Breast Cancer and Kinesiophobia and Physical Activity

Study Overview
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Brief Summary
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Breast cancer is the most common type of cancer in women worldwide. A significant number of breast cancer survivors develop many complications. Breast cancer and survivors may develop a fear of physical activity avoidance and movement, called kinesiophobia, due to upper extremity pain, numbness, restricted arm/shoulder range of motion, and risk of lymphedema. Therefore, in the present study, it is aimed to compare the effect of fear of movement on physical activity, quality of life and psychological states in women who have had breast cancer with healthy people.

Official Title
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Comparison of the Effects of Fear of Movement and Physical Activity Barriers on Physical Activity, Quality of Life and Psychological State of Women Who Have Had or Are Having Breast Cancer With Healthy People - Case Control Study

Conditions
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Breast Cancer, Kinesiophobia

Intervention / Treatment
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* Other: None intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Women diagnosed with stage I-II-III breast cancer with surgery as the first treatment The patient whose first treatment was completed at least three months ago (surgery, radiotherapy and / or chemotherapy) 18-75 years old woman Does not have a Turkish literacy problem Exclusion Criteria: • A serious chronic disease (rheumatoid arthritis, multiple sclerosis, amyotrophic lateral sclerosis, kidney disease, heart failure, neurological disorders or diabetes mellitus type I or II patients) Having severe musculoskeletal pain or disease Serious psychiatric illness Patients with current cancer attack or metastasis Persons with cognitive impairment

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Breast cancer<br>Sixty patients with grade I-II-III breast cancer, whose primary treatment (surgery, radiotherapy and/or chemotherapy) is continuing, who applied to the Hospital Breast Unit clinic, will be included in the study. Patients with problems in reading and writing in Turkish, poor cognitive functions and a serious chronic disease, musculoskeletal pain or disease, severe psychiatric illness, current cancer attack or metastasis will be excluded from the study | Other: None intervention<br>* None intervention<br>|
| Breast cancer survivors<br>Sixty patients with grade I-II-III breast cancer, whose primary treatment (surgery, radiotherapy and/or chemotherapy) was completed at least three months ago, who applied to the Hospital Breast Unit clinic, will be included in the study. Patients with problems in reading and writing in Turkish, poor cognitive functions and a serious chronic disease, musculoskeletal pain or disease, severe psychiatric illness, current cancer attack or metastasis will be excluded from the study | Other: None intervention<br>* None intervention<br>|
| Healthy people<br>healthy individuals matched for age and gender will also be included in the study. | Other: None intervention<br>* None intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tampa Kinesiophobia Scale | The TAMPA Kinesiophobia Scale consists of 17 questions. Each question is scored between 1-4. The maximum score is 68, with high scores indicating an increased severity of kinesiophobia. A score of more than 37 indicates high severity of kinesiophobia. | Six month | 
| Questionnaire on exercise barriers | This questionnaire contains a total of 35 obstacles. These obstacles are; symptom-related (n = 10), individual (n = 10), psychosocial (n = 8) and environmental (n = 7) factors. You will be asked if these obstacles prevent you from exercising. | Six month | 
| INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRES (IPAQ) | Physical activity level measured in Metabolic Equivalent | Six month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fatigue Severity Scale | This scale consists of nine items. Each item is scored between 1 and 7, and as the total score decreases, fatigue decreases. | Six month | 
| Hospital Anxiety and Depression Scale | The lowest score that patients can get from both subscales is 0, and the highest score is 21. A high score indicates high anxiety and depression values. | Six month | 
| Evaluation of Quality of Life: EORTC-Quality of Life -C 30 | High scores indicate a high quality of life, and low scores indicate a decreased quality of life. | Six month |