Breast cancer
Conditions
Interventions
Control group:Usual radiotherapy nursing care only, including education about the radiotherapy process, skin-care guidance, general activity advice, and routine symptom monitoring. No standardized upp
Rehab group:Standardized upper-limb rehabilitation in addition to usual care, including breathing and postural training, shoulder range-of-motion exercises, scapular stabilization and chest-shoulder f
MusicPMR group:Music-assisted progressive muscle relaxation in addition to usual care. Each session lasts approximately 20-25 minutes and includes breathing adjustment, progressive tension-release rel
Combined group:Standardized upper-limb rehabilitation plus music-assisted progressive muscle relaxation in addition to usual care. Both interventions are delivered according to the procedures describe
Sponsors
Nanping First Hospital Affiliated to Fujian Medical University (Nanping First Hospital)
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1.Female patients aged >=18 years and <=70 years. 2.Pathologically confirmed unilateral breast cancer after surgery. 3.Completion of breast-conserving surgery without axillary lymph node dissection, including patients who underwent sentinel lymph node biopsy or no axillary dissection. 4.Scheduled to receive postoperative adjuvant whole-breast radiotherapy and expected to complete the planned radiotherapy course. 5.Well-healed surgical wound without active wound infection. 6.Eastern Cooperative Oncology Group performance status of 0-2. 7.Able to hear, understand, communicate, and cooperate with intervention training, questionnaire completion, and follow-up assessments. 8.Willing to participate in the study and able to provide written informed consent.
Exclusion criteria
Exclusion criteria: 1.Bilateral breast cancer, recurrent breast cancer, or distant metastasis. 2.Previous radiotherapy to the ipsilateral breast or chest wall. 3.Clinically diagnosed moderate-to-severe upper-limb lymphedema before surgery or at baseline. 4.Severe shoulder, cervical spine, or neuromuscular disease that may interfere with upper-limb functional assessment or rehabilitation training. 5.Severe cardiopulmonary disease, uncontrolled hypertension, or other conditions considered unsuitable for rehabilitation training. 6.Severe psychiatric disorder, cognitive impairment, or current participation in structured psychological therapy, music therapy, or relaxation training. 7.Any other condition judged by the investigators to make participation inappropriate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep quality; | — |
Secondary
| Measure | Time frame |
|---|---|
| Upper-limb function;Fatigue;Anxiety;Depression;Pain intensity;Upper-limb stiffness; | — |
Countries
China
Contacts
Public ContactWenzhu Wei
Nanping First Hospital Affiliated to Fujian Medical University (Nanping First Hospital)
Outcome results
None listed