The exercise instructions given in the PREPARE program are part of the standard treatment
and care is taken to ensure that the exercises are done safely at home. The only research
segment is measurement of the parameters and clinical outcomes."

Patient Visits: 1. Recruitment/Enrollment (Visit 1 - coincide with PAC visit) Once
informed consent is obtained. Patients will have the following measurements taken.

1. Baseline Maximal Inspiratory Pressure (MIP) using a handheld digital manometer,

2. 6-minute walk test (6MWT),

3. handgrip strength (HGS) of the dominant hand, and

4. 30s and 1-minute Sit-To-Stand (STS).

In addition, all patients will receive the routine (20 - 40 minutes) preoperative
physiotherapy education, home exercise instructions and inspiratory muscle training (if
MIP < 100 cmH2O).

2. Follow up (Phone call) Patients will receive follow-up phone calls once weekly to
check if they have any problems following the home exercise instructions given to
them on visit 1.

3. Follow up (Visit 2) - Pre-Op (3 days before Operation) Patients will have the
measurements taken again.

4. Follow up (Visit 3) - Between 4 to 5 weeks post-operation. Patients will have the
measurements taken again.