Pulmonary Rehabilitation Improves Functional Status in Oncology Patients

Morris, Gerwyn; Gallagher, Gail H.; Baxter, Mary; Brueilly, Kevin E.; Scheetz, Janet S.; Ahmed, Maaheen M.; Shannon, Vickie R.

doi:10.1016/j.apmr.2008.12.005

Cited by 27 publications

(33 citation statements)

References 27 publications

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“…This failure most likely stemmed from the meager size of our sample of cancer patients, just 12 subjects. In other studies, an even greater increase in the 6MWT distance has been found in lung cancer patients who had undergone thoracic surgery; from 63 m (Morris et al 2009) to 99 m (Cesario et al 2007). Most authors evaluating the effects of rehabilitation in patients with lung cancer would consider a decrease of the feeling of dyspnea and improvement of quality of life as sufficient reasons to implement this type of medical intervention (Aaronson et al 1993) So far, only the study by Temel et al (2009) evaluated the effects of 8-week rehabilitation in patients with newly diagnosed advanced NSCLC during chemotherapy.…”

Section: Discussionmentioning

confidence: 92%

Pulmonary Rehabilitation in Advanced Lung Cancer Patients During Chemotherapy

Jastrzębski

Maksymiak

Kostorz

et al. 2015

Advances in Experimental Medicine and Biology

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The aim of this study was to investigate the utility of pulmonary rehabilitation for improving of exercises efficiency, dyspnea, and quality of life of patients with lung cancer during chemotherapy. After the enrollment selection, the study included 20 patients with newly diagnosed advanced lung cancer and performance status 0-2. There were 12 patients randomly allocated to the pulmonary rehabilitation group and another 8 constituted the control group that did not undergo physical rehabilitation. Both groups of patients had continual cycles of chemotherapy. Data were analyzed before and after 8 weeks of physical rehabilitation, and before and after 8 weeks of observation without rehabilitation in controls. The inpatient rehabilitation program was based on exercise training with ski poles and respiratory muscle training. We found a tendency for enhanced mobility (6 Minute Walk Test: 527.3 ± 107.4 vs. 563.9 ±64.6 m; p > 0.05) and a significant increase in forced expired volume in 1 s (66.9 ± 13.2 vs. 78.4 ± 17.7 %predicted; p = 0.016), less dyspnea (p = 0.05), and a tendency for improvement in the general quality of life questionnaire after completion of pulmonary rehabilitation as compared with the control group. This report suggests that pulmonary rehabilitation in advanced lung cancer patients during chemotherapy is a beneficial intervention to reduce dyspnea and enhance the quality of life and mobility.

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Section: Discussionmentioning

confidence: 92%

Pulmonary Rehabilitation in Advanced Lung Cancer Patients During Chemotherapy

Jastrzębski

Maksymiak

Kostorz

et al. 2015

Advances in Experimental Medicine and Biology

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“…In the series by Morris and co-workers [44], not only solid tumors (among them not only NSCLC) but also hematological malignancies are included; the Authors concluded that an aerobic exercise program determined significant improvements in exercise tolerance; moreover, in a randomized clinical trial carried out by Cheville [45], patients with advanced stages of lung cancer and colorectal cancer were enrolled and underwent home training regimens: results showed improvements in exercise tolerance and quality of life, although very often worsening of the disease can lead to a high dropout rate [46]; finally a recent meta-analysis performed by Jones et al [47], examined six randomized trials within a controlled group (a total 571 patients with breast or prostate cancers or lymphomas), and found that anaerobic training programs may produce a significant increase in VO 2 peak, without any major adverse events. Based on these studies, our opinion is that when feasible, a structured program of aerobic exercise training should always be offered to patients with lung cancer, as a safe and effective method in improving physical performance and quality of life; therefore, it should become part of the overall management of these patients with the same relevance given to the symptoms and pain control.…”

Section: Rehabilitation In Patients With Advanced Cancer (Palliative mentioning

confidence: 99%

Pulmonary Rehabilitation in lung cancer

Pasqua

Geraneo

Nardi

et al. 2015

Monaldi Arch Chest Dis

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Non-small-cell lung cancer (NSCLC) represents a very severe disease, being its incidence increasingly reported and, nowadays, successfully treatable only when surgery is deemed to be feasible. Furthermore, the disease and the clinical effects related to the complementary therapies (radio and/or chemotherapy) may strongly affect, frequently with dramatic clinical side effects, the patient’s ability to endure physical exercise. In such context, the PR(PR), which has already been proved to be useful and effective in other diseases such as COPD, could play a pivotal role. The aim of this review article is, therefore, to analyze the pertinent data recently reported in English literature in order to highlight the role of rehabilitation as complementary therapy in the management of patients with NSCLC. The evidence currently available suggests that, when surgery is indicated, PR is a safe and feasible option, both during pre-operative and post-operative timing.The safety and feasibility of rehabilitation are proven even in inoperable patients, although to date, little evidence has been reported on its role in the overall management of such complex diseases.

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“…[29] Morris et al (2009) performed a study in patients with different types of cancer and reported that pulmonary rehabilitation training involving short aerobic exercises had been particularly effective for rehabilitation of pulmonary symptoms. [30] Wenzel's (2010) randomized controlled study comparing effects of exercise and routine activity stated that patients in the exercise group had lower emotional stress levels. That study also found that increased aerobic exercise was associated with reduced fatigue scores.…”

Section: Non-pharmacologic Approachesmentioning

confidence: 99%

“…Acupuncture, acupressure, neuromuscular electrical stimulation, external nasal dilator strips, pulmonary rehabilitation, regular exercise programs, use of supplemental oxygen and fan have been reported to manage dyspnea. [4,5,[16][17][18] In addition, nurse counseling, effective respiratory-cough exercises, patient education programs, relaxation techniques, and coping strategies have been reported to make significant contributions to alleviating dyspnea. [8,9] Acupuncture and Acupressure Acupuncture is one of the oldest complementary treatments in the world and originated in China and other Asian countries.…”

Section: Non-pharmacologic Approachesmentioning

confidence: 99%

Dyspnea Management in Patients with Cancer

Metin¹

2016

TJ Oncol

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SUMMARYDyspnea in patients with cancer is a common symptom and is generally associated with anxiety. It limits patients' activities of daily living and adversely affects not only patients, but also caregivers. It remains a difficult symptom to manage, despite recent advances in cancer treatment and the increasing evidence available. Different pharmacological approaches such as opioids, and nonpharmacological interventions including oxygen, fun, exercise, pulmonary rehabilitation, acupuncture, acupressure and cognitive-behavioral therapies are used to manage dyspnea. Symptom management and supportive therapies given by oncology nurses become important in patients with cancer who experience dyspnea. There are limited number of publications about the management of dyspnea in Turkish oncology nursing literature. This literature review aims to inform nurses about cancer patients with dyspnea.

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Pulmonary Rehabilitation Improves Functional Status in Oncology Patients

Cited by 27 publications

References 27 publications

Pulmonary Rehabilitation in Advanced Lung Cancer Patients During Chemotherapy

Pulmonary Rehabilitation in Advanced Lung Cancer Patients During Chemotherapy

Pulmonary Rehabilitation in lung cancer

Dyspnea Management in Patients with Cancer

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