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Short and long-term...
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Brocki, Barbara Cristina,1957-Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark
(author)
Short and long-term effects of supervised versus unsupervised exercise training on health-related quality of life and functional outcomes following lung cancer surgery : a randomized controlled trial
- Article/chapterEnglish2014
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Elsevier,2014
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:oru-34131
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-34131URI
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https://doi.org/10.1016/j.lungcan.2013.10.015DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding Agencies:Danish Cancer Research FoundationDanish Physiotherapist Association and Aalborg University Hospital
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OBJECTIVE:Surgical resection enhances long-term survival after lung cancer, but survivors face functional deficits and report on poor quality of life long time after surgery. This study evaluated short and long-term effects of supervised group exercise training on health-related quality of life and physical performance in patients, who were radically operated for lung cancer.METHODS:A randomized, assessor-blinded, controlled trial was performed on 78 patients undergoing lung cancer surgery. The intervention group (IG, n=41) participated in supervised out-patient exercise training sessions, one hour once a week for ten weeks. The sessions were based on aerobic exercises with target intensity of 60-80% of work capacity, resistance training and dyspnoea management. The control group (CG, n=37) received one individual instruction in exercise training. Measurements consisted of: health-related quality of life (SF36), six minute walk test (6MWT) and lung function (spirometry), assessed three weeks after surgery and after four and twelve months.RESULTS:Both groups were comparable at baseline on demographic characteristic and outcome values. We found a statistically significant effect after four months in the bodily pain domain of SF36, with an estimated mean difference (EMD) of 15.3 (95% CI:4 to 26.6, p=0.01) and a trend in favour of the intervention for role physical functioning (EMD 12.04, 95% CI: -1 to 25.1, p=0.07) and physical component summary (EMD 3.76, 95% CI:-0.1 to 7.6, p=0.06). At 12 months, the tendency was reversed, with the CG presenting overall slightly better measures. We found no effect of the intervention on 6MWT or lung volumes at any time-point.CONCLUSION:Supervised compared to unsupervised exercise training resulted in no improvement in health-related quality of life, except for the bodily pain domain, four months after lung cancer surgery. No effects of the intervention were found for any outcome after one year.
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Andreasen, JaneDepartment of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark
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Nielsen, Lene RodkjaerDepartment of Cardiothoracic Surgery, Aalborg University Hospital, Aalborg, Denmark
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Nekrasas, VytautasDepartment of Cardiothoracic Surgery, Aalborg University Hospital, Aalborg, Denmark
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Gorst- Rasmussen, AndersCentre for Cardiovascular Research, Department of Cardiothoracic Surgery, Aalborg University Hospital, Aalborg, Denmark
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Westerdahl, Elisabeth,1964-Örebro universitet,Institutionen för hälsovetenskap och medicin,Region Örebro län,Department of Physiotherapy, Örebro University Hospital, Örebro, Sweden(Swepub:oru)ewl
(author)
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Örebro universitetInstitutionen för hälsovetenskap och medicin
(creator_code:org_t)
Related titles
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In:Lung Cancer: Elsevier83:1, s. 102-1080169-50021872-8332
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