COMPARISON OF THE EFFECT OF PHYSIOTHERAPY ON INCREMENTAL SHUTTLE WALK DISTANCE IN LOBECTOMY PATIENTS WITH VATS AND THORACOTOMY
Keywords:
Walking Test, Lobectomy, VATS, ThoracotomyAbstract
The evidence studies of the effect of physiotherapy on incremental shuttle walk distance in lobectomy patients are limited. The purposes of this study were to examine the effect of physiotherapy on the change in shuttle walk distance after lobectomy and to compare shuttle walk distance between lobectomy with video-assisted thoracoscopic surgery (VATS) and lobectomy with Thoracotomy groups. This retrospective study included patients who underwent lobectomy via VATS or Thoracotomy and received physical therapy treatment including breathing training, cough training, and exercise, between April 2015 and December 2020 at the Central Chest Institute of Thailand. The incremental shuttle walk test (ISWT) was investigated at preoperative, postoperative discharge day, and at 2 weeks follow-up. The data of shuttle walk distances between VATS and Thoracotomy groups in each time period were analyzed using Two-way Mixed ANOVA. The results showed that there were 190 eligible patients who underwent lobectomy via VATS (n=125) or Thoracotomy (n=65) and received physical therapy treatment. The shuttle walk distances were significantly decreased at discharge day when compared to preoperative values (p<0.001) and were returned to the preoperative level at 2 weeks follow-up. When comparing between VATS and Thoracotomy groups on discharge day, the shuttle walk distance in VATS was decreased less than in Thoracotomy groups, and both groups recovered within 2 weeks of follow-up. The conclusion was that patients undergoing lobectomy via VATS or Thoracotomy and receiving physical therapy treatment had a significant postoperative reduction of shuttle walk distance, however, they recovered to the preoperative levels within 2 weeks of follow-up.
Downloads
References
Montagne, F., Guisier, F., Venissac, N., and Baste, J. M. (2021). The role of surgery in lung cancer treatment: Present indications and future perspectives-state of the art. Cancers, 13(15), Article number 3711.
Landreneau, R. J., Hazelrigg, S. R., Mack, M. J., Dowling, R. D., Burke, D., Gavlick, J., Perrino, M. K., Ritter, P. S., Bowers, C. M., DeFino, J., Nunchuck, S. K., Freeman, J., Keenan, R. J., and Ferson, P. F. (1993). Postoperative pain-related morbidity: Video-assisted thoracic surgery versus thoracotomy. The Annals of Thoracic Surgery, 56(6), 1285-1289.
McKenna, R. J., and Houck, W. V. (2005). New approaches to the minimally invasive treatment of lung cancer. Current Opinion in Pulmonary Medicine, 11(4), 282-286.
He, J., and Xu, X. (2012). Thoracoscopic anatomic pulmonary resection. Journal of Thoracic Disease, 4(5), 520-547.
Boffa, D. J., Allen, M. S., Grab, J. D., Gaissert, H. A., Harpole, D. H., and Wright, C. D. (2008). Data from the society of thoracic surgeons general thoracic surgery database: The surgical management of primary lung tumors. The Journal of Thoracic and Cardiovascular Surgery, 135(2), 247-254.
Sasaki, N., Meyer, M. J., and Eikermann, M. (2013). Postoperative respiratory muscle dysfunction: Pathophysiology and preventive strategies. Anesthesiology, 118(4), 961-978.
Gerner, P. (2008). Post-thoracotomy pain management problems. Anesthesiology Clinics, 26(2), 355-367.
Kendall, F., Abreu, P., Pinho, P., Oliveira, J., and Bastos, P. (2017). The role of physiotherapy in patients undergoing pulmonary surgery for lung cancer. A literature review. Revista Portuguesa de Pneumologia, 23(6), 343-351.
Baddeley, R. A. (2016). Physiotherapy for enhanced recovery in thoracic surgery. Journal of Thoracic Disease, 8(Suppl 1), 107-110.
Ahmad, A. M. (2018). Essentials of physiotherapy after thoracic surgery: What physiotherapists need to know. A narrative review. Korean Journal of Thoracic and Cardiovascular Surgery, 51(5), 293-307.
Singh, S. J., Morgan, M. D., Scott, S., Walters, D., and Hardman, A. E. (1992). Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax, 47(12), 1019-1024.
