Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06493877

Respiratory Rehabilitation Based on Eccentric Exercise on Treadmill After Thoracic Surgery: A Randomized Clinical Trial

Led by Universidad Europea de Madrid · Updated on 2024-07-11

57

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of an eccentric exercise program in patients who have undergone thoracic surgery. The study focuses on improving strength, lung capacity, functionality, and quality of life in these patients who often experience difficulty breathing during aerobic exercise. This randomized clinical trial follows ethical guidelines and includes 57 participants recovering from scheduled thoracic surgery. Participants will take part in a 4-week program consisting of 12 group sessions lasting 75 minutes each. The program combines respiratory physiotherapy, muscle strengthening exercises, and aerobic exercise. Aerobic training varies by group: one group uses a treadmill with a negative slope, another uses a treadmill with a positive slope, and the third uses a cycle ergometer. Exercise intensity is personalized and gradually increased based on individual tolerance. Throughout the study, participants will be assessed at the start, after 3 weeks, and 2 months post-intervention. Measurements include muscle thickness and strength, diaphragmatic movement, walking ability, perceived effort, respiratory pressures, lung function, and quality of life questionnaires. The study monitors participants closely to understand the benefits of the different exercise types on recovery after thoracic surgery.

CONDITIONS

Brief Title

Respiratory Rehabilitation Based on Eccentric Exercice on Treadmill After Thoracic Surgery

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants must be 18 years or older
  • Thoracic surgery performed within the previous 75 days
  • Experience grade 2 or 3 dyspnea on the mMRC scale
  • Have sufficient cognitive and functional ability to understand and perform the exercise program
  • No contraindications to physical training
  • Willing and active participants
Not Eligible

You will not qualify if you...

  • Severe intolerance to exertion due to untreated cardiac arrhythmias, unstable angina, severe pulmonary hypertension, or advanced heart failure (NYHA III or IV)
  • Pulmonary embolism under anticoagulant treatment for less than 5 days
  • Recent cardiovascular events within the last 4 weeks, including heart failure, angioplasties, cardiac surgeries, valvular issues needing surgery, myopericarditis, or exercise-induced ventricular arrhythmias
  • Kidney failure requiring dialysis
  • Uncontrolled bronchospasm due to intrinsic asthma
  • Undergoing chemotherapy after surgery
  • Experiencing adverse effects during treatment development

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 weeks

Participants undergo a respiratory rehabilitation program after thoracic surgery that includes respiratory physiotherapy, muscle strengthening exercises, and aerobic exercise on a treadmill with a negative slope, treadmill with a positive slope, or cycle ergometer depending on their assigned group.

Sessions every other day, each lasting 75 minutes

Follow-up

Duration - Up to 2 months after treatment

Participants are monitored for recovery and assessed on various functional and respiratory outcomes after completing the rehabilitation program.

Visits at 3 weeks and 2 months after baseline

Trial Site Locations

Total: 1 location

1

Hospital Universitario Ramon y Cajal

Madrid, Spain, 28034

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Research Team

T

Teresa Fernandez-Pardo

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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