The Effect of Technological Based Rehabilitation Practices After Breast Cancer Surgery

NCT06156397 | Completed

• 1 other identifier: MEDU-FTR-BB-001
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

The aim is to investigate the effects of supervised exercise program, telerehabilitation program and mobile application supported exercise program, applied in the acute period after breast cancer surgery, on upper extremity dysfunction.

Conditions

Breast Cancer

Keywords

rehabilitation; physical therapy; breast cancer

Outcome Measures

Primary Outcomes (1)

• Baseline Digital Goniometer

  The initial and final shoulder range of motion (ROM) of the patients will be recorded in degrees using a digital goniometer. Shoulder ROM measurements will be measured bilaterally and using a standardized protocol.

  six weeks

Secondary Outcomes (7)

• Disability of Arm, Shoulder and Hand Questionnaire (DASH)

  six weeks

• European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30)

  six weeks

• Muscle Strength Assessment

  six weeks

• Tampa Kinesiophobia Scale (TKS)

  six weeks

• Visual Analog Scale (VAS)

  six weeks

Study Arms (3)

Standard Physiotherapy Exercise Group

ACTIVE COMPARATOR

The exercise protocol will transition from simple to difficult as a result of literature research, and a standard exercise program will be applied, each session lasting 45 minutes.

Other: Standard Physiotherapy Exercise Group

Telerehabilitation Based Supervised Exercise Group

ACTIVE COMPARATOR

Telerehabilitation exercise protocol exercises will last 45 minutes in total, transitioning from simple to difficult, and will be implemented with patients via Zoom.

Other: Telerehabilitation Based Supervised Exercise Group

Mobile Application Supported Exercise Group

ACTIVE COMPARATOR

In the Mobile Application-Based exercise group, a virtual clinic will be created for the patients through the Becure application, and the patients will apply a gradual exercise program that will last approximately 45 minutes, determined by the physiotherapist, and the patients will be followed for 6 weeks through this application.

Other: Mobile Application Supported Exercise Group

Interventions

Standard Physiotherapy Exercise Group OTHER

At the beginning of the treatment, breathing exercises, upper extremity pumping exercises, scar tissue massage and flexion movements up to 90 degrees will be applied for the first 2 weeks. 2-6. Between weeks, pendulum exercise, shoulder rotation, lifting overhead with clasped hands while sitting and lying down, wand exercise, snow angels, clock on the wall exercise, m. Pectoralis minor and major stretching, standing trunk rotation, and scapulo-thoracic joint stabilization exercises will be applied. 6-8. In the following weeks, in addition to the previous exercises, strengthening exercises will be applied in all directions with theraband and weights. Exercises will start with 2 sets of 5-10 repetitions and progress to 10-15 repetitions. Exercises will be performed for 45 minutes, twice a week, for a total of 12 sessions, for a total of 6 weeks.

Standard Physiotherapy Exercise Group

Telerehabilitation Based Supervised Exercise Group OTHER

Exercises will be performed for 45 minutes, twice a week, for a total of 12 sessions, for a total of 6 weeks. In the telerehabilitation group, breathing exercises, upper extremity pumping exercises, scar tissue massage and flexion movements up to 90 degrees will be applied for the first 2 weeks at the beginning of the treatment, through a meeting with the patients via zoom application. 2-6. Between weeks, pendulum exercise, shoulder rotation, lifting overhead with clasped hands while sitting and lying down, wand exercise, snow angels, clock on the wall exercise, m. Pectoralis minor and major stretching, standing trunk rotation, and scapulo-thoracic joint stabilization exercises will be applied. 6-8. In the following weeks, in addition to the previous exercises, strengthening exercises will be applied in all directions with theraband and weights.

Telerehabilitation Based Supervised Exercise Group

Mobile Application Supported Exercise Group OTHER

With the videos uploaded to the Becure application, breathing exercises, upper extremity pumping exercises, scar tissue massage and flexion movements up to 90 degrees will be applied in the first 2 weeks. 2-6. Between weeks, pendulum exercise, shoulder rotation, lifting overhead with clasped hands while sitting and lying down, wand exercise, snow angels, clock on the wall exercise, m. Pectoralis minor and major stretching, standing trunk rotation, and scapulo-thoracic joint stabilization exercises will be applied. 6-8. Between weeks, in addition to the previous exercises, strengthening exercises will be applied in all directions with theraband and weight. Exercises will start with 2 sets of 5-10 repetitions and progress to 10-15 repetitions.

Mobile Application Supported Exercise Group

Eligibility Criteria

• Age: 30 Years - 65 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being diagnosed with breast cancer and undergoing surgery and having axillary lymph node dissection performed during surgery
• Finding the cases in the post-operative (post-op) 2nd week
• Age range between 30 and 65 years
• Limited shoulder ROM in preoperative evaluations absence
• No speech or hearing problems
• Patients included in the study are volunteers

You may not qualify if:

• Previous ipsilateral or contralateral breast cancer surgery
• Presence of active or metastatic cancer focus
• A neurological disease that affects upper extremity functionality or
• Finding orthopedic surgery
• Having hearing or visual impairment
• Carrying a pacemaker
• Presence of infection and open wound
• Finding a drain after surgery
• Cases with mental and cooperation problems

Sponsors & Collaborators

• Medipol University: lead

Study Sites (1)

The University of Health Sciences Haydarpaşa Numune Hospital

Istanbul, Üsküdar, 34668, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Begüm Büyükerik

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Student

Model Details: Three groups with a conventional therapy control group

Study Record Dates

• First Submitted: November 25, 2023
• First Posted: December 5, 2023
• Study Start: November 30, 2023
• Primary Completion: January 30, 2024
• Study Completion: February 15, 2024
• Last Updated: December 23, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)