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Qigong For PPSP In Breast Cancer Pain In Breast Cancer Survivors

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02848989
Recruitment Status : Active, not recruiting
First Posted : July 29, 2016
Last Update Posted : August 28, 2018
Brigham and Women's Hospital
Spaulding Rehabilitation Hospital
Information provided by (Responsible Party):
Jennifer A. Ligibel, MD, Dana-Farber Cancer Institute

Brief Summary:

Studies have shown that on-going pain following breast surgery is common and may limit the ability to participate in physical activity, cause tiredness, difficulty in daily chores/activities as well as other problems.

This study is evaluating whether participating in a 12-week Qigong program (pronounced chee kung), an exercise program that involves gentle movements combined with breathing/relaxation techniques, also known as mind-body exercise, leads to improvement of pain, physical function, and quality of life among breast cancer survivors that have significant pain following surgery.

Condition or disease Intervention/treatment Phase
Breast Cancer Surgery Pain Breast Cancer Stage 0-III Breast Cancer Other: Qigong Mind-Body Exercise Not Applicable

Detailed Description:
This is a pilot/feasibility study designed to look at the potential benefits of a 12-week program of Qigong mind-body exercise program. The study applies to women who have completed physical therapy treatment on symptoms such as pain, and difficulty moving/strength of arm in women who are experiencing on-going symptoms after breast cancer surgery. The results of this study will be used to help design future studies of the effect of Qigong programs in breast cancer survivors.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 21 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Qigong Mind-Body Exercise For Persistent Post-Surgical Pain In Breast Cancer Survivors: A Pilot Study
Actual Study Start Date : April 4, 2017
Actual Primary Completion Date : March 14, 2018
Estimated Study Completion Date : April 2021

Arm Intervention/treatment
Experimental: Qigong Mind-Body Exercise (QMBE)

After the screening procedures confirm that you are eligible to participate in the research study:

  • Breast cancer survivors with persistent post-surgical pain (PPSP) into a 12-week program of Qigong mind-body exercise (QMBE).
  • Outcome assessments related to pain, function, and quality of life
Other: Qigong Mind-Body Exercise
An exercise program that involves gentle movements combined with breathing/relaxation techniques

Primary Outcome Measures :
  1. Rate of completion of QMBE intervention [ Time Frame: 12 months ]
    Complete recruitment of target enrollment of 21 participants within 12 month timeframe.

  2. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 [ Time Frame: 6 months ]
    Total number of adverse events sustained from participation in QMBE will be collected for each participant through home practice logs for at home QMBE participation and instructors will report any adverse events that occur during QMBE class on attendance logs. Any adverse events observed will be evaluated according to the DFCI/Harvard Cancer Center guidelines. The study will be considered safe if zero adverse events are observed/reported from participation in prescribed QMBE classes and/or at home practice.

Secondary Outcome Measures :
  1. Quality of life [ Time Frame: 6 months ]
    QOL will be assessed using the Functional Assessment of Cancer Therapy Breast Symptom Index (FACT-B+4). This instrument consists of 42 items that measure physical, emotional, social and functional well-being, as well as breast cancer specific symptomology associated with upper extremity dysfunction.

  2. Degree of Pain [ Time Frame: 6 months ]
    Degree of pain will be measured by the Brief Pain Inventory Short Form (BPI SF) and a Pain Medication Log.21 The BPI SF consists of 9 items that measure the severity of pain, impact of pain on daily function, location of pain, pain medications and amount of pain relief in the past 24 hours or the past week. Reliability coefficients for the BPI Severity and Interference scales ranged from .82 to .95

  3. Grip Strength [ Time Frame: 3 months ]
    Grip strength of both hands will be assessed using the Jamar® Hand Dynamometer. Measurement will be recorded to the nearest 0.5 kg, and repeated an average of three times

  4. Gait & Postural Control [ Time Frame: 3 months ]
    Gait & postural control will be kinematically assessed during standing and walking using an 8-camera motion analysis system (Vicon 512, Oxford, UK) using standard protocols employed in prior mind-body studies as well as clinical evaluations for both children and adults with walking abnormalities due to mobility-limiting conditions, at the Motion Analysis Laboratory at Spaulding Rehabilitation Hospital.

  5. Pain Catastrophizing [ Time Frame: 3 months ]
    Pain catastrophizing scale will be used to assess catastrophic thinking associated with pain. This instrument consists of 13 items that measure rumination, magnification, and helplessness related to pain.

  6. Shoulder Strength [ Time Frame: 3 months ]
    Will be assessed using manual muscle testing (MMT).

  7. Range of Motion [ Time Frame: 3 months ]
    Will be assessed using standard goniometric measurement.

  8. Fatigue [ Time Frame: 3 months ]
    Fatigue will be assessed by the 13 item FACIT-F fatigue subscale. This validated instrument measures the intensity of fatigue experienced during the 7 days before questionnaire administration.

  9. Self-esteem [ Time Frame: 3 months ]
    Self-esteem will be measured by the 10 item Rosenberg Self-Esteem Scale. This validated instrument measures global self-worth by measuring both positive and negative feelings about the self.

  10. Anxiety & Depression [ Time Frame: 3 months ]
    Anxiety and depression will be measured by the Hospital and Anxiety and Depression Scale (HADS). This validated instrument consists of 14 items that measure current feelings of anxiety and depression.

  11. Stress Levels [ Time Frame: 3 months ]
    Stress levels will be measured by the 10 item Perceived Stress Scale (PSS). This validated instrument measures the degree to which situations in one's life are appraised as stressful.

  12. Mindfulness [ Time Frame: 3 months ]
    Mindfulness will be assessed using the Multidimensional Assessment of Interoceptive Awareness Scale (MAIA). This 32-item instrument measures a patient's bodily and emotional awareness and ability to self-regulate these factors.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • History of Stage 0-III breast cancer;
  • Persistent post-surgical pain at least 3 months after completion of surgery, chemotherapy, and/or radiation;
  • Completion of a course of physical therapy

Exclusion Criteria:

  • Unstable cardiovascular disease in the last 6 months
  • Psychiatric disorders or conditions that would preclude participation in the study intervention (e.g. untreated major depression or psychosis, substance abuse, severe personality disorder);
  • Metastatic breast or other cancer;
  • Participation in more than 240 minutes of moderate-intensity exercise per week (as determined by Leisure Score Index questionnaire)
  • Pregnant or breastfeeding
  • Recent history of attending regular QMBE or similar classes (e.g. yoga or tai chi classes), (i.e.20 or more classes in the past 6 months).
  • Currently enrolled in a physical therapy course

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02848989

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United States, Massachusetts
Dana-Farber Cancer Institute
Boston, Massachusetts, United States, 02215
Sponsors and Collaborators
Dana-Farber Cancer Institute
Brigham and Women's Hospital
Spaulding Rehabilitation Hospital
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Principal Investigator: Jennifer A Ligibel, MD Dana-Farber Cancer Institute

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Responsible Party: Jennifer A. Ligibel, MD, Dr., M.D., Dana-Farber Cancer Institute Identifier: NCT02848989     History of Changes
Other Study ID Numbers: 15-347
First Posted: July 29, 2016    Key Record Dates
Last Update Posted: August 28, 2018
Last Verified: August 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Jennifer A. Ligibel, MD, Dana-Farber Cancer Institute:
Breast Cancer Surgery Pain
Breast Cancer
Additional relevant MeSH terms:
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Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases
Neurologic Manifestations
Signs and Symptoms