AzTrials
AzTrials

Upper Limb FunctionsNCT05869721

Effects of Yoga on Women with Breast Cancer

A study testing Yoga in people with Upper Limb Functions and Sleep Quality, run by The Hong Kong Polytechnic University at 2 sites in Hong Kong.

Completed

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

Official record
Search all trials

Trial summary

Upper limb complications and sleep disturbances are prevalent, persistent, and serious health problems in women with breast cancer. However, these problems are underrecognized in clinical practice and thus have substantial adverse impacts on the health and quality of life of women with breast cancer. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Yoga
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
2 sitesHong Kong
Study dates
4 May 2023to 30 Jul 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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged ≥18
  • Female
  • Normal cognitive function
  • Diagnosed with primary breast cancer of stage I-III
  • Completed cancer-related treatments (including surgery, radiotherapy, and/or chemotherapy) at least 4 weeks before enrollment except conventional medical care (e.g., hormonal therapy)

Who cannot join

  • Diagnosed with distant metastasis in non-breast body part
  • Diagnosed with significant diseases, such as cardiovascular, respiratory, neurological, musculoskeletal (except upper-extremity problems secondary to breast cancer), endocrine, metabolic, and psychological disorders
  • Being pregnant
  • Prior experiences of practicing yoga

Trial locations and contacts

2 sites in 1 country.

Hong Kong2 sites
  • The Hong Kong Polytechnic University

    Hong Kong

  • A university-affiliated rehabilitation laboratory

    Hung Hom, Kowloon

Other trials in Hong Kong

About this study

Official title: Effects of Yoga on Physical Functioning and Sleep Quality of Women with Breast Cancer: a Pilot Randomized Controlled Trial

Upper limb complications and sleep disturbances are prevalent, persistent, and serious health problems in women with breast cancer. However, these problems are underrecognized in clinical practice and thus have substantial adverse impacts on the health and quality of life of women with breast cancer. As yoga practices have been shown to improve physical and psychological health in people with cancer, such practices may also alleviate upper limb complications and sleep disturbances in women with breast cancer. However, there are few evidence-based guidelines or protocols to support the integration of yoga therapy into clinical practice for managing the health conditions of women with breast cancer. Therefore, this study aims to investigate the effects of yoga therapy on improving the upper limb functions, sleep quality, and quality of life in women with breast cancer.

Read the detailed description

Breast cancer is the most commonly diagnosed cancer worldwide, accounting for 12% of all new cancer cases annually, and there were an estimated 2.3 million new cases worldwide in 2020. Contemporary breast cancer treatments have improved therapeutic outcomes. However, these treatments cause adverse effects; for example, more than half of women with breast cancer experience treatment-related comorbidities.

Over 60% of women with breast cancer have reported experiencing ipsilateral upper limb complications immediately post-treatment and these complications may become chronic or permanent disorders. Upper limb dysfunction is a long-term complication that comprises a complex range of symptoms and disorders, including lymphedema, pain, decreased joint mobility and muscle strength, sensory alterations, and neuropathies. Another prevalent and persistent problem that has been reported is sleep disturbance. According to a recent review, the prevalence of sleep disturbance ranged from 14 to 90% [pooled estimated 0.4; 95% Confidence Interval (CI) 0.29 to 0.52], and the persistence rate has been found to be more than 50%. Such side effects may lead to individual suffering and economic burdens, and can compromise the quality of life of women with breast cancer. Thus, the management of treatment-related side effects is an important part of the supportive care of women with breast cancer.

Yoga is based on ancient India philosophy, and emphasizes the integration of postures, breathing, and meditation. This mind-body practice has gained popularity over the last decades and serves as a complementary approach that is commonly used for various health conditions. This safe and trendy exercise holds attractive to female target participants. Yoga combines joint movements and breathing exercises that can help the lungs to expand, resulting in the stretching of muscles and thus increasing lymphatic circulation, which improves upper limb function. Besides, Yoga combines physical activity with mindful elements consisting of breathing and meditative practices. The practice of such mindfulness with the engagement of skeletal muscles represents a holistic approach that may decrease sleep disturbance.

Upper limb complications and sleep disturbances are prevalent, persistent, and serious health problems in women with breast cancer. However, these problems are underrecognized in clinical practice and thus have substantial adverse impacts on the health and quality of life of women with breast cancer. As yoga practices have been shown to improve physical and psychological health in people with cancer, such practices may also alleviate upper limb complications and sleep disturbances in women with breast cancer. However, there are few evidence-based guidelines or protocols to support the integration of yoga therapy into clinical practice for managing the health conditions of women with breast cancer. Therefore, this study aims to investigate the effects of yoga therapy on improving the upper limb functions, sleep quality, and quality of life in women with breast cancer. The research hypothesis of this study were (1) improvements in upper limb functions and sleep quality, could be observed in the experimental group across the assessment time points and (2) the experimental group should have better upper limb performance and sleep parameters than the control group immediately after Yoga intervention and also at the follow up.

