Application Value of Pre-operative Pulmonary Rehabilitation Exercise Training in Patients with Lung Cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

1. 成都大学附属医院胸外科(成都 610041);
2. Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

Keywords：

Lung cancer; Pre-operative pulmonary rehabilitation; Exercise training; Per-operative period

DOI：

10.7507/1007-4848.20160015

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Pulmonary rehabilitation therapy is gaining more attention. The recent systematic review of domestic and foreign relevant literature indicates pre-operative pulmonary rehabilitation exercise training performs an important role in per-operative period. The rehabilitation therapy can efficiently improve exercise tolerance and quality of life of patients with lung cancer, reduce post-operative complications, shorten hospitalization time, and increase opportunity of operation. However, the evidence comes from small samples reported by present clinical study, and a standard treatment guideline of pulmonary rehabilitation has not been established until now. Further researches are expected to provide demonstration and promote pulmonary rehabilitation. It is an important part of comprehensive treatment of lung cancer. The therapy will benefit more patients suffering from lung cancer.

Citation： WANGYi-fan, GAOKe, SHENChen, CHEGuo-wei. Application Value of Pre-operative Pulmonary Rehabilitation Exercise Training in Patients with Lung Cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(1): 66-71. doi: 10.7507/1007-4848.20160015 Copy

1.	Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 coun-tries in 2012. Eur J Cancer, 2013, 49(6): 1374-1403.
2.	Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002. CA Cancer J Clin, 2005, 55(2): 74-108.
3.	De Torres JP, Marin JM, Casanova C, et al. Lung cancer in patients with chronic obstructive pulmonary disease incidence and predic-ting factors. Am J Respir Crit Care Med, 2011, 184(8): 913-919.
4.	Takiguchi Y, Nagao K, Cho K, et al. Coincidence of lung cancer in patients with idiopathic pulmonary fibrosis. Respiration, 1993, 12: 120-125.
5.	Stamatelopoulos A, Kadjianis F, Zoganas L. Non-small cell lung cancer: pulmonary parenchyma resection in lung-compromised patients. J Buon, 2009, 14(2): 183-188.
6.	Spruit MA, Singh SJ, Garvey C, et al. An Official American Thoracic Society/European Respiratory Society Statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med, 2013, 188(8): 13-64.
7.	Divisi D, Di Francesco C, Di Leonardo G, et al. Preoperative pulmonary rehabilitation in patients with lung cancer and chronic obstructive pulmonary disease. Eur J Cardiothorac Surg, 2013, 43(2): 293-296.
8.	Jones LW, Peddle CJ, Eves ND, et al. Effects of presurgical exercise training on cardiorespiratory fitness among patients undergoing thoracic surgery for malignant lung lesions. Cancer, 2007, 110(3): 590-598.
9.	Bobbio A, Chetta A, Ampollini L, et al. Preoperative pulmonary rehabilitation in patients undergoing lung resection for non-small cell lung cancer. Eur J Cardiothorac Surg, 2008, 33(1): 95-98.
10.	Benzo R, Wigle D, Novotny P, et al. Preoperative pulmonary rehabi-litation before lung cancer resection: results from two randomized studies. Lung Cancer, 2011, 74(3): 441-445.
11.	Pehlivan E, Turna A, Gurses A, et al. The effects of preoperative shortterm intense physical therapy in lung cancer patients: a rando-mized controlled trial. Ann Thorac Cardiovasc Surg, 2011, 17(5): 461-468.
12.	沈春辉, 车国卫.术前肺康复对肺癌合并中-重度慢性阻塞性肺疾病患者运动耐力的影响.中国胸心血管外科临床杂志, 2011, 18(6): 514-517.
13.	方翼.运动训练对低肺功能肺癌患者手术耐受性的影响.中国康复医学杂志, 2013, 28(7): 619-623.
14.	Morano MT, Araujo AS, Nascimento FB, et al. Preoperative pulmo-nary rehabilitation versus chest physical therapy in patients undergoing lung cancer resection: a pilot randomized controlled trial. Arch Phys Med Rehabil, 2013, 94(1): 53-58.
15.	Coats V, Maltais F, Simard S, et al. Feasibility and effectiveness of a home-based exercise training program before lung resection surgery. Can Respir J, 2013, 20(2): e10-e16.
