Telerehabilitation in Lung Surgery Patients

NCT04568564 | Completed

• 1 other identifier: PostopTele
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, providing access to physiotherapy applications by telerehabilitation method and the effectiveness of this application will be examined for patients who have undergone lung surgery in the early postoperative period during the pandemic process in which social isolation continues.

Conditions

Lung Cancer; Physiotherapy

Keywords

exercise; videoconference; lung cancer; surgery; postoperative; chest physiotherapy; telerehabilitation

Outcome Measures

Primary Outcomes (1)

• Major complication rate

  Major complication rates such as postoperative fever, infection, and hemorrhage will be documented.

  Up to 3 months

Secondary Outcomes (18)

• The six-minute walking test

  Up to 3 months

• Modified Medical Research Council Dyspnea Scale

  Up to 3 months

• Visual analog scale

  Up to 3 months

• Duration of tube thoracostomy drainage

  Up to 3 months

• Forced expiratory volume one second (FEV1)

  Up to 3 months

Study Arms (2)

Telerehabilitation Group (TG)

EXPERIMENTAL

Patients diagnosed with lung cancer and underwent thoracotomy

Other: Breathing exercise, intensive spirometry use, supported cough, progressive mobilisation and ambulation

Control group (CG)

ACTIVE COMPARATOR

Patients diagnosed with lung cancer and underwent thoracotomy

Other: Exercise booklet

Interventions

Breathing exercise, intensive spirometry use, supported cough, progressive mobilisation and ambulation OTHER

The exercise program includes breathing exercises (chest-abdominal-lateral basal breathing; 10 repetitions), use of intensive spirometry (20 repetitions) and assisted coughing. Apart from this, a progressive mobilization program will be applied considering patient tolerance and hemodynamic parameters, starting after the patient is taken to the service room. The teleconference exercise call will be continued from the postop 1st day until discharge, twice a day.

Telerehabilitation Group (TG)

Exercise booklet OTHER

Patients will be interviewed by videoconferencing method at least 1 day before the operation, their first evaluation will be taken and an exercise booklet will be given.

Control group (CG)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having a smart phone and capable of making video calls,
• Planned to be operated with thoracotomy or videothoracoscope,
• Staged between IA and IIIB with clinical staging,
• With proven lung tumor (If AC diagnosis is not confirmed after frozen or wedge, the patient will be excluded from the study),
• Patients with no cardiac disease (ASA II or better) that affects their quality of life.

You may not qualify if:

• Having a cardiac disease that affects the quality of life,
• Serious cognitive problems and presence of psychiatric diseases,
• Presence of physical limitations (vision, hearing impairment, orthopedic problems).

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine Thoracic Surgery Clinic

Istanbul, 34668, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Lung Neoplasms; Motor Activity

Interventions

Breathing Exercises; Walking

Condition Hierarchy (Ancestors)

Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases; Behavior

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities; Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise; Motor Activity

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: September 18, 2020
• First Posted: September 29, 2020
• Study Start: October 1, 2020
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2024
• Last Updated: April 8, 2025

Record last verified: 2025-04

Locations

TU (1)