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Effects of exercise training in patients with lung cancer during chemotherapy treatment |
Rehman M, Ahmad U, Waseem M, Ali B, Tariq MI |
The Malaysian Journal of Medical Sciences 2023 Apr;30(2):141-152 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: Yes; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND: Cancer is the second greatest cause of death and disability after cardiovascular disease. OBJECTIVE: To determine the effects of exercise training in patients with lung cancer during chemotherapy treatment. METHODS: A randomised clinical trial was conducted in Shaukat Khanum Memorial Cancer Hospital and Institute of Radiotherapy and Nuclear Medicine (IRNUM) Peshawar. A total of 40 participants were randomly divided into two groups: (i) the Experimental group (EG, n = 20) and (ii) Control group (CG, n = 20). Both groups received exercise training for 4 weeks, with five sessions per week. The EG received pulmonary rehabilitation and aerobic training. The CG received only pulmonary rehabilitation. Both groups were evaluated at baseline and after 6 weeks through Mindful Attention Awareness Scale (MAAS) Urdu version, Six Minute Walk Test (6MWT), digital spirometry, Borgs scale, Hospital Anxiety and Depression Scale (HADs) and Visual Analogue Scale (VAS). RESULTS: Both the EG and CG showed significant improvement in MAAS scores at post-study with a (p < 0.001). The scores of 6MWT were improved significantly in both groups after intervention with a (p = 0.001). The patient's anxiety scores were significantly improved in both groups after intervention with a (p < 0.001), while depression scores were also improved considerably between the two groups at post-level with a (p < 0.001). Regarding spirometry value, both groups showed significant improvement after intervention for forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC) and FEV1/FVC (p < 0.001). Both groups show significant differences in patient pain intensity and dyspnea at post-level with p < 0.001. CONCLUSION: This study concluded that pulmonary rehabilitation along with aerobic training can be more effective than pulmonary rehabilitation alone for patients with lung cancer during chemotherapy treatment.
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