions
a) A trained project officer will administer the sessions
b) The exercise will be administered one-on-one at the patients bed side and within the ward of the hospital
c) The level of intensity will range from moderate to hard. This is assessed using the Borg RPE 10 point scale, with the intensity aimed at 4-7. Furthermore, hear rate will also be measured.
d) Exercise session duration is between 15-45 minutes depending on each patients recovery status
e) The frequency of the intervention will be
a) A trained project officer will administer the sessions b) The exercise will be administered one-on-one at the patients bed side and within the ward of the hospital c) The level of intensity will range from moderate to hard. This is assessed using the Borg RPE 10 point scale, with the intensity aimed at 4-7. Furthermore, hear rate will also be measured. d) Exercise session duration is between 15-45 minutes depending on each patients recovery status e) The frequency of the intervention will be two times per day from post-operative day 1 to discharge f) The project officer will document adherence rate and attendance rate. Attendance rate will be a binary outcome of yes and no if the session was to start. The adherence rate would be the number of exercises performed by the number of exercises prescribed each session. f) Resistance sessions will include, chest press, knee extension, bicep curl, shoulder press, lateral raise, calf raise and sit to stands. The cardio sessions will include, arm cycling, leg cycling, walking, and step ups. The intervention is in addition to standard care as usual.
Sponsors
St Vincent's Hospital, Melbourne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• Has either upper GI or HPB cancer as determined by attendance of Clinic at St Vincent’s Hospital, and therefore, UNDERGOING major foregut cancer surgery • Ability to understand and take instructions of exercises in English • Provide a signed and dated informed consent form
Exclusion criteria
• Has clinically diagnosed alternate malignancies • Has multiple concurrent malignancies • Severe COPD • Prisoners • Emergency procedures • Is unable to complete baseline assessments.
Outcome results
None listed