Effects of Preoperative Rehabilitation in Patients Resected for Lung Cancer

Effects of Preoperative Rehabilitation in Patients Resected for Lung Cancer

This randomized controlled trial will evaluate the effect of a preoperative rehabilitation program at home in patients resected for lung cancer, comparing a control group (C group) receiving only chest physiotherapy and a rehabilitation group (R group) receiving both a training program at home and chest physiotherapy

Inclusion Criteria:

• Patients diagnosed for lung cancer (or highly suspicious for cancer tumor) eligible for resection surgery (lobectomy or pneumonectomy)
• Age > 18 years
• Presence of Chronic Obstructive Pulmonary Disease (COPD) stages 2-4 of Gold (forced expiratory volume (FEV )/ forced vital capacity (FVC) <70%, FEV <80% of predicted) and Exertional dyspnea stage MMRC (Medical Research Council) > 1
• Patients must provide written consent
• Member of social security scheme

Exclusion Criteria:

• Patients refusing to participate
• COPD stage 1 Gold (VEMS >= 80% of the theoretical value)
• Presenting an operating contraindication during the initial maximal exercise test
• Presenting cardiac or vascular contraindication to achieve the readaptation program
• Patient living alone at home
• Patient with ventilatory assistance at home (oxygen therapy or noninvasive ventilation (NIV))
• With exercise hypoventilation (PaCO2 >45 mmHg)
• Cognitive difficulty
• unable major
• pregnancy,
• patients deprived of liberty by a court or administrative decision