Evaluation of pulmonary rehabilitation after lung resection through opto-electronic plethysmography

The aim of this study is to evaluate the Pulmonary Rehabilitation (PR) and post-operative complications on lung cancer patients by means of opto-electronic plethysmography (OEP). FEV1 and FVC have been measured through OEP on 13 lung cancer patients, before and after lobectomy and after pulmonary rehabilitation (PR). In every patient, FEV1 decreases after surgery, whereas FVC decreases only in 8 patients. Mean FEV1 and FVC decrease in every compartment of chest wall (CW) and in CW after lobectomy and improve in post-rehabilitation phase (ΔFEV1CW=+31%; ΔFVCCW = +13%). The highest positive variation of FEV1 has been measured in rib-cage abdominal compartment (ΔFEV1RCa =+59%) and of FVC in abdomen (ΔFVCAB = +24%), after PR.

[1]  R. Pauwels,et al.  Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. , 2001, American journal of respiratory and critical care medicine.

[2]  A. Ries,et al.  Effects of Pulmonary Rehabilitation on Physiologic and Psychosocial Outcomes in Patients with Chronic Obstructive Pulmonary Disease , 1995, Annals of Internal Medicine.

[3]  D. Galetta,et al.  Post-operative respiratory rehabilitation after lung resection for non-small cell lung cancer. , 2007, Lung cancer.

[4]  K. E. Bendstrup,et al.  Out-patient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease. , 1997, The European respiratory journal.

[5]  L. Voltolini,et al.  Long-term respiratory functional results after pneumonectomy. , 2008, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[6]  M. Ferguson,et al.  Assessment of pulmonary complications after lung resection. , 1999, The Annals of thoracic surgery.

[7]  S. Silvestri,et al.  A preliminary efficacy evaluation performed by opto-electronic plethysmography of asymmetric respiratory rehabilitation , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[8]  R. Zuwallack,et al.  Pulmonary rehabilitation - 1999 , 1999 .

[9]  L. Nici The role of pulmonary rehabilitation in the lung cancer patient. , 2009, Seminars in respiratory and critical care medicine.

[10]  S. J. Cala,et al.  Chest wall and lung volume estimation by optical reflectance motion analysis. , 1996, Journal of applied physiology.

[11]  E. Wouters,et al.  Exercise capacity before and after an 8-week multidisciplinary inpatient rehabilitation program in lung cancer patients: a pilot study. , 2006, Lung cancer.

[12]  A Pedotti,et al.  Optoelectronic plethysmography in intensive care patients. , 2000, American journal of respiratory and critical care medicine.

[13]  C. Rochester Pulmonary rehabilitation for patients who undergo lung-volume-reduction surgery or lung transplantation. , 2008, Respiratory care.