Telerehabilitation and Monitoring Physical Activity in Patient with Breast Cancer: Systematic Review
Abstract
Background: Timely rehabilitation in patients with Breast Cancer (BC) has a great impact on improving their physical and mental conditions. Thus, the appropriate follow‑up method is essential especially during the Covid‑19 pandemic. The aim of this study was to review the different technology‑assisted interventions for improving physical activity in BC patients.
Materials And Methods: In this systematic review, the original studies were extracted from the beginning of indexing in databases including PubMed, Scopus, Google Scholar, and Web of Science until 2019. Finally, 45 papers were included in this study based on the inclusion criteria for before the Covid‑19 pandemic and 3 articles extracted for the Covid‑19 period.
Results: The most widely used technologies for BC patients were in the United States (46.67%). Telephone, mobile application, and web with 28.89%, 15.56%, and 8.89% frequencies were the most common technologies, respectively. Although the majority of the participants were satisfied with the intervention method, in some cases, the patients were unsatisfied due to the complexity of the technology. These technologies were used for various purposes, such as physical activity and functions, control of pain severity, fitness, quality of life, diet behavior, fatigue, muscle strength, cardio‑respiratory capacity, as well as arm and shoulder exercises.
Conclusions: In conclusion, virtual communication can improve the health of BC patients and also increases patients’ desire and hope to continue treatment. It is worth noting that in the Covid‑19 pandemic, with the strengthening of virtual communication infrastructure, more attention was paid to BC patients due to their sensitive conditions.
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Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68:394 424.
Musarezaie A, Zargham Boroujeni A. Quality of life and related factors among the women undergoing mastectomy. Iran J Nurs Midwifery Res 2015;20:287 91.
Juvet L, Thune I, Elvsaas IØ, Fors E, Lundgren S, Bertheussen G,et al. The effect of exercise on fatigue and physical functioning in breast cancer patients during and after treatment and at 6 months follow up: A meta analysis. Breast 2017;33:166 77.
Dietz JR, Moran MS, Isakoff SJ, Kurtzman SH, Willey SC, Burstein HJ, et al. Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID 19 pandemic. the COVID 19 pandemic breast cancer consortium. Breast Cancer Res Treat 2020;181:487 97.
Galiano Castillo N, Arroyo Morales M, Lozano Lozano M, Fernández Lao C, Martín Martín L, Del Moral Ávila R, et al. Effect of an Internet based telehealth system on functional capacity and cognition in breast cancer survivors: A secondary analysis of a randomized controlled trial. Support Care Cancer 2017;25:3551 9.
Grazioli E, Cerulli C, Dimauro I, Moretti E, Murri A, Parisi A. New strategy of home based exercise during pandemic COVID 19 in breast cancer patients: A case study. Sustainability 2020;12:6940.
Vallance JK, Nguyen NH, Moore MM, Reeves MM, Rosenberg DE, Boyle T, et al. Effects of the ACTIVity and TEchnology (ACTIVATE) intervention on health-related quality of life and fatigue outcomes in breast cancer survivors. Psychooncology 2019;29:204 11.
Lynch BM, Nguyen NH, Moore MM, Reeves MM, Rosenberg DE, Boyle T, et al. A randomized controlled trial of a wearable technology-based intervention for increasing moderate to vigorous physical activity and reducing sedentary behavior in breast cancer survivors: The ACTIVATE Trial. Cancer 2019;125:2846 55.
Kokts Porietis RL, Stone CR, Friedenreich CM, Froese A, McDonough M, McNeil J. Breast cancer survivors’ perspectives on a home based physical activity intervention utilizing wearable technology. Support Care Cancer 2019;27:2885 92.
Nápoles AM, Santoyo Olsson J, Chacón L, Stewart AL, Dixit N, Ortiz C. Feasibility of a mobile phone app and telephone coaching survivorship care planning program among Spanish speaking breast cancer survivors. JMIR Cancer 2019;5:e13543.
Dong X, Yi X, Gao D, Gao Z, Huang S, Chao M, et al. The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients: A randomized controlled trial. Health Qual Life Outcomes 2019;17:109.
