Effects of Sensorimotor Training With Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age30-65
SponsorRiphah International University

About this trial

Chemotherapy-Induced Peripheral Neuropathy (CIPN) is a prevalent and clinically relevant side effect of chemotherapy in breast cancer patients. It occurs in 30-70% of cases. It can cause various sensory and motor symptoms. Specific exercise interventions have proven promising to target relevant symptoms. Therefore, the objective of this study is to determine the effects of Sensorimotor training on pain intensity, perceived balance confidence, and functional exercise capacity with chemotherapy-induced peripheral neuropathy in breast cancer patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Females with invasive ductal carcinoma, stages I-III

Age ranged between 30-65 years

3-6 months post breast cancer diagnosis

Those who have completed chemotherapy treatment and are medically stable

Disqualifiers

Women with additional types of cancer besides breast cancer

Chronic medical conditions such as poorly controlled diabetes (6)

Significant neurological (multiple sclerosis) or cardiopulmonary disease (myocardial infarction < 3 months) that may affect performance (6)

Unstable bone metastasis

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sensorimotor Training Exercise

    Behavioral

    Participants will perform sensorimotor training exercises designed to improve balance, reduce pain intensity, and enhance functional exercise capacity. The program will include progressive exercises focusing on proprioception, neuromuscular coordination, and functional mobility. Sessions will be conducted thrice weekly over 12 weeks, supervised by a physiotherapist.

  • Conventional Exercise Therapy

    Behavioral

    Participants will undergo conventional exercise therapy, including stretching, strengthening, and aerobic exercises, based on standard physiotherapy protocols. The therapy aims to maintain joint mobility, reduce stiffness, and improve general physical fitness. Sessions will be conducted thrice weekly over 12 weeks, supervised by a physiotherapist.

Treatment groups

24 Participants
are divided into 2 treatment groups
Group A: Group A: Experimental Group receiving Sensorimotor Training Exercise.Experimental treatment 1 intervention
Group B: Group B: Control Group receiving Conventional Exercise Therapy.Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Numeric Pain Rating Scale (NPRS)

It is a uni-dimensional subjective measure of pain intensity in adults, including those with cancer pain. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible.

Time frame
6 weeks
2

TUG Test

It is used to determine the fall risk and measure the progress of balance. Mobility and balance is assessed based on time to complete the test: \< 10 seconds = normal. \< 20 seconds = good mobility \< 30 seconds = walking and balance problems

Time frame
6 weeks
3

Activities-Specific Balance Confidence Scale

The ABC-Scale is a self-reported assessment of the participant's level of confidence in static and dynamic balance while doing functional activities

Time frame
6 weeks
4

6-Minute Walk Test

The 6-minute walk test (6MWT) is a standardized field test used to predict cardio-respiratory fitness in healthy individuals, as well as to assess functional exercise capacity and responsiveness to rehabilitation treatments in a variety of patient groups

Time frame
6 weeks

Secondary outcomes

1

Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - Neurotoxicity (FACT/GOG-NTX) Subscale

The FACT/GOG Ntx subscale is designed to measure chemotherapy-induced PN. It contains 11 items covering sensory neuropathy, motor neuropathy, hearing neuropathy, and dysfunction associated with neuropathy

Time frame
6 weeks
2

EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30)

The EORTC QLQ-C30 is composed of nine multi-item scales: 5 functioning scales (physical, role, cognitive, emotional and social), a global QOL scale, and 3 symptom scales (fatigue, pain and nausea/vomiting).

Time frame
6 weeks
3

Fullerton Advanced Balance Scale (FAB Scale)

It is a screening tool which can be used in different group. It has long form (consisting of 10 tasks) and a short form (consisting of 4 tasks). The scale consists of a 5-point Likert scale from 0-4.

Time frame
6 weeks

Other outcomes

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