Lung Cancer (NSCLC), Respiratory Muscle, Thoracic Surgery, Video Assisted Thoracic Surgery (VATS)
Conditions
Keywords
lung cancer, vats, inspiratory muscle training
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.
Interventions
Inspiratory muscle training will be given with or without smart adaptor.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
double blind (participant and statistician)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inspiratory muscle strength | 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). | Respiratory muscle strength will measure by measuring mouth pressure and using maximal inspiratory pressure (MIP) values. |
| Expiratory muscle strength | 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). | Respiratory muscle strength will measure by measuring mouth pressure and using maximal expiratory pressure (MEP) values. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exercise Motivation | The evaluation will be made during the control period (10-15 days after discharge). | Exercise Motivation Attitude Scale will be used. This scale consists of 3 sub-dimensions (negative attitude and thought/positive view and health/physical appearance and health). |
| Dyspnea Level | An evaluation will be made in the preoperative (the day before surgery) and control period (10-15 days after discharge). | Modified Borg Scale will be used to evaluate dyspnea. |
| Functional exercise capacity | Evaluations will be made before surgery (the day before surgery) and during the follow-up period (10-15 days after discharge). | 6-minute walk test (6MWT) will be used to evaluate functional exercise capacity. |
| Physical Performance | Evaluations will be made in the preoperative (the day before surgery) and control (10-15 days after discharge) periods. | The Short Physical Performance Battery, a frequently used test in cardiovascular and pulmonary diseases, will be used. |
| Quality of Life | The evaluation will be made during the preoerative (the day before surgery) and control (10-15 days after discharge) period. | SF-12 Quality of Life Scale will be used to assess quality of life. |
| Postoperative Pulmonary Complications | Postoperative first-fifth days. | Postoperative pulmonary complications will be evaulate by Melbourne Group Scale. If more than 4 parameters are positive, it will be considered as having postoperative pulmonary complication. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactFunda Alma, MsC
Backup ContactEbru Calik Kutukcu, Professor
Outcome results
None listed