Pope Z, Zeng N, Zhang R, Lee H, Gao Z. Effectiveness of combined smartwatch and social media intervention on breast Cancer survivor health outcomes: A 10 week pilot randomized trial. J Clin Med 2018;7:140.
Lozano Lozano M, Martín Martín L, Galiano Castillo N, Álvarez Salvago F, Cantarero Villanueva I, Fernández Lao C, et al. Integral strategy to supportive care in breast cancer survivors through occupational therapy and a m health system: Design of a randomized clinical trial. BMC Med Inform Decis Mak 2016;16:1 10.
Anderson AS, Dunlop J, Gallant S, Macleod M, Miedzybrodzka Z, Mutrie N, et al. Feasibility study to assess the impact of a lifestyle intervention (‘LivingWELL’) in people having an assessment of their family history of colorectal or breast cancer. BMJ Open 2018;8:e019410.
Lee H, Uhm KE, Cheong IY, Yoo JS, Chung SH, Park YH, et al. Patient satisfaction with mobile health (mHealth) application for exercise intervention in breast cancer survivors. J Med Syst 2018;42:254.
Van De Wiel H, Stuiver M, May A, Van Grinsven S, Aaronson N, Retèl V, et al. (Cost ) effectiveness of an internet based physical activity support program (with and without physiotherapy counselling) on physical activity levels of breast and prostate cancer survivors: Design of the PABLO trial. BMC Cancer 2018;18:1073.
Hayes S, Rye S, Battistutta D, Yates P, Pyke C, Bashford J, et al. Design and implementation of the Exercise for Health trial—A pragmatic exercise intervention for women with breast cancer. Contemp Clin Trials 2011;32:577 85.
Uhm KE, Yoo JS, Chung SH, Lee JD, Lee I, Kim JI, et al. Effects of exercise intervention in breast cancer patients: Is mobile health (mHealth) with pedometer more effective than conventional program using brochure? Breast Cancer Res Treat 2017;161:443 52.
Lahart IM, Carmichael AR, Nevill AM, Kitas GD, Metsios GS. The effects of a home based physical activity intervention on cardiorespiratory fitness in breast cancer survivors; A randomised controlled trial. J Sports Sci 2018;36:1077 86.
Hartman SJ, Nelson SH, Myers E, Natarajan L, Sears DD, Palmer BW, et al. Randomized controlled trial of increasing physical activity on objectively measured and self-reported cognitive functioning among breast cancer survivors: The memory and motion study. Cancer 2018;124:192 202.
Krebs P, Shtaynberger J, McCabe M, Iocolano M, Williams K, Shuk E, et al. An eHealth intervention to increase physical activity and healthy eating in older adult cancer survivors: Summative evaluation results. JMIR Cancer 2017;3:e4.
Valle CG, Deal AM, Tate DF. Preventing weight gain in African American breast cancer survivors using smart scales and activity trackers: A randomized controlled pilot study. J Cancer Surviv 2017;11:133 48.
Cox M, Basen Engquist K, Carmack CL, Blalock J, Li Y, Murray J, et al. Comparison of internet and telephone interventions for weight loss among cancer survivors: Randomized controlled trial and feasibility study. JMIR Cancer 2017;3:e16.
Lawler S, Maher G, Brennan M, Goode A, Reeves M, Eakin E. Get Healthy after Breast Cancer examining the feasibility, acceptability and outcomes of referring breast cancer survivors to a general population telephone delivered program targeting physical activity, healthy diet and weight loss. Support Care Cancer 2017;25:1953 62.
Harder H, Holroyd P, Burkinshaw L, Watten P, Zammit C, Harris PR, et al. A user centred approach to developing bWell, a mobile app for arm and shoulder exercises after breast cancer treatment. J Cancer Surviv 2017;11:732 42.
Fazzino TL, Fabian C, Befort CA. Change in physical activity during a weight management intervention for breast cancer survivors: Association with weight outcomes. Obesity (Silver Spring) 2017;25(Suppl 2):S109 15.
