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Pulmonary DiseaseNCT07455552

Smartphone-based Telerehabilitation Versus Home-based Inspiratory Muscle Training After Lung Resection in High-risk Patients

A study testing Smartphone-based telerehabilitation IMT and Unsupervised home-based IMT in people with Pulmonary Disease and Lung Cancer (Diagnosis), run by Pusan National University Hospital at 1 site in South Korea.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this pilot clinical trial is to assess the feasibility of smartphone-based telerehabilitation for inspiratory muscle training (IMT) and to explore its preliminary effects on postoperative recovery in high-risk adult patients after lung resection. Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Pulmonary Disease, Lung Cancer (Diagnosis)
What is being tested?
Smartphone-based telerehabilitation IMT and Unsupervised home-based IMT
Could I receive a placebo?
No, everyone receives an active treatment
How many people
58 participants
Where
1 siteSouth Korea
Study dates
13 Aug 2024to 1 Feb 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 19 years or older
  • Patients who underwent lung resection
  • Patients who met at least one of the following high-risk criteria:
  • preoperative FEV1 or DLCO ≤70% predicted
  • age ≥65 years
  • Patients who understood the study procedures and provided written informed consent

Who cannot join

  • Pregnant women or other vulnerable populations considered inappropriate for study participation
  • Patients with limited mobility due to other conditions that could interfere with the exercise stress test or 6-minute walk test (e.g., osteoarthritis, spinal disorders, or cerebral infarction)
  • Patients with an implanted pacemaker or defibrillator that precluded bioelectrical impedance analysis
  • Patients participating in other clinical studies that could affect exercise capacity
  • Patients unable to independently use the messenger application (KakaoTalk) after standardized instruction
  • Patients judged by the investigator to be unsuitable for participation

Trial locations and contacts

1 site in 1 country.

South Korea1 site
  • PusanNUH

    Pusan

Other trials in South Korea

About this study

Official title: Smartphone-based Telerehabilitation Versus Unsupervised Home-based Inspiratory Muscle Training After Lung Resection in High-risk Patients: a Pilot Randomized Controlled Trial

The goal of this pilot clinical trial is to assess the feasibility of smartphone-based telerehabilitation for inspiratory muscle training (IMT) and to explore its preliminary effects on postoperative recovery in high-risk adult patients after lung resection. Eligible participants are adults aged 19 years or older who underwent lung resection and met at least one high-risk criterion: preoperative forced expiratory volume in 1 second (FEV1) or diffusing capacity of the lung for carbon monoxide (DLCO) of 70% predicted or less, or age 65 years or older. The main questions it aims to answer are:

Is smartphone-based telerehabilitation for IMT feasible and safe in this patient population? Does smartphone-based telerehabilitation for IMT show preliminary effects on functional exercise capacity, as measured by the 6-minute walk test (6MWT)? Researchers will compare smartphone-based telerehabilitation IMT with unsupervised home-based IMT to see whether remote supervision provides additional benefit after lung resection.

Read more

Participants will:

be randomized to either smartphone-based telerehabilitation IMT or unsupervised home-based IMT perform IMT 5 days per week for 6 weeks, starting at 20% of postoperative maximal inspiratory pressure (MIP) with progression according to tolerance complete outcome assessments at postoperative weeks 2-4, 8-10, and 14-16, including the 6MWT, pulmonary function tests (FVC, FEV1, MIP, and peak expiratory flow), handgrip strength, body composition, patient-reported outcomes, and cardiopulmonary exercise testing at final follow-up

Read the detailed description

Eligible patients who undergo lung resection will be screened during postoperative hospitalization and before their first outpatient visit to the Department of Rehabilitation Medicine. To be eligible, participants must be adults aged 19 years or older, have undergone lung resection, meet at least one of the following high-risk criteria: preoperative forced expiratory volume in 1 second (FEV1) or diffusing capacity of the lung for carbon monoxide (DLCO) of 70% predicted or less, or age 65 years or older, and be able to understand the study procedures and provide written informed consent. Within 7 days after surgery and before hospital discharge, informed consent will be obtained and participants will be randomized in a 1:1 ratio to either the intervention or control group.

At postoperative weeks 2-4 (Visit 1), both groups will attend an outpatient visit for baseline assessments, including the 6-minute walk test (6MWT), pulmonary function tests (FVC, FEV1, MIP, and peak expiratory flow [PEF]), handgrip strength, body composition (InBody), EQ-5D, the Korean version of the Physical Activity Scale for the Elderly (K-PASE), and the Numeric Rating Scale (NRS) for pain. All participants will be instructed to continue the standard pulmonary rehabilitation program initiated during hospitalization, including breathing exercises, coughing techniques, early ambulation, and low-intensity aerobic exercise.

The intervention group will perform inspiratory muscle training (IMT) 5 days per week (10 repetitions × 10 sets per day) for 6 weeks. Training will begin at 20% of postoperative maximal inspiratory pressure (MIP) and will be adjusted according to tolerance and symptoms, with a target of 50% of postoperative MIP and an upper limit of 4 on the Borg Dyspnea Scale. Smartphone-based telerehabilitation will be delivered through a mobile messenger application (e.g., KakaoTalk) and will include twice-weekly adherence and symptom monitoring, therapist feedback, and remote support for training progression. Communication will primarily be conducted through messaging, with telephone contact used as needed. Participants will also be able to contact the research team to ask questions or report adverse events during the intervention period, and the research team will respond within 24 hours.

