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Importance of Patient Education for At-home Yoga Practice in Women With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A Feasibility Study
BACKGROUND: Osteo-articular pain (OAP) is experienced by approximately 50% of women under hormonal therapy (HT) for breast cancer (BC), which increases the risk for therapy discontinuation. This study was aimed to assess benefits of yoga practice combined with patient education (PE) for at-home prac...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725037/ https://www.ncbi.nlm.nih.gov/pubmed/34939444 http://dx.doi.org/10.1177/15347354211063791 |
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author | Faravel, Kerstin Huteau, Marie-Eve Jarlier, Marta de Forges, Hélène Meignant, Laetitia Senesse, Pierre Norton, Joanna Jacot, William Stoebner, Anne |
author_facet | Faravel, Kerstin Huteau, Marie-Eve Jarlier, Marta de Forges, Hélène Meignant, Laetitia Senesse, Pierre Norton, Joanna Jacot, William Stoebner, Anne |
author_sort | Faravel, Kerstin |
collection | PubMed |
description | BACKGROUND: Osteo-articular pain (OAP) is experienced by approximately 50% of women under hormonal therapy (HT) for breast cancer (BC), which increases the risk for therapy discontinuation. This study was aimed to assess benefits of yoga practice combined with patient education (PE) for at-home practice by evaluating feasibility among BC patients under HT and measuring OAP, flexibility and satisfaction. METHODS: Feasibility was evaluated by patient adherence as accomplishment of at least 4 out of 6 supervised yoga-PE sessions along with 70% or more at-home yoga sessions. Intervention (12 weeks) included two 6-weeks periods: P1 comprising one 90-minutes supervised yoga-PE session/week and 15-minutes daily at-home yoga and P2, daily autonomous at-home yoga sessions. Evaluations (at inclusion and by the end of each period) consisted in assessment of OAP on Visual Analog Scale (VAS), forward flexibility (cm) and patient satisfaction on Likert (0-10 points) scale. RESULTS: Between September 2018 and May 2019 we included 24 patients of median 53 years (range 36-72). Feasibility was validated by 83% successful adherence rate. Pain was significantly reduced from median VAS of 6 [range 4-10] to 4 [range 0-7] at the end of both P1 and P2 (p < 0.01), albeit with no difference between P1 and P2. Forward flexibility improved by a median gain of 8 cm (end of P2) and median satisfaction score of 10/10 [range 8-10]. CONCLUSION: Combined physiotherapy-yoga-PE intervention is a feasible strategy to increase at-home yoga practice with potential benefit on pain, flexibility, and satisfaction, thus prompting further evaluations in larger randomized multicenter trials. CLINICALTRIALS.GOV: NCT04001751 |
format | Online Article Text |
id | pubmed-8725037 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-87250372022-01-05 Importance of Patient Education for At-home Yoga Practice in Women With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A Feasibility Study Faravel, Kerstin Huteau, Marie-Eve Jarlier, Marta de Forges, Hélène Meignant, Laetitia Senesse, Pierre Norton, Joanna Jacot, William Stoebner, Anne Integr Cancer Ther Research Article BACKGROUND: Osteo-articular pain (OAP) is experienced by approximately 50% of women under hormonal therapy (HT) for breast cancer (BC), which increases the risk for therapy discontinuation. This study was aimed to assess benefits of yoga practice combined with patient education (PE) for at-home practice by evaluating feasibility among BC patients under HT and measuring OAP, flexibility and satisfaction. METHODS: Feasibility was evaluated by patient adherence as accomplishment of at least 4 out of 6 supervised yoga-PE sessions along with 70% or more at-home yoga sessions. Intervention (12 weeks) included two 6-weeks periods: P1 comprising one 90-minutes supervised yoga-PE session/week and 15-minutes daily at-home yoga and P2, daily autonomous at-home yoga sessions. Evaluations (at inclusion and by the end of each period) consisted in assessment of OAP on Visual Analog Scale (VAS), forward flexibility (cm) and patient satisfaction on Likert (0-10 points) scale. RESULTS: Between September 2018 and May 2019 we included 24 patients of median 53 years (range 36-72). Feasibility was validated by 83% successful adherence rate. Pain was significantly reduced from median VAS of 6 [range 4-10] to 4 [range 0-7] at the end of both P1 and P2 (p < 0.01), albeit with no difference between P1 and P2. Forward flexibility improved by a median gain of 8 cm (end of P2) and median satisfaction score of 10/10 [range 8-10]. CONCLUSION: Combined physiotherapy-yoga-PE intervention is a feasible strategy to increase at-home yoga practice with potential benefit on pain, flexibility, and satisfaction, thus prompting further evaluations in larger randomized multicenter trials. CLINICALTRIALS.GOV: NCT04001751 SAGE Publications 2021-12-23 /pmc/articles/PMC8725037/ /pubmed/34939444 http://dx.doi.org/10.1177/15347354211063791 Text en © Institut régional du Cancer de https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Research Article Faravel, Kerstin Huteau, Marie-Eve Jarlier, Marta de Forges, Hélène Meignant, Laetitia Senesse, Pierre Norton, Joanna Jacot, William Stoebner, Anne Importance of Patient Education for At-home Yoga Practice in Women With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A Feasibility Study |
title | Importance of Patient Education for At-home Yoga Practice in Women
With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A
Feasibility Study |
title_full | Importance of Patient Education for At-home Yoga Practice in Women
With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A
Feasibility Study |
title_fullStr | Importance of Patient Education for At-home Yoga Practice in Women
With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A
Feasibility Study |
title_full_unstemmed | Importance of Patient Education for At-home Yoga Practice in Women
With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A
Feasibility Study |
title_short | Importance of Patient Education for At-home Yoga Practice in Women
With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A
Feasibility Study |
title_sort | importance of patient education for at-home yoga practice in women
with hormonal therapy-induced pain during adjuvant breast cancer treatment: a
feasibility study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725037/ https://www.ncbi.nlm.nih.gov/pubmed/34939444 http://dx.doi.org/10.1177/15347354211063791 |
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