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Breast CancerNCT05216302

Prehabilitation for Breast Cancer Surgery

A study testing Group-based Nordic Walking Exercise Program in people with Breast Cancer, run by Raquel Sebio at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Prehabilitation for women diagnosed with breast cancer is commonly not part of the clinical pathways as little time (usually a few days) is left between diagnosis and surgery. However, a great proportion of these patients will undergo neoadjuvant chemotherapy which provides a window opportunity to improve patients'… Read more about this study

Who is it for?
Ages 18 to 75 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
Group-based Nordic Walking Exercise Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
64 participants
Where
1 siteSpain
Study dates
1 Nov 2021to 10 Jan 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of breast cancer scheduled for surgery with or without lymphadenectomy
  • Candidates to receive neoadjuvant chemotherapy
  • Not currently undergoing any other physical therapy therapies or treatments

Who cannot join

  • Cognitive impairment or inability to read Catalan or Spanish
  • Prior diagnosis of shoulder impairment or injury
  • Major musculoskeletal, neurological or cardiorespiratory limitations to prevent participation in the exercise program

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Hospital Santa Creu i Sant Pau

    Barcelona, 08041

Other trials in Spain

About this study

Official title: Prehabilitation Program Based on Health Education and Nordic Walking to Reduce Musculoskeletal Impairments in Women Undergoing Breast Cancer Surgery

Prehabilitation for women diagnosed with breast cancer is commonly not part of the clinical pathways as little time (usually a few days) is left between diagnosis and surgery. However, a great proportion of these patients will undergo neoadjuvant chemotherapy which provides a window opportunity to improve patients' physical status to withstand surgery and minimize post-operative musculoskeletal complications associated with surgery.

To this end, the aim of this study is to assess the efficacy of a prehabilitation program consisting of health education and a supervised nordic walking-based intervention in women diagnosed with breast cancer currently undergoing neoadjuvant chemotherapy to decrease post-operative musculoskeletal impairments and improve functionality of the affected arm.

The study is an open-label, single-blind randomised controlled trial conducted at one tertiary hospital. Women diagnosed with breast cancer scheduled for surgery and currently undergoing chemotherapy will be randomised to either usual care (UC) or prehabilitation (PREHAB). Patients will be assessed for eligibility during the fourth out of six course of chemotherapy. Those randomised to the PREHAB group will participate in a supervised group-based nordic walking intervention twice weekly during 8 weeks (approximately 16 sessions). In addition, participants will receive written information regarding the benefits of exercise during cancer treatment and surveillance. Patients will be assessed prior to surgery as well as at 1, 3 and 6 months postoperatively.

Conditions
Breast Cancer
Being tested
Group-based Nordic Walking Exercise Program
Keywords
breast cancer, prehabilitation, exercise therapy
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Group-based Nordic Walking Exercise ProgramBehavioural

    An exercise intervention based on nordic walking and health education of one hour and 15 minutes per session. Each session includes 10 min of health education followed by 15 minutes of warm-up exercises, 30 minutes of nordic walking and finally 15 min to cool-down. The intervention is meant to last during two months (last round of chemotherapy and one month pre-surgery), twice weekly for approximately a total of 16 sessions.

Study groups in NCT05216302
Study groupRoleWhat they receive
Usual CareNo interventionPatients allocated to this arm will continue with their schedule chemotherapy with no additional intervention
PrehabilitationExperimentalPatients allocated to this arm will participate in a weekly group-based exercise intervention (nordic walking) and receive health education through a booklet, videos of the exercises and face-to-face sessions prior to each nordic walking session. Chemotherapy will continue as scheduled.
Receives: Behavioral: Group-based Nordic Walking Exercise Program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Disabilities of the Arm Shoulder and Hand Questionnaire (Quick DASH)

    Functionality of the affected upper arm using the DASH questionnaire. The questionnaire compromises 11 items. Scoring ranges from 0 (no disability) to 100 (more severe disability)

    Measured: Pre-Surgery (one week)

  2. Disabilities of the Arm Shoulder and Hand Questionnaire (Quick DASH)

    Functionality of the affected upper arm using the DASH questionnaire. The questionnaire compromises 11 items. Scoring ranges from 0 (no disability) to 100 (more severe disability)

