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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
90
preoperative chest physiotherapy : 5 sessions per week during 3 weeks
exercise training at home : 5 sessions per week during 3 weeks
CHU Clermont Ferrand, Gabriel Montpied, service de médecine du sport et explorations fonctionnelles,
Clermont-Ferrand, France
Centre de Recherche en Nutrition Humaine
Clermont-Ferrand, France
Centre Jean Perrin
Clermont-Ferrand, France
CHU Grenoble, Hôpital Michallon
Grenoble, France
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 frame: time from the date of the surgery (Day 0) until the date of discharge (Day n) (assessed up to 56 days)
the number of complications
Time frame: 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)
Time frame: 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)
Time frame: 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)
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Hospices Civiles de Lyon, groupement hospitalier Est, Hopital Louis Pradel
Lyon, France
CHU Saint-Etienne, CHU Hopital Nord
Saint-Etienne, France
Time frame: 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)
Time frame: 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
Time frame: 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)
Time frame: 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.
Time frame: 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)