Vol 80, No 6 (2012)
Review paper
Published online: 2012-10-29
Submitted: 2013-02-22
Pulmonary rehabilitation in patients with lung cancer
Dariusz Jastrzębski, Dariusz Ziora, Grzegorz Hydzik, Ewa Pasko, Agnieszka Bartoszewicz, Jerzy Kozielski, Jolanta Nowicka
Pneumonol Alergol Pol 2012;80(6):546-554.
Vol 80, No 6 (2012)
REVIEWS
Published online: 2012-10-29
Submitted: 2013-02-22
Abstract
The paper presents current news on the possibilities of conducting rehabilitation of patients suffering from lung cancer. It
presents the principles of conducting and contraindications for pulmonary rehabilitation for these patients according to
current guidelines of American College of Sport Medicine. The methods of measuring exercise capacity for patients with
lung cancer have been discussed. The value of ergospirometrial test with maximum oxygen consumption (VO2peak) in
predicting not only the survival of patients with lung cancer, but also assessing the possibility of pulmonary rehabilitation
programs has been highlighted. In the part devoted to physical training for patients before a surgery for lung cancer, current
research results have been presented- these show that even a short, high intensity program of pulmonary rehabilitation for
patients with lung cancer before surgery is effective and increases the safety of both- the safety of the surgery and extends
survival time after operation for lung cancer. The paper describes difficulties in the implementation of rehabilitation programs
after surgery conducted on patients with lung cancer resulting from dysfunction of cardiovascular and muscle atrophy —
both skeletal and respiratory. The issue of patients with inoperable lung cancer treated with chemotherapy has been discussed
so far in only one paper published in 2007. The results shown in it have been discussed as well. The authors demonstrated
a significant improvement in the efficiency of respiratory-circulatory system assessed by six-minute walk test, although the
rehabilitation program was graduated by small number of patients (44%). It was noted that patients with inoperable lung
cancer now account for a large group of patients who use this type of medical intervention and can significantly improve the
quality of life and the method shows positive impact on the survival rate.
Abstract
The paper presents current news on the possibilities of conducting rehabilitation of patients suffering from lung cancer. It
presents the principles of conducting and contraindications for pulmonary rehabilitation for these patients according to
current guidelines of American College of Sport Medicine. The methods of measuring exercise capacity for patients with
lung cancer have been discussed. The value of ergospirometrial test with maximum oxygen consumption (VO2peak) in
predicting not only the survival of patients with lung cancer, but also assessing the possibility of pulmonary rehabilitation
programs has been highlighted. In the part devoted to physical training for patients before a surgery for lung cancer, current
research results have been presented- these show that even a short, high intensity program of pulmonary rehabilitation for
patients with lung cancer before surgery is effective and increases the safety of both- the safety of the surgery and extends
survival time after operation for lung cancer. The paper describes difficulties in the implementation of rehabilitation programs
after surgery conducted on patients with lung cancer resulting from dysfunction of cardiovascular and muscle atrophy —
both skeletal and respiratory. The issue of patients with inoperable lung cancer treated with chemotherapy has been discussed
so far in only one paper published in 2007. The results shown in it have been discussed as well. The authors demonstrated
a significant improvement in the efficiency of respiratory-circulatory system assessed by six-minute walk test, although the
rehabilitation program was graduated by small number of patients (44%). It was noted that patients with inoperable lung
cancer now account for a large group of patients who use this type of medical intervention and can significantly improve the
quality of life and the method shows positive impact on the survival rate.
Keywords
pulmonary rehabilitation; lung cancer
Title
Pulmonary rehabilitation in patients with lung cancer
Journal
Advances in Respiratory Medicine
Issue
Vol 80, No 6 (2012)
Article type
Review paper
Pages
546-554
Published online
2012-10-29
Bibliographic record
Pneumonol Alergol Pol 2012;80(6):546-554.
Keywords
pulmonary rehabilitation
lung cancer
Authors
Dariusz Jastrzębski
Dariusz Ziora
Grzegorz Hydzik
Ewa Pasko
Agnieszka Bartoszewicz
Jerzy Kozielski
Jolanta Nowicka