Singh, S. J., Morgan, M. D., Hardman, A. E., Rowe, C., and Bardsley, P. A. (1994). Comparison of oxygen uptake during a conventional treadmill test and the shuttle walking test in chronic airflow limitation. European Respiratory Journal, 7(11), 2016-2020.
Albouaini, K., Egred, M., and Alahmar, A. (2007). Cardiopulmonary exercise testing and its application. Postgraduate Medical Journal, 83(985), 675-682.
Lelis, J. D'., Chaves, G., Ghisi, G. L. D. M., Grace, S. L., and Britto, R. R. (2019). Validity of the incremental shuttle walk test to assess exercise safety when initiating cardiac rehabilitation in low-resource settings. Journal of Cardiopulmonary Rehabilitation and Prevention, 39(3), E1-E7.
Ha, D., Mazzone, P. J., Ries, A. L., Malhotra, A., and Fuster, M. (2016). The utility of exercise testing in patients with lung cancer. Journal of Thoracic Oncology, 11(9), 1397-1410.
Granger, C. L., Denehy, L., Parry, S. M., Martin, J., Dimitriadis, T., Sorohan, M., and Irving, L. (2015). Which field walking test should be used to assess functional exercise capacity in lung cancer? An observational study. BMC Pulmonary Medicine, 15, Article number 89.
Holland, A. E., Spruit, M. A., Troosters, T., Puhan, M. A., Pepin, V., Saey, D., McCormack, M. C., Carlin, B. W., Sciurba, F. C., Pitta, F., Wanger, J., MacIntyre, N., Kaminsky, D. A., Culver, B. H., Revill, S. M., Hernandes, N. A., Andrianopoulos,V., Camillo, C. A., Mitchell, K. E., Lee, A. L., Hill, C. J., and Singh, S. J. (2014). An official European Respiratory Society/American Thoracic Society technical
standard: Field walking tests in chronic respiratory disease. European Respiratory Journal, 44(6), 1428-1446.
Fennelly, J., Potter, L., Pompili, C., and Brunelli, A. (2017). Performance in the shuttle walk test is associated with cardiopulmonary complications after lung resections. Journal of Thoracic Disease, 9(3), 789-795.
Win, T., Groves, A. M., Ritchie, A. J., Wells, F. C., Cafferty, F., and Laroche, C. M. (2007). The effect of lung resection on pulmonary function and exercise capacity in lung cancer patients. Respiratory Care, 52(6), 720-726.
Brocki, B. C., Westerdahl, E., Langer, D., Souza, D. S. R., and Andreasen, J. J. (2018). Decrease in pulmonary function and oxygenation after lung resection. ERJ Open Research, 4(1), Article number 00055-2017.
Ichikawa, T., Yokoba, M., Horimizu, Y., Yamaguchi, S., Kawakami, A., Oikawa, S., Takeichi, H., Katagiri, M., and Toyokura, M. (2022). Recovery of respiratory muscle strength, physical function, and dyspnoea after lobectomy in lung cancer patients undergoing pulmonary rehabilitation: A retrospective study. European Journal of Cancer Care, 31(6), e13663.
Miserocchi, G., Beretta, E., and Rivolta, I. (2010). Respiratory mechanics and fluid dynamics after lung resection surgery. Thoracic Surgery Clinics, 20(3), 345-357.
Nomori, H., Horio, H., Naruke, T., and Suemasu, K. (2001). What is the advantage of a thoracoscopic lobectomy over a limited thoracotomy procedure for lung cancer surgery? The Annals of Thoracic Surgery, 72(3), 879-884.
Nagahiro, I., Andou, A., Aoe, M., Sano, Y., Date, H., and Shimizu, N. (2001). Pulmonary function, postoperative pain, and serum cytokine level after lobectomy: A comparison of VATS and conventional procedure. The Annals of Thoracic Surgery, 72(2), 362-365.
Bendixen, M., Jørgensen, O. D., Kronborg, C., Andersen, C., and Licht, P. B. (2016). Postoperative pain And quality of life after lobectomy via video-assisted thoracoscopic surgery or anterolateral thoracotomy for early stage lung cancer: A randomised controlled trial. The Lancet Oncology, 17(6), 836-844.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Srinakharinwirot University Journal of Sciences and Technology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Srinakharinwirot University Journal of Sciences and Technology is licensed Under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International (CC-BY-NC-ND 4.0) License, Unless Otherwise Stated. Please Read Journal Policies Page for More Information on Open Access, Copyright and Permissions.