Physical Therapy and Relaxation for Lung Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests two different programs designed to assist individuals with lung cancer who are planning surgery. The programs aim to enhance recovery through physical therapy and relaxation exercises. One program includes both in-person and at-home sessions, while the other utilizes a virtual app-based format. The trial seeks participants with non-small cell lung cancer who are scheduled for surgery and willing to adhere to the exercise and relaxation routine. Participants will track their progress and may experience improved physical and emotional recovery post-surgery. As an unphased trial, this study provides a unique opportunity to explore innovative recovery methods that could enhance surgical outcomes.
Do I have to stop taking my current medications for this trial?
The trial protocol does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
Is there any evidence suggesting that this trial's interventions are likely to be safe?
A previous study found physical therapy for lung cancer patients to be safe and helpful. It can reduce symptoms like shortness of breath and tiredness. Research has shown that exercise can lead to better surgery outcomes and shorter hospital stays. Patients who remain active often enjoy a better quality of life.
Additionally, studies on progressive muscle relaxation, often part of physical therapy, show it can effectively lower anxiety and pain in cancer patients. This relaxation method involves tightening and then relaxing different muscle groups to promote calmness. Most people tolerate it well, with few side effects reported.
Both physical therapy and relaxation exercises are well-supported as safe ways for lung cancer patients to improve recovery and overall well-being.12345Why are researchers excited about this trial?
Researchers are excited about these trial methods for lung cancer because they incorporate innovative approaches to patient wellness. Unlike traditional treatments that primarily focus on medication or surgery, these approaches emphasize physical activity and mental relaxation. The first method involves personalized physical therapy sessions, both in-person and virtual, along with home exercises using portable equipment, which can enhance recovery and improve physical resilience. The second method leverages technology with the BeFitMe app and an Apple watch, providing patients with on-the-go exercise guidance and motivational support, which is a novel way to engage patients in their own care. These methods aim to improve overall quality of life and potentially boost treatment outcomes by addressing both physical and mental health in a comprehensive manner.
What evidence suggests that this trial's interventions could be effective for lung cancer?
Research has shown that physical therapy can greatly benefit lung cancer patients. Exercise programs have been linked to improved fitness, stronger muscles, and enhanced quality of life. One study found that exercise significantly improved lung function and overall well-being. In this trial, participants in Arm I (ROAR-LCS) will engage in both physical therapy and progressive muscle relaxation exercises. Studies have shown that progressive muscle relaxation can reduce symptoms like pain and shortness of breath. This method also helps lower stress and improve mood, which can be important for recovery. Meanwhile, participants in Arm II (BeFitMe) will use a smartphone app and an Apple watch to guide their exercise routines. Together, these approaches may help patients recover faster after lung surgery.14567
Who Is on the Research Team?
Carolyn J Presley, MD
Principal Investigator
Ohio State University Comprehensive Cancer Center
Are You a Good Fit for This Trial?
This trial is for adults (18+) with certain types of lung cancer who plan to have surgery after initial treatment at OSUCCC. Participants must be able and willing to join the program, understand instructions, and sign consent.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Prehabilitation
Participants engage in physical therapy and relaxation interventions before lung cancer surgery to promote resiliency and operative success.
Post-operative Treatment
Participants continue physical therapy and relaxation interventions after surgery, including virtual sessions and at-home exercises.
Follow-up
Participants are monitored for safety and effectiveness after treatment, with follow-up assessments at 1 and 2 years.
What Are the Treatments Tested in This Trial?
Interventions
- Physical Therapy
- Relaxation Technique
Trial Overview
The study compares two pre- and post-surgery programs: one in-person/at-home (ROAR-LCS) and one virtual (BeFitMe). Both use physical therapy, exercise, relaxation techniques, text messages, surveys, and online tools to help recovery from lung cancer surgery.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Patients receive access to the BeFitMe app on their smartphone and an Apple watch and exercise flip book for 9 months. Patients are assigned exercises, lasting at least 3 minutes, and receive access to self guided exercise videos. Patients receive motivational text messages to encourage their completion of the exercises once daily. Patients track their exercise and step counts using the app. Patients also undergo blood sample collection on study.
Patients complete in person physical therapy sessions during weeks with regularly scheduled clinic visits, at first session after surgery, and the final session. These sessions include 10 minutes of a cardiovascular warm up followed up core exercise and resistance training. Patients also complete virtual physical therapy sessions in a similar fashion during weeks in between regularly scheduled clinic visits. Patients complete 6-8 sessions prior to surgery and 12 sessions total (over 3-4 months). Patients receive a portable exercise peddler and resistance bands for at home exercise. Patients complete the exercises at home as instructed during their sessions, at first weekly then increased to twice then three times weekly depending upon tolerance. Patients also complete progressive muscle relaxation exercises during a guided virtual session once weekly and at home individually 3-5 times per week. Patients also undergo blood sample collection on study.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Ohio State University Comprehensive Cancer Center
Lead Sponsor
Citations
Physiotherapy Interventions in Lung Cancer Patients - PMC
This systematic review aims to study the effects of physiotherapy interventions to improve quality of life in patients with lung cancer.
Physiotherapy management of lung cancer
In summary, growing evidence suggests that exercise following surgery/treatment is associated with improvements in physical and physiological outcomes.
Effectiveness and quality of life in lung cancer, pre-, post
Pulmonary rehabilitation has been recognized as an effective intervention to reduce lung cancer related symptoms and improve the pulmonary function.
Exercise rehabilitation on patients with non-small cell lung ...
The results show that exercise rehabilitation significantly improves the cardiopulmonary function of lung cancer patients, with an SMD of 0.856, 95% confidence ...
Recommendations for Interventions to Improve Function in ...
This clinical practice guideline, supported by APTA Oncology, evaluated the impact of rehabilitation interventions on functional outcomes ...
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respiratory-therapy.com
respiratory-therapy.com/disorders-diseases/cardiopulmonary-thoracic/lung-cancer/physical-activity-may-reduce-symptoms-improve-quality-life-lung-cancer-patients/Physical Activity May Reduce Symptoms in Lung Cancer | RT
This review shows uniform recognition that exercise and physical activity are safe for those with lung cancer, patients are requesting increased activity ...
Increasing Physical Activity and Exercise in Lung Cancer
These data suggest that perioperative exercise in lung cancer patients might improve both operability and operative risk, though the studies are ...
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