Trial Outcomes & Findings for The Breast Cancer Online Rehabilitation Program (NCT NCT02673918)

NCT ID: NCT02673918

Last Updated: 2019-12-13

Results Overview

This outcome represent the number and proportion (%) of eligible patients who consented to participate in the study. Recruitment was open for 10 weeks for participants in Part 1 and for 20 weeks for participants in Part 2.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

59 participants

Primary outcome timeframe

10 weeks for part 1 and 20 weeks for part 2

Results posted on

2019-12-13

Participant Flow

We had pre-defined recruitment period and not a sample size goal. The recruitment period was 10 weeks for part 1 of the study (recruiting women within 8 weeks of surgery for breast cancer) and 20 weeks for part 2 (recruiting women within 6 weeks of completing radiation therapy for breast cancer).

Participant milestones

Participant milestones
Measure
Part 1: Home-based Rehabilitation
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Overall Study
STARTED
35
24
Overall Study
COMPLETED
29
20
Overall Study
NOT COMPLETED
6
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Breast Cancer Online Rehabilitation Program

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Part 1: Home-based Rehabilitation
n=35 Participants
Home-based upper-body rehabilitation with online support Home-based upper-body rehabilitation with online support: Participants will be given written educational material, in which the physiotherapist marks the exercises specifically recommended for the individual patient. In addition, participants will get a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants will complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
n=24 Participants
Home-based upper-body rehabilitation with online support Home-based upper-body rehabilitation with online support: Participants will be given written educational material, in which the physiotherapist marks the exercises specifically recommended for the individual patient. In addition, participants will get a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants will complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Total
n=59 Participants
Total of all reporting groups
Age, Continuous
60.6 years
STANDARD_DEVIATION 11.6 • n=5 Participants
55.0 years
STANDARD_DEVIATION 9.9 • n=7 Participants
57.8 years
STANDARD_DEVIATION 10.8 • n=5 Participants
Sex: Female, Male
Female
35 Participants
n=5 Participants
24 Participants
n=7 Participants
59 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants
n=5 Participants
24 Participants
n=7 Participants
59 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 10 weeks for part 1 and 20 weeks for part 2

Population: This was the number of women who were eligible and invited to participate.

This outcome represent the number and proportion (%) of eligible patients who consented to participate in the study. Recruitment was open for 10 weeks for participants in Part 1 and for 20 weeks for participants in Part 2.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=44 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
n=28 Participants
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Recruitment Rate
35 Participants
24 Participants

PRIMARY outcome

Timeframe: 12 weeks

Participants who are enrolled in the study but fail to complete the end of study assessment will be recorded as dropouts. Feasibility will be defined as a drop out of \<10%

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=35 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
n=24 Participants
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Retention
29 Participants
20 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: This is the number of participants in part 1 and part 2 who completed the study and who's data was analyzed.

At the end of the study data describing participant satisfaction will be collected to answers questions on acceptability. All participants in part 1 and part 2 will be given a questionnaire, delivered by Easy Research, and will be asked to rank various aspects of the intervention such as the home-based exercises supported by videos, mode of delivery, software, etc. "as not at all satisfied", "not very satisfied", "somewhat satisfied" or "very satisfied". Feasibility will be defined as \>75% of participants reporting they are "very" or "somewhat satisfied" with the intervention.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=29 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
n=20 Participants
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Number of Participants Reporting Being "Very Satisfied" or "Somewhat Satisfied" With the Program
16 Participants
12 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: The data on capacity was only collected for Part 1 participants and not for part 2.

The amount of time spent with each participant during the standard upper-body assessments, instruction of the home-based intervention and assistance needed with using the website during the study period will be tracked. In addition, any additional appointments required to teach the home-based rehabilitation program or to assist in using the website will be recorded. This information will help to determine the resources needed to administer the online component of the home-based program on a larger scale to a broader group of participants. This data was only collected for Part 1.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=29 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Capacity/ Resources
92.4 minutes
Standard Deviation 27.1

PRIMARY outcome

Timeframe: 12 weeks

Population: This is the number of participants in part 1 and part 2 who completed the study and who's data was analysed.