Being tested
Yoga
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

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

  • YogaOther

    The yoga forms are designed from the modified traditional Hatha yoga style consisting of pranayama, asana, meditation with additional relaxation elements. The selected postures will engage core and upper limb muscle and which proposed to strengthen the whole body, increase flexibility of shoulder and limbs, particularly, improve upper limb mobility and functions; also, the progression of the yoga therapy is targeted to reach the variations of postures. The combined relaxation elements reinforced to achieve restoration of the body so as to improve sleep.

Study groups in NCT05869721
Study groupRoleWhat they receive
Yoga groupExperimentalParticipants will receive yoga programme over a period of eight weeks
Receives: Other: Yoga
Control groupNo interventionThe participants in the control group will receive usual care, and complete all assessments on the same timeline as the intervention group. They will be offered yoga programme at the completion of the final measurement.

What is being measured

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

  1. Upper limb functional status, score range 0-100%, higher score means more severe disability

    Will be assessed using the short form of the Chinese (Hong Kong) version of the Disabilities of Arm-Shoulder-Hand Questionnaire (quickDASH-HKPWH)

    Measured: T1: baseline (before the study begins).

  2. Change from baseline Upper limb functional status at 4 weeks

    Will be assessed using the short form of the Chinese (Hong Kong) version of the Disabilities of Arm-Shoulder-Hand Questionnaire (quickDASH-HKPWH), score range 0-100%, higher score means more severe disability

    Measured: T2: mid-intervention (week 4)

  3. Change from baseline Upper limb functional status at 8 weeks

    Will be assessed using the short form of the Chinese (Hong Kong) version of the Disabilities of Arm-Shoulder-Hand Questionnaire (quickDASH-HKPWH), score range 0-100%, higher score means more severe disability

    Measured: T3: immediately post-intervention (week 8)

  4. Change from baseline Upper limb functional status at 12 weeks

    Will be assessed using the short form of the Chinese (Hong Kong) version of the Disabilities of Arm-Shoulder-Hand Questionnaire (quickDASH-HKPWH), score range 0-100%, higher score means more severe disability

    Measured: T4: 1 month follow up (week 12)

  5. Sleep quality

    Will be assessed by the Chinese (for Hong Kong) version of the Pittsburgh Sleep Quality Index questionnaire, score range 0-21, higher score means poorer sleep

    Measured: T1: baseline (before the study begins)

  6. Change from baseline Sleep quality at 4 weeks

    Will be assessed by the Chinese (for Hong Kong) version of the Pittsburgh Sleep Quality Index questionnaire, score range 0-21, higher score means poorer sleep

    Measured: T2: mid-intervention (week 4)

  7. Change from baseline Sleep quality at 8 weeks

    Will be assessed by the Chinese (for Hong Kong) version of the Pittsburgh Sleep Quality Index questionnaire, score range 0-21, higher score means poorer sleep

    Measured: T3: immediately post intervention (week 8)

  8. Change from baseline Sleep quality at 12 weeks

    Will be assessed by the Chinese (for Hong Kong) version of the Pittsburgh Sleep Quality Index questionnaire, score range 0-21, higher score means poorer sleep

    Measured: T4: 1 month follow up (week 12)

Secondary outcomes (24)
  1. Upper limb muscle strength

    Will be determined using a handheld dynamometer, measures muscle strength in kg, higher score means better muscle strength

    Measured: T1: baseline (before the study begins)

  2. Change from baseline Upper limb muscle strength at 4 weeks

    Will be determined using a handheld dynamometer, measures muscle strength in kg, higher score means better muscle strength

    Measured: T2: mid-intervention (week 4)

  3. Change from baseline Upper limb muscle strength at 8 weeks

    Will be determined using a handheld dynamometer, measures muscle strength in kg, higher score means better muscle strength

    Measured: T3: immediately post intervention (week 8)

  4. Change from baseline Upper limb muscle strength at 12 weeks

    Will be determined using a handheld dynamometer, measures muscle strength in kg, higher score means better muscle strength

    Measured: T4: 1 month follow up (week 12)

  5. Shoulder mobility

    Will be determined by measuring the active range of motion using a goniometer, measures range of movement in degree, higher score means better shoulder flexibility

    Measured: T1: baseline (before the study begins)

  6. Change from baseline Shoulder mobility at 4 weeks

    Will be determined by measuring the active range of motion using a goniometer, measures range of movement in degree, higher score means better shoulder flexibility

    Measured: T2: mid-intervention (week 4)

  7. Change from baseline Shoulder mobility at 8 weeks

    Will be determined by measuring the active range of motion using a goniometer, measures range of movement in degree, higher score means better shoulder flexibility

    Measured: T3: immediately post intervention (week 8)

  8. Change from baseline Shoulder mobility at 12 weeks

    Will be determined by measuring the active range of motion using a goniometer, measures range of movement in degree, higher score means better shoulder flexibility

