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Preoperative Rehabilitation in Lung Cancer Patients: Yoga Approach

  • Giovanni Barassi
  • Rosa Grazia Bellomo
  • Antonella Di Iulio
  • Achille Lococo
  • Annamaria Porreca
  • Piera Attilia Di Felice
  • Raoul Saggini
Chapter
Part of the Advances in Experimental Medicine and Biology book series

Abstract

Lung cancer is one of the leading causes of cancer death worldwide. Surgical removal remains the best option for most tumors of this type. Reduction of cigarette consumption in patients with lung cancer candidates for the surgery could limit the impact of tobacco on postsurgical outcomes. Breathing exercises appear to help combat cigarette cravings. Yoga exercise benefits have been studied in lung cancer survivors, rather than in the preoperative setting. In this study, we have recruited 32 active smokers affected by lung cancer and being candidates for pulmonary surgery. The patients were randomly assigned to two groups: one treated by standard breathing and the other treated by yoga breathing (YB). The groups were evaluated at times T0 (baseline) and T1 (after 7 days of treatment) to compare the effects of the two breathing treatments on pulmonary performance in a presurgery setting. Pulmonary and cardiocirculatory functions have been tested using a self-calibrating computerized spirometer and a portable pulse oximetry device. The findings demonstrate appreciable short-term improvement in lung function assessed by spirometry. We conclude that yoga breathing can be a beneficial preoperative support for thoracic surgery.

Keywords

Active smokers Breathing exercises Lung cancer Pranayama Preoperative rehabilitation Pulmonary function Spirometry Thoracic surgery Yoga 

Notes

Competing Interests

The authors declare no competing interests in relation to this article.

