| Titre : | Deterioration in physical activity and function differs according to treatment type in non-small cell lung cancer – future directions for physiotherapy management (2016) |
| Auteurs : | C.L. Granger ; S.M. Parry ; L. Edbrooke |
| Type de document : | Article |
| Dans : | Physiotherapy (2016/3, 2016) |
| Article en page(s) : | pp. 256-263 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Exercice physique ; Kinésithérapie (spécialité) ; Qualité de vie ; Tumeurs du poumon |
| Mots-clés: | Lung neoplasms ; Carcinoma ; Non-Small-Cell Lung ; Carcinome pulmonaire non à petites cellules ; Exercise ; Physical Therapy Specialty ; Quality of Life |
| Résumé : |
Objectives To investigate in non-surgically and surgically treated non-small cell lung cancer (NSCLC): (1) changes in physical activity, function, health-related quality of life (HRQoL) and symptoms after diagnosis; and (2) the association between physical activity and outcomes. Design Prospective observational study. Setting Three acute tertiary hospitals. Participants Sixty-nine individuals (43 male, median [IQR] age 68 [61 to 74] years) with stage I–IV NSCLC. Main outcome measures The primary outcome (Physical Activity Scale for the Elderly) and secondary outcome (six-minute walk test and questionnaires assessing HRQoL, function, symptoms, mood) were measured at diagnosis (pre-treatment), and eight to ten weeks post-diagnosis (post-operative and/or during chemotherapy/radiotherapy). Results Individuals treated surgically (n = 27) experienced a deterioration in physical activity levels (baseline median [IQR] = 74 [51 to 135]; follow-up median [IQR] = 29 [24 to 73]; median difference = 45, effect size = 0.3). At follow-up physical activity was inversely related to depression, pain and appetite loss (rho > 0.5, p 0.5, p Conclusions Surgically treated individuals experienced a reduction in physical activity levels after diagnosis, which was not seen in the non-surgical group. Lower physical activity levels were associated with poorer outcomes, particularly in non-surgically treated individuals. Further research is required to establish the optimal intervention to improve physical activity levels in these cohorts. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940615038298 |
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