[Evaluation of the rehabilitation program in a patient submitted to pleuropneumonectomy for malignant pleural mesothelioma].
OBJECTIVE
The purpose of this study is to test a rehabilitation program for the patients with malignant pleural mesothelioma (MPM) subordinates to pleuropneumonectomy.


METHODS
A single patient was evaluated at baseline (TI) and at the end of the pulmonary rehabilitation (T2), by undergoing spirometric measurements, emogasanalisys and 6-Minute Walking Test (6-MWT). Outcome evaluation were administered with Visual Analogic Scales (VAS), Hospital Anxiety and Depression Scales (HADS) and Short 36 Form Health Survey version 2 (SF-36). The rehabilitative program included exercise to improve the respiratory functionality, the cardiovascular fitness and the global posture.


RESULTS
Pulmonary function, effort tolerance, estimated by the 6-Minute Walking Test, quality of life, estimated by means of SF-36 v2 improved, and pain, estimated by Visual Analogic Scales, anxiety and depression estimated by Hospital Anxiety and Depression Scales reduction was obtained.


CONCLUSIONS
Actually does not exist a specific rehabilitation protocol for MPM patients. We report that our protocol relieved dyspnoea, increased the capacity to walk, and improved health-related quality of life.


CONCLUSIONS
Future studies will define the role of the rehabilitation for MPM patients and will optimize the protocol.
Milazzo
Maria
M
Scuola di Specializzazione in Medicina Fisica e Riabilitazione. Università Campus Bio-Medico di Roma.
Magrone
Giovanni
G
Romanelli
Angela
A
Ronconi
Gianpaolo
G
Gallotta
Emilio
E
Sterzi
Silvia
S
D000368:Aged; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000534:rehabilitation* / Q000601:surgery*; D010994:Pleura / Q000601:surgery*; D010997:Pleural Neoplasms / Q000534:rehabilitation* / Q000601:surgery*; D011013:Pneumonectomy