Overview
This randomized controlled trial will evaluate the effect of a preoperative rehabilitation program at home in patients resected for lung cancer, comparing a control group (C group) receiving only chest physiotherapy and a rehabilitation group (R group) receiving both a training program at home and chest physiotherapy
Eligibility
Inclusion Criteria:
- Patients diagnosed for lung cancer (or highly suspicious for cancer tumor) eligible for resection surgery (lobectomy or pneumonectomy)
- Age > 18 years
- Presence of Chronic Obstructive Pulmonary Disease (COPD) stages 2-4 of Gold (forced expiratory volume (FEV )/ forced vital capacity (FVC) <70%, FEV <80% of predicted) and Exertional dyspnea stage MMRC (Medical Research Council) > 1
- Patients must provide written consent
- Member of social security scheme
Exclusion Criteria:
- Patients refusing to participate
- COPD stage 1 Gold (VEMS >= 80% of the theoretical value)
- Presenting an operating contraindication during the initial maximal exercise test
- Presenting cardiac or vascular contraindication to achieve the readaptation program
- Patient living alone at home
- Patient with ventilatory assistance at home (oxygen therapy or noninvasive ventilation (NIV))
- With exercise hypoventilation (PaCO2 >45 mmHg)
- Cognitive difficulty
- unable major
- pregnancy,
- patients deprived of liberty by a court or administrative decision