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NCT06876961

Effect of Arm Cycling Exercise on Pulmonary Functions After Colectomy In Elderly

Sponsor: Cairo University

View on ClinicalTrials.gov

Summary

This study will be done to investigate the effect of arm cycling on exercise and functional capacity, arterial blood gases, pulmonary functions, diaphragmatic excursion, time to peak inspiratory amplitude, physical function, anxiety, and depression after colectomy in the elderly.

Key Details

Gender

MALE

Age Range

65 Years - Any

Study Type

INTERVENTIONAL

Enrollment

Start Date

2025-03

Completion Date

2026-03

Last Updated

2025-03-14

Healthy Volunteers

Conditions

Pulmonary Function Colectomy Colorectal Cancer Post-operative Rehabilitation Intensive Care Unit (ICU) Acquired Weakness (ICU - AW)Arm Cycle Ergometer Pulmonary Rehabilitation

Interventions

OTHER

Arm cycling exercise

The study involves a 20-minute arm cycling exercise twice daily for five days, starting with a warming-up and ending with a cooling-down. The workload is gradually increased to 60-70% of maximal heart rate, with patients sitting on a back support chair with 20 degrees backward inclination.

OTHER

The traditional physical therapy program

The patient undergoes 10 minutes of deep diaphragmatic breathing exercises, 10 minutes of spirometer training, 3-set ankle pump and heel slide exercises, 10-minute sitting on the bed edge, 5 minutes of walking in the intensive care unit, and 3-set active free range of motion exercises.

Inclusion Criteria: 1. Sixty male patients who received a surgical removal of a diagnosed colon cancer (i.e., including right, transverse, left, sigmoid, subtotal, total, and hemicolectomy) will be included. 2. Patients with a histologically confirmed diagnosis of primary colon or rectal neoplasm. 3. Colectomy isolated surgeries. 4. Patients will be included in this study after the immediate admission to the intensive care unit. 5. The age of patients will be ≥ 65 years old. 6. Patients' body mass index will be \< 30 Kg/m2. 7. All patients will be conscious, medically stable, and able to respond to the given commands fully. 8. Patients who voluntarily cooperated with this study 9. Karnofsky Performance Status \> 60 and able to walk ≥ 60 m. The Karnosky Performance Status is one of the most used validated scales to define the functional status of a cancer patient. A Karnofsky Performance Status ≤ 60 indicates the inability to work and severe difficulty in carrying out activities of daily living and personal care of the cancer patient Before surgeries Exclusion Criteria: Men who will meet one of the following criteria will be excluded: 1. relapsing cancer or metastasis cancer; simultaneous diagnosis of other neoplasms. 2. Cardiac disease patients. 3. Chronic inflammatory autoimmune disease 4. Patients with neurological conditions limit the performance of exercises. 5. Patients with diagnosed psychogenic diseases. 6. Patients with musculoskeletal disorders that interfere with performing exercise programs. 7. Chronic obstructive pulmonary disease, Asthma, hemodynamically unstable, significant arrhythmias, and any chronic lung disease. 8. Patients require invasive/noninvasive ventilatory support. 9. regular use of immunosuppressive drugs. 10. Patients with cognitive disorders and unstable hemodynamics. 11. patients suffering from brain death; or respiratory failure; ventilator-dependent patients: patients receiving palliative care or patients on tracheostomy. 12. inability to understand given information due to language or intellectual barriers.

Locations (1)

the intensive care unit of King Hamad University Hospital,

Al Muharraq, Bahrain