Participants in part 1 and part 2 were asked to perform the rehabilitation program at least four times weekly for the duration of the study (12 weeks). Adherence was calculated as the number and proportion of participants who reported in a follow-up questionnaire that they had performed four or more weekly sessions. As such, participants who reported to have completed the home-based rehabilitation program 4 times per week were categorized as having adhered to the program. Likewise, participants who reported to have completed the program 3 times or fewer per week were categorized as not having adhered to the program.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=29 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
n=20 Participants
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Adherence
21 Participants
9 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: In part 1, the subscale "Intention" had too low internal consistency to be included in the analysis. No results are therefore reported for this group.

To answers questions on motivation, the participants' reaction to the intervention, intend to use, and perceived appropriateness of the rehabilitation exercises will be answered. Behavioral changes in motivation to do home-based rehabilitation exercises will be measured as this is fundamental to adherence. The study method is theoretically based in the framework of Theory of Planned Behavior and has been validated in measuring motivation for exercise among cancer survivors including breast cancer patients. The Intention, Attitude and Subjective Norm Questionnaire is a 19-item Theory of Planned Behavior questionnaire modified for use with online home-based rehabilitation. All questions are answered using a 7 point Likert scale and produces effect sizes (Cohen's D). The Theory of Planned Behavior scale is scored on a 0 to 7 scale with a higher score indicating a greater level of motivation.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=29 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
n=20 Participants
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Motivation for Rehabilitation Exercises
Planning
5.69 score on a scale
Standard Deviation 1.91
5.16 score on a scale
Standard Deviation 2.00
Motivation for Rehabilitation Exercises
Instrumental attitude
6.45 score on a scale
Standard Deviation 0.54
6.38 score on a scale
Standard Deviation 0.42
Motivation for Rehabilitation Exercises
Affective attitude
4.82 score on a scale
Standard Deviation 1.09
4.45 score on a scale
Standard Deviation 1.15
Motivation for Rehabilitation Exercises
Self-efficacy
5.90 score on a scale
Standard Deviation 1.46
5.46 score on a scale
Standard Deviation 1.48
Motivation for Rehabilitation Exercises
Perceived behavioral control
6.09 score on a scale
Standard Deviation 1.21
5.26 score on a scale
Standard Deviation 1.48
Motivation for Rehabilitation Exercises
Intention
6.20 score on a scale
Standard Deviation 1.12
Motivation for Rehabilitation Exercises
Subjective norm
6.34 score on a scale
Standard Deviation 0.97
5.90 score on a scale
Standard Deviation 1.36

SECONDARY outcome

Timeframe: 12 weeks

Population: A 3-level categorical outcome was applied (not limited, moderately limited, greatly limited).

Active shoulder mobility for flexion and external rotation. Changes from baseline to follow-up (12 weeks later) will be calculated. This data was only collected for participants in part 1.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=35 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Clinical Outcomes in Upper-body Function: Mobility
Baseline: Flexion · Not limited
19 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
Baseline: Flexion · Moderately limited
13 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
Baseline: Flexion · Greatly limited
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
Baseline: Flexion · Missing
2 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: Flexion · Not limited
27 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: Flexion · Moderately limited
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: Flexion · Greatly limited
0 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: Flexion · Missing
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
Baseline: External rotation · Not limited
17 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
Baseline: External rotation · Moderately limited
11 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
Baseline: External rotation · Greatly limited
3 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
Baseline: External rotation · Missing
4 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: External rotation · Not limited
21 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: External rotation · Moderately limited
6 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: External rotation · Greatly limited
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Mobility
End of study: External rotation · Missing
1 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: A 3-level categorical outcome was applied (not limited, moderately limited, greatly limited).