    Measured: One month post-surgery

  3. Disabilities of the Arm Shoulder and Hand Questionnaire (Quick DASH)

    Functionality of the affected upper arm using the DASH questionnaire. The questionnaire compromises 11 items. Scoring ranges from 0 (no disability) to 100 (more severe disability)

    Measured: Three months post-surgery

  4. Disabilities of the Arm Shoulder and Hand Questionnaire (Quick DASH)

    Functionality of the affected upper arm using the DASH questionnaire. The questionnaire compromises 11 items. Scoring ranges from 0 (no disability) to 100 (more severe disability)

    Measured: Six months post-surgery

Secondary outcomes (29)
  1. Upper arm volume

    Perimeter of the affected arm will be measured with a tape measure at hand, wrist, elbow and shoulder level

    Measured: Pre-Surgery (one week)

  2. Upper arm volume

    Perimeter of the affected arm will be measured with a tape measure at hand, wrist, elbow and shoulder level

    Measured: One month post-surgery

  3. Upper arm volume

    Perimeter of the affected arm will be measured with a tape measure at hand, wrist, elbow and shoulder level

    Measured: Three months post-surgery

  4. Upper arm volume

    Perimeter of the affected arm will be measured with a tape measure at hand, wrist, elbow and shoulder level

    Measured: Six months post-surgery

  5. Range of Movement (ROM)

    Range of movement of the affected arm in three axes using a goniometer

    Measured: Pre-Surgery (one week)

  6. Range of Movement (ROM)

    Range of movement of the affected arm in three axes using a goniometer

    Measured: One month post-surgery

  7. Range of Movement (ROM)

    Range of movement of the affected arm in three axes using a goniometer

    Measured: Three months post-surgery

  8. Range of Movement (ROM)

    Range of movement of the affected arm in three axes using a goniometer

    Measured: Six months post-surgery

  9. Pain severity

    Global pain assessed with a Visual Analog Scale (0 no pain to 10 maximum pain)

    Measured: Pre-Surgery (one week)

  10. Pain severity

    Global pain assessed with a Visual Analog Scale (0 no pain to 10 maximum pain)

    Measured: One month post-surgery

  11. Pain severity

    Global pain assessed with a Visual Analog Scale (0 no pain to 10 maximum pain)

    Measured: Three months post-surgery

  12. Pain severity

    Global pain assessed with a Visual Analog Scale (0 no pain to 10 maximum pain)

    Measured: Six months post-surgery

  13. Health-Related Quality of Life

    Health-Related Quality of Life will be assessed with the questionnaire developed by the European Organization for Research and Treatment (EORTC) Quality of Life (QLQ) questionnaire (EORTC QLQ C30). Scores range from 0 to 100 with higher values associated with better overall quality of life

    Measured: Pre-Surgery (one week)

  14. Health-Related Quality of Life

    Health-Related Quality of Life will be assessed with the questionnaire developed by the European Organization for Research and Treatment (EORTC) Quality of Life (QLQ) questionnaire (EORTC QLQ C30). Scores range from 0 to 100 with higher values associated with better overall quality of life

    Measured: One month post-surgery

  15. Health-Related Quality of Life

    HHealth-Related Quality of Life will be assessed with the questionnaire developed by the European Organization for Research and Treatment (EORTC) Quality of Life (QLQ) questionnaire (EORTC QLQ C30). Scores range from 0 to 100 with higher values associated with better overall quality of life

    Measured: Three months post-surgery

  16. Health-Related Quality of Life

    Health-Related Quality of Life will be assessed with the questionnaire developed by the European Organization for Research and Treatment (EORTC) Quality of Life (QLQ) questionnaire (EORTC QLQ C30). Scores range from 0 to 100 with higher values associated with better overall quality of life

    Measured: Six months post-surgery

  17. Handgrip Strength

    Handgrip strength will be determined using an hydraulic dynamometer (Jamar). Both hands will be assessed and the better result out of three attempts will be used.

    Measured: Pre-Surgery (one week)

  18. Handgrip Strength

    Handgrip strength will be determined using an hydraulic dynamometer (Jamar). Both hands will be assessed and the better result out of three attempts will be used.

    Measured: One month post-surgery

  19. Handgrip Strength

    Handgrip strength will be determined using an hydraulic dynamometer (Jamar). Both hands will be assessed and the better result out of three attempts will be used.

    Measured: Three months post-surgery

  20. Handgrip Strength

    Handgrip strength will be determined using an hydraulic dynamometer (Jamar). Both hands will be assessed and the better result out of three attempts will be used.