References

  1. Ardestani ME, Abbaszadeh M (2014) The association between forced expiratory volume in one second (FEV1) and pulse oximetric measurements of arterial oxygen saturation (SpO2) in the patients with COPD: a preliminary study. J Res Med Sci 19(3):257–611PubMedPubMedCentralGoogle Scholar
  2. Barassi G, Bellomo RG, Porreca A, Di Felice PA, Prosperi L, Saggini R (2017) Somato-visceral effects in the treatment of dysmenorrhea: neuromuscular manual therapy and standard pharmacological treatment. J Altern Complement Med; doi:  https://doi.org/10.1089/acm.2017.0182
  3. Bellomo RG, Barassi G, Iodice P, Di Pancrazio L, Megna M, Saggini R (2012) Visual sensory disability: rehabilitative treatment in an aquatic environment. Int J Immunopathol Pharmacol 25(1):17–22CrossRefGoogle Scholar
  4. Benzo R, Wigle D, Novotny P, Wetzstein M, Nichols F, Shen RK, Cassivi S, Deschamps C (2012) Preoperative pulmonary rehabilitation before lung cancer resection: results from two randomized studies. Lung Cancer 74(3):441–445CrossRefGoogle Scholar
  5. Brown F, Kroenke K (2009) Cancer-related fatigue and its associations with depression and anxiety: a systematic review. Psychosomatics 50(5):440–447CrossRefPubMedPubMedCentralGoogle Scholar
  6. Cooper S, Oborne J, Newton S (2003) Effect of two breathing exercises (Buteyko and Pranayama) in asthma: a randomized controlled trial. Thorax 58:674–679CrossRefPubMedPubMedCentralGoogle Scholar
  7. Dechman G, Wilson C (2004) Evidence underlying breathing retraining in people with chronic obstructive pulmonary disease. Phys Ther 84:1189–1197PubMedGoogle Scholar
  8. Delli Pizzi S, Bellomo RG, Carmignano SM, Ancona E, Franciotti R, Supplizi M, Barassi G, Onofrj M, Bonanni L, Saggini R (2017) Rehabilitation program based on sensorimotor recovery improves the static and dynamic balance and modifies the basal ganglia neurochemistry: a pilot 1H-MRS study on Parkinson’s disease patients. Medicine 96(50):8732CrossRefGoogle Scholar
  9. Di Battista T, Fortuna F, Maturo F (2017) BioFTF: an R package for biodiversity assessment with the functional data analysis approach. Ecol Indic 73:726–732CrossRefGoogle Scholar
  10. Dressler CM, Bailey M, Roper CR (1996) Smoking cessation and lung cancer resection. Chest 110:1199–1202CrossRefGoogle Scholar
  11. Fiore MC (2008) Treating tobacco use and dependence: 2008 update U.S. Public Health Service Clinical Practice Guideline executive summary. Respir Care 53:1217–1222Google Scholar
  12. Fouladbakhsh JM, Davis JE, Yarandi HN (2014) A pilot study of the feasibility and outcomes of yoga for lung cancer survivors. Oncol Nurs Forum 41(2):162–174CrossRefPubMedGoogle Scholar
  13. Gopal KS, Anantharaman V, Balachander S, Nishith SD (1973) The cardiorespiratory adjustments in ‘Pranayama’, with and without ‘Bandhas’, in ‘Vajrasana’. Indian J Med Sci 27(9):686–692PubMedGoogle Scholar
  14. Holloway E, Ram FS (2004) Breathing exercises for asthma. Cochrane Database Syst Rev 1:CD001277Google Scholar
  15. Jayatunge RM, Pokorski M (2018) Post-traumatic stress disorder: a review of therapeutic role of meditation interventions. Adv Exp Med Biol doi:  https://doi.org/10.1007/5584_2018_167
  16. Kaminsky DA, Guntupalli KK, Lippmann J, Burns SM, Brock MA, Skelly J, DeSarno M, Pecott-Grimm H, Mohsin A, LaRock-McMahon C, Warren P, Whitney MC, Hanania NA (2017) Effect of yoga breathing (Pranayama) on exercise tolerance in patients with chronic obstructive pulmonary disease: a randomized, controlled trial. J Altern Complement Med 23(9):696–704PubMedGoogle Scholar
  17. Karasakia T, Nakajimab J, Murakawab T, Fukamib T, Yoshidab Y, Kusakabeb M, Hiroshi O, Takamotob S (2009) Video-assisted thoracic surgery lobectomy preserves more latissimus dorsi muscle than conventional surgery. Interact Cardiovasc Thorac Surg 8:316–320CrossRefGoogle Scholar
  18. Katiyar SK, Bihari S (2006) Role of Pranayama in rehabilitation of COPD patients – a randomized controlled study. Indian J Allergy Asthma Immunol 20(2):98–104Google Scholar
  19. Licker MJ, Widikker I, Robert J, Frey JG, Spiliopoulos A, Ellenberger C, Schweizer A, Tschopp JM (2006) Operative mortality and respiratory complications after lung resection for cancer: impact of chronic obstructive pulmonary disease and time. Trend Ann Thorac Surg 81(5):1830–1837CrossRefGoogle Scholar
  20. Maturo F, Di Battista T (2018) A functional approach to Hill’s numbers for assessing changes in species variety of ecological communities over time. Ecol Indic 84:70–81CrossRefGoogle Scholar
  21. Miller MR (2004) Peak expiratory flow meter scale changes: implications for patients and health professionals. Airways J 2(2):80–82Google Scholar
  22. Morgan G, Schnoll RA, Alfano CM, Evans SE, Goldstei A, Ostroff J, Park ER, Sarna L, Sanderson-Cox L (2011) National Cancer Institute conference on treating tobacco dependence at cancer centers. J Oncol Pract 7(3):178–182CrossRefPubMedPubMedCentralGoogle Scholar
  23. Ngaage DL, Martins E, Orkell E (2002) The impact of the duration of mechanical ventilation on the respiratory outcome in smokers undergoing cardiac surgery. Cardiovasc Surg 10:345–350CrossRefPubMedGoogle Scholar
  24. Peddle CJ, Jones LW, Eves ND, Reiman T, Sellar CM (2009) Effects of presurgical exercise training on quality of life in patients undergoing lung resection for suspected malignancy: a pilot study. Cancer Nurs 32(2009):158–165CrossRefPubMedGoogle Scholar
  25. Pokorski M, Suchorzynska A (2018) Psychobehavioral effects of meditation. Adv Exp Med Biol 1023:85–91CrossRefPubMedGoogle Scholar
  26. Rejali M, Rejali AR, Zhang L (2005) Effects of nicotine on the cardiovascular system. Vasc Dis Prev 2:135–144CrossRefGoogle Scholar
  27. Shahab L, Sarkar BK, West R (2013) The acute effects of yoga breathing exercises on craving and withdrawal symptoms in abstaining smokers. Psychopharmacology 225:875–882CrossRefPubMedGoogle Scholar
  28. Shannon VR (2010) Role of pulmonary rehabilitation in the management of patients with lung cancer. Curr Opin Pulm Med 16:334–339CrossRefPubMedGoogle Scholar
  29. Sharma VK, Das S, Mondal S, Goswampi LJ, Gandhi A (2005) Effect of Sahaj Yoga on depressive disorders. Indian J Physiol Pharmacol 49:462–468PubMedGoogle Scholar
  30. Singh S, Malhotra V, Singh KP, Madhu SV, Tandon OP (2004) Role of yoga in modifying certain cardiovascular functions in type 2 diabetic patients. J Assoc Physicians India 52:203–206PubMedGoogle Scholar
  31. Sisk A, Fonteyn M (2016) Evidence-based Yoga interventions for patients with cancer. Clin J Oncol Nurs 20(2):181–186CrossRefPubMedGoogle Scholar
  32. Yadav RK, Das S (2001) Effect of yoga practice on pulmonary functions in young females. Indian J Physiol Pharmacol 45:493–496PubMedGoogle Scholar
  33. Yadav A, Savita S, Singh KP (2009) Role of the Pranayama breathing exercises in rehabilitation of coronary artery disease patients – a pilot study. Indian J Tradit Knowl 8(3):455–458Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Giovanni Barassi
    • 1
  • Rosa Grazia Bellomo
    • 2
  • Antonella Di Iulio
    • 3
  • Achille Lococo
    • 3
  • Annamaria Porreca
    • 1
  • Piera Attilia Di Felice
    • 1
  • Raoul Saggini
    • 1
  1. 1.Department of Medical Oral and Biotechnological Science“Gabriele d’Annunzio” UniversityChieti-PescaraItaly
  2. 2.Department of Biomolecular Sciences‘Carlo Bo’ UniversityUrbinoItaly
  3. 3.Division of Thoracic SurgerySanto Spirito Hospital of PescaraPescaraItaly

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