Presentation Title

Physical therapist-led telehealth on functional and psychosocial outcomes for women with stage I-III breast cancer: A systematic review

Project Collaborators

Rebecca Ouellette-Morton (Faculty Research Advisor)

Abstract

Background and Objectives: Patients with breast cancer experience reduced health and fitness as a result of chemotherapy and radiation. Telehealth increases accessibility to oncology rehabilitation; however, it lacks consistency in supervision parameters. This study aimed to evaluate the effects of PT-supervised telehealth interventions compared to independent exercise on functional and psychosocial outcomes in patients diagnosed with breast cancer stages I-III.

Methods: Articles were selected using CINAHL, OVID Medline, and PEDro databases. Selected studies measured the impact of telehealth-based rehabilitation on functional and psychosocial outcomes for adults undergoing chemotherapy. Quality and level of evidence were assessed using PEDro.

Results: Six RCTs and one single-arm pilot study were included in this systematic review. Interventions ranged from 2-12 months and consisted of aerobic and resistance training. Participants in the PT-supervised group demonstrated statistically significant improvements in abdominal strength, back strength, 10x sit-to-stand, and physical activity level compared to control groups. Mixed effects were observed for measures in handgrip strength, 6MWT, VO2max, QOL, or fatigue.

Conclusion and Implications: The findings demonstrate that PT-led telehealth exercise can promote improvements in function and psychosocial outcomes in breast cancer patients. Additional research is needed to address issues concerning heterogeneity, limited sample size, and study design.

Primary Faculty Mentor Name

Rebecca Ouellette-Morton

Status

Graduate

Student College

College of Nursing and Health Sciences

Program/Major

Physical Therapy

Primary Research Category

Health Sciences

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Physical therapist-led telehealth on functional and psychosocial outcomes for women with stage I-III breast cancer: A systematic review

Background and Objectives: Patients with breast cancer experience reduced health and fitness as a result of chemotherapy and radiation. Telehealth increases accessibility to oncology rehabilitation; however, it lacks consistency in supervision parameters. This study aimed to evaluate the effects of PT-supervised telehealth interventions compared to independent exercise on functional and psychosocial outcomes in patients diagnosed with breast cancer stages I-III.

Methods: Articles were selected using CINAHL, OVID Medline, and PEDro databases. Selected studies measured the impact of telehealth-based rehabilitation on functional and psychosocial outcomes for adults undergoing chemotherapy. Quality and level of evidence were assessed using PEDro.

Results: Six RCTs and one single-arm pilot study were included in this systematic review. Interventions ranged from 2-12 months and consisted of aerobic and resistance training. Participants in the PT-supervised group demonstrated statistically significant improvements in abdominal strength, back strength, 10x sit-to-stand, and physical activity level compared to control groups. Mixed effects were observed for measures in handgrip strength, 6MWT, VO2max, QOL, or fatigue.

Conclusion and Implications: The findings demonstrate that PT-led telehealth exercise can promote improvements in function and psychosocial outcomes in breast cancer patients. Additional research is needed to address issues concerning heterogeneity, limited sample size, and study design.