Breast Cancer, Frailty, Surgery
Conditions
Keywords
Prehabilitation, Rehabilitation, Virtual Reality, Physical Therapy, Breast Surgery, Breast Cancer, Breast Reconstruction, Axillary Surgery
Brief summary
This randomized controlled trial aims to determine feasibility and acceptability of of VR-physical therapy modules for surgical patients undergoing breast or axilla surgery in order to prepare for and recover from surgery.
Interventions
OTHERVirtual Reality Modules Only
Participants will complete self-paced VR modules prior to and after surgery (prehab/rehab) and will be provided with technical assistance from the study team.
OTHERVirtual Reality Modules + Live Physical Therapist Support
Participants will complete self-paced VR modules prior to and after surgery (prehab/rehab) and will be provided with technical assistance from the study team. Participants will also have access to up to three live PT sessions via Zoom where they can ask questions and complete modules with PT feedback.
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Masking description
Blinded assessor will conduct adherence calls.
Intervention model description
Participants randomized to one of two arms, VR self-paced modules with live PT guidance and VR without live PT guidance.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18+ years of age * English speaking * Will undergo breast or axilla surgery at Stanford * Have access to internet and stable Wifi at home * Have access to a space with stable chair at home * Ability to sit-to-stand without significant balance issues * Absence of chronic vertigo or nausea/vomiting * Agreeable to up to 4 weeks of prehab prior to surgery and up to 8 weeks of post-operative rehab
Exclusion criteria
* Inability to engage in PT due to physical limitations identified by the participant and/or care team * Inability to complete a brief online survey at three time points during the duration of the study * Inability to consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VR for remote Physical Therapy (PT) | 12 weeks | This study will evaluate the feasibility of using VR technology to perform PT remotely from patients' homes to prepare for and recover from surgery. Frequency of engagement with the VR system (e.g., number of times participant initiated a VR physical therapy module, how long each session was used for) will be measured. Engagement with the live PT sessions will be measured. |
Countries
United States
Outcome results
None listed