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Randomized Controlled Trial
. 2024 Jan-Dec:23:15347354241256314.
doi: 10.1177/15347354241256314.

Comparison of Effects Between Telerehabilitation and In-Person Rehabilitation After Breast Cancer Surgery: A Randomized Controlled Study

Leonardo Breno do Nascimento de Aviz  1 , Camila Ferreira Alves  1 , Carolina Lima da Fonte  1 , Lorena de Nazaré Rocha Corrêa  1 , Raphaely Cristiny Sanches Progênio  1 , Laerte Jonatas Leray Guedes  1 , Laura Maria Tomazi Neves  1 , Saul Rassy Carneiro  1
Affiliations
Randomized Controlled Trial

Comparison of Effects Between Telerehabilitation and In-Person Rehabilitation After Breast Cancer Surgery: A Randomized Controlled Study

Leonardo Breno do Nascimento de Aviz et al. Integr Cancer Ther. 2024 Jan-Dec.

Abstract

Objective: To compare the effects between telerehabilitation and in-person rehabilitation on physical function, pain and quality of life in patients with breast cancer after surgery.

Design: Randomized, controlled, and parallel study that involved post-surgical oncological breast surgery patients who were female and aged between 18 and 70 years. The study was conducted in an outpatient environment, and the participants were randomized using a computer system. Population was divided into 2 groups: G1 (n = 20), who received face-to-face care, and G2 (n = 24), who received telerehabilitation. Participants were followed for 15 and 45 days postoperatively. The study's primary outcomes were based on 44 patients (n = 44). Values of changes in quality of life, range of motion (ROM), muscle strength, and upper limb functionality were compared for both groups during the 15 to 45 day postoperative.

Results: Both groups exhibited progressive improvements in range of motion, muscle strength, functionality, and quality of life over time (15- and 45-days post-operatively [PO]), indicating a positive response to treatment. Patients in G2 demonstrated more significant improvements in range of motion and muscle strength, as well as better functionality and quality of life compared to G1, particularly after 45 days PO. Additionally, G2 exhibited a more significant reduction in fatigue after 45 days PO.

Conclusions: Telerehabilitation is a viable option with good usability, and has been shown to produce results similar to in-person physiotherapy in most cases, and even superior in some. Long-term intervention studies are needed for the development of telerehabilitation.

Keywords: breast cancer; postoperative period; telerehabilitation.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Description of data collection.
Figure 2.
Figure 2.
Protocols performed by group G1 and G2.
Figure 3.
Figure 3.
Recruitment and participation of patients in the study (Moher et al).
See this image and copyright information in PMC

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