Preoperative Pulmonary Rehabilitation Versus Chest Physical Therapy in Patients Undergoing Lung Cancer Resection: A Pilot Randomized Controlled Trial
Abstract Objective To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. Design Randomized single-blinded study. Setting A te...
Gespeichert in:
| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2013, Vol.94 (1), p.53-58 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 58 |
|---|---|
| container_issue | 1 |
| container_start_page | 53 |
| container_title | Archives of physical medicine and rehabilitation |
| container_volume | 94 |
| creator | Morano, Maria T., PhD Araújo, Amanda S., PT Nascimento, Francisco B., PT da Silva, Guilherme F., PT Mesquita, Rafael, PT Pinto, Juliana S., MSc de Moraes Filho, Manoel O., PhD Pereira, Eanes D., PhD |
| description | Abstract Objective To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. Design Randomized single-blinded study. Setting A teaching hospital. Participants Patients undergoing lung cancer resection (N=24). Interventions Patients were randomly assigned to receive PR (strength and endurance training) versus CPT (breathing exercises for lung expansion). Both groups received educational classes. Main Outcome Measures Functional parameters assessed before and after 4 weeks of PR or CPT (phase 1), and pulmonary complications assessed after lung cancer resection (phase 2). Results Twelve patients were randomly assigned to the PR arm and 12 to the CPT arm. Three patients in the CPT arm were not submitted to lung resection because of inoperable cancer. During phase 1 evaluation, most functional parameters in the PR group improved from baseline to 1 month: forced vital capacity (FVC) (1.47L [1.27–2.33L] vs 1.71L [1.65–2.80L], respectively; P =.02); percentage of predicted FVC (FVC%; 62.5% [49%–71%] vs 76% [65%–79.7%], respectively; P |
| doi_str_mv | 10.1016/j.apmr.2012.08.206 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1412230925</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0003999312008830</els_id><sourcerecordid>1412230925</sourcerecordid><originalsourceid>FETCH-LOGICAL-c554t-b7cde184b81218d9326a2a2eff427dc921c3eb19f640da9c992d1c610868322e3</originalsourceid><addsrcrecordid>eNqFUsFuEzEUXCEQDYUf4IB85JLUft7d2AghVRFQpEhEJUXcLMd-aRy8dmrvVgr_wf_iVQoHDnDx2PLMSG_mVdVLRmeMsvZiP9OHLs2AMphRUbB9VE1Yw2EqgH17XE0opXwqpeRn1bOc9-XZNpw9rc4AJLR1SyfVz1XCeMCke3ePZDX4LgadjuQad3rjvOvLRwzkK6Y8ZLLYYe7JanfMzmhP1rsiPByJC2RVeBj6TG6CxXQbXbgly6EcCx0MpuKX0YxWb8glWTkfe3Ktg42d-4GWLGLoU_S-XNfJaf-8erLVPuOLBzyvbj68Xy-upsvPHz8tLpdT0zR1P93MjUUm6o1gwISVHFoNGnC7rWFujQRmOG6Y3LY1tVoaKcEy0zIqWsEBkJ9Xr0--hxTvhjKb6lw26L0OGIesWM0AOJXQ_J8Kc143VDBeqHCimhRzTrhVh-S6kqpiVI3Nqb0am1Njc4qKgm0RvXrwHzYd2j-S31UVwtsTAUsg9w6TyqZEbtC6VKJVNrp_-7_7S268C2ON3_GIeR-HFErUiqlcNOrLuDvj6jCgVAhO-S_be8DO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1273450813</pqid></control><display><type>article</type><title>Preoperative Pulmonary Rehabilitation Versus Chest Physical Therapy in Patients Undergoing Lung Cancer Resection: A Pilot Randomized Controlled Trial</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Morano, Maria T., PhD ; Araújo, Amanda S., PT ; Nascimento, Francisco B., PT ; da Silva, Guilherme F., PT ; Mesquita, Rafael, PT ; Pinto, Juliana S., MSc ; de Moraes Filho, Manoel O., PhD ; Pereira, Eanes D., PhD</creator><creatorcontrib>Morano, Maria T., PhD ; Araújo, Amanda S., PT ; Nascimento, Francisco B., PT ; da Silva, Guilherme F., PT ; Mesquita, Rafael, PT ; Pinto, Juliana S., MSc ; de Moraes Filho, Manoel O., PhD ; Pereira, Eanes D., PhD</creatorcontrib><description>Abstract Objective To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. Design Randomized single-blinded study. Setting A teaching hospital. Participants Patients undergoing lung cancer resection (N=24). Interventions Patients were randomly assigned to receive PR (strength and endurance training) versus CPT (breathing exercises for lung expansion). Both groups received educational classes. Main Outcome Measures Functional parameters assessed before and after 4 weeks of PR or CPT (phase 1), and pulmonary complications assessed after lung cancer resection (phase 2). Results Twelve patients were randomly assigned to the PR arm and 12 to the CPT arm. Three patients in the CPT arm were not submitted