Fit 4 surgery, a bespoke app with biofeedback delivers rehabilitation at home before and after elective lung resection

Research output: Contribution to journalArticlepeer-review

Authors

  • Salma Bibi Kadiri
  • Amy Pamela Kerr
  • Nicola Katy Oswald
  • Alina-Maria Budacan
  • Sarah Flanagan
  • Christopher Golby
  • Stuart Lightfoot

Colleges, School and Institutes

External organisations

  • Department of Thoracic Surgery Research, Heartlands Hospital, Bordesley Green East, Birmingham, B9 5SS, UK.
  • Institute of Inflammation and Ageing, College of Medical and Dental Sciences, Centre for Translational Inflammation Research, University of Birmingham Laboratories, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
  • Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
  • Evolyst- The Innovation Centre, Warwick Technology Park, Gallows Hill, Warwick, CV34 6UW, UK.
  • Department of Thoracic Surgery Research, Heartlands Hospital, Bordesley Green East, Birmingham, B9 5SS, UK. b.naidu@bham.ac.uk.
  • Institute of Inflammation and Ageing, College of Medical and Dental Sciences, Centre for Translational Inflammation Research, University of Birmingham Laboratories, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2TT, UK. b.naidu@bham.ac.uk.

Abstract

BACKGROUND: Pulmonary rehabilitation programme for lung surgery patients can reduce the risk of post-operative complications but compliance to programmes can be limited by access to health care. We developed a home-based rehabilitation app and tested its feasibility in patients undergoing lung resection surgery.

METHODS: A cohort study was conducted over 18 months at a regional thoracic unit. The Fit 4 Surgery app included ten exercises. Patients were instructed to exercise for at least three minutes for each exercise. Data was transmitted back to the researchers remotely. Data was also collected from a contemporaneous group of surgery patients who attended local outpatient-based Chronic Obstructive Pulmonary Disease rehabilitation classes. Quality of Life and outcomes data in the app group were collected. Patients were also interviewed about their experience of the app.

RESULTS: App patients had a shorter wait before surgery compared to patients attending rehabilitation classes (24 vs 45 days) but managed four times as many sessions (2 vs 9), improving incremental shuttle walk test distance by 99 ± 83 (p < 0.05) metres before surgery. Five themes were gathered from the interviews.

CONCLUSION: An app based programme of rehabilitation can be delivered in a timely fashion to lung surgery patients with demonstrable physiological benefits; this will need to be confirmed in further clinical trials.

CLINICAL TRIAL REGISTRATION NUMBER: ISRCTN00061628. Registered 27 May 2011.

Details

Original languageEnglish
Article number132
JournalJournal of Cardiothoracic Surgery
Volume14
Issue number1
Publication statusPublished - 5 Jul 2019

Keywords

  • Exercise, Intervention, Lung Cancer, Pulmonary rehabilitation, Quality of life, Technology, Thoracic surgery