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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group (C group) | Active Comparator | patient will receive preoperative chest physiotherapy (standard supportive care) |
|
| rehabilitation group (R group) | Experimental | patient will receive preoperative chest physiotherapy and a preoperative rehabilitation program at home (exercise training) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| preoperative chest physiotherapy | Other | preoperative chest physiotherapy : 5 sessions per week during 3 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospital length of stay after resection for lung cancer | the date of discharge will be the real day of discharge from surgery department or the day where the patient will be medically considered as outgoing | time from the date of the surgery (Day 0) until the date of discharge (Day n) (assessed up to 56 days) |
| Measure | Description | Time Frame |
|---|---|---|
| the number of complications | during the stay in the surgery department or the intensive care unit (up to 56 days) | |
| peak oxygen consumption | evaluation N°1 before intervention : during the week before the first date of the intervention (week 1) (intervention : preoperative chest physiotherapy +/- rehabilitation program will be realized on weeks 2, 3, and 4). evaluation N°2 after intervention and before surgery : during the week before the date of surgery (week 5) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc FILAIRE, Pr | Centre Jean Perrin | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Clermont Ferrand, Gabriel Montpied, service de médecine du sport et explorations fonctionnelles, | Clermont-Ferrand | 63000 | France | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29133320 | Derived | Laurent H, Galvaing G, Thivat E, Coudeyre E, Aubreton S, Richard R, Kwiatkowski F, Costes F, Filaire M. Effect of an intensive 3-week preoperative home rehabilitation programme in patients with chronic obstructive pulmonary disease eligible for lung cancer surgery: a multicentre randomised controlled trial. BMJ Open. 2017 Nov 12;7(11):e017307. doi: 10.1136/bmjopen-2017-017307. |
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| preoperative rehabilitation program | Other | exercise training at home : 5 sessions per week during 3 weeks |
|
| evaluation N°1 : during the week before the first date of the intervention (week 1). evaluation N°2: during the week before the date of surgery (week 5) |
| 6 minutes walking distance | evaluation N°1 before intervention : during the week before the first date of the intervention (week 1) (intervention : preoperative chest physiotherapy +/- rehabilitation program will be realized on weeks 2, 3, and 4). evaluation N°2 after intervention and before surgery : during the week before the date of surgery (week 5) | evaluation N°1 : during the week before the first date of the intervention (week 1). evaluation N°2: during the week before the date of surgery (week 5) |
| maximal voluntary quadriceps strength | evaluation N°1 before intervention : during the week before the first date of the intervention (week 1) (intervention : preoperative chest physiotherapy +/- rehabilitation program will be realized on weeks 2, 3, and 4). evaluation N°2 after intervention and before surgery : during the week before the date of surgery (week 5) | evaluation N°1 : during the week before the first date of the intervention (week 1). evaluation N°2: during the week before the date of surgery (week 5) |
| maximal inspiratory and expiratory strength | evaluation N°1 before intervention : during the week before the first date of the intervention (week 1) (intervention : preoperative chest physiotherapy +/- rehabilitation program will be realized on weeks 2, 3, and 4). evaluation N°2 after intervention and before surgery : during the week before the date of surgery (week 5) | evaluation N°1 : during the week before the first date of the intervention (week 1). evaluation N°2: during the week before the date of surgery (week 5) |
| real length of stay | the real day of discharge from surgery department | between the first postoperative day (Day 1) and the real discharge date (up to 56 days) |
| body composition (bioimpedancemetry) | evaluation N°1 before intervention : during the week before the first date of the intervention (week 1) (intervention : preoperative chest physiotherapy +/- rehabilitation program will be realized on weeks 2, 3, and 4). evaluation N°2 after intervention and before surgery : during the week before the date of surgery (week 5) | evaluation N°1 : during the week before the first date of the intervention (week 1). evaluation N°2: during the week before the date of surgery (week 5) |
| oxidative adaptations of the muscle | optional ancillary study on quadricipal and intercostal muscle biopsies. | evaluation N°1 : during the week before the first date of the intervention (week 1). evaluation N°2 after intervention : at the date of surgery (during the surgical time at Day 0 week 6) |
| Centre de Recherche en Nutrition Humaine |
| Clermont-Ferrand |
| 63009 |
| France |
| Centre Jean Perrin | Clermont-Ferrand | 63011 | France |
| CHU Grenoble, Hôpital Michallon | Grenoble | 38700 | France |
| Hospices Civiles de Lyon, groupement hospitalier Est, Hopital Louis Pradel | Lyon | 69677 | France |
| CHU Saint-Etienne, CHU Hopital Nord | Saint-Etienne | 42055 | France |