to lung resection because of inoperable cancer. During phase 1 evaluation, most functional parameters in the PR group improved from baseline to 1 month: forced vital capacity (FVC) (1.47L [1.27–2.33L] vs 1.71L [1.65–2.80L], respectively; P =.02); percentage of predicted FVC (FVC%; 62.5% [49%–71%] vs 76% [65%–79.7%], respectively; P <.05); 6-minute walk test (425.5±85.3m vs 475±86.5m, respectively; P <.05); maximal inspiratory pressure (90±45.9cmH2 O vs 117.5±36.5cmH2 O, respectively; P <.05); and maximal expiratory pressure (79.7±17.1cmH2 O vs 92.9±21.4cmH2 O, respectively; P <.05). During phase 2 evaluation, the PR group had a lower incidence of postoperative respiratory morbidity ( P =.01), a shorter length of postoperative stay (12.2±3.6d vs 7.8±4.8d, respectively; P =.04), and required a chest tube for fewer days (7.4±2.6d vs 4.5±2.9d, respectively; P =.03) compared with the CPT arm. Conclusions These findings suggest that 4 weeks of PR before lung cancer resection improves preoperative functional capacity and decreases the postoperative respiratory morbidity.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2012.08.206</identifier><identifier>PMID: 22926460</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Breathing Exercises ; Carcinoma, Non-Small-Cell Lung - physiopathology ; Carcinoma, Non-Small-Cell Lung - rehabilitation ; Carcinoma, Non-Small-Cell Lung - surgery ; Female ; Humans ; Length of Stay - statistics & numerical data ; Lung cancer ; Lung Neoplasms - physiopathology ; Lung Neoplasms - rehabilitation ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Physical Endurance ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities ; Pilot Projects ; Postoperative complications ; Rehabilitation ; Respiratory Function Tests ; Single-Blind Method ; Statistics, Nonparametric ; Thoracic surgery ; Thoracic Surgery, Video-Assisted ; Thoracotomy ; Treatment Outcome</subject><ispartof>Archives of physical medicine and rehabilitation, 2013, Vol.94 (1), p.53-58</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2013 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-b7cde184b81218d9326a2a2eff427dc921c3eb19f640da9c992d1c610868322e3</citedby><cites>FETCH-LOGICAL-c554t-b7cde184b81218d9326a2a2eff427dc921c3eb19f640da9c992d1c610868322e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999312008830$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22926460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morano, Maria T., PhD</creatorcontrib><creatorcontrib>Araújo, Amanda S., PT</creatorcontrib><creatorcontrib>Nascimento, Francisco B., PT</creatorcontrib><creatorcontrib>da Silva, Guilherme F., PT</creatorcontrib><creatorcontrib>Mesquita, Rafael, PT</creatorcontrib><creatorcontrib>Pinto, Juliana S., MSc</creatorcontrib><creatorcontrib>de Moraes Filho, Manoel O., PhD</creatorcontrib><creatorcontrib>Pereira, Eanes D., PhD</creatorcontrib><title>Preoperative Pulmonary Rehabilitation Versus Chest Physical Therapy in Patients Undergoing Lung Cancer Resection: A Pilot Randomized Controlled Trial</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objective To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. Design Randomized single-blinded study. Setting A teaching hospital. Participants Patients undergoing lung cancer resection (N=24). Interventions Patients were randomly assigned to receive PR (strength and endurance training) versus CPT (breathing exercises for lung expansion). Both groups received educational classes. Main Outcome Measures Functional parameters assessed before and after 4 weeks of PR or CPT (phase 1), and pulmonary complications assessed after lung cancer resection (phase 2). Results Twelve patients were randomly assigned to the PR arm and 12 to the CPT arm. Three patients in the CPT arm were not submitted to lung resection because of inoperable cancer. During phase 1 evaluation, most functional parameters in the PR group improved from baseline to 1 month: forced vital capacity (FVC) (1.47L [1.27–2.33L] vs 1.71L [1.65–2.80L], respectively; P =.02); percentage of predicted FVC (FVC%; 62.5% [49%–71%] vs 76% [65%–79.7%], respectively; P <.05); 6-minute walk test (425.5±85.3m vs 475±86.5m, respectively; P <.05); maximal inspiratory pressure (90±45.9cmH2 O vs 117.5±36.5cmH2 O, respectively; P <.05); and maximal expiratory pressure (79.7±17.1cmH2 O vs 92.9±21.4cmH2 O, respectively; P <.05). During phase 2 evaluation, the PR group had a lower incidence of postoperative respiratory morbidity ( P =.01), a shorter length of postoperative stay (12.2±3.6d vs 7.8±4.8d, respectively; P =.04), and required a chest tube for fewer days (7.4±2.6d vs 4.5±2.9d, respectively; P =.03) compared with the CPT arm. Conclusions These findings suggest that 4 weeks of PR before lung cancer resection improves preoperative functional capacity and decreases the postoperative respiratory morbidity.