Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2016
  • Volume: 10
  • Issue: 2

Effect of Exercise Training on Subjective and Objective Outcome in Lung Cancer

1Senior, Physiotherapist, Muscle n Mind Multispecialty Physiotherapy Centre, Mumbai

2Junior, Physiotherapist, Muscle n Mind Multispecialty Physiotherapy Centre, Mumbai

*Corresponding author: Nilesh Makwana Senior Physiotherapist Muscle n Mind Multispecialty Physiotherapy Centre, 7th fl oor, Ozone Biz building, Next to Maharashtra College, Mumbai Central East, Mumbai: -400008. Email: -nileshphysiotherapist@gmail.com

Online published on 27 April, 2016.

Abstract

Lung Cancer has high mortality rate, in India the survival rate is 12–14% for NSCLC and 2–3% for SCLC. Exercises are least considered in these type of diseases. Therefore this review was conducted to see the effect of exercise training in subjective and objective outcome in lung cancer patients.

We searched the articles from 2008 till May 2014 using the Cochrane database, PubMed; EMBASE; SciELO; and PEDro. Total of 8 articles were included in this review.

Objectively, the 6MWT, VO2max and BODE index showed 24.59metres, 2.8 ml/kg/min and 1.07 unit of improvement respectively. However, FEV1 showed minimal change in prospective studies, with mean of 0.72 littres. Other objectives, UULET and Endurance Testing showed significant change post ET (p<0.01). Subjectively, the HAD (Depression), Lung Cancer Subscale (LCS), MRC grading, Quality of Life Index, VAS and Borg's scale improved following PR. However, in Short Form 36, McGill Pain Questionnaire, St. George Respiratory Questionnaire, HAD (Anxiety) and FACT-L showed insignificant results.

There is a marked improvement in exercise tolerance as seen objectively, however not all subjective outcomes gave significant results except dyspnea, which showed significant improvement following Exercise training.

Keywords

Lung Cancer, Exercise training (ET), Exercise Tolerance, Dyspnea