Upper body muscle strength was tested using Manual Muscle Testing among participants in part 1 only.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=35 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Pectoralis Major · Missing
4 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Latissimus Dorsi · Not limited
25 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Latissimus Dorsi · Moderately limited
9 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Latissimus Dorsi · Greatly limited
0 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Latissimus Dorsi · Missing
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Latissimus Dorsi · Not limited
25 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Latissimus Dorsi · Moderately limited
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Latissimus Dorsi · Greatly limited
0 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Latissimus Dorsi · Missing
3 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Serratus Anterior · Not limited
16 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Serratus Anterior · Moderately limited
13 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Serratus Anterior · Greatly limited
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Serratus Anterior · Missing
5 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Serratus Anterior · Not limited
16 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Serratus Anterior · Moderately limited
10 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Serratus Anterior · Greatly limited
1 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Serratus Anterior · Missing
2 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Pectoralis Major · Not limited
13 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Pectoralis Major · Moderately limited
18 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Pectoralis Major · Greatly limited
0 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
Baseline: Pectoralis Major · Missing
4 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Pectoralis Major · Not limited
17 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Pectoralis Major · Moderately limited
8 Participants
0 Participants
Clinical Outcomes in Upper-body Function: Muscle Strength
End of study: Pectoralis Major · Greatly limited
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: Handling errors compromised data integrity. Specifically, data was not collected at the end of study time point. This prohibited reporting and analysis of data.

Arm circumference at 5 points along the arm. Changes from baseline will be calculated.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks

Population: Participants in part 2 did not have a clinical assessment at follow up and this data is therefore not collected for part 2, but only collected for part 1.

Patient-reported pain on a 0-10 Visual Analogue Scale in the breast/arm region. A higher score indicates greater level of pain. Changes from baseline will be calculated. This data was only collected for part 1.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=35 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Clinical Outcomes in Upper-body Function: Pain
Baseline
1.0 score on a scale
Interval 1.0 to 3.0
Clinical Outcomes in Upper-body Function: Pain
Follow up
1.0 score on a scale
Interval 1.0 to 2.0

SECONDARY outcome

Timeframe: 12 weeks

Population: At baseline, 35 participants in part 1 and 20 participants in part 2 completed the QuickDASH questionnaire. At follow-up, 24 participants in part 1 and 17 participants in part 2 completed the questionnaire.

QuickDASH (Disabilities of the Arm, Shoulder, and Hand) scores 0 to 100 with higher scores indicating more limitations in upper-body functioning.

Outcome measures

Outcome measures
Measure
Part 1: Home-based Rehabilitation
n=35 Participants
Home-based upper-body rehabilitation with online support Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Part 2: Home-based Rehabilitation
n=20 Participants
Participants in both Part 1 and Part 2 received the same home-based upper-body rehabilitation with online support: Participants received written educational material, in which the physiotherapist marked the exercises specifically recommended for the individual patient. In addition, participants were provided with a personal password giving access to the BRECOR website for 12 weeks. The website contains professionally filmed videos of upper-body rehabilitation exercises (joint mobility and muscle strength) and instructions in scar tissue massage and manual lymph drainage. Furthermore, mindfulness sessions and additional information about prevention and early detection of late effects after breast cancer treatment are available on the website. On average, participants were asked to complete three rehabilitation exercises a minimum of 4 times weekly with an anticipated duration of approximately 20 minutes.
Ability to Perform Activities of Daily Living
Baseline
19.8 score on a scale
Standard Deviation 13.3
13.5 score on a scale
Standard Deviation 15.8
Ability to Perform Activities of Daily Living
Follow up
15.2 score on a scale
Standard Deviation 14.8
11.0 score on a scale
Standard Deviation 8.2

Adverse Events

Part 1: Home-based Rehabilitation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Part 2: Home-based Rehabilitation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Bolette Rafn

University of British Columbia

Phone: 604-827-1914

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place