The control group will perform the same IMT protocol for 6 weeks after a one-time instruction session at Visit 1, but without additional remote monitoring. Training will also begin at 20% of postoperative MIP, and participants will adjust the intensity independently based on tolerance. They will be instructed to reduce the load if they are unable to complete the prescribed training volume at the increased intensity.

Follow-up assessments will be conducted at postoperative weeks 8-10 (Visit 2) and 14-16 (Visit 3). Visit 2 will include reassessment of the same parameters measured at Visit 1 and review of exercise adherence. Visit 3 will include final outcome assessments and cardiopulmonary exercise testing (CPET).

Being tested
Smartphone-based telerehabilitation IMT, Unsupervised home-based IMT
Keywords
Lung Resection, Inspiratory Muscle Training, Telerehabilitation, Postoperative Rehabilitation, High-risk Patients, KakaoTalk
Medical subject headings
Lung Diseases, Lung Neoplasms, Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Smartphone-based telerehabilitation IMTBehavioural

    Home-based inspiratory muscle training performed for 6 weeks (5 days per week, 10 repetitions × 10 sets per day), starting at 20% of postoperative maximal inspiratory pressure (MIP) with progression according to tolerance and symptoms. Participants receive smartphone-based telerehabilitation support through a mobile messenger application, including adherence checks, symptom monitoring, therapist feedback, and remote support for training progression.

  • Unsupervised home-based IMTBehavioural

    Home-based inspiratory muscle training performed for 6 weeks (5 days per week, 10 repetitions × 10 sets per day), starting at 20% of postoperative maximal inspiratory pressure (MIP) with progression according to tolerance. After a one-time instruction session, participants continue the training independently without additional remote monitoring.

Study groups in NCT07455552
Study groupRoleWhat they receive
Smartphone-based telerehabilitation IMTExperimentalParticipants in this group will perform inspiratory muscle training (IMT) at home for 6 weeks (5 days per week, 10 repetitions × 10 sets per day) with smartphone-based telerehabilitation support. Training will begin at 20% of postoperative maximal inspiratory pressure (MIP) and be adjusted according to tolerance and symptoms, with a target of 50% of postoperative MIP. Support will be delivered through a mobile messenger application (e.g., KakaoTalk) and will include twice-weekly adherence and symptom monitoring, therapist feedback, and remote support for training progression. Telephone contact will be used as needed.
Receives: Behavioral: Smartphone-based telerehabilitation IMT
Unsupervised home-based IMTActive comparatorParticipants in this group will perform the same inspiratory muscle training (IMT) protocol at home for 6 weeks (5 days per week, 10 repetitions × 10 sets per day) after a one-time instruction session at the postoperative week 2-4 outpatient visit. Training will begin at 20% of postoperative maximal inspiratory pressure (MIP), and participants will adjust the intensity independently based on tolerance, with a target of up to 50% of postoperative MIP. No additional remote monitoring or supervision will be provided after the initial instruction session.
Receives: Behavioral: Unsupervised home-based IMT

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 6minute walking test

    Total distance walked in meters during a 6-minute walk test performed on a 30-meter flat indoor course to assess functional exercise capacity and postoperative recovery.

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

Secondary outcomes (8)
  1. Forced Vital Capacity (FVC)

    Forced vital capacity (FVC) measured using standardized spirometry, reported in liters (L).

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

  2. FEV1

    Forced expiratory volume in 1 second (FEV1) measured using standardized spirometry, reported in liters (L).

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

  3. MIP

    Maximal inspiratory pressure (MIP) measured using standardized spirometry, reported in cmH2O.

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

  4. Peak Expiratory Flow (PEF)

    Peak expiratory flow (PEF) measured using standardized spirometry. Participants exhale as forcefully as possible after deep inhalation, and the highest value from three attempts is recorded.

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

  5. Hand grip strength

    Handgrip strength measured using a handheld dynamometer. Participants perform three trials with the dominant hand, and the highest value is recorded.

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

  6. Bioelectric Impedance Analysis

    Body composition assessed using bioelectrical impedance analysis (InBody S10), including skeletal muscle mass, skeletal muscle index, phase angle, and fat-free mass.

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

  7. Questionnaires (EQ-5D-5L, EQ-VAS, and K-PASE)

    Health-related quality of life was assessed using the EQ-5D-5L and EQ visual analogue scale (EQ-VAS). Self-reported physical activity related to leisure, household activities, and work was assessed using the Korean version of the Physical Activity Scale for the Elderly (K-PASE).

    Measured: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).

  8. Cardiopulmonary Exercise Test (CPET)

    Cardiopulmonary exercise testing (CPET) performed at final follow-up. Parameters include peak oxygen uptake (VO2 peak), predicted VO2 peak, ventilatory efficiency (VE/VCO2 slope), anaerobic threshold, respiratory exchange ratio, and maximal heart rate.

    Measured: Visit 3 (14 to 16 weeks after surgery).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Mar 2026
  2. Study start13 Aug 2024
  3. Primary completion1 Feb 2026
  4. Study completion1 Feb 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants were randomized in a 1:1 ratio to either a smartphone-based telerehabilitation IMT group or a self-managed home-based IMT group in a parallel two-arm design.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
58 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07455552
Sponsor's protocol ID
2407-025-140
Status last verified
Jun 2026
First submitted
9 Jul 2025
Last updated
24 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Smartphone-based telerehabilitation IMT and Unsupervised home-based IMT in people with Pulmonary Disease and Lung Cancer (Diagnosis), run by Pusan National University Hospital at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

6minute walking test (time frame: Visit 1 (2 to 4 weeks after surgery), Visit 2 (8 to 10 weeks after surgery), and Visit 3 (14 to 16 weeks after surgery).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jun 2026.

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