Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06904989

Implementation and Evaluation of a New Cancer Rehabilitation Process for Chemotherapy-Induced Foot Neuropathy Using Orthopedic Devices in Breast Cancer Patients

Led by Vastra Gotaland Region · Updated on 2025-04-01

40

Participants Needed

1

Research Sites

17 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a new rehabilitation process to assess and relieve chemotherapy-induced peripheral neuropathy in the feet of patients treated for early-stage breast cancer. This study compares two orthopedic supports: a standard treatment using customized insoles and shoes, and a novel silicone orthosis designed as a soft, sock-like device for indoor use. The goal is to understand if the silicone orthosis can reduce symptoms and improve function compared to standard treatment. Participants will be randomly assigned to receive either the customized insoles and shoes or the silicone orthosis along with the standard treatment. The study involves initial assessments including symptom grading, foot health questionnaires, quality of life scales, and 3D foot scanning. Activity levels will be tracked using an activity sensor worn on the leg for two weeks. Participants using the silicone orthosis will keep a diary of device usage. Follow-ups occur 3 to 6 weeks after starting the intervention to evaluate symptom changes and patient experiences. During the study, participants will undergo foot examinations and complete questionnaires about their symptoms, foot health, and quality of life. Mobility and activity patterns will be monitored objectively with activity trackers. Follow-up may be conducted in person, by phone, or digitally, lasting about 45 minutes. The main outcomes include changes in neuropathy symptoms and physical activity after 3 to 6 weeks of using the orthopedic devices. This research aims to improve rehabilitation care for breast cancer survivors experiencing foot neuropathy from chemotherapy.

CONDITIONS

Brief Title

A New Cancer Rehabilitation Process for Chemotherapy-Induced Foot Neuropathy Using Orthopedic Devices

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with breast cancer receiving treatment at the Oncology Department, Sahlgrenska University Hospital
  • Have undergone treatment with taxanes
  • Aged 18 years or older
  • Able to understand spoken and written Swedish
  • Able to walk with or without assistive devices
  • CTCAE grading above 2 after completing treatment
Not Eligible

You will not qualify if you...

  • Bilateral amputation at the thigh level
  • Previously diagnosed neurological disease or neurological impairment affecting the feet

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Orthopedic Assessment and Device Fitting

Duration - 1 week

Participants undergo a detailed foot assessment including symptom grading, quality-of-life questionnaires, structured foot examination, and 3D foot scanning. Based on random assignment, participants receive either customized orthopedic insoles and shoes or a silicone orthosis for indoor use, along with guidance on footwear and seamless socks.

1 visit (in-person) for assessment and device fitting

Activity Monitoring

Duration - 2 weeks

Participants wear an activity tracker on their leg for two weeks to monitor mobility and functional changes. Those in the silicone orthosis group also keep a daily diary of device usage.

Continuous monitoring over 2 weeks

Follow-Up and Outcome Evaluation

Duration - 3 to 6 weeks

Follow-up assessments are conducted 3 to 6 weeks after receiving the orthopedic device. Participants undergo repeat symptom grading, complete self-reported foot health and quality-of-life questionnaires, and participate in semi-structured interviews to discuss their experiences and satisfaction with the intervention.

1 follow-up visit (in-person, phone, or digital) lasting about 45 minutes

Trial Site Locations

Total: 1 location

1

Sahlgrenska University Hospital

Gothenburg, Sweden, 413 45

Actively Recruiting

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Research Team

M

Malin Rydholm, MD

U

Ulla Hellstrand Tang, Orthopedic engineer

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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