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Thoracic Oncology and Surgery

  • Catherine L. Granger
  • Gill Arbane
Chapter

Abstract

Pulmonary rehabilitation is an important component in the management of lung cancer. It aims to minimise physical and psychological impairments which commonly occur in patients following a diagnosis of lung cancer. There are well-established clinical guidelines regarding exercise for patients with cancer. These recommend at least 150 min of moderate intensity physical activity and two to three resistance training sessions per week, and avoidance of sedentary time. The evidence for exercise specifically in lung cancer is growing rapidly. It shows that pulmonary rehabilitation is associated with improvements in exercise capacity, muscle strength and symptoms, especially when delivered after surgery. Pulmonary rehabilitation before surgery (prehabilitation) is also associated with reduced post-operative complications and hospital length of stay. Pulmonary rehabilitation during chemotherapy or radiotherapy, and for patients with advanced palliative disease appears to be effective at reducing symptoms and improving and/or maintaining exercise capacity and muscle strength. This chapter begins by providing an overview to the topic of thoracic oncology and specifically focuses on lung cancer. The chapter summarises the symptoms of lung cancer, medical treatment and side-effects, common impairments, and the evidence for physical activity and exercise training. It also outlines a number of specific considerations for delivery of pulmonary rehabilitation in the lung cancer setting including patient assessment, exercise prescription, safety, and timing of delivery across the cancer disease trajectory.

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of PhysiotherapyUniversity of MelbourneMelbourneAustralia
  2. 2.Department PCCP, Guy’s and St Thomas’ NHS Foundation TrustLondonUK

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