Breast Cancer Clinical Trial
Official title:
Design and Evaluation of the Effects of a Physical Therapy Program With Digital Support in Patients With Breast Cancer Surgery. A Clinical Trial.
NCT number | NCT04837248 |
Other study ID # | PI-2021-3 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | August 2, 2021 |
Est. completion date | May 1, 2024 |
Breast cancer surgery usually results in reduced range of motion of the shoulder joint, weakness of the musculature and altered scapular kinematics during movement. These factors limit activities of daily living, so rehabilitation exercises help to restore function after shoulder surgery. Women with breast cancer often have a life conditioned by the sequelae or morbidity secondary to the treatment of the disease and, despite the high cure rate, many patients are unable to regain their initial quality of life. Cancer therapies can leave physical, psychological and psychosocial sequelae, which may manifest themselves or persist even years after the end of treatment. For all these reasons, patients who have undergone cancer treatment need physical rehabilitation as well as psychological and social care to support them in their new stage of life, and to optimise the rehabilitation programme, it is necessary to identify each patient's individual needs, The digital support proposed in this study enables the development of a physiotherapy programme for patients with breast cancer in a situation of health crisis, which includes providing assistance, information, accompaniment, help and treatment to these patients in a comprehensive way, based on the biopsychosocial model.
Status | Recruiting |
Enrollment | 92 |
Est. completion date | May 1, 2024 |
Est. primary completion date | February 28, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 85 Years |
Eligibility | Inclusion Criteria: - Diagnosis of stage I, II or III of Breast cancer treated by surgery. - Medical authorisation for participation. - Internet access. - Basic computer skills. - Signed informed consent. - No bilateral mastectomy. - No metastases. - Post-intervention period of 10 days to 3 months. - Age 18-85 years. - No previous shoulder pathologies. - No pathology that prevents exercise. - Understanding of the Spanish language. Exclusion Criteria: - Breast cancer treated without surgery. - Patient in severe psychiatric treatment who may present difficulties for participation in the study. - Stage IV cancer. - Any other clinical condition or previous therapy that contraindicates one or more of the techniques included in the programme, as the intervention may not be safe for the patient and therefore the person would not be eligible to participate in the study. |
Country | Name | City | State |
---|---|---|---|
Spain | Fundacion Hospital Ramón y Cajal | Madrid |
Lead Sponsor | Collaborator |
---|---|
Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal |
Spain,
Hidding JT, Beurskens CH, van der Wees PJ, van Laarhoven HW, Nijhuis-van der Sanden MW. Treatment related impairments in arm and shoulder in patients with breast cancer: a systematic review. PLoS One. 2014 May 9;9(5):e96748. doi: 10.1371/journal.pone.0096748. eCollection 2014. — View Citation
Pellini F, Granuzzo E, Urbani S, Mirandola S, Caldana M, Lombardi D, Fiorio E, Mandara M, Pollini GP. Male Breast Cancer: Surgical and Genetic Features and a Multidisciplinary Management Strategy. Breast Care (Basel). 2020 Feb;15(1):14-20. doi: 10.1159/000501711. Epub 2019 Sep 13. — View Citation
van Egmond MA, van der Schaaf M, Vredeveld T, Vollenbroek-Hutten MMR, van Berge Henegouwen MI, Klinkenbijl JHG, Engelbert RHH. Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis. Physiotherapy. 2018 Sep;104(3):277-298. doi: 10.1016/j.physio.2018.04.004. Epub 2018 Jun 19. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Disabilities of the Arm, Shoulder and Hand Score (DASH) | Global assessment of the functionality of the upper limb, | 12 weeks | |
Primary | Disabilities of the Arm, Shoulder and Hand Score (DASH) | Global assessment of the functionality of the upper limb, | 3 months | |
Secondary | European organization for research and treatment of cancer quality life questionnaire core 30. (QLQ-C30-B23) | Questionnaire to assess quality of life in cancer patients. Module B23, which is specific to breast cancer, will be used. | 12 weeks | |
Secondary | Range Of Motion (ROM) | Goniometry of joint range | 12 weeks | |
Secondary | Tampa Scale for Kinesiophobia (TSK-11SV) | The TSK is an 11-item self-report measure related to fear of movement and re-injury from movement. | 12 weeks | |
Secondary | Brief Pain Inventory (BPI) | The BPI is a multidimensional pain assessment tool that provides information on pain intensity and its interference with patients' daily activities. It also assesses the description, the location of pain and the level of relief provided by the treatment. | 12 weeks | |
Secondary | Hospital Anxiety and Depression Scale (HADS) | Questionnaire to measure levels of anxiety and depression in these people. | 12 weeks |
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