Can maximal inspiratory and expiratory pressures during exercise predict complications in patients submitted to major lung resections? A prospective cohort study

Refai, Majed; Pompili, Cecilia; Salati, Michele; Xiumé, Francesco; Sabbatini, Armando; Brunelli, Alessandro

doi:10.1093/ejcts/ezt440

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…IMT positively enhances respiratory muscle strength, which reflects the relative load for breathing, coughing, and huffing (14,15). Moreover, Sutton et al showed that improved forced expiration maneuvers could be more effective than coughing for improving clearance of bronchoalveolar hyper-secretions (16).…”

Section: Discussionmentioning

confidence: 99%

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

Huang¹,

Lai²,

Zhou³

et al. 2017

J. Thorac. Dis.

117

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Background:The feasibility and practicality of preoperative rehabilitation (PR) programs remains quite controversial in the treatment of lung cancer (LC). This study explored whether a short-term high-intensity rehabilitation program could improve postoperative outcomes compared to those achieved with conventional inspiratory muscle training (IMT).Methods: A three-armed randomized controlled trial comparing the two training modalities and routine care was conducted in surgical LC patients. Patient groups received one of three treatment regimens: (I) high-intensity pulmonary rehabilitation (PR) that combined IMT with conventional resistance training (CRT) (combined PR group); (II) conventional PR (single IMT group); or (III) routine preoperative preparation (control group). The primary endpoint was a change in the occurrence of post-operative pulmonary complications (PPCs) that occurred within 30 days after surgery, while secondary endpoints included changes in length of hospital stay, quality of life (QoL) scores, 6-min walk distance (6-MWD) and peak expiratory flow (PEF).Results: A total of 90 enrolled patients were randomized into three groups with a computer-based 1:1:1 ratio. The intention-to-treat analysis of the study revealed that, compared with the Control Group, the Combined PR Group had a significant increase in Conclusions: This hospital-based short-term program of PR combining high-intensity IMT with CRT was significantly superior to the conventional IMT program, indicating that this approach would be a feasible strategy for treating LC patients, especially those waiting operations with surgery-related risk factors.

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Section: Discussionmentioning

confidence: 99%

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

Huang¹,

Lai²,

Zhou³

et al. 2017

J. Thorac. Dis.

117

View full text Add to dashboard Cite

show abstract

“…A preoperative SCT was performed in seven studies (Pate et al, 1996;Holden et al, 1992;Dong et al, 2017;Refai et al, 2014;Nikolic et al, 2007;Toker et al, 2007;Brunelli et al, 2001), in which different SCT protocols were used. Patients were asked 1) to climb the maximum number of steps at a pace of their own choice (Pate et al, 1996;Holden et al, 1992;Refai et al, 2014;Nikolic et al, 2007;Brunelli et al, 2001), 2) to climb five stairs with 20 steps as fast as they could without stopping to rest (Dong et al, 2017), or 3) to do their best during 2 stair-climbing exercises in which each flight of stairs was composed of 20 steps and climbing time was recorded (Toker et al, 2007). There were also differences between studies concerning test duration, step height, and number of steps.…”

Section: Stair-climb Testmentioning

confidence: 99%

Associations between pretreatment physical performance tests and treatment complications in patients with non-small cell lung cancer: A systematic review

Voorn

Franssen

Verlinden

et al. 2021

Critical Reviews in Oncology/Hematology

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“…Refai et al 7 ) reported an association between respiratory muscle weakness after lung resection and increased incidence of pulmonary complications. Recovery of respiratory muscle function after surgery is important because lung resection leads to impairments in these muscles.…”

Section: Discussionmentioning

confidence: 99%

Effect of caregiver education on pulmonary rehabilitation, respiratory muscle strength and dyspnea in lung cancer patients

Jeong

Yoo

2015

J Phys Ther Sci

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[Purpose] This study evaluated the effects of caregiver education on pulmonary rehabilitation of patients who have undergone lung resection for cancer. [Subjects] Patients were divided into experimental (n = 22) and control (n = 19) groups. [Methods] The caregivers of the experimental group patients received education on pulmonary rehabilitation, while the control group patients received general management advice for 4 weeks. [Results] Pulmonary muscle strength (maximum inspiratory pressure and maximum expiratory pressure) was increased significantly in the experimental group compared to the control group. Modified Borg scale scores were decreased significantly in the experimental vs. control group. [Conclusion] Providing caregivers with education pertaining to pulmonary rehabilitation was associated with improved pulmonary function in lung cancer patients following lung resection.

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Can maximal inspiratory and expiratory pressures during exercise predict complications in patients submitted to major lung resections? A prospective cohort study

Abstract: The measurement of PImax at the mouth during exercise represents an additional parameter that can be used to refine risk stratification of lung resection candidates and to identify patients who may benefit from inspiratory muscle training.

Cited by 8 publications

References 22 publications

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial

Associations between pretreatment physical performance tests and treatment complications in patients with non-small cell lung cancer: A systematic review

Effect of caregiver education on pulmonary rehabilitation, respiratory muscle strength and dyspnea in lung cancer patients

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