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Breathing Exercises</subject><subject>Carcinoma, Non-Small-Cell Lung - physiopathology</subject><subject>Carcinoma, Non-Small-Cell Lung - rehabilitation</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - physiopathology</subject><subject>Lung Neoplasms - rehabilitation</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Physical Endurance</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Pilot Projects</subject><subject>Postoperative complications</subject><subject>Rehabilitation</subject><subject>Respiratory Function Tests</subject><subject>Single-Blind Method</subject><subject>Statistics, Nonparametric</subject><subject>Thoracic surgery</subject><subject>Thoracic Surgery, Video-Assisted</subject><subject>Thoracotomy</subject><subject>Treatment Outcome</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsFuEzEUXCEQDYUf4IB85JLUft7d2AghVRFQpEhEJUXcLMd-aRy8dmrvVgr_wf_iVQoHDnDx2PLMSG_mVdVLRmeMsvZiP9OHLs2AMphRUbB9VE1Yw2EqgH17XE0opXwqpeRn1bOc9-XZNpw9rc4AJLR1SyfVz1XCeMCke3ePZDX4LgadjuQad3rjvOvLRwzkK6Y8ZLLYYe7JanfMzmhP1rsiPByJC2RVeBj6TG6CxXQbXbgly6EcCx0MpuKX0YxWb8glWTkfe3Ktg42d-4GWLGLoU_S-XNfJaf-8erLVPuOLBzyvbj68Xy-upsvPHz8tLpdT0zR1P93MjUUm6o1gwISVHFoNGnC7rWFujQRmOG6Y3LY1tVoaKcEy0zIqWsEBkJ9Xr0--hxTvhjKb6lw26L0OGIesWM0AOJXQ_J8Kc143VDBeqHCimhRzTrhVh-S6kqpiVI3Nqb0am1Njc4qKgm0RvXrwHzYd2j-S31UVwtsTAUsg9w6TyqZEbtC6VKJVNrp_-7_7S268C2ON3_GIeR-HFErUiqlcNOrLuDvj6jCgVAhO-S_be8DO</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Morano, Maria T., PhD</creator><creator>Araújo, Amanda S., PT</creator><creator>Nascimento, Francisco B., PT</creator><creator>da Silva, Guilherme F., PT</creator><creator>Mesquita, Rafael, PT</creator><creator>Pinto, Juliana S., MSc</creator><creator>de Moraes Filho, Manoel O., PhD</creator><creator>Pereira, Eanes D., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Preoperative Pulmonary Rehabilitation Versus Chest Physical Therapy in Patients Undergoing Lung Cancer Resection: A Pilot Randomized Controlled Trial</title><author>Morano, Maria T., PhD ; Araújo, Amanda S., PT ; Nascimento, Francisco B., PT ; da Silva, Guilherme F., PT ; Mesquita, Rafael, PT ; Pinto, Juliana S., MSc ; de Moraes Filho, Manoel O., PhD ; Pereira, Eanes D., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-b7cde184b81218d9326a2a2eff427dc921c3eb19f640da9c992d1c610868322e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Breathing Exercises</topic><topic>Carcinoma, Non-Small-Cell Lung - physiopathology</topic><topic>Carcinoma, Non-Small-Cell Lung - rehabilitation</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - physiopathology</topic><topic>Lung Neoplasms - rehabilitation</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Physical Endurance</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities</topic><topic>Pilot Projects</topic><topic>Postoperative complications</topic><topic>Rehabilitation</topic><topic>Respiratory Function Tests</topic><topic>Single-Blind Method</topic><topic>Statistics, Nonparametric</topic><topic>Thoracic surgery</topic><topic>Thoracic Surgery, Video-Assisted</topic><topic>Thoracotomy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morano, Maria T., PhD</creatorcontrib><creatorcontrib>Araújo, Amanda S., PT</creatorcontrib><creatorcontrib>Nascimento, Francisco B., PT</creatorcontrib><creatorcontrib>da Silva, Guilherme F., PT</creatorcontrib><creatorcontrib>Mesquita, Rafael, PT</creatorcontrib><creatorcontrib>Pinto, Juliana S., MSc</creatorcontrib><creatorcontrib>de Moraes Filho, Manoel O., PhD</creatorcontrib><creatorcontrib>Pereira, Eanes D., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morano, Maria T., PhD</au><au>Araújo, Amanda S., PT</au><au>Nascimento, Francisco