It has been observed that there are negative effects on respiratory muscle strength following lobectomy. This has led to the necessity of respiratory muscle training to mitigate these adverse effects. Most studies conducted so far focus on the late postoperative period, and there are only a few studies evaluating the effectiveness of early postoperative inspiratory muscle training (IMT). It is believed that this method could be useful for facilitating patient follow-up and increasing patient motivation through visual feedback.
It has been observed that there are negative effects on respiratory muscle strength following lobectomy. This has led to the necessity of respiratory muscle training to mitigate these adverse effects. Most studies conducted so far focus on the late postoperative period, and there are only a few studies evaluating the effectiveness of early postoperative inspiratory muscle training (IMT). Additionally, there is currently no study assessing the effectiveness of IMT using a smart adapter in patients who have undergone lobectomy. It is believed that this method could be useful for facilitating patient follow-up and increasing patient motivation through visual feedback. The aim of this study is to examine the changes in respiratory muscle strength and exercise capacity in patients after lobectomy via VATS, comparing classical IMT, mobile application-supported IMT, and a control group that does not receive IMT.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
45
Inspiratory muscle training will be given with or without smart adaptor.
Hacettepe University
Ankara, Turkey (Türkiye)
Inspiratory muscle strength
Respiratory muscle strength will measure by measuring mouth pressure and using maximal inspiratory pressure (MIP) values.
Time frame: Measurements will be performed before surgery (the day before surgery), at discharge and during the follow-up period after surgery (10-15 days after discharge).
Expiratory muscle strength
Respiratory muscle strength will measure by measuring mouth pressure and using maximal expiratory pressure (MEP) values.
Time frame: Measurements will be performed before surgery (the day before surgery), at discharge and during the follow-up period after surgery (10-15 days after discharge).
Functional exercise capacity
6-minute walk test (6MWT) will be used to evaluate functional exercise capacity.
Time frame: Evaluations will be made before surgery (the day before surgery) and during the follow-up period (10-15 days after discharge).
Postoperative Pulmonary Complications
Postoperative pulmonary complications will be evaulate by Melbourne Group Scale. If more than 4 parameters are positive, it will be considered as having postoperative pulmonary complication.
Time frame: Postoperative first-fifth days.
Exercise Motivation
Exercise Motivation Attitude Scale will be used. This scale consists of 3 sub-dimensions (negative attitude and thought/positive view and health/physical appearance and health).
Time frame: The evaluation will be made during the control period (10-15 days after discharge).
Dyspnea Level
Modified Borg Scale will be used to evaluate dyspnea.
Time frame: An evaluation will be made in the preoperative (the day before surgery) and control period (10-15 days after discharge).
Quality of Life
SF-12 Quality of Life Scale will be used to assess quality of life.
Time frame: The evaluation will be made during the preoerative (the day before surgery) and control (10-15 days after discharge) period.
Physical Performance
The Short Physical Performance Battery, a frequently used test in cardiovascular and pulmonary diseases, will be used.
Time frame: Evaluations will be made in the preoperative (the day before surgery) and control (10-15 days after discharge) periods.
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