Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine & Science in Sports & Exercise, 51(11), 2375–2390. https://doi.org/10.1249/MSS.0000000000002116
Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., Zucker, D. S., Matthews, C. E., Ligibel, J. A., Gerber, L. H., & Schmitz, K. H. (2022). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine & Science in Sports & Exercise, 54(2), 303–316. https://doi.org/10.1249/MSS.0000000000002765
Chen, X., Li, C., Zeng, L., Rong, T., Lin, P., Wang, Q., Guo, Z., Long, H., & Zhong, J. (2023). Comparative efficacy of different combinations of Acapella, active cycle of breathing technique, and external diaphragmatic pacing in perioperative patients with lung cancer: A randomized controlled trial. BMC Cancer, 23, 282. https://doi.org/10.1186/s12885-023-10750-4.
Granger, C. L., McDonald, C. F., Berney, S., Chao, C., & Denehy, L. (2014). Exercise intervention to improve exercise capacity and health-related quality of life for patients with non-small cell lung cancer: A systematic review. Lung Cancer, 72(2), 139–153. https://doi.org/10.1016/j.lungcan.2011.01.006
Granger, C. L., Morris, N. R., Bolam, K. A., & Singh, B. (2022). Exercise training for lung cancer patients: A systematic review and meta-analysis. Thorax, 77(7), 710–720. https://doi.org/10.1136/thoraxjnl-2021-217764
Grigoletto, I., Cavalheri, V., Gobbo, L. A., Pozo, K., Maia Filho, E. R., Ribeiro, D. G., Ielo, N., De Lima, F. F., & Ramos, E. M. C. (2023). Effects of semisupervised exercise training on health outcomes in people with lung or head and neck cancer: Protocol for a randomized controlled trial. JMIR Research Protocols, 12, e45278. https://doi.org/10.2196/45278
Guo Ning, Chen S., Ji D., Zhao Z., Zhao A., Li L., & Gao H. (2025).
Effect of position management combined with active cycle of breathing techniques on reducing postoperative pulmonary complications in lung cancer patients. BMC Cancer, 25, 1780. https://doi.org/10.1186/s12885-025-15029-4
Peddle-McIntyre, C. J., Singh, B., Thomas, R., Newton, R. U., Galvão, D. A., & Granger, C. L. (2023). Exercise training for lung cancer: A systematic review and meta-analysis of randomized controlled trials. Journal of Cancer Survivorship, 17(3), 623–638. https://doi.org/10.1007/s11764-022-01234-6
Schmitz, K. H., Campbell, A. M., Stuiver, M. M., Pinto, B. M., Schwartz, A. L., Morris, G. S., Ligibel, J. A., Cheville, A., Galvão, D. A., Alfano, C. M., & Winters-Stone, K. M. (2021). Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer. CA: A Cancer Journal for Clinicians, 71(6), 504–524. https://doi.org/10.3322/caac.21679
Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2024). Cancer statistics, 2024. CA: A Cancer Journal for Clinicians, 74(1), 17–48. https://doi.org/10.3322/caac.21820
Singh, B., Hayes, S. C., Spence, R. R., Steele, M. L., Millet, G. Y., & Granger, C. L. (2023). Exercise and lung cancer: A systematic review of feasibility, safety, and effectiveness. Lung Cancer, 176, 10–21. https://doi.org/10.1016/j.lungcan.2022.11.013
Stene, G. B., Helbostad, J. L., Balstad, T. R., Riphagen, I. I., & Kaasa, S. (2022). Effect of physical exercise on muscle mass and strength in cancer patients: A systematic review. Critical Reviews in Oncology/Hematology, 172, 103645. https://doi.org/10.1016/j.critrevonc.2022.103645
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Thai, A. A., Solomon, B. J., Sequist, L. V., Gainor, J. F., & Heist, R. S. (2021). Lung cancer. The Lancet, 398(10299), 535–554. https://doi.org/10.1016/S0140-6736(21)00312-3
