Evaluation of functional exercise capacity using two-field test in lung cancer patients

BACKGROUND Advanced lung cancer patients often have chronic lung disease with reduced exercise capacities and various symptoms leading to altered quality of life (QoL). No studies have assessed pulmonary rehabilitation (PR) employing a mobile app and an Internet of Things device in advanced lung cancer patients undergoing chemotherapy. OBJECTIVE This study aimed to determine the feasibility and efficacy of smartphone app–based PR on exercise capacity, symptom management, and QoL in patients with advanced lung cancer undergoing chemotherapy. METHODS A total of 100 patients were recruited in a prospective, single-arm intervention study using a smartphone app–based PR program for 12 weeks. Exercise capacity (6-min walking distance, 6MWD), QoL, symptom scale scores, and distress indexes were investigated. RESULTS A total of 90 patients completed the PR program. The most common cause of drop out was hospitalization because of cancer progression. After PR, there was significant improvement in the 6MWD; 380.1 m (SD 74.1) at baseline, 429.1 m (SD 58.6) at 6 weeks (P<.001), and 448.1 m (SD 50.0) at 12 weeks (P<.001). However, the dyspnea scale score showed no significant improvement in the patients overall, but there was a trend for improvement in those with a stable tumor response (P=.07). Role (P=.02), emotional (P<.001), and social functioning (P=.002) scale scores showed significant improvement after PR. Symptom scale scores for fatigue (P<.001), anorexia (P=.047), and diarrhea (P=.01) also showed significant improvement. There was significant improvement in depression (P=.048) and anxiety (P=.01), whereas there was no significant change in QoL (P=.06) and severity of pain (P=.24). CONCLUSIONS Smartphone app–based PR represents an effective and feasible program to improve exercise capacity and to manage symptoms and distress in patients with advanced lung cancer who are undergoing chemotherapy.

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Factors Influencing Functional Exercise Capacity After Lung Resection for Non–Small Cell Lung Cancer

Integrative Cancer Therapies ◽

10.1177/1534735420923389 ◽

2020 ◽

Vol 19 ◽

pp. 153473542092338

Author(s):

Masato Oikawa ◽

Masatoshi Hanada ◽

Hiroki Nagura ◽

Tomoshi Tsuchiya ◽

Keitaro Matsumoto ◽

...

Keyword(s):

Lung Cancer ◽

Muscle Strength ◽

Small Cell Lung Cancer ◽

Exercise Capacity ◽

Chest Tube ◽

Lung Resection ◽

Small Cell ◽

Small Cell Lung ◽

Functional Exercise ◽

Functional Exercise Capacity

Purpose: We investigated, in patients who underwent lung resection for non–small cell lung cancer (NSCLC), the magnitude of early limitation in functional exercise capacity and the associations with pre- and postoperative factors. Methods: Consecutive patients with preoperative clinical stage I to IIIA NSCLC who underwent lung resection were prospectively enrolled. We measured functional exercise capacity (6-minute walk distance [6MWD]) and skeletal muscle strength (handgrip [HF] and quadriceps force [QF]) within 2 days prior to surgery and on day 7 postoperatively. Results: Two hundred eighteen participants were recruited (median age 69 years) of whom 49 developed postoperative complications (POCs). 6MWD was markedly decreased (514 m vs 469 m, P < .001); HF and QF were slightly decreased following surgery. Multiple linear regression showed that preoperative vital capacity ( P < .01), QF ( P < .05), the duration of chest tube drainage ( P < .001), and presence of POCs ( P < .05) were significant predictors. However, intraoperative factors were not significantly associated with the decline in 6MWD. Conclusions: These results suggest that patients with preoperative impairments in pulmonary function and muscle strength, and those who require prolonged chest tube drainage or develop POCs are likely to have impaired exercise capacity. Therefore, individual assessment and follow-up of patients with such factors is indicated.

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Critically appraised paper: In people with inoperable lung cancer, home-based rehabilitation provides no benefit over usual care in optimising functional exercise capacity [synopsis]

Journal of Physiotherapy ◽

10.1016/j.jphys.2019.11.010 ◽

2020 ◽

Vol 66 (1) ◽

pp. 57

Author(s):

Vinicius Cavalheri

Keyword(s):

Lung Cancer ◽

Usual Care ◽

Exercise Capacity ◽

Home Based ◽

Functional Exercise ◽

Functional Exercise Capacity

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Exercise tolerance test in lung cancer patients: The relationship between exercise capacity and post-thoracotomy hospital mortality

Journal of Cardiothoracic Anesthesia ◽

10.1016/0888-6296(88)90326-2 ◽

1988 ◽

Vol 2 (3) ◽

pp. 393

Keyword(s):

Lung Cancer ◽

Hospital Mortality ◽

Cancer Patients ◽

Exercise Capacity ◽

Exercise Tolerance ◽

Tolerance Test ◽

Lung Cancer Patients ◽

Exercise Tolerance Test ◽

The Relationship

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Influence of ballroom dancing on fatigue, body image, self-efficacy, and endurance of cancer patients and their partners

Medical Oncology ◽

10.1007/s12032-021-01459-0 ◽

2021 ◽

Vol 38 (2) ◽

Author(s):

S. Thieser ◽

J. Dörfler ◽

I. Rudolph ◽

T. Wozniak ◽

T. Schmidt ◽

...

Keyword(s):

Physical Activity ◽

Body Image ◽

Cancer Patients ◽

Exercise Capacity ◽

Self Efficacy ◽

Walking Distance ◽

Ballroom Dancing ◽

Dance Training ◽

Functional Exercise ◽

Functional Exercise Capacity

AbstractPhysical activity has a high importance for cancer patients. The present study aimed to evaluate the influence of ballroom dancing on fatigue, body image, self-efficacy, and functional exercise capacity for patients with cancer. We collected data among participants of a regular dance training program for cancer patients with a questionnaire including the Body Image Scale (BIS), Brief Fatigue inventory (BFI), Short Scale for Measuring General Self-efficacy Beliefs (ASKU), and the 6-min walking test (6-MWT). 66 participants took part in the study, and among them, 39 participants also engaged in the 6-MWT: dance experience and the weeks of dance training were significantly associated with a higher walking distance in the 6-MWT. Participants with dance experience showed higher self-efficacy scores than participants without. Participants rated the influence of dancing on partnership positively. However, the dance training had no significant effects on fatigue or body image. Ballroom dancing may improve functional exercise capacity, and dance experience may be associated with a high self-efficacy and active lifestyle, which can be beneficial for cancer patients during and after treatment. Further studies are needed to assess the influence of ballroom dancing more deeply on physical activity and fitness and to learn more on impact on the partnership. As ballroom dancing seems to improve physical activity and wellbeing and can promote intimacy between partners, this intervention has the potential to support cancer survivors in various levels.

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