This study aims to examine the effect of hospital-home linkage short-term rehabilitation therapy using real-time interactive digital healthcare system (Uincare Homeplus) in post-operative patients with breast cancer. This is prospective study. 100 breast cancer patients who underwent axillary lymph node diessection or breast reconstruction following mastectomy will be examined, and those with limited range of motion (ROM) of affected shoulder will be enrolled in the study. Shoulder ROM, Quick-DASH, pain evaluation with NRS, quality of life evaluation with FACT-B and EQ-5D will be evaluated on enrollment, 4-week, 8-week, and 12-weeks after enrollment.
The limited range of motion (ROM) of the shoulder occur often after receiving breast cancer surgery, which may be due to post-operative pain, stiffness of shoulder girdle muscle, and etc. Due to this limited ROM, the patients may have difficulty with activities of daily life and quality of life may be reduced. Uincare Homeplus is software manufactured in Korea, which uses infrared, kinect camera and motion capture technology to track 3D motion of the patients' articulation. Using this technology, the patients can receive feedback of their motion immediately. The objective of the study is to examine the effect of hospital-home linkage short-term rehabilitation therapy using real-time interactive digital healthcare system (Uincare Homeplus) in post-operative patients with breast cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
100
Interactive digital healthcare system
Brochure
Samsung Medical Center
Seoul, Gangnam-gu, South Korea
Department of rehabilitation, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea
Seoul, Seocho-gu, South Korea
Range of motion in affected shoulder
Evaluation of change in range of motion of the affected shoulder from baseline to 12 weeks
Time frame: Enrollment, 4 week, 8 week, 12 week
Numerical rating scale of affected shoulder
Evaluation of pain in the affected shoulder using numerical rating scale minimum \~ maximum value: 0 \~ 10, higher scores mean worse outcome.
Time frame: Enrollment, 4 week, 8 week, 12 week
Functional outcome (Quick Disability of Arm, Shoulder, Hand)
Evaluation of shoulder function using Quick Disability of Arm, Shoulder, Hand (Quick DASH) ranging from 0 (no disability) to 100 (most severe disability).
Time frame: Enrollment, 4 week, 8 week, 12 week
Quality of life in the patient with breast cancer (1)
Evaluation of quality of life using Functional Assessment of Cancer Therapy - Breast Cancer (FACT-B) The total FACT-B score ranges from 0 to 123, and is calculated by adding the scores from each of these subscales. Lower scores indicate better health.
Time frame: Enrollment, 4 week, 8 week, 12 week
Quality of life in the patient with breast cancer (2)
Evaluation of quality of life using EQ-5D-5L. This scale is numbered from -0.066 to 0.904. lower value means the worst quality of life you can imagine.
Time frame: Enrollment, 4 week, 8 week, 12 week
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