Barker, A. L., McDonnell, M., Jenkins, S., & Granger, C. L. (2020). Respiratory physiotherapy and airway clearance techniques in adults with lung disease: A systematic review. Physiotherapy, 106, 76–89. https://doi.org/10.1016/j.physio.2019.05.004
Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … Schmitz, K. H. (2022). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine & Science in Sports & Exercise, 54(4), 703–720. https://doi.org/10.1249/MSS.0000000000002877
Cavalheri, V., & Granger, C. L. (2020). Preoperative exercise training for patients with non–small cell lung cancer. Cochrane Database of Systematic Reviews, 2020(11), CD012020. https://doi.org/10.1002/14651858.CD012020.pub2
Chen, X., Li, C., Zeng, L., Rong, T., Lin, P., Wang, Q., Guo, Z., Long, H., & Zhong, J. (2023). Comparative efficacy of different combinations of Acapella, active cycle of breathing technique, and external diaphragmatic pacing in perioperative patients with lung cancer: A randomized controlled trial. BMC Cancer, 23, Article 415. https://doi.org/10.1186/s12885-023-10809-6
Granger, C. L., Connolly, B., Denehy, L., Hart, N., Antippa, P., & Cavalheri, V. (2021). Exercise intervention to improve physical function and quality of life in lung cancer patients: A systematic review and meta-analysis. Thorax, 76(9), 861–869. https://doi.org/10.1136/thoraxjnl-2020-215246
Guo, Y., Jiang, Y., Zhang, W., Wang, Y., & Li, J. (2021). Effect of early pulmonary rehabilitation on postoperative pulmonary complications in patients with lung cancer: A meta-analysis. Journal of Thoracic Disease, 13(5), 2870–2882. https://doi.org/10.21037/jtd-20-3452
Peddle-McIntyre, C. J., Singh, F., Thomas, R., Newton, R. U., Galvão, D. A., & Cavalheri, V. (2022). Exercise training for advanced lung cancer: A systematic review and meta-analysis. Journal of Pain and Symptom Management, 63(1), 117–132. https://doi.org/10.1016/j.jpainsymman.2021.08.012
Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., Zucker, D. S., Matthews, C. E., Ligibel, J. A., Gerber, L. H., & Schmitz, K. H. (2022). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine & Science in Sports & Exercise, 54(2), 303–316. https://doi.org/10.1249/MSS.0000000000002765
Chen, X., Li, C., Zeng, L., Rong, T., Lin, P., Wang, Q., Guo, Z., Long, H., & Zhong, J. (2023). Comparative efficacy of different combinations of Acapella, active cycle of breathing technique, and external diaphragmatic pacing in perioperative patients with lung cancer: A randomized controlled trial. BMC Cancer, 23, 282. https://doi.org/10.1186/s12885-023-10750-4.
Granger, C. L., McDonald, C. F., Berney, S., Chao, C., & Denehy, L. (2014). Exercise intervention to improve exercise capacity and health-related quality of life for patients with non-small cell lung cancer: A systematic review. Lung Cancer, 72(2), 139–153. https://doi.org/10.1016/j.lungcan.2011.01.006
Granger, C. L., Morris, N. R., Bolam, K. A., & Singh, B. (2022). Exercise training for lung cancer patients: A systematic review and meta-analysis. Thorax, 77(7), 710–720. https://doi.org/10.1136/thoraxjnl-2021-217764
Grigoletto, I., Cavalheri, V., Gobbo, L. A., Pozo, K., Maia Filho, E. R., Ribeiro, D. G., Ielo, N., De Lima, F. F., & Ramos, E. M. C. (2023). Effects of semisupervised exercise training on health outcomes in people with lung or head and neck cancer: Protocol for a randomized controlled trial. JMIR Research Protocols, 12, e45278. https://doi.org/10.2196/45278
Guo Ning, Chen S., Ji D., Zhao Z., Zhao A., Li L., & Gao H. (2025).
