EFFECTS OF PREOPERATIVE INTENSIVE PULMONARY REHABILITATION FOR A WEEK ON RESPIRATORY FUNCTION AND EXERCISE CAPACITY OF PATIENTS WITH LUNG CANCER Esra PEHLIVAN * Akif TURNA*, Atilla GURSES* H. Nilgün GURSES ** * Yedikule Chest Disease and Chest Surgery Hospital , Istanbul. ** Istanbul Bilim University, School of Health, Department of Physical Therapy and Rehabilitation, Istanbul.
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Esra PEHLIVAN * Akif TURNA*, Atilla GURSES* H. Nilg ü n GURSES **
EFFECTS OF PREOPERATIVE INTENSIVE PULMONARY REHABILITATION FOR A WEEK ON RESPIRATORY FUNCTION AND EXERCISE CAPACITY OF PATIENTS WITH LUNG CANCER. Esra PEHLIVAN * Akif TURNA*, Atilla GURSES* H. Nilg ü n GURSES ** * Yedikule Chest Disease and Chest Surgery Hospital , Istanbul. - PowerPoint PPT Presentation
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EFFECTS OF PREOPERATIVE INTENSIVE PULMONARY REHABILITATION FOR A
WEEK ON RESPIRATORY FUNCTION AND EXERCISE CAPACITY OF PATIENTS WITH
LUNG CANCER
Esra PEHLIVAN *
Akif TURNA*, Atilla GURSES*
H. Nilgün GURSES *** Yedikule Chest Disease and Chest Surgery Hospital , Istanbul.
** Istanbul Bilim University, School of Health, Department of Physical Therapy and
Rehabilitation, Istanbul.
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Objective
The aim of this study was to investigate the effect of short and intensive preoperative pulmonary rehabilitation, on lung functions and exercise capacity of patients with lung cancer.
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Methods
January 2007- August 2008 60 patient Prospective, randomized,
controlled
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Inclusion Criteria
Planned to operete with thoracotomy Clinical stage IA to IIIB Detected lung tumour >ASA II or better
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Exclusion Criteria
Severe cardiac diseases,
Severe cognitive problems and phychiatric diseases
Physical limitations
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Algorithm of study
IA-IIIB AC CA
Mdx.
Hospital record number-single Hospital record number-dual
First evaluation (Pre-operative,before rehabilitation)
Pre-operative Physical Therapy and Rehabilitation Breathing exercises İncentive spirometry usage Coughing technics Walking training
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Pre-operative Physical Therapy and Rehabilitation Diaphragmatic Breathing Exercise
Gürses HN, Astımlı hastaların Tedavisinde Fizyoterapi Rehabilitasyon. İn: Gürses HN, Polat MG, editör. Astımla Birlikte Sorunsuz Yaşamak. İstanbul: Türkiye Fizyoterapistler Derneği İstanbul Bölge Temsilciliği Yayını; 1995. pp. 10-25.
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Pre-operative Physical Therapy and Rehabilitation
Pursed Lip Breathing
Gürses HN. KOAH’da Fizyoterapi Rehabilitasyon ve Egzersiz Eğitimi. “KOAH’ta Solunum Rehabilitasyonu” TÜSAD 28. Ulusal Kongresi Antalya. 2006; 59-60.
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Pre-operative Physical Therapy and Rehabilitation
Segmental Breathing Exercise
Ralph Braunschweig. Physical Therapy for The Thoracic Surgical Patient. İn; Shields TW, ed.. General Thoracic Surgery. USA: Williams and Wilkins; 1994. pp. 371-378.
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Pre-operative Physical Therapy and Rehabilitation İncentive spirometry usage
Weiner P. The Effect Of Incentive Spirometry And Inspiratory Muscle Training On Pulmonary Function After Lung Resection. J Thorac Cardiovasc Surg 1997; 113: 552-557.
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Pre-operative Physical Therapy and Rehabilitation
Coughing technics
McCool FD, Rosen MJ. Nonpharmacologic Airway Clearance Therapies: ACCP Evidence-Based Clinical. Practice Guidelines. Chest 2006; 129: 250-259.
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Pre-operative Physical Therapy and Rehabilition
Walking training
Star JA. Choronic Pulmonary Disfunction. İn; O.’Sullivan SB, editör. Physical Rehabilitation Assesment and Treatment . Philadelphia: F.A.Davis Company; 1994. pp. 277-295.