title: [Evolution of pain during respiratory rehabilitation after major lung resection].
abstract: BACKGROUND
  Lung resection for cancer is the cause of significant postoperative pain. The aim of this study was to determine whether pulmonary rehabilitation could induce a resurgence of pain.
  
  
  METHODS
  In 2014 and 2015, pulmonary rehabilitation was offered to all patients referred to our institution after lung resection for cancer. Patients were assessed at entry and departure for nociceptive pain, neuropathic pain (DN4), for quality of life using questionnaire EORTC QlQ-C30 and for anxiety and depression (HAD questionnaire). Pain was studied before and after the sessions of cycloergometer, gym and massages.
  
  
  RESULTS
  During the period, 99 patients were admitted to our institution following lung resection for cancer. Medians changed during pulmonary rehabilitation from 3 to 1 for nociceptive pain (p<0.001), 3 to 3 for DN4 (NS), 50 to 67 for the quality of life score (p<0.001), 7 to 5 for the anxiety (p<0.001) and 5 to 3 for depression (p<0.0001). Pain remained stable during the sessions of cycloergometer and gym, and decreased during massage. Patients undergoing thoracotomy or video-assisted thoracic surgery evolved identically.
  
  
  CONCLUSIONS
  Postoperative pulmonary rehabilitation after lung resection for cancer was not harmful. It was associated with a decrease in nociceptive pain and was without effect on neuropathic pain.
authors.affiliation: Centre de soins de suite et de rééducation « La Maison-du-Mineur », 06140 Vence, France; Service de pneumologie, hôpital de Clavary, 06130 Grasse, France. Electronic address: f.vandenbos@maisondumineur.com.
authors.forename: F
authors.initials: F
authors.lastname: Vandenbos
authors.affiliation: Service de chirurgie thoracique, hôpital universitaire, 06000 Nice, France.
authors.forename: D
authors.initials: D
authors.lastname: Pop
authors.affiliation: Service de chirurgie thoracique, clinique Saint-Georges, 06000 Nice, France.
authors.forename: C
authors.initials: C
authors.lastname: Perrotin
authors.affiliation: Service de chirurgie thoracique, hôpital universitaire, 06000 Nice, France.
authors.forename: N
authors.initials: N
authors.lastname: Venissac
authors.affiliation: Service de chirurgie thoracique, hôpital universitaire, 06000 Nice, France.
authors.forename: J
authors.initials: J
authors.lastname: Mouroux
mesh_terms: D000368:Aged; D018450:Disease Progression; D005260:Female; D006801:Humans; D007902:Length of Stay; D008168:Lung / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000473:pathology / Q000534:rehabilitation; D026741:Physical Therapy Modalities / Q000009:adverse effects; D011013:Pneumonectomy / Q000009:adverse effects / Q000534:rehabilitation; D011184:Postoperative Period; D011788:Quality of Life; D011795:Surveys and Questionnaires; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000534:rehabilitation; D019616:Thoracic Surgical Procedures / Q000009:adverse effects* / Q000379:methods / Q000534:rehabilitation*; D013908:Thoracotomy / Q000009:adverse effects / Q000534:rehabilitation
keywords: Chirurgie thoracique; Douleur; Lung surgery; Pain; Pulmonary rehabilitation; Réadaptation respiratoire; Thoracotomie; Thoracotomy; Video-assisted thoracic surgery; Vidéo-thoracoscopie