Early Gait Function After Lung Transplantation in Patients With and Without Pretransplant Extracorporeal Membrane Oxygenation Support

•Before and after lung transplantation (LT), patients often find it difficult to have independent gait functions.•Patients who need to have bridging extracorporeal membrane oxygenation applied before surgery had severe impairments in physical functioning.•At 3 months after LT, gait function and musc...

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Bibliographic Details
Published in:	Transplantation proceedings Vol. 55; no. 3; pp. 616 - 622
Main Authors:	Do, Junghwa, Lim, Hyojin, Seo, Kyung Cheon, Park, Suyoung, Joo, HyeRin, Lee, Junghoon, Ko, Eunjae, Lim, Jaehwal, Kim, Ho Cheol, Oh, Dongkyu, Hong, Sang-Bum, Kim, Won
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-04-2023
Subjects:	Extracorporeal Membrane Oxygenation - adverse effects Gait Humans Lung Transplantation - adverse effects Retrospective Studies Treatment Outcome
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Summary:	•Before and after lung transplantation (LT), patients often find it difficult to have independent gait functions.•Patients who need to have bridging extracorporeal membrane oxygenation applied before surgery had severe impairments in physical functioning.•At 3 months after LT, gait function and muscle strength were not significantly different regardless of extracorporeal membrane oxygenation use.•We may expect favorable early physical recovery after LT when systematic rehabilitation programs are applied. We aimed to investigate the recovery of gait function, muscle strength, and the achievement of an independent gait after lung transplantation (LT) in patients with and without pretransplant extracorporeal membrane oxygenation (ECMO) support. We retrospectively reviewed the medical records of 33 inpatients who underwent bilateral LT and received physical therapy. We assessed the Functional Ambulatory Category (FAC) and Manual Muscle Test (MMT) scores at baseline, 1 month, and 3 months of rehabilitation and the time it took to achieve a FAC score of 3 within 3 months of LT surgery in ECMO and non-ECMO patients. The FAC and MMT scores were generally improved during the first 3 months after LT. The number of patients who achieved a FAC score of 3 at 3 months did not significantly differ between the ECMO and non-ECMO groups (P = .193). At 1 month, significantly fewer patients had reached a FAC of 3 in the ECMO group than in the non-ECMO group (P = .042). There were no significant differences in the FAC (P = .398) and MMT scores (P = .079) at 3 months between the 2 groups. Both groups' gait function and muscle strength were continuously restored 3 months after LT. At 1 month, the gait function was assessed by the FAC score, and the rate to achieve a FAC of 3 was higher in the non-ECMO group than in the ECMO group, but at 3 months, the difference was not significant between the 2 groups.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0041-1345 1873-2623
DOI:	10.1016/j.transproceed.2023.02.058