    Measured: T4: 1 month follow up (week 12)

  9. Mood (including anxiety and depression symptoms)

    Will be assessed using The Cantonese/Chinese version of the Hospital Anxiety and Depression questionnaire, score range 0-21, higher score means more severe anxiety and depression

    Measured: T1: baseline (before the study begins)

  10. Change from baseline Mood (including anxiety and depression symptoms) at 4 weeks

    Will be assessed using The Cantonese/Chinese version of the Hospital Anxiety and Depression questionnaire, score range 0-21, higher score means more severe anxiety and depression

    Measured: T2: mid-intervention (week 4)

  11. Change from baseline Mood (including anxiety and depression symptoms) at 8 weeks

    Will be assessed using The Cantonese/Chinese version of the Hospital Anxiety and Depression questionnaire, score range 0-21, higher score means more severe anxiety and depression

    Measured: T3: immediately post intervention (week 8)

  12. Change from baseline Mood (including anxiety and depression symptoms) at 12 weeks

    Will be assessed using The Cantonese/Chinese version of the Hospital Anxiety and Depression questionnaire, score range 0-21, higher score means more severe anxiety and depression

    Measured: T4: 1 month follow up (week 12)

  13. Fatigue

    Will be assessed using the Chinese (Cantonese) version of the Fatigue Assessment Scale questionnaire, score range 10-50, higher score means more severe fatigue

    Measured: T1: baseline (before the study begins)

  14. Change from baseline Fatigue at 4 weeks

    Will be assessed using the Chinese (Cantonese) version of the Fatigue Assessment Scale questionnaire, score range 10-50, higher score means more severe fatigue

    Measured: T2: mid-intervention (week 4)

  15. Change from baseline Fatigue at 8 weeks

    Will be assessed using the Chinese (Cantonese) version of the Fatigue Assessment Scale questionnaire, score range 10-50, higher score means more severe fatigue

    Measured: T3: mid-intervention (week 8)

  16. Change from baseline Fatigue at 12 weeks

    Will be assessed using the Chinese (Cantonese) version of the Fatigue Assessment Scale questionnaire, score range 10-50, higher score means more severe fatigue

    Measured: T4: 1 month follow up (week 12)

  17. Heart rate variability

    Will be recorded over a 5-minute period using a validated wearable monitor

    Measured: T1: baseline (before the study begins)

  18. Change from baseline Heart rate variability at 4 weeks

    Will be recorded over a 5-minute period using a validated wearable monitor

    Measured: T2: mid-intervention (week 4)

  19. Change from baseline Heart rate variability at 8 weeks

    Will be recorded over a 5-minute period using a validated wearable monitor

    Measured: T3: immediately post intervention (week 8)

  20. Change from baseline Heart rate variability at 12 weeks

    Will be recorded over a 5-minute period using a validated wearable monitor

    Measured: T4: 1 month follow up (week 12)

  21. Health-related quality of Life

    Will be assessed by the Chinese-Traditional version of the Functional Assessment of Cancer Therapy-Lymphedema questionnaire, score range 0-148, higher score means better quality of life

    Measured: T1: baseline (before the study begins)

  22. Change from baseline Health-related quality of Life at 4 weeks

    Will be assessed by the Chinese-Traditional version of the Functional Assessment of Cancer Therapy-Lymphedema questionnaire, score range 0-148, higher score means better quality of life

    Measured: T2: mid-intervention (week 4)

  23. Change from baseline Health-related quality of Life at 8 weeks

    Will be assessed by the Chinese-Traditional version of the Functional Assessment of Cancer Therapy-Lymphedema questionnaire, score range 0-148, higher score means better quality of life

    Measured: T3: immediately post intervention (week 8)

  24. Change from baseline Health-related quality of Life at 12 weeks

    Will be assessed by the Chinese-Traditional version of the Functional Assessment of Cancer Therapy-Lymphedema questionnaire, score range 0-148, higher score means better quality of life

    Measured: T4: 1 month follow up (week 12)

Timeline

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

  1. First posted22 May 2023
  2. Study start4 May 2023
  3. Primary completion30 Jul 2024
  4. Study completion30 Jul 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This pilot randomized controlled trial will conduct at a university-affiliated rehabilitation laboratory staring from May 2023 in Hong Kong.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05869721
Sponsor's protocol ID
2023_Yoga_Breastcancer
Status last verified
Oct 2024
First submitted
3 May 2023
Last updated
3 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The datasets of the study will only be available from the corresponding author on reasonable request after the findings being published in peer-reviewed journal.

Questions about this trial

What is this clinical trial studying?

A study testing Yoga in people with Upper Limb Functions and Sleep Quality, run by The Hong Kong Polytechnic University at 2 sites in Hong Kong.

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 5 inclusion and 4 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 3 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Hong Kong. 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?

Upper limb functional status, score range 0-100%, higher score means more severe disability (time frame: T1: baseline (before the study begins).). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Oct 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in