title: Efficacy of Systemic Postoperative Pulmonary Rehabilitation After Lung Resection Surgery.
abstract: OBJECTIVE
  To investigate the efficacy of systemic pulmonary rehabilitation (PR) after lung resection in patients with lung cancer.
  
  
  METHODS
  Forty-one patients undergoing lung resection were enrolled and classified into the experimental (n=31) and control groups (n=10). The experimental group underwent post-operative systemic PR which was conducted 30 min/day on every hospitalization day by an expert physical therapist. The control group received the same education about the PR exercises and were encouraged to self-exercise without supervision of the physical therapist. The PR group was taught a self-PR program and feedback was provided regularly until 6 months after surgery. We conducted pulmonary function testing (PFT) and used a visual analog scale (VAS) to evaluate pain, and the modified Borg Dyspnea Scale (mBS) to measure perceived respiratory exertion shortly before and 2 weeks, 1, 3, and 6 months after surgery.
  
  
  RESULTS
  A significant improvement on the VAS was observed in patients who received systemic PR >3 months. Significant improvements in forced vital capacity (FVC) and mBS score were observed in patients who received systemic PR >6 months (p<0.05). Other PFT results were not different compared with those in the control group.
  
  
  CONCLUSIONS
  Patients who received lung resection suffered a significant decline in functional reserve and increases in pain and subjective dyspnea deteriorating quality of life (QoL). Systemic PR supervised by a therapist helped improve reduced pulmonary FVC and QoL and minimized discomfort during the postoperative periods in patients who underwent lung resection.
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. ; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Soo Koun
authors.initials: SK
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. ; Department of Rehabilitation Medicine, Medwill Hospital, Busan, Korea.
authors.forename: Young Hyun
authors.initials: YH
authors.lastname: Ahn
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. ; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Jin A
authors.initials: JA
authors.lastname: Yoon
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. ; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. ; Regional Center for Respiratory Diseases, Pusan National University Hospital, Busan, Korea.
authors.forename: Myung Jun
authors.initials: MJ
authors.lastname: Shin
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. ; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Jae Hyeok
authors.initials: JH
authors.lastname: Chang
authors.affiliation: Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. ; Regional Center for Respiratory Diseases, Pusan National University Hospital, Busan, Korea. ; Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Jeong Su
authors.initials: JS
authors.lastname: Cho
authors.affiliation: Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. ; Regional Center for Respiratory Diseases, Pusan National University Hospital, Busan, Korea. ; Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Min Ki
authors.initials: MK
authors.lastname: Lee
authors.affiliation: Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. ; Regional Center for Respiratory Diseases, Pusan National University Hospital, Busan, Korea. ; Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Mi Hyun
authors.initials: MH
authors.lastname: Kim
authors.affiliation: Department of Biostatistics, Clinical Trial Center, Pusan National University Hospital, Busan, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Yun
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Jong-Hwa
authors.initials: JH
authors.lastname: Jeong
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. ; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. ; Regional Center for Respiratory Diseases, Pusan National University Hospital, Busan, Korea.
authors.forename: Yong Beom
authors.initials: YB
authors.lastname: Shin
keywords: Lung resection; Pulmonary rehabilitation; Quality of life