and nurses, about the role of exercise in lung cancer, as it is
a relatively poorly understood area outside of physiotherapy.
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such an intervention?
Prehabilitation is exercise training conducted before surgery.
There are two clinical rationales for this: (a) it can be used for
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(to maximise their physical status before surgery and reduce
their post-operative morbidity); or (2) for people who are not
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(to improve their physical status enough for them to be able to
receive surgery). Surgical treatment is the best chance of cure for
lung cancer and therefore the ability to train people to help them
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target. However, prehabilitation is a new focus in lung cancer and
the research supporting it is still in its infancy. It is not currently
part of routine practice worldwide, and, at present, we do not
recommend delaying surgery in already-operable patients to
undertake prehabilitation. This is an exciting area of research and
we watch eagerly as results from randomised controlled trials
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What do we know about how exercise training should be
delivered following cancer treatment?
There are several high-quality randomised controlled trials showing
that exercise is effective for patients with lung cancer after curative
treatment (surgery or curative chemotherapy/radiotherapy).
Exercise at this point aims to restore physical status, addressing the
loss of functional capacity and muscle strength which commonly
occurs during treatment, and to maximise function, physical activity
and psychological status in the long term. The evidence shows that
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depression, but does not appear to improve health-related quality of
life or respiratory function at this time point. The exercise programs
in the majority of studies have been in the form of supervised
programs, and generally follow the pulmonary rehabilitation model,
using a combination of aerobic and resistance training, and this
model is currently recommended practice. The addition of other
components, such as breathing exercises, dyspnoea management,
balance exercises and stretches are used occasionally; however,
the independent contribution of these training components to the
resultant outcomes is unknown.
PhD Scholarship Round
Opens 4 July
Application information please visit:www.arthritisvic.org.au/Research/For-Researchers
or contact: 03 8531 8017 |firstname.lastname@example.org
We are seeking a
enthusiastic PhD scholar
who is interested in
research in one or more
of the priority areas
outlined in our Research
Looking forward, what are the key challenges for researchers
undertaking work in this area?
The literature tells us that exercise is important in lung cancer but
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most effective. For example, future research needs to be conducted
to help us understand what type of exercise is best (aerobic,
resistance, combination), and the best dosage/frequency, setting,
etc. In addition, we do not know the best time in the disease’s
trajectory to intervene. This information will help us understand how
to make our treatment most effective for patients.
To access a full transcript of the extended Q&A, email@example.com
. Go tophysiotherapy.asn.au/
JOP to read issue 2 of the
Journal of Physiotherapy