Effects of perioperative respiratory rehabilitation in lung cancer resection: a pilot study

Antonella Di Iulio; Carlo D’Aurizio; Marzia Damiani; Marco Casaccia; Antonio Fabio De Filippis

doi:10.36017/jahc20202583

Published: Oct 7, 2020

DOI: https://doi.org/10.36017/jahc20202583

Keywords:

Pulmonary Rehabilitation, Lung Cancer, Physiotherapy

Di Iulio Antonella

MSc, U.O.C. Thoracic Surgery. “Santo Spirito” Hospital Pescara, ASL Pescara (Pescara-IT).

D’Aurizio Carlo

MD, Physical Medicine and Rehabilitation Specialist, Director of U.O.C. of Physical Medicine and Rehabilitation of the Hospital of Popoli (Pescara-IT); Local Health Company ASL Pescara (Pescara-IT).

Damiani Marzia

MSc, PP.OO. Organization of Technical Rehabilitation Activities, Territorial Services of the Area ASL Pescara (Pescara-IT).

Casaccia Marco

MD, Thoracic Surgery, Director F.F. U.O.C. Thoracic Surgery. “Santo Spirito” Hospital Pescara, ASL Pescara (Pescara-IT).

De Filippis Antonio Fabio

MD, Thoracic Surgery, Thoracic Surgery. “Santo Spirito” Hospital Pescara, ASL Pescara (Pescara-IT).

Abstract

The aim of this study is to evaluate the impact of short term Preoperative Respiratory Rehabilitation (PRR) on the
changes of respiratory functions and clinical conditions in patients with malignant lung cancer lesion and reduced
respiratory functions, with high risk to develop postoperative pulmonary complications (PPCs). A total of 15 patients
were treated with PRR protocol. The rehabilitation programme was concluded by all patients. They showed a statistically significant improvement of lung functionality Forced Vital Capacity (FVC) (p=0,004), Forced Expiration Value
in the first second (FEV1) (p<0,001) and walking distance (p<0,001). In addition, there was a significant enhancement of Partial Oxygen Saturation (SpO2) (p=0,002), Hart Rate (HR) (p=0,002) and Borg Dyspnoea Scale values
(p=0,003) indicate a better cardiorespiratory functionality.
In conclusion a short feasible PRR is suitable in patients’ candidate to thoracic surgery.

How to Cite

Di Iulio , A., D’Aurizio , C., Damiani , M., Casaccia , M., & De Filippis , A. F. (2020). Effects of perioperative respiratory rehabilitation in lung cancer resection: a pilot study. Journal of Advanced Health Care, 2(5). https://doi.org/10.36017/jahc20202583