TY - JOUR T1 - Activity monitoring in perioperative pulmonary rehabilitation in patients with lung cancer and COPD JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P2234 AU - Maria Kerti AU - Janos Varga Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P2234.abstract N2 - Rationale: Functional capacity, physical activity can evaluate the risk of thoracic surgery. Activity monitoring can detect the effectivity of pulmonary rehabilitation.Materials and methods: 30 lung cancer patients with COPD (FEV1: 66±9 %pred) was involved into 3 groups. Preoperative group (PE: rehabilitation before thoracic surgery): 10 patients, postoperative group (PO: rehabilitation after thoracic surgery): 10 patients, and pre- and postoperative group (PEO: rehabilitation before and after thoracic surgery): 10 patients. Activity monitoring was detected by Omron Walking Style Pro pedometer, 72h measurement was performed at start and end of rehabilitation. Six minutes walking test (6MWD) was measured before and after rehabilitation. Patients were performing breathing training and physiotherapy for 30 minutes and personalized exercise training, including cycling and treadmill exercise 2-3 times for 20-30 minutes per day at 60-80% of peak work rate for 3 weeks.Results: Lung function did not change significantly. Daily steps (PE: 3503±2112 vs. 3875±2011; PO:4160±1830 vs. 8176±1830*; PEO: 3417±1418 vs. 4767±3303 before and 2846±357 vs. 4882±244 steps* after surgery; *p<0,05) improved. As an tendency, 6MWD increased (PE: 361±79 vs. 390±66 m; PO: 329±134 vs. 386±86m; PEO: 369±93 vs. 423±74m before and 322±11 vs. 343±35m after surgery). Daily steps did not correlate with 6MWD.Conclusion: Our results support the hypothesis of pulmonary rehabilitation improves physical activity and maximal exercise capacity. Our results show the importance of physical activity in pre- and postoperative pulmonary rehabilitation, but in special cases complex perioperative rehabilitation is needed. ER -