In-hospital Physiotherapy for Patients Undergoing Thoracic Surgery - a Randomized Controlled Trial

NCT ID: NCT01961700

Last Updated: 2019-04-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

107 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2018-01-31

Brief Summary

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Lung cancer is one of the most common types of cancer in the world, and the cancer that causes the most number of deaths. In Sweden, about 3700 persons are diagnosed every year. About one fifth of the patients are eligible for surgery.

Patients undergoing thoracic surgery suffer from pain and low health related quality of life after surgery.

In Australia, New Zealand, and the United Kingdom, pre- and postoperative physiotherapy is routinely provided for patients undergoing thoracic surgery, but the effects have not been thoroughly investigated. The scientific evidence of the effect of physiotherapy in connection with lung surgery is limited. The treatment typically consists of early mobilisation, breathing exercises and exercises for the shoulders. Reeve et al has shown that a postoperative shoulder exercise program can improve function and decrease pain after thoracotomy. Breathing exercises has not been found effective in reducing the rate of postoperative pulmonary complications after thoracic surgery.

The purpose of this study is to investigate the effect of in-hospital physiotherapy treatment, for patients undergoing thoracic surgery, on physical activity, health related quality of life, pain and lung function.

Detailed Description

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Lung cancer is one of the most common types of cancer in the world, and the cancer that causes the most number of deaths. In Sweden, about 3700 persons are diagnosed every year. About one fifth of the patients are eligible for surgery.

Patients undergoing thoracic surgery suffer from pain and low health related quality of life after surgery.

In Australia, New Zealand, and the United Kingdom, pre- and postoperative physiotherapy is routinely provided for patients undergoing thoracic surgery, but the effects have not been thoroughly investigated. The scientific evidence of the effect of physiotherapy in connection with lung surgery is limited. The treatment typically consists of early mobilisation, breathing exercises and exercises for the shoulders. Reeve et al has shown that a postoperative shoulder exercise program can improve function and decrease pain after thoracotomy. Breathing exercises has not been found effective in reducing the rate of postoperative pulmonary complications after thoracic surgery.

The purpose of this study is to investigate the effect of in-hospital physiotherapy treatment, for patients undergoing thoracic surgery, on physical activity, health related quality of life, pain and lung function.

Conditions

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Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Physiotherapy

Physiotherapy (breathing exercises, mobilisation, exercises for upper limbs, advice on physical activity and exercise) provided daily during hospitalization.

Group Type EXPERIMENTAL

Physiotherapy

Intervention Type OTHER

Physiotherapy treatment

Control group

No physiotherapy.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Physiotherapy

Physiotherapy treatment

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Thoracic surgery

Exclusion Criteria

* Previous lung volume reducing surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Region Örebro County

OTHER

Sponsor Role lead

Responsible Party

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Marcus Jonsson

Physiotherapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marcus Jonsson, PhD Student

Role: PRINCIPAL_INVESTIGATOR

Region Örebro Län

Locations

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Örebro University Hospital

Örebro, , Sweden

Site Status

Countries

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Sweden

References

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Jonsson M, Hurtig-Wennlof A, Ahlsson A, Westerdahl E. Physical activity and health-related quality of life after lung cancer surgery- cross-sectional analyses 3 and 12 months postoperatively. Health Qual Life Outcomes. 2025 Jul 9;23(1):69. doi: 10.1186/s12955-025-02400-z.

Reference Type DERIVED
PMID: 40629419 (View on PubMed)

Jonsson M, Ahlsson A, Hurtig-Wennlof A, Vidlund M, Cao Y, Westerdahl E. In-Hospital Physiotherapy and Physical Recovery 3 Months After Lung Cancer Surgery: A Randomized Controlled Trial. Integr Cancer Ther. 2019 Jan-Dec;18:1534735419876346. doi: 10.1177/1534735419876346.

Reference Type DERIVED
PMID: 31530046 (View on PubMed)

Jonsson M, Hurtig-Wennlof A, Ahlsson A, Vidlund M, Cao Y, Westerdahl E. In-hospital physiotherapy improves physical activity level after lung cancer surgery: a randomized controlled trial. Physiotherapy. 2019 Dec;105(4):434-441. doi: 10.1016/j.physio.2018.11.001. Epub 2018 Nov 20.

Reference Type DERIVED
PMID: 30871894 (View on PubMed)

Other Identifiers

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122541

Identifier Type: -

Identifier Source: org_study_id

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