Sun Qihang, Omindo Willis Wasonga, Liu Wanjun, Huang Yan, Zhang Ruijie, Qian Yan, Li Xianping, Qiu Ruixing, Zheng Shubin, Ping Wei, Zhang Ni
Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei, China.
Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei, China.
Digit Health. 2024 Jun 5;10:20552076241258362. doi: 10.1177/20552076241258362. eCollection 2024 Jan-Dec.
Reduced cardiorespiratory fitness levels are associated with increased short-term complications after surgery, and potentially exert long-lasting effects on the postoperative lives, work and educational pursuits of patients. Currently, research suggests that lifestyle interventions, such as preoperative physical exercise undertaken by patients themselves, may improve patients' cardiopulmonary fitness and reduce post-operative complications. This study aims to investigate the effectiveness and feasibility of a remote medical supervision model for prehabilitation exercise in patients undergoing thoracoscopic lung tumour resection surgery.
METHODS/DESIGN: All enrolled patients will participate in a 4-week pre-operative exercise intervention to improve their cardiorespiratory fitness. During this period, patients will wear wearable devices and exercise at home based on exercise prescriptions. The exercise prescription comprises aerobic exercise (three times a week or more), muscle strengthening exercise (twice a week or more), and respiratory muscle exercise (once a day). The primary aim is to investigate whether baseline VOmax could be improved following a 4-week preoperative exercise program. Secondary objectives include changes in forced expiratory volume in 1 s and forced vital capacity, degree of acceptance of the technology, quality of life, handgrip strength, postoperative complication rate and length of hospital stay.
This study aims to evaluate the influence of preoperative prehabilitation exercises in a telemedicine active supervision mode in patients undergoing thoracoscopic lung tumour resection. As such, results of this trial might have some impact on future implementations of group- and home-based prehabilitation exercises in lung cancers.
This study was approved by the Medical Ethics Committee of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology (approval number: TJ-IRB20220564) with registration at ClinicalTrials.gov (identifier: NCT05608759).
心肺适能水平降低与术后短期并发症增加相关，并可能对患者术后的生活、工作和学业产生长期影响。目前的研究表明，生活方式干预，如患者自身进行的术前体育锻炼，可能会改善患者的心肺适能并减少术后并发症。本研究旨在探讨远程医疗监督模式用于胸腔镜肺肿瘤切除手术患者术前康复锻炼的有效性和可行性。
方法/设计：所有入组患者将参加为期4周的术前运动干预，以提高其心肺适能。在此期间，患者将佩戴可穿戴设备，并根据运动处方在家中进行锻炼。运动处方包括有氧运动（每周三次或更多）、肌肉强化运动（每周两次或更多）和呼吸肌运动（每天一次）。主要目的是研究术前4周的运动计划后基线最大摄氧量是否能得到改善。次要目标包括1秒用力呼气量和用力肺活量的变化、对该技术的接受程度、生活质量、握力、术后并发症发生率和住院时间。
本研究旨在评估远程医疗主动监督模式下术前康复锻炼对胸腔镜肺肿瘤切除患者的影响。因此，本试验的结果可能会对未来肺癌患者团体和家庭术前康复锻炼的实施产生一些影响。
本研究已获得华中科技大学同济医学院附属同济医院医学伦理委员会批准（批准号：TJ-IRB20220564），并在ClinicalTrials.gov注册（标识符：NCT05608759）。