16.	Rochester CL. Exercise training in chronic obstructive pulmonary disease. J Rehabil Res Dev, 2003, 5(2): 59-80.
17.	Ross RM. ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med, 2003, 167(2): 211-277.
18.	Lacasse Y, Goldstein R, Lasserson TJ, et al. Pulmonary rehabilita-tion for chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2006, 4: CD003793.
19.	Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, et al. American College of Sports Medicine. American College of Sports Medicine position stand: exercise and physical activity for older adults. Med Sci Sports Exerc, 2009, 41: 1510-1530.
20.	Maltais F, LeBlanc P, Jobin J, et al. Intensity of training and physio-logic adaptation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med, 1997, 155(2): 555-561.
21.	Casaburi R, Porszasz J, Burns MR, et al. Physiologic benefits of exercise training in rehabilitation of patients with severe chronic obstructive pulmonary disease. Am J Respir Crit Care Med, 1997, 155(5): 1541-1551.
22.	Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine. American College of Sports Medicine position stand: quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc, 2011, 43(7): 1334-1359.
23.	Beauchamp MK, Nonoyama M, Goldstein RS, et al. Interval versus continuous training in individuals with chronic obstructive pulmo-nary disease-a systematic review. Thorax, 2010, 65(2): 157-164.
24.	O'Shea SD, Taylor NF, Paratz JD. Progressive resistance exercise improves muscle strength and may improve elements of perfor-mance of daily activities for people with COPD: a systematic review. Chest, 2009, 136(5): 1269-1283.
25.	Williams MA, Haskell WL, Ades PA, et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update. A scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation, 2007, 116(5): 572-584.
26.	Probst VS, Troosters T, Pitta F, et al. Cardiopulmonary stress during exercise training in patients with COPD. Eur Respir J, 2006, 27(6): 1110-1118.
27.	Ries AL. Pulmonary rehabilitation:summary of an evidence-based guideline. Respir Care, 2008, 53(9): 1203-1207.
28.	Geddes EL, O Brien K, Reid WD, et al. Inspiratory muscle tranning in adults with chronic obstructive pulmonary disease: an update of a systematic review. Respir Med, 2008, 10(12): 1715-l729.
29.	Haskell WL, Lee IM, Pate RR, et al. American College of Sports Medicine; American Heart Association. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 2007, 116(9): 1081-1093.
30.	Brunelli A, Kim AW, Berger KI. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery. Chest, 2013, 143(5): 166-190.
31.	Criner GJ, Cordova FC, Furukawa S, et al. Prospective randomized trial comparing bilateral lung volume reduction surgery to pulmo-nary rehabilitation in severe COPD. Am J Respir Crit Care Med, 1999, 160(6): 2018-2027.
32.	Andersen AH, Vinther A, Poulsen LL, et al. Do patients with lung cancer benefit from physical exercise? Acta Oncol, 2011, 50(2): 307-313.
33.	Ewig S, de Roux A, Bauer T, et al. The BODE index:a new grading system in COPD. Validation of predictive rules and indices of severity for community acquired pneumonia. Thorax, 2004, 59(5): 421-427.
34.	Nwosu AC, Bayly JL, Gaunt KE, et al. Lung cancer and rehabilita-tion what are the barriers? Results of a questionnaire survey and the development of regional lung cancer rehabilitation standards and guidelines. Support Care Cancer, 2012, 20(12): 3247-3254.
35.	Sommer MS, Trier K, Vibe-Petersen J, et al. Perioperative rehabi-litation in operation for lung cancer (PROLUCA). BMC, 2014, 14: 404. doi: 10.1186/1471-2407-14-404..
36.	Quist M, Langer SW, Rorth M, et al. "EXHALE": exercise as a strategy for rehabilitation in advanced stage lung cancer patients: a randomized clinical trial comparing the effects of 12 weeks supervised exercise intervention versus usual care for advanced stage lung cancer patients. 2013, 13: 477. doi: 10. 1186/1471-2407-13-477.

1. Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 coun-tries in 2012. Eur J Cancer, 2013, 49(6): 1374-1403.
2. Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002. CA Cancer J Clin, 2005, 55(2): 74-108.
3. De Torres JP, Marin JM, Casanova C, et al. Lung cancer in patients with chronic obstructive pulmonary disease incidence and predic-ting factors. Am J Respir Crit Care Med, 2011, 184(8): 913-919.
4. Takiguchi Y, Nagao K, Cho K, et al. Coincidence of lung cancer in patients with idiopathic pulmonary fibrosis. Respiration, 1993, 12: 120-125.
5. Stamatelopoulos A, Kadjianis F, Zoganas L. Non-small cell lung cancer: pulmonary parenchyma resection in lung-compromised patients. J Buon, 2009, 14(2): 183-188.
6. Spruit MA, Singh SJ, Garvey C, et al. An Official American Thoracic Society/European Respiratory Society Statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med, 2013, 188(8): 13-64.
7. Divisi D, Di Francesco C, Di Leonardo G, et al. Preoperative pulmonary rehabilitation in patients with lung cancer and chronic obstructive pulmonary disease. Eur J Cardiothorac Surg, 2013, 43(2): 293-296.
8. Jones LW, Peddle CJ, Eves ND, et al. Effects of presurgical exercise training on cardiorespiratory fitness among patients undergoing thoracic surgery for malignant lung lesions. Cancer, 2007, 110(3): 590-598.
9. Bobbio A, Chetta A, Ampollini L, et al. Preoperative pulmonary rehabilitation in patients undergoing lung resection for non-small cell lung cancer. Eur J Cardiothorac Surg, 2008, 33(1): 95-98.
10. Benzo R, Wigle D, Novotny P, et al. Preoperative pulmonary rehabi-litation before lung cancer resection: results from two randomized studies. Lung Cancer, 2011, 74(3): 441-445.
11. Pehlivan E, Turna A, Gurses A, et al. The effects of preoperative shortterm intense physical therapy in lung cancer patients: a rando-mized controlled trial. Ann Thorac Cardiovasc Surg, 2011, 17(5): 461-468.
12. 沈春辉, 车国卫.术前肺康复对肺癌合并中-重度慢性阻塞性肺疾病患者运动耐力的影响.中国胸心血管外科临床杂志, 2011, 18(6): 514-517.
13. 方翼.运动训练对低肺功能肺癌患者手术耐受性的影响.中国康复医学杂志, 2013, 28(7): 619-623.
14. Morano MT, Araujo AS, Nascimento FB, et al. Preoperative pulmo-nary rehabilitation versus chest physical therapy in patients undergoing lung cancer resection: a pilot randomized controlled trial. Arch Phys Med Rehabil, 2013, 94(1): 53-58.
15. Coats V, Maltais F, Simard S, et al. Feasibility and effectiveness of a home-based exercise training program before lung resection surgery. Can Respir J, 2013, 20(2): e10-e16.
16. Rochester CL. Exercise training in chronic obstructive pulmonary disease. J Rehabil Res Dev, 2003, 5(2): 59-80.
17. Ross RM. ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med, 2003, 167(2): 211-277.
18. Lacasse Y, Goldstein R, Lasserson TJ, et al. Pulmonary rehabilita-tion for chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2006, 4: CD003793.
19. Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, et al. American College of Sports Medicine. American College of Sports Medicine position stand: exercise and physical activity for older adults. Med Sci Sports Exerc, 2009, 41: 1510-1530.
20. Maltais F, LeBlanc P, Jobin J, et al. Intensity of training and physio-logic adaptation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med, 1997, 155(2): 555-561.
21. Casaburi R, Porszasz J, Burns MR, et al. Physiologic benefits of exercise training in rehabilitation of patients with severe chronic obstructive pulmonary disease. Am J Respir Crit Care Med, 1997, 155(5): 1541-1551.
22. Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine. American College of Sports Medicine position stand: quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc, 2011, 43(7): 1334-1359.
23. Beauchamp MK, Nonoyama M, Goldstein RS, et al. Interval versus continuous training in individuals with chronic obstructive pulmo-nary disease-a systematic review. Thorax, 2010, 65(2): 157-164.
24. O'Shea SD, Taylor NF, Paratz JD. Progressive resistance exercise improves muscle strength and may improve elements of perfor-mance of daily activities for people with COPD: a systematic review. Chest, 2009, 136(5): 1269-1283.
25. Williams MA, Haskell WL, Ades PA, et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update. A scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation, 2007, 116(5): 572-584.
26. Probst VS, Troosters T, Pitta F, et al. Cardiopulmonary stress during exercise training in patients with COPD. Eur Respir J, 2006, 27(6): 1110-1118.
27. Ries AL. Pulmonary rehabilitation:summary of an evidence-based guideline. Respir Care, 2008, 53(9): 1203-1207.
28. Geddes EL, O Brien K, Reid WD, et al. Inspiratory muscle tranning in adults with chronic obstructive pulmonary disease: an update of a systematic review. Respir Med, 2008, 10(12): 1715-l729.
29. Haskell WL, Lee IM, Pate RR, et al. American College of Sports Medicine; American Heart Association. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 2007, 116(9): 1081-1093.
30. Brunelli A, Kim AW, Berger KI. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery. Chest, 2013, 143(5): 166-190.
31. Criner GJ, Cordova FC, Furukawa S, et al. Prospective randomized trial comparing bilateral lung volume reduction surgery to pulmo-nary rehabilitation in severe COPD. Am J Respir Crit Care Med, 1999, 160(6): 2018-2027.
32. Andersen AH, Vinther A, Poulsen LL, et al. Do patients with lung cancer benefit from physical exercise? Acta Oncol, 2011, 50(2): 307-313.
33. Ewig S, de Roux A, Bauer T, et al. The BODE index:a new grading system in COPD. Validation of predictive rules and indices of severity for community acquired pneumonia. Thorax, 2004, 59(5): 421-427.
34. Nwosu AC, Bayly JL, Gaunt KE, et al. Lung cancer and rehabilita-tion what are the barriers? Results of a questionnaire survey and the development of regional lung cancer rehabilitation standards and guidelines. Support Care Cancer, 2012, 20(12): 3247-3254.
35. Sommer MS, Trier K, Vibe-Petersen J, et al. Perioperative rehabi-litation in operation for lung cancer (PROLUCA). BMC, 2014, 14: 404. doi: 10.1186/1471-2407-14-404..
36. Quist M, Langer SW, Rorth M, et al. "EXHALE": exercise as a strategy for rehabilitation in advanced stage lung cancer patients: a randomized clinical trial comparing the effects of 12 weeks supervised exercise intervention versus usual care for advanced stage lung cancer patients. 2013, 13: 477. doi: 10. 1186/1471-2407-13-477.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application Value of Pre-operative Pulmonary Rehabilitation Exercise Training in Patients with Lung Cancer

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