Clinical trial · Interventional
Physiotherapy Prehabilitation in Patients Undergoing Cardiac or Thoracic Surgery
The Effect of a Physiotherapy Prehabilitation Programme on Postoperative Outcomes in Patients Undergoing Cardiac or Thoracic Surgery
NCT02939729CI-TRIAL-00041345completedN/AClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The purpose of this study is to determine the effects of a physiotherapy prehabilitation programme (walking and deep breathing exercises) in cardiac or thoracic patients by measuring changes in lung volumes, functional capacity physiotherapy length of stay postoperatively.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Coronary Artery Disease | — | UNRESOLVED | — |
| Lung Cancer | Malignant Lung Neoplasm | CURATED_EXACT | 0.92 |
| Lung Tumor | Lung Neoplasm | ALIAS | 0.90 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Deep Breathing Exercises | Other | — | UNRESOLVED |
| Incentive Spirometer | Device | — | UNRESOLVED |
| Walking Programme | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Prehabilitation
- description
- This group will receive standard preoperative information and education and be provided with a physiotherapy prehabilitation programme. This programme will be carried out from time of consenting to participate in the study until day of admission to surgery for cardiac or thoracic surgery. The prehabilitation programme consists of: walking programme, deep breathing exercises and tidal volume measurement using the incentive spirometer.
- interventionNames
- Other: Walking Programme
- Device: Incentive Spirometer
- Other: Deep Breathing Exercises
- type
- NO_INTERVENTION
- label
- Standard Care
- description
- This group will receive standard preoperative information and education only.
Primary outcomes (1)
- measure
- Difference between groups functional activity from baseline to point of admission for surgery as measured by the 6MWT.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Cardiac surgery - * Patients undergoing primary CABG surgery * Age \>18 years old * Able to mobilise independently with/without a walking aid Thoracic surgery - * Patients undergoing lobectomy surgery * Age \>18 years old * Able to mobilise independently with/without a walking aid Exclusion Criteria: * Cardiac surgery - * Unstable angina (Grade IIIb as described in Braunwald Classification of Unstable Angina/ angina at rest within the last 48 hours) * History of cerebrovascular accident (CVA) * History of traumatic brain injury (TBI) * Patients who require interpreter * Falls risk as classified by the GJNH falls risk document * Patients included within cardiac surgery ERAS programme * Any patient who lacks capacity to consent * Patients who are admitted for urgent or emergency cardiac surgery e.g. aortic stenosis Thoracic surgery - * Unstable angina (Grade IIIb as described in Braunwald Classification of Unstable Angina/ angina at rest within the last 48 hours) * History of cerebrovascular accident (CVA) * History of traumatic brain injury (TBI) * Patients who require interpreter * Falls risk as classified by the GJNH falls risk document * Any patient who lacks capacity to consent * Patients who are admitted for urgent or emergency surgery
References
Publications (12)
- BACKGROUNDDitmyer MM, Topp R, Pifer M. Prehabilitation in preparation for orthopaedic surgery. Orthop Nurs. 2002 Sep-Oct;21(5):43-51; quiz 52-4. doi: 10.1097/00006416-200209000-00008. PMID 12432699
- BACKGROUNDTopp R, Ditmyer M, King K, Doherty K, Hornyak J 3rd. The effect of bed rest and potential of prehabilitation on patients in the intensive care unit. AACN Clin Issues. 2002 May;13(2):263-76. doi: 10.1097/00044067-200205000-00011. PMID 12011598
- BACKGROUNDSanta Mina D, Clarke H, Ritvo P, Leung YW, Matthew AG, Katz J, Trachtenberg J, Alibhai SM. Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis. Physiotherapy. 2014 Sep;100(3):196-207. doi: 10.1016/j.physio.2013.08.008. Epub 2013 Nov 13. PMID 24439570
- BACKGROUNDCarli F, Charlebois P, Stein B, Feldman L, Zavorsky G, Kim DJ, Scott S, Mayo NE. Randomized clinical trial of prehabilitation in colorectal surgery. Br J Surg. 2010 Aug;97(8):1187-97. doi: 10.1002/bjs.7102. PMID 20602503
- BACKGROUNDMooney M, Fitzsimons D, Richardson G. "No more couch-potato!" Patients' experiences of a pre-operative programme of cardiac rehabilitation for those awaiting coronary artery bypass surgery. Eur J Cardiovasc Nurs. 2007 Mar;6(1):77-83. doi: 10.1016/j.ejcnurse.2006.05.002. Epub 2006 Jul 10. PMID 16831570
- BACKGROUNDValkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, Backx FJ. The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clin Rehabil. 2011 Feb;25(2):99-111. doi: 10.1177/0269215510380830. Epub 2010 Nov 8. PMID 21059667
- BACKGROUNDCarli F, Zavorsky GS. Optimizing functional exercise capacity in the elderly surgical population. Curr Opin Clin Nutr Metab Care. 2005 Jan;8(1):23-32. doi: 10.1097/00075197-200501000-00005.