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

10 juni 2026 uppdaterad 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.

Studieöversikt

Status

Avslutad

Detaljerad beskrivning

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.

Studietyp

Observationell

Inskrivning (Faktisk)

18

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Testmetod

Icke-sannolikhetsprov

Studera befolkning

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.

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Kinesiophobia
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Functional Capacity
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 maj 2021

Primärt slutförande (Faktisk)

1 maj 2022

Avslutad studie (Faktisk)

1 juli 2022

Studieregistreringsdatum

Först inskickad

10 juni 2026

Först inskickad som uppfyllde QC-kriterierna

10 juni 2026

Första postat (Faktisk)

15 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

15 juni 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

10 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • GO 20/1155

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