Ritvo P, Obadia M, Santa Mina D, Alibhai S, Sabiston C, Oh P, et al. Smartphone enabled health coaching intervention (iMOVE) to promote long term maintenance of physical activity in breast cancer survivors: Protocol for a feasibility pilot randomized controlled trial. JMIR Res Protoc 2017;6:e165.
Ollero J, Moral Munoz JA, Rojas I, Banos O, editors. Mobile Health System for Evaluation of Breast Cancer Patients during Treatment and Recovery Phases. International Conference on Bioinformatics and Biomedical Engineering. Springer; 2017.
Ariza Garcia A, Lozano Lozano M, Galiano Castillo N, Postigo Martin P, Arroyo Morales M, Cantarero Villanueva I. A web based exercise system (e cuidatechemo) to counter the side effects of chemotherapy in patients with breast cancer: Randomized controlled trial. J Med Internet Res 2019;21:e14418.
Reeves MM, Terranova CO, Erickson JM, Job JR, Brookes DS, McCarthy N, et al. Living well after breast cancer randomized controlled trial protocol: Evaluating a telephone delivered weight loss intervention versus usual care in women following treatment for breast cancer. BMC Cancer 2016;16:830.
Quintiliani LM, Mann DM, Puputti M, Quinn E, Bowen DJ. Pilot and feasibility test of a mobile health supported behavioral counseling intervention for weight management among breast cancer survivors. JMIR Cancer 2016;2:e4.
Cadmus Bertram L, Nelson SH, Hartman S, Patterson RE, Parker BA, Pierce JP. Randomized trial of a phone and web based weight loss program for women at elevated breast cancer risk: The HELP study. J Behav Med 2016;39:551 9.
Harrigan M, Cartmel B, Loftfield E, Sanft T, Chagpar AB, Zhou Y, et al. Randomized trial comparing telephone versus in person weight loss counseling on body composition and circulating biomarkers in women treated for breast cancer: The lifestyle, exercise, and nutrition (LEAN) study. J Clin Oncol 2016;34:669 76.
Lyons EJ, Baranowski T, Basen Engquist KM, Lewis ZH, Swartz MC, Jennings K, et al. Testing the effects of narrative and play on physical activity among breast cancer survivors using mobile apps: Study protocol for a randomized controlled trial. BMC Cancer 2016;16:202.
Forbes CC, Blanchard CM, Mummery WK, Courneya KS. Feasibility and preliminary efficacy of an online intervention to increase physical activity in Nova Scotian cancer survivors: A randomized controlled trial. JMIR Cancer 2015;1:e12.
McCarroll ML, Armbruster S, Pohle Krauza RJ, Lyzen AM, Min S, Nash DW, et al. Feasibility of a lifestyle intervention for overweight/obese endometrial and breast cancer survivors using an interactive mobile application. Gynecol Oncol 2015;137:508 15.
Lee MK, Yun YH, Park H A, Lee ES, Jung KH, Noh D Y. A Web based self management exercise and diet intervention for breast cancer survivors: Pilot randomized controlled trial. Int J Nurs Stud 2014;51:1557 67.
De Cocker K, Charlier C, Van Hoof E, Pauwels E, Lechner L, Bourgois J, et al. Development and usability of a computer-tailored pedometer-based physical activity advice for breast cancer survivors. Eur J Cancer Care (Engl) 2015;24:673 82.
Short C, James E, Rebar A, Duncan M, Courneya K, Plotnikoff R, et al. Designing more engaging computer tailored physical activity behaviour change interventions for breast cancer survivors: Lessons from the iMove More for Life study. Support Care Cancer 2017;25:3569 85.
Winger JG, Mosher CE, Rand KL, Morey MC, Snyder DC, Demark Wahnefried W. Diet and exercise intervention adherence and health related outcomes among older long term breast, prostate, and colorectal cancer survivors. Ann Behav Med 2014;48:235 45.
Rock CL, Byers TE, Colditz GA, Demark Wahnefried W, Ganz PA, Wolin KY, et al.; Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) Trial Group. Reducing breast cancer recurrence with weight loss, a vanguard trial: The Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) Trial. Contemp Clin Trials 2013;34:282 95.
