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Comparison of Early Postoperative Functional Capacity and Kinesiophobia in Patients Undergoing Thoracic Surgery Via Thoracotomy or VATS

10. juni 2026 oppdatert av: Funda Alma, Hacettepe University

Comparison of Early Postoperative Functional Capacity, Kinesiophobia, Pain, Dyspnea, Fatigue, and Anxiety in Patients Undergoing Thoracic Surgery Via Thoracotomy or Video-Assisted Thoracic Surgery

This observational cross-sectional study aims to compare early postoperative functional capacity and kinesiophobia in patients undergoing thoracic surgery via thoracotomy or video-assisted thoracic surgery (VATS). Patients aged 18-75 years who underwent thoracic surgery and agreed to participate will be evaluated during the early postoperative period, after chest tube removal and before hospital discharge.

Functional capacity will be assessed using the 1-minute sit-to-stand test. Kinesiophobia will be evaluated using the Tampa Scale for Kinesiophobia. Pain, dyspnea, fatigue, and coronavirus-related anxiety will also be assessed using validated scales and questionnaires. The study will investigate the relationship between kinesiophobia and postoperative functional and symptom-related outcomes.

Studieoversikt

Status

Fullført

Forhold

Detaljert beskrivelse

Thoracic surgical procedures may lead to postoperative pain, reduced mobility, impaired functional capacity, and fear of movement. Thoracotomy involves opening the chest wall and is associated with greater surgical trauma, whereas video-assisted thoracic surgery (VATS) is a minimally invasive surgical approach performed through smaller incisions without rib spreading. VATS is generally associated with lower morbidity, shorter hospital stay, and earlier return to physical activity.

Kinesiophobia, defined as an excessive and irrational fear of movement or re-injury, may negatively affect postoperative recovery and rehabilitation participation. Although kinesiophobia has been widely investigated in musculoskeletal and chronic pain conditions, there is limited evidence regarding its role after thoracic surgery.

The aim of this study is to evaluate early postoperative functional capacity, kinesiophobia, and factors associated with kinesiophobia in patients undergoing thoracic surgery via thoracotomy or VATS. Eligible patients will be assessed in the early postoperative period, after removal of chest tubes and before discharge, corresponding approximately to postoperative days 2-10.

Demographic and clinical data will be recorded. Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia. Functional capacity will be evaluated using the 1-minute sit-to-stand test. Pain will be assessed using the McGill-Melzack Pain Questionnaire. Dyspnea and fatigue will be evaluated using the Modified Borg Scale. Coronavirus-related anxiety will be assessed using the Coronavirus Anxiety Scale Short Form.

Studietype

Observasjonsmessig

Registrering (Faktiske)

18

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Tyrkia (Türkiye)
    • Altındağ
      • Ankara, Altındağ, Tyrkia (Türkiye), 06100
        • Hacettepe University

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Patients aged 18-75 years who underwent thoracic surgery via thoracotomy or video-assisted thoracic surgery at the Department of Thoracic Surgery, Hacettepe University, and agreed to participate in the study.

Beskrivelse

Inclusion Criteria:

  • Undergoing thoracic surgery via thoracotomy or video-assisted thoracic surgery
  • Aged between 18 and 75 years
  • Volunteering to participate in the study
  • Providing informed consent

Exclusion Criteria:

  • Presence of cooperation or communication problems that prevent assessment
  • History of previous thoracic surgery

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Thoracotomy Group
Patients aged 18-75 years who underwent thoracic surgery via thoracotomy and agreed to participate in the study.
VATS Group
Patients aged 18-75 years who underwent thoracic surgery via video-assisted thoracic surgery and agreed to participate in the study.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Kinesiophobia
Tidsramme: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia. The scale consists of 17 items scored on a 4-point Likert scale. Total scores range from 17 to 68, with higher scores indicating greater fear of movement.
Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Functional Capacity
Tidsramme: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Functional capacity will be assessed using the 1-minute sit-to-stand test. The number of full sit-to-stand repetitions completed in one minute will be recorded.
Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Pain Level
Tidsramme: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Pain will be evaluated using the McGill-Melzack Pain Questionnaire, which assesses pain location, quality, temporal characteristics, and intensity.
Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Dyspnea
Tidsramme: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Dyspnea severity will be assessed using the Modified Borg Scale, a 0-10 category-ratio scale, with higher scores indicating greater perceived dyspnea.
Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Fatigue
Tidsramme: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Fatigue severity will be assessed using the Modified Borg Scale, a 0-10 category-ratio scale, with higher scores indicating greater perceived fatigue.
Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Coronavirus-related Anxiety
Tidsramme: Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10
Coronavirus-related anxiety will be assessed using the Coronavirus Anxiety Scale Short Form.
Early postoperative period, after chest tube removal and before hospital discharge, approximately postoperative days 2-10

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Hacettepe University

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. mai 2021

Primær fullføring (Faktiske)

1. mai 2022

Studiet fullført (Faktiske)

1. juli 2022

Datoer for studieregistrering

Først innsendt

10. juni 2026

Først innsendt som oppfylte QC-kriteriene

10. juni 2026

Først lagt ut (Faktiske)

15. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

15. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • GO 20/1155

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Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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