Does Physiotherapy Reduce the Incidence of Postoperative Complications in Patients Following Pulmonary Resection Via Thoracotomy? A Protocol for a Randomised Controlled Trial

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aut.relation.issue48en_NZ
aut.relation.journalJournal of Cardiothoracic Surgeryen_NZ
aut.relation.volume3en_NZ
dc.contributor.authorReeve, Jen_NZ
dc.contributor.authorNicol, Ken_NZ
dc.contributor.authorStiller, Ken_NZ
dc.contributor.authorMcPherson, Ken_NZ
dc.contributor.authorDenehy, Len_NZ
dc.date.accessioned2020-07-06T22:32:37Z
dc.date.available2020-07-06T22:32:37Z
dc.date.copyright2008en_NZ
dc.date.issued2008en_NZ
dc.description.abstractBackground: Postoperative pulmonary and shoulder complications are important causes of postoperative morbidity following thoracotomy. While physiotherapy aims to prevent or minimise these complications, currently there are no randomised controlled trials to support or refute effectiveness of physiotherapy in this setting. Methods/Design: This single blind randomised controlled trial aims to recruit 184 patients following lung resection via open thoracotomy. All subjects will receive a preoperative physiotherapy information booklet and following surgery will be randomly allocated to a Treatment Group receiving postoperative physiotherapy or a Control Group receiving standard care nursing and medical interventions but no physiotherapy. The Treatment Group will receive a standardised daily physiotherapy programme to prevent respiratory and musculoskeletal complications. On discharge Treatment Group subjects will receive an exercise programme and exercise diary to complete. The primary outcome measure is the incidence of postoperative pulmonary complications, which will be determined on a daily basis whilst the patient is in hospital by a blinded assessor. Secondary outcome measures are the length of postoperative hospital stay, severity of pain, shoulder function as measured by the self-reported shoulder pain and disability index, and quality of life measured by the Medical Outcomes Study Short Form 36 v2 New Zealand standard version. Pain, shoulder function and quality of life will be measured at baseline, on discharge from hospital, one month and three months postoperatively. Additionally a subgroup of subjects will have measurement of shoulder range of movement and muscle strength by a blinded assessor. Discussion: Results from this study will contribute to the increasing volume of evidence regarding the effectiveness of physiotherapy following major surgery and will guide physiotherapists in their interventions for patients following thoracotomy.
dc.identifier.citationJournal of Cardiothoracic Surgery, 3, 48 (2008). https://doi.org/10.1186/1749-8090-3-48
dc.identifier.doi10.1186/1749-8090-3-48
dc.identifier.roid3826en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13504
dc.publisherBioMed Central
dc.relation.urihttp://www.cardiothoracicsurgery.org/content/3/1/48
dc.rights© 2008 Reeve et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectPulmonary Resection; Shoulder Function; Physiotherapy Intervention; Zealand Clinical Trial Registry; Open Thoracotomy
dc.titleDoes Physiotherapy Reduce the Incidence of Postoperative Complications in Patients Following Pulmonary Resection Via Thoracotomy? A Protocol for a Randomised Controlled Trialen_NZ
dc.typeJournal Article
pubs.elements-id14633
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
pubs.organisational-data/AUT/Vice Chancellor's Group
pubs.organisational-data/AUT/zTest
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