Up to 80% of breast cancer survivors experience chemotherapy-induced neuropathy that impairs quality of life and increases fall risk long into survivorship, yet treatment options for neuropathy remain limited. The successful treatment will target neurophysiologic mechanisms for restoring function while addressing patient-reported symptoms and participation in treatment. Toward this end, the investigators propose to study a noninvasive, social sensorimotor intervention - Adapted Argentine Tango - which targets motor control restoration, symptom alleviation, and treatment participation in concert.
This study will investigate a noninvasive, social, sensorimotor intervention which targets motor control restoration, symptom alleviation, and treatment participation in concert: partnered Adapted Argentine Tango (Tango). This project will expand the investigators' pilot work (R21-AG068831) into a multicenter clinical trial designed to investigate the effect of social dance on sensory relief, functional restoration, and key mechanisms of action among a diverse cohort of BC survivors suffering from chronic chemotherapy-induced sensorimotor deficits.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
140
The intervention being studied is a 16 session intervention (2x4-week modules), delivered over an 8-week period by community-based individuals with expertise in dance and patient care and certified in Adapted Tango or AdapTango dance instruction. Steps available to teach, including order and cues to teach them, are detailed in Hackney's AdapTango manual. All steps are based on the Argentine Tango steps that emerged within working class community centers in Buenos Aires, Argentina (milongas) in the late 1800s and have been adapted by the investigators for use as medical exercise among people with mobility deficits. Of note, Argentine Tango is distinct from, and the precursor for, the American Tango style of competitive ballroom dance: where American Tango highlights showmanship and complicated footwork, Argentine Tango prioritizes connection between partners and musicality within a basic walk motion.
Yale University
New Haven, Connecticut, United States
RECRUITINGThe Ohio State University
Columbus, Ohio, United States
RECRUITINGPatient-Reported Outcome (PRO) - CIN sensation
Sensation of numbness/tingling on 0-10 scale; minimum value 0 (no numbness/tingling); maximum value 10 (worst numbness/tingling)
Time frame: 4 weeks
Dual-task function
Ability to move and think at the same time as measured by time to complete the Timed-Up-and-Go (TUG) test with concurrent cognitive task (i.e., counting backward by some number while completing a defined movement task)
Time frame: 4 weeks
Patient-Reported Outcome (PRO) - hot/cold sensation
Sensation of hot and/or cold (11 point Likert scale).
Time frame: 4 weeks; 8 weeks; 12 weeks
EORTC-CIPN 20
European Organization for Research and Treatment of Cancer Chemotherapy-Induced Peripheral Neuropathy symptoms inventory (CIPN 20),
Time frame: mid-intervention (4weeks); post -intervention (8 weeks); 1 month follow up post intervention
Brief Fatigue Inventory
The Brief Fatigue Inventory (BFI) is a short questionnaire used to quickly assess the severity of fatigue, particularly in cancer patients, by measuring both the level of tiredness and how much fatigue interferes with daily activities, allowing for rapid evaluation in clinical settings or research studies; it consists of nine items where patients rate their fatigue on a scale from 0 to 10, with higher scores indicating greater fatigue severity.
Time frame: 4 weeks; 8 weeks; 12 weeks
Brief Pain Inventory
The Brief Pain Inventory (BPI) is a self-reported questionnaire used to assess the severity of pain and how much it interferes with a person's daily activities, including aspects like mood, work, sleep, and social interactions. It measures pain intensity on a scale from 0 (no pain) to 10 (worst pain imaginable) across different timeframes (current, average, worst pain) while also evaluating the impact of pain on various life functions on a similar 0-10 scale; it comes in both short and long forms, with the long form including more detailed questions about pain characteristics and treatment history.
Time frame: 4 weeks; 8 weeks; 12 weeks
Patient Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE)
The PRO-CTCAE assessment, which stands for "Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events," is a measurement system designed by the National Cancer Institute (NCI) to capture and evaluate the symptomatic side effects experienced by cancer patients during clinical trials, allowing patients to self-report on the frequency, severity, interference, and presence/absence of symptoms like pain, fatigue, nausea, and skin reactions, providing a more patient-centric perspective on treatment toxicity compared to clinician-based assessments alone.
Time frame: 4 weeks; 8 weeks; 12 weeks
Physical Health Questionnaire-2 (PHQ-2)
The PHQ-2 asks how often a patient has experienced depressed mood or anhedonia in the last two weeks
Time frame: 4 weeks; 8 weeks; 12 weeks
Generalized Anxiety Questionnaire
Each question has a 4-point scale, ranging from 1, "not at all", to 4, "nearly every day".
Time frame: 4 weeks; 8 weeks; 12 weeks
Falls
Report of whether you have fallen or lost your balanced since we last spoke with you
Time frame: 4 weeks; 8 weeks; 12 weeks; 6 months following intervention end
The Mini Balance Evaluation Systems Test (MiniBEST)
The Mini-BESTest (Balance Evaluation Systems Test) is a 14-item test that measures balance, functional mobility, and gait by assessing dynamic balance, anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait.
Time frame: 4 weeks (Control group); 8 weeks (Intervention group)
Biomechanical measures of postural control
Postural sway while standing still with eyes closed.
Time frame: 4 weeks; 8 weeks; 12 weeks
Six minute walk test (6mwt)
A "6 minute walk test" (6MWT) is a medical assessment where a person walks as far as they can in a designated area for six minutes, with the primary goal of measuring their functional exercise capacity, usually used to evaluate patients with conditions affecting their breathing or mobility, like heart failure or lung disease; the distance walked during those six minutes is the key measurement recorded as the "6-minute walk distance" (6MWD)
Time frame: 4 weeks; 8 weeks
Gait stability
Stability between gait strides over the period of the 6mwt.
Time frame: 4 weeks; 8 weeks
Upper Extremity Function
We assess upper extremity function using the "back scratch test" which measures upper body flexibility and shoulder mobility. Participants reach both hands toward each other behind their backs and staff measure the distance remaining between their fingertips.
Time frame: 4 weeks; 8 weeks; 12 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.