    Measured: Six months post-surgery

  21. Functional capacity

    Functional capacity will be measured with the distance covered by the 6-Minute Walk Test.

    Measured: Pre-surgery (one week)

  22. Functional capacity

    Functional capacity will be measured with the distance covered by the 6-Minute Walk Test.

    Measured: One month post-surgery

  23. Functional capacity

    Functional capacity will be measured with the distance covered by the 6-Minute Walk Test.

    Measured: Three months post-surgery

  24. Functional capacity

    Functional capacity will be measured with the distance covered by the 6-Minute Walk Test.

    Measured: Six months post-surgery

  25. Adherence

    Adherence to the scheduled sessions will be registered in the Prehab group and will be reported as percentage of attended vs. scheduled.

    Measured: Pre-Surgery (one week)

  26. Physical Activity

    Physical activity levels will be measured using the short form of the International Physical Activity Questionnaire (IPAQ). Estimated METS per week will be calculated based on the available formulas.

    Measured: Pre-surgery (one week)

  27. Physical Activity

    Physical activity levels will be measured using the short form of the International Physical Activity Questionnaire (IPAQ). Estimated METS per week will be calculated based on the available formulas.

    Measured: One month post-surgery

  28. Physical Activity

    Physical activity levels will be measured using the short form of the International Physical Activity Questionnaire (IPAQ). Estimated METS per week will be calculated based on the available formulas.

    Measured: Three months post-surgery

  29. Physical Activity

    Physical activity levels will be measured using the short form of the International Physical Activity Questionnaire (IPAQ). Estimated METS per week will be calculated based on the available formulas.

    Measured: Six months post-surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jan 2022
  2. Study start1 Nov 2021
  3. Primary completion1 Nov 2023
  4. Study completion10 Jan 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05216302
Sponsor's protocol ID
IIBSP-PRO-2021-10
Status last verified
Dec 2024
First submitted
18 Jan 2022
Last updated
6 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Santa Mina D, Brahmbhatt P, Lopez C, Baima J, Gillis C, Trachtenberg L, Silver JK. The Case for Prehabilitation Prior to Breast Cancer Treatment. PM R. 2017 Sep;9(9S2):S305-S316. doi: 10.1016/j.pmrj.2017.08.402.

    PubMed 28942905
  • McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ. 2006 Jul 4;175(1):34-41. doi: 10.1503/cmaj.051073.

    PubMed 16818906
  • Silver JK, Baima J. Cancer prehabilitation: an opportunity to decrease treatment-related morbidity, increase cancer treatment options, and improve physical and psychological health outcomes. Am J Phys Med Rehabil. 2013 Aug;92(8):715-27. doi: 10.1097/PHM.0b013e31829b4afe.

    PubMed 23756434
  • Yang A, Sokolof J, Gulati A. The effect of preoperative exercise on upper extremity recovery following breast cancer surgery: a systematic review. Int J Rehabil Res. 2018 Sep;41(3):189-196. doi: 10.1097/MRR.0000000000000288.

    PubMed 29683834
  • ILokapavani Y, Krishna SR, Madhavi K. nfluence of Pre - Operative Physical Therapy Education and Exercise on Post-operative Shoulder Range of Motion and Functional Activites in Subjects with Modified Radical Mastectomy. Int J Physiother 2014. DOI: 10.15621/ijphy/2014/v1i4/54556

  • Casanovas-Alvarez A, Estanyol B, Ciendones M, Padros J, Cuartero J, Barnadas A, Garcia-Valdecasas B, Gonzalez-Colom R, Sebio-Garcia R, Masia J. Effectiveness of an Exercise and Educational-Based Prehabilitation Program in Patients With Breast Cancer Receiving Neoadjuvant Chemotherapy (PREOptimize) on Functional Outcomes: A Randomized Controlled Trial. Phys Ther. 2024 Dec 6;104(12):pzae151. doi: 10.1093/ptj/pzae151.

    PubMed 39423256

Questions about this trial

What is this clinical trial studying?

A study testing Group-based Nordic Walking Exercise Program in people with Breast Cancer, run by Raquel Sebio at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Disabilities of the Arm Shoulder and Hand Questionnaire (Quick DASH) (time frame: Pre-Surgery (one week)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05216302, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2024.

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