Real-Time Interactive Digital Health Care System for Postoperative Breast Cancer Patients: A Randomized Controlled Trial

医学 乳腺癌 物理疗法 生活质量(医疗保健) 随机对照试验 康复 日常生活活动 运动范围 远程康复 癌症 医疗保健 外科 内科学 远程医疗 护理部 经济 经济增长
作者
Hae‐Yeon Park,Kyung Eun Nam,Jae‐Young Lim,Seung Mi Yeo,Jong In Lee,Ji Hye Hwang
出处
期刊:Telemedicine Journal and E-health [Mary Ann Liebert]
卷期号:29 (7): 1057-1067 被引量:14
标识
DOI:10.1089/tmj.2022.0360
摘要

Introduction:Limited range of motion (ROM) of the shoulder occurs commonly after breast cancer surgery, resulting in reduced quality of life and difficulty with activities of daily living. Physical exercise is effective in postoperative breast cancer patients, but no study has assessed the effects of augmented reality (AR)-based telerehabilitation. Therefore, this study aimed to investigate the effect of hospital-home linked rehabilitation therapy using an AR-based digital health care system (UINCARE Home+) in postoperative patients with breast cancer.Methods:This study was a prospective, multicenter, assessor-blinded, randomized controlled trial. Patients who underwent breast cancer surgery were assigned to either the UINCARE Home+ (intervention) group or the brochure-based home rehabilitation (control) group for an 8-week intervention. The study outcomes were the change in ROM of the affected shoulder, pain in the affected shoulder (Numerical Rating Scale [NRS]), functional outcomes (Disabilities of the Arm, Shoulder, and Hand questionnaire [QuickDASH] score), and quality of life (Functional Assessment of Cancer Therapy-Breast [FACT-B] and EuroQoL 5-Dimension 5-Level [EQ-5D-5L] scores), all of which were measured at enrollment and at 4, 8, and 12 weeks thereafter.Results:A total of 100 participants were enrolled in the study (n = 50 in each groups). In both groups, active and passive ROM, NRS, and the QuickDASH, FACT-B, and EQ-5D-5L scores showed significant improvements from baseline to 12 weeks (p < 0.001), but no group differences were detected.Discussion:A home-based exercise program with an AR system improved shoulder dysfunction in breast cancer patients and could be used in conjunction with a traditional hospital-based rehabilitation program.Trial Registration:ClinicalTrials.gov ID: NCT04316156.
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