Effect of position management combined with active cycle of breathing techniques on reducing postoperative pulmonary complications in lung cancer patients. BMC Cancer, 25, 1780. https://doi.org/10.1186/s12885-025-15029-4
Peddle-McIntyre, C. J., Singh, B., Thomas, R., Newton, R. U., Galvão, D. A., & Granger, C. L. (2023). Exercise training for lung cancer: A systematic review and meta-analysis of randomized controlled trials. Journal of Cancer Survivorship, 17(3), 623–638. https://doi.org/10.1007/s11764-022-01234-6
Schmitz, K. H., Campbell, A. M., Stuiver, M. M., Pinto, B. M., Schwartz, A. L., Morris, G. S., Ligibel, J. A., Cheville, A., Galvão, D. A., Alfano, C. M., & Winters-Stone, K. M. (2021). Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer. CA: A Cancer Journal for Clinicians, 71(6), 504–524. https://doi.org/10.3322/caac.21679
Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2024). Cancer statistics, 2024. CA: A Cancer Journal for Clinicians, 74(1), 17–48. https://doi.org/10.3322/caac.21820
Singh, B., Hayes, S. C., Spence, R. R., Steele, M. L., Millet, G. Y., & Granger, C. L. (2023). Exercise and lung cancer: A systematic review of feasibility, safety, and effectiveness. Lung Cancer, 176, 10–21. https://doi.org/10.1016/j.lungcan.2022.11.013
Stene, G. B., Helbostad, J. L., Balstad, T. R., Riphagen, I. I., & Kaasa, S. (2022). Effect of physical exercise on muscle mass and strength in cancer patients: A systematic review. Critical Reviews in Oncology/Hematology, 172, 103645. https://doi.org/10.1016/j.critrevonc.2022.103645
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Thai, A. A., Solomon, B. J., Sequist, L. V., Gainor, J. F., & Heist, R. S. (2021). Lung cancer. The Lancet, 398(10299), 535–554. https://doi.org/10.1016/S0140-6736(21)00312-3
Barker, A. L., McDonnell, M., Jenkins, S., & Granger, C. L. (2020). Respiratory physiotherapy and airway clearance techniques in adults with lung disease: A systematic review. Physiotherapy, 106, 76–89. https://doi.org/10.1016/j.physio.2019.05.004
Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … Schmitz, K. H. (2022). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine & Science in Sports & Exercise, 54(4), 703–720. https://doi.org/10.1249/MSS.0000000000002877
Cavalheri, V., & Granger, C. L. (2020). Preoperative exercise training for patients with non–small cell lung cancer. Cochrane Database of Systematic Reviews, 2020(11), CD012020. https://doi.org/10.1002/14651858.CD012020.pub2
Chen, X., Li, C., Zeng, L., Rong, T., Lin, P., Wang, Q., Guo, Z., Long, H., & Zhong, J. (2023). Comparative efficacy of different combinations of Acapella, active cycle of breathing technique, and external diaphragmatic pacing in perioperative patients with lung cancer: A randomized controlled trial. BMC Cancer, 23, Article 415. https://doi.org/10.1186/s12885-023-10809-6
Granger, C. L., Connolly, B., Denehy, L., Hart, N., Antippa, P., & Cavalheri, V. (2021). Exercise intervention to improve physical function and quality of life in lung cancer patients: A systematic review and meta-analysis. Thorax, 76(9), 861–869. https://doi.org/10.1136/thoraxjnl-2020-215246
Guo, Y., Jiang, Y., Zhang, W., Wang, Y., & Li, J. (2021). Effect of early pulmonary rehabilitation on postoperative pulmonary complications in patients with lung cancer: A meta-analysis. Journal of Thoracic Disease, 13(5), 2870–2882. https://doi.org/10.21037/jtd-20-3452
Peddle-McIntyre, C. J., Singh, F., Thomas, R., Newton, R. U., Galvão, D. A., & Cavalheri, V. (2022). Exercise training for advanced lung cancer: A systematic review and meta-analysis. Journal of Pain and Symptom Management, 63(1), 117–132. https://doi.org/10.1016/j.jpainsymman.2021.08.012
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Affiliations
Nurma Yuni Pary Usemahu
Poltekkes Kemenkes Maluku
Nadhia Elsa Silviani
Poltekkes Kemenkes Jakarta III
How to Cite
Pary Usemahu, N. and Silviani, N. (2026) “Preferences For Pulmonary Exercises In Lung Cancer Patient: A Systematic Review”, Jurnal Keperawatan Salawaku (JKS), 1(1), pp. 30-40. Available at: https://jurnalpoltekkesmaluku.com/JKS/article/view/882 (Accessed: 5November2026).
Preferences For Pulmonary Exercises In Lung Cancer Patient: A Systematic Review
The Preferences For Pulmonary Exercises In Lung Cancer Patient: A Systematic Review
Vol 1 No 1 (2026): Jurnal Keperawatan Salawaku
Submitted: Jul 26, 2026
Published: Nov 4, 2026
Abstract
Lung cancer survivors often experience persistent physical limitations after treatment. Recent evidence indicates that structured exercise after lung cancer treatment is safe and beneficial, improving cardiorespiratory fitness, muscle strength, symptom control, and psychosocial well-being. However, exercise remains underutilized in post-treatment care, highlighting the need to strengthen its integration into lung cancer survivorship programs. This systematic review based on 4 data bases (ScienceDirect, Pubmed, EBSCO, Nature anda SAGE), included clinical trial, observational study and pilot study, articles were published between 2021-2025 in English, and available in full-text. Papers, which not met the inclusion criteria, will be excluded. Keywords used in this study are ‘Lung Cancer Patient’’ AND OR ‘ cancer Survivor’ AND ‘ lung exercise OR “Pulmonary Rehabilitation” AND ‘Lung Capacity’. This paper provided various exercises for lung cancer survivor based on procedure, baseline measurement and duration exercise.