Rock CL, Flatt SW, Byers TE, Colditz GA, Demark Wahnefried W, Ganz PA, et al. Results of the Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) trial: A behavioral weight loss intervention in overweight or obese breast cancer survivors. J Clin Oncol 2015;33:3169 76.
Hatchett A, Hallam JS, Ford MA. Evaluation of a social cognitive theory-based email intervention designed to influence the physical activity of survivors of breast cancer. Psychooncology 2013;22:829 36.
Ligibel JA, Meyerhardt J, Pierce JP, Najita J, Shockro L, Campbell N, et al. Impact of a telephone based physical activity intervention upon exercise behaviors and fitness in cancer survivors enrolled in a cooperative group setting. Breast Cancer Res Treat 2012;132:205 13.
Demark Wahnefried W, Morey MC, Sloane R, Snyder DC, Miller PE, Hartman TJ, et al. Reach out to enhance wellness home based diet exercise intervention promotes reproducible and sustainable long term improvements in health behaviors, body weight, and physical functioning in older, overweight/obese cancer survivors. J Clin Oncol 2012;30:2354 61.
Eakin EG, Lawler SP, Winkler EA, Hayes SC. A randomized trial of a telephone delivered exercise intervention for non urban dwelling women newly diagnosed with breast cancer: Exercise for health. Ann Behav Med 2012;43:229 38.
Kim SH, Shin MS, Lee ES, Ro JS, Kang HS, Kim SW, et al., editors. Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors. Oncology nursing forum; 2011: Oncology Nursing Society. 2011.
Hegel MT, Lyons KD, Hull JG, Kaufman P, Urquhart L, Li Z, et al. Feasibility study of a randomized controlled trial of a telephone-delivered problem-solving–occupational therapy intervention to reduce participation restrictions in rural breast cancer survivors undergoing chemotherapy. Psychooncology 2011;20:1092 101.
Morey MC, Snyder DC, Sloane R, Cohen HJ, Peterson B, Hartman TJ, et al. Effects of home based diet and exercise on functional outcomes among older, overweight long term cancer survivors: RENEW: A randomized controlled trial. JAMA 2009;301:1883 91.
Pinto BM, Stein K, Dunsiger S. Peers promoting physical activity among breast cancer survivors: A randomized controlled trial. Health Psychol 2015;34:463 72.
Matthews CE, Wilcox S, Hanby CL, Der Ananian C, Heiney SP, Gebretsadik T, et al. Evaluation of a 12 week home based walking intervention for breast cancer survivors. Support Care Cancer 2007;15:203 11.
Vallance JK, Courneya KS, Plotnikoff RC, Yasui Y, Mackey JR. Randomized controlled trial of the effects of print materials and step pedometers on physical activity and quality of life in breast cancer survivors. J Clin Oncol 2007;25:2352 9.
Mella Abarca W, Barraza Sánchez V, Ramírez Parada K. Telerehabilitation for people with breast cancer through the COVID 19 pandemic in Chile. Ecancermedicalscience 2020;14:1085.
Lytras D, Myrogiannis IS. The application of complete decongestive therapy through telephysiotherapy in the treatment of acute upper limb lymphedema after mastectomy during the COVID 19 pandemic: A case study. Phys Ther Rehabil 2020;7:9. doi: 10.7243/2055 2386 7 9.
Ritvo P, Obadia M, Santa Mina D, Alibhai S, Sabiston C, Oh P, et al. Smartphone enabled health coaching intervention (iMOVE) to promote long term maintenance of physical activity in breast cancer survivors: Protocol for a feasibility pilot randomized controlled trial. JMIR Res Protoc 2017;6:e165.
Haberlin C, O’Dwyer T, Mockler D, Moran J, O’Donnell DM, Broderick J. The use of eHealth to promote physical activity in cancer survivors: A systematic review. Support Care Cancer 2018;26:3323 36.
Lozano Lozano M, Galiano Castillo N, Martín Martín L, Pace Bedetti N, Fernández Lao C, Arroyo Morales M, et al. Monitoring energy balance in breast cancer survivors using a mobile app: Reliability study. JMIR mHealth uHealth 2018;6:e67.
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