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Breast cancer is one of the most common types of cancer among women and one of the leading causes of morbidity and mortality. With increasing survival rates, issues such as treatment-related morbidities and consequently upper extremity dysfunction, reduced body awareness, and decreased quality of life are frequently encountered. In the literature, the impact of treatment-related morbidities-particularly on upper extremity functions, body awareness, and quality of life-among women who have survived breast cancer treatment has not been sufficiently investigated. This gap constitutes a significant shortcoming in terms of clinical practices and the post-treatment period.
This study aims to examine the effects of breast cancer treatment on upper extremity functions, body awareness, and quality of life in women who have survived breast cancer treatment, in comparison with a healthy control group. The study will be conducted at Yeditepe University Koşuyolu Hospital between May, 2025, and October, 2025. Participants will include women who have survived breast cancer treatment and a healthy control group matched based on criteria such as age and body mass index.
In the study, three separate assessments will be conducted for upper extremity functions: the "Quick Disabilities of the Arm, Shoulder, and Hand" (QuickDASH) questionnaire for upper extremity functionality, a hand dynamometer for grip strength, and the Clinometer device for shoulder joint position sense. The "Body Awareness Questionnaire" will be used to assess body awareness, and the "EORTC QLQ-C30" scale will be used for quality of life assessment. The IBM SPSS Statistics software package will be used for data analysis. In statistical analyses, a significance level of p<0.05 will be considered.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy control group | A group of healthy subjects, matched with the breast cancer group based on criteria such as age and body mass index, will be included in the study. | ||
| Breast cancer group | Women who have survived Stage 0-III breast cancer will be included in the study. |
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| Measure | Description | Time Frame |
|---|---|---|
| Body Awareness Scale | The scale consists of 18 items evaluated on a 7-point Likert scale and aims to determine the sensitivity level of body composition through 4 subgroups. The four sub-parameters of the scale are: "Changes in Body Processes," "Sleep-Wake Cycle," "Prediction of Illness Onset," and "Prediction of Bodily Reactions." | At the day of enrollment |
| Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire | The questionnaire will be used to determine individuals' levels of functionality. | At the day of enrollment |
| Hand Grip Strength Assessment | A Jamar Hand Dynamometer (Takei Scientific Instruments Co., Ltd - Japan) will be used to measure participants' maximum grip strength | At the day of enrollment |
| Shoulder Joint Position Sense | Shoulder joint position sense will be assessed using the "Clinometer" smartphone application. Goniometer and inclinometer applications, adapted for both iOS and Android systems, are low-cost methods with proven validity and reliability, accessible to a wide population | At the day of enrollment |
| European Organisation for Research and Treatment of Cancer Questionnaire | It consists of 30 items and includes three subscales for to assess disease spesific quality of life: global health status, functional status, and symptom control. | At the day of enrollment |
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Inclusion Criteria for breast cancer survivors:
Exclusion Criteria for breast cancer survivors:
Inclusion criteria for the control group:
Exclusion criteria for the control group:
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The study population consists of women who have survived breast cancer treatment at Yeditepe University Koşuyolu Hospital and a healthy control group. The sample will include breast cancer survivors and healthy controls who meet the inclusion and exclusion criteria and voluntarily agree to participate in the study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Seda Saka, PhD | Contact | 05447803417 | sedasaka@halic.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Seda Saka, PhD | Haliç University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Halic University | Recruiting | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| Yeditepe Hospital | Recruiting | Istanbul | Turkey (Türkiye) |
|
| D017437 |
| Skin and Connective Tissue Diseases |