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

Launched by CAIRO UNIVERSITY · Mar 13, 2025

Keywords

ClinConnect Summary

This clinical trial is studying how arm cycling exercise can help improve breathing and overall physical function in older men who have undergone surgery to remove colon cancer. The goal is to see if this type of exercise can enhance lung function, reduce feelings of anxiety and depression, and boost physical capabilities after surgery, especially when patients are recovering in the intensive care unit.

To qualify for this study, participants must be men aged 65 and older who have had surgery for colon cancer and are in stable health. They should be able to follow instructions and walk at least 60 meters. Unfortunately, men with certain health issues, like heart disease or other serious conditions, cannot participate. Those who join can expect to engage in arm cycling exercises while being closely monitored to assess improvements in their health and recovery.

Gender

MALE

Eligibility criteria

• 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.