B., PT</au><au>da Silva, Guilherme F., PT</au><au>Mesquita, Rafael, PT</au><au>Pinto, Juliana S., MSc</au><au>de Moraes Filho, Manoel O., PhD</au><au>Pereira, Eanes D., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative Pulmonary Rehabilitation Versus Chest Physical Therapy in Patients Undergoing Lung Cancer Resection: A Pilot Randomized Controlled Trial</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2013</date><risdate>2013</risdate><volume>94</volume><issue>1</issue><spage>53</spage><epage>58</epage><pages>53-58</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objective To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. Design Randomized single-blinded study. Setting A teaching hospital. Participants Patients undergoing lung cancer resection (N=24). Interventions Patients were randomly assigned to receive PR (strength and endurance training) versus CPT (breathing exercises for lung expansion). Both groups received educational classes. Main Outcome Measures Functional parameters assessed before and after 4 weeks of PR or CPT (phase 1), and pulmonary complications assessed after lung cancer resection (phase 2). Results Twelve patients were randomly assigned to the PR arm and 12 to the CPT arm. Three patients in the CPT arm were not submitted to lung resection because of inoperable cancer. During phase 1 evaluation, most functional parameters in the PR group improved from baseline to 1 month: forced vital capacity (FVC) (1.47L [1.27–2.33L] vs 1.71L [1.65–2.80L], respectively; P =.02); percentage of predicted FVC (FVC%; 62.5% [49%–71%] vs 76% [65%–79.7%], respectively; P <.05); 6-minute walk test (425.5±85.3m vs 475±86.5m, respectively; P <.05); maximal inspiratory pressure (90±45.9cmH2 O vs 117.5±36.5cmH2 O, respectively; P <.05); and maximal expiratory pressure (79.7±17.1cmH2 O vs 92.9±21.4cmH2 O, respectively; P <.05). During phase 2 evaluation, the PR group had a lower incidence of postoperative respiratory morbidity ( P =.01), a shorter length of postoperative stay (12.2±3.6d vs 7.8±4.8d, respectively; P =.04), and required a chest tube for fewer days (7.4±2.6d vs 4.5±2.9d, respectively; P =.03) compared with the CPT arm. Conclusions These findings suggest that 4 weeks of PR before lung cancer resection improves preoperative functional capacity and decreases the postoperative respiratory morbidity.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22926460</pmid><doi>10.1016/j.apmr.2012.08.206</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-9993 |
| ispartof | Archives of physical medicine and rehabilitation, 2013, Vol.94 (1), p.53-58 |
| issn | 0003-9993 1532-821X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1412230925 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Aged, 80 and over Breathing Exercises Carcinoma, Non-Small-Cell Lung - physiopathology Carcinoma, Non-Small-Cell Lung - rehabilitation Carcinoma, Non-Small-Cell Lung - surgery Female Humans Length of Stay - statistics & numerical data Lung cancer Lung Neoplasms - physiopathology Lung Neoplasms - rehabilitation Lung Neoplasms - surgery Male Middle Aged Physical Endurance Physical Medicine and Rehabilitation Physical Therapy Modalities Pilot Projects Postoperative complications Rehabilitation Respiratory Function Tests Single-Blind Method Statistics, Nonparametric Thoracic surgery Thoracic Surgery, Video-Assisted Thoracotomy Treatment Outcome |
| title | Preoperative Pulmonary Rehabilitation Versus Chest Physical Therapy in Patients Undergoing Lung Cancer Resection: A Pilot Randomized Controlled Trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T13%3A50%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Preoperative%20Pulmonary%20Rehabilitation%20Versus%20Chest%20Physical%20Therapy%20in%20Patients%20Undergoing%20Lung%20Cancer%20Resection:%20A%20Pilot%20Randomized%20Controlled%20Trial&rft.jtitle=Archives%20of%20physical%20medicine%20and%20rehabilitation&rft.au=Morano,%20Maria%20T.,%20PhD&rft.date=2013&rft.volume=94&rft.issue=1&rft.spage=53&rft.epage=58&rft.pages=53-58&rft.issn=0003-9993&rft.eissn=1532-821X&rft_id=info:doi/10.1016/j.apmr.2012.08.206&rft_dat=%3Cproquest_cross%3E1412230925%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1273450813&rft_id=info:pmid/22926460&rft_els_id=1_s2_0_S0003999312008830&rfr_iscdi=true |