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Article

Extremity Exercise Program in Breast Cancer Survivors Suffering from Chemotherapy-Induced Peripheral Neuropathy: A Feasibility Pilot Study

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Department of Hematology and Oncology, China Medical University Hospital, No. 2, Yude Rd., Taichung 404332, Taiwan
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School of Nursing, University of North Carolina at Chapel Hill, 120 N. Medical Dr. Carrington Hall #CB 7460, Chapel Hill, NC 27599-7460, USA
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Research Nurse, Department of Internal Medicine, National Taiwan University Hospital, Rm. 607, 6F., Laboratory Building, No. 1, Changde St., Taipei 10048, Taiwan
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Department of Nursing, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih, Pai Rd., Taipei 11217, Taiwan
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School of Nursing, China Medical University, No. 100, Sec. 1, Jingmao Rd., Taichung 406040, Taiwan
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Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih, Pai Rd., Taipei 11217, Taiwan
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Department of Nursing, DaYeh University, No. 168, University Rd., Dacun, Changhua 51591, Taiwan
*
Author to whom correspondence should be addressed.
Healthcare 2022, 10(4), 688; https://doi.org/10.3390/healthcare10040688
Received: 9 February 2022 / Revised: 31 March 2022 / Accepted: 3 April 2022 / Published: 6 April 2022
(This article belongs to the Section Women Health)
Objectives: To evaluate the feasibility of implementation of an extremity exercise program and to examine its preliminary effects in breast cancer survivors suffering from chemotherapy-induced peripheral neuropathy (CIPN). Sample & Setting: Thirteen breast cancer survivors from one hospital in northern Taiwan. Methods and Variables: A single group with repeated measures, and a quasi-experimental design. The intervention program was a four week, home-based extremity exercise program that was comprised of 10 skilled hand exercises and Buerger-Allen exercises. The Total Neuropathy Scale (clinical version), Functional Assessment of Cancer Therapy/Gynecologic Oncology Group, Neurotoxicity (13-Item Version), Identification Pain Questionnaire, and pain Visual Analogue Scale were used to measure CIPN before exercise (T1), during (T2~T4), and after exercise (T5). Qualitative data were also collected at each time point. Data were analyzed by using descriptive statistics, generalized estimating equations, and directed content analysis. Results: None of the participants reported adverse events during the study period. The extremity exercise program significantly improved patient-reported CIPN after intervention at T4 or T5 but was insignificant on clinician-assessed CIPN. The qualitative data of participant experience indicated that this program is feasible and easy to follow. Conclusion: The extremity exercise program is feasible but needs to increase the sample size and prolong the intervention period for confirmation. View Full-Text
Keywords: extremity exercise program; ten skilled hand exercise; Buerger-Allen exercise; chemotherapy induced peripheral neuropathy (CIPN); breast cancer survivors extremity exercise program; ten skilled hand exercise; Buerger-Allen exercise; chemotherapy induced peripheral neuropathy (CIPN); breast cancer survivors
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MDPI and ACS Style

Wu, C.-J.; Chan, Y.-N.; Yen, L.-Y.; Chen, Y.-H.; Lo, C.; Tseng, L.-M.; Wang, Y.-J. Extremity Exercise Program in Breast Cancer Survivors Suffering from Chemotherapy-Induced Peripheral Neuropathy: A Feasibility Pilot Study. Healthcare 2022, 10, 688. https://doi.org/10.3390/healthcare10040688

AMA Style

Wu C-J, Chan Y-N, Yen L-Y, Chen Y-H, Lo C, Tseng L-M, Wang Y-J. Extremity Exercise Program in Breast Cancer Survivors Suffering from Chemotherapy-Induced Peripheral Neuropathy: A Feasibility Pilot Study. Healthcare. 2022; 10(4):688. https://doi.org/10.3390/healthcare10040688

Chicago/Turabian Style

Wu, Chih-Jung, Ya-Ning Chan, Li-Yu Yen, Yun-Hen Chen, Chyi Lo, Ling-Ming Tseng, and Ya-Jung Wang. 2022. "Extremity Exercise Program in Breast Cancer Survivors Suffering from Chemotherapy-Induced Peripheral Neuropathy: A Feasibility Pilot Study" Healthcare 10, no. 4: 688. https://doi.org/10.3390/healthcare10040688

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