Foch Hospital
Suresnes, 92150, France
NCT Number: NCT06492161
Although there is a strong physiological rationale for the benefit of post-operative mobilization, the evidence supporting these effects in surgical cohorts is conflicting, and there is a lack of research to guide the clinical implementation of early mobilization protocols. There is also a need to better evaluate the physical activity performed by physical activity tients outside the supervised mobilization protocol, to better understand its potential benefits on post-operative recovery. In adition, the objective measurement of physical activity has several advantages over declarative measures.
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Notify Me18 year–70 year
All sexes
Interventional
Not applicable
Suresnes, 92150, France
Prolonged immobilization after surgery is known to have detrimental effects. Although postoperative recommendations favor early mobilization, the lack of quantification of physical activity poses a problem for the implementation of early mobilization protocols..
An application named "ACTIM" has been developed with the aim of automating the personalized assessment of postoperative physical activity. The healthcare team (nurses or physiotherapists…), will share the information with the patient and will complete the assessment using personalized physical activity objectives for the day.
The purpose of this study is to assess this application in real-life settings to provide patients with information on their physical activity after lung resection by thoracoscopy or robotic surgery. This assessment will serve as a reference for future studies.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
After surgery, patients patients will be fitted with GT3X ActiGraph's activity monitor to capture and record continuous physical activity.
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of time spent sitting/lying-down
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of number of sit-to-stand transitions
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of number of number of steps
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of number of walking cadence
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of time spent sitting/lying-down using ACTIM application
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of number of sitting-standing transition using ACTIM application.
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of step count using ACTIM application.
Time frame: up to 4 days
Measure, from postoperative Day 1 up to Day 4 of walking pace using ACTIM application.
Time frame: up to 4 days
Measure of indicators of physical activity volume :
Number of counts/day (Sum of counts (vertical axis) accumulated over the day) Number of steps/day (Sum of steps accumulated over the day)
Time frame: up to 4 days
Measure of indicators of physical activity intensity :
Average number of counts/minute, Average walking pace (Average number of steps/minute).
Time frame: up to 4 days
Measure of Indicators of duration :
Sedentary time (Total minutes/day < 100 counts/minute), Light-intensity physical activity (Total minutes/day between 100 and 1,951 counts/minute), Moderate-intensity physical activity (Total minutes/day between 1,952 and 5,724 counts/minute), High-intensity physical activity (Total minutes/day ≥ 5,725 counts/minute), Moderate/high-intensity physical activity (Total minutes/day ≥ 1,952 counts/minute).
Time frame: up to 4 days
Measure of indicators of duration of walking at each intensity :
Occasional movement (Number of minutes with 1 to 19 steps/minute), Sporadic movement (Number of minutes with 20 to 39 steps/minute), Intentional walking (Number of minutes with 40 to 59 steps/minute), Slow walking (Number of minutes with 60 to 79 steps/minute), Moderate walking (Number of minutes with 80 to 99 steps/minute), Brisk walking (Number of minutes with 100 to 119 steps/minute), Fast walking (Number of minutes with ≥ 120 steps/minute),
Time frame: up to 4 days
Measure of indicators of energy expenditure : physical activity-related energy expenditure estimated by a prediction equation
Time frame: up to 4 days
Measure of indicators of moderate to high-intensity physical activity :
Number of sessions/day (Number of sessions (≥ 1 min) ≥ 1,952 counts/minute), Average session duration (Average session duration ≥ 1,952 counts/minute), Number of sessions ≥ 10 min (Number of sessions (≥ 10 min) ≥ 1,952 counts/minute), Total duration in sessions ≥ 10 min (Total duration of physical activity in sessions ≥ 10 min).
Time frame: up to 4 days
Measure of indicators of sedentary :
Number of sessions/day (Session number (≥ 1 min) < 100 counts/minute), Average session duration (Average duration of sessions < 100 counts/minute), Number of sessions ≥ 10 min (Session number (≥ 10 min) < 100 counts/minute), Total duration in sessions ≥ 10 min (Total duration of sedentary behavior in sessions ≥ 10 min),
Time frame: up to 4 days
The level of satisfaction/feasibility with the ACTIM application will be assessed using a satisfaction scale from 0 to 10 (0: Not satisfactory and 10: Very satisfactory) when the device will be remove.
Time frame: up to 4 days
Using an interest scale from 0 to 10 (0: Not interesting to 10: Very interesting). The format in which this information is made available will be evaluated using a satisfaction scale (0: Not satisfactory to 10: Very satisfactory) when the device will be remove.
Time frame: up to 4 days
Postoperative complications will be recorded using the 'Morbidity and Mortality after Thoracic Surgery' classification from hospital discharge up to 1 month post surgery
Time frame: up to 4 days
Patients' acceptability of wearing the ActiGraph GT3X will be assessed when the equipment is removed, using a simple numerical scale ranging from 0 : unbearable to wear to 10 : no discomfort.
Hopital Foch
Other
Evaluation of an Application Allowing Physical Activity to Get Information on Their Physical Activity in the First Days Following Thoracic Surgery
Acronym: MARCHE
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