Effects of a Training Intervention After Thoracoabdominal Oesophagus Surgery

Göteborg University

Status

Completed

Conditions

Oesophagus Cancer

Treatments

Other: Training group

Study type

Interventional

Funder types

Other

Identifiers

NCT02335970

FoU in Sweden 13891

Details and patient eligibility

About

This study evaluates the effect of a training intervention after thoracoabdominal resection of the oesophagus. Half of the patients scheduled for thoracoabdominal oesophagus surgery were randomized to an intervention group while the other half a control group.

Full description

It is well known that thoracoabdominal oesophageal resection for cancer is a procedure with high risks for complications. Earlier trials have shown that respiratory restrictions persist after the operation as well as lower physical function, range of motion in the rib-cage and limitations in activities in daily living. There are, however, only two clinical studies that evaluate postoperative breathing exercises and none evaluating any other rehabilitation interventions.

In other types of extensive surgery that may affect mobility with trauma to muscles and bone structures in the thorax and thoracic spinal column, there is strong evidence that speaks for an active rehabilitation approach in favour of a less active one.

The intervention evaluated was a rehabilitation program including exercises to restore lung function, range of motion in the thoracic spine and shoulders and strength exercises for the back extensors, shoulders and legs.

Enrollment

64 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients scheduled for thoracoabdominal oesophageal resection
Ability to perform 90 W during a sub-maximal bicycle test
Ability to speak Swedish

Exclusion criteria

Serious untreated cardiac disease that may be critical
Musculoskeletal or neurological disease or trauma affecting respiration or range of motion in the rib cage