Telerehabilitation in Lung Surgery Patients

NCT ID: NCT04568564

Last Updated: 2025-04-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-10-01
• Study Completion Date: 2024-12-01

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.

Detailed Description

• Patients who meet the inclusion criteria and agree to participate in the study will be included in the study.
• Patients diagnosed with lung cancer and underwent thoracotomy will be randomly divided into Telerehabilitation Group (TGR) and Control (KG) groups.
• Before the operation, enlightened and signed consent will be obtained from the cases, the first evaluations of the patients in both groups will be made and the first exercise training will be given to the telerehabilitation group.
• The study group will be followed up every day during their hospitalizations and the final tests of both groups will be made before discharge. Long-term follow-up will be carried out in the 1st month and 3rd month after discharge.

Conditions

Lung Cancer; Physiotherapy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Telerehabilitation Group (TG)

Patients diagnosed with lung cancer and underwent thoracotomy

Group Type: EXPERIMENTAL

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

Intervention Type: 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.

Control group (CG)

Patients diagnosed with lung cancer and underwent thoracotomy

Group Type: ACTIVE_COMPARATOR

Exercise booklet

Intervention Type: 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.

Interventions

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

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.

Intervention Type: OTHER

Exercise booklet

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.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 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.

Exclusion Criteria

• 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).

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul Medipol University Hospital

OTHER

Sponsor Role: lead

Responsible Party

esra pehlivan

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

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

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

PostopTele

Identifier Type: -

Identifier Source: org_study_id