Modified Radical Mastectomy
Conditions
Keywords
Enhanced Recovery After Surgery, Prehabilitation, Exercises
Brief summary
The goal of this clinical trial is to learn if Enhanced Recovery After Surgery (ERAS) protocol and upper limb exercise shorten the length of stay (LoS) in adults after modified radical mastectomy (MRM) surgery. The main questions it aims to answer are: • Do ERAS protocol and upper limb exercise shorten the LoS after modified radical mastectomy (MRM)? Researchers will compare the ERAS protocol and upper limb exercise intervention to standard care to determine whether these interventions reduce LoS. Four weeks before surgery, participants in intervention group will do: * Aerobic exercise by walking for 30 minutes at moderate intensity (Borg scale 12-14) with frequency twice a week and by cycling for 30 minutes at moderate intensity (40-60% HRR / 64-76% HRmax/RPE 12-14) with frequency three times a week. * Strengthening exercise of lower limbs three times a week, intensity 60-80% 1RM, 3 set, 10 repetition, rest 60 seconds between sets by machine pulley. * Strengthening exercise of upper limbs at intensity 60-80% 1RM, frequency three times a week, 10 repetition, rest 60 seconds by bench press and cable front raise. * Stretching exercise of upper limbs and range of motion exercise frequency three times a week, hold 10 seconds, by static stretching. After surgery, both groups will do: • Mobilization, ambulation, and shoulder range of motion exercise in first 24 hours after surgery.
Interventions
BEHAVIORALEnhanced Recovery After Surgery
Four weeks before surgery, participants in intervention group will do: * Aerobic exercise by walking for 30 minutes at moderate intensity (Borg scale 12-14) with frequency twice a week and by cycling for 30 minutes at moderate intensity (40-60% HRR / 64-76% HRmax/RPE 12-14) with frequency three times a week. * Strengthening exercise of lower limbs three times a week, intensity 60-80% 1RM, 3 set, 10 repetition, rest 60 seconds between sets by machine pulley.
BEHAVIORALUpper Limb Exercise
Four weeks before surgery, participants in intervention group will do: * Strengthening exercise of upper limbs at intensity 60-80% 1RM, frequency three times a week, 10 repetition, rest 60 seconds by bench press and cable front raise. * Stretching exercise of upper limbs and range of motion exercise frequency three times a week, hold 10 seconds, by static stretching.
Sponsors
Prof. R. D. Kandou General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Women aged 30-65 years 2. Diagnosed with breast cancer by histopathological examination and will undergo the first MRM surgery 3. Planned to undergo neoadjuvant chemotherapy 4. Hemodynamically stable (assessed by vital signs) 5. Mini Mental State Examination (MMSE) score \> 25 6. Comorbid diseases are controlled 7. Corrected nutritional status 8. No balance or coordination disorders 9. Normal or corrected vision function 10. Normal hearing function as tested by whisper test 11. Willing and agree to participate in the study until completion and sign informed consent
Exclusion criteria
1. Presence of distant metastasis 2. Presence of lymphedema 3. Limited joint range of motion 4. Other cardiovascular conditions that contraindicate physical exercise according to the American College of Sports Medicine (ACSM) guidelines
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of Stay | From the date of surgery until hospital discharge, assessed up to 10 days | Length of stay after Modified Radical Mastectomy |
Countries
Indonesia
Outcome results
None listed