Streckmann, Fiona, Hess, Viviane, Bloch, Wilhelm, Decard, Bernhard F., Ritzmann, Ramona, Lehmann, Helmar C., Balke, Maryam, Koliamitra, Christina, Oschwald, Vanessa, Elter, Thomas, Zahner, Lukas, Donath, Lars, Roth, Ralf and Faude, Oliver (2019). Individually tailored whole-body vibration training to reduce symptoms of chemotherapy-induced peripheral neuropathy: study protocol of a randomised controlled trial-VANISH. BMJ Open, 9 (4). LONDON: BMJ PUBLISHING GROUP. ISSN 2044-6055

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Abstract

Introduction Chemotherapy-induced peripheral neuropathy (CIPN) is a prevalent and clinically meaningful side effect of cancer treatment. CIPN is induced by neurotoxic agents, causing severe sensory and/or motor deficits, resulting in disability and poor recovery, reducing patients' quality of life and limiting medical therapy. To date, effective treatment options are lacking. Whole-body vibration (WBV) training can attenuate motor and sensory deficits. We are conducting a two-armed, multicentre, assessor-blinded, randomised controlled trial, to investigate the effects of WBV on relevant symptoms of CIPN and determine the training characteristics. Methods and analysis In this ongoing study, 44 patients who have completed therapy in the past 3 months, with a neurologically confirmed CIPN are assessed before and after a 12-week intervention and follow-up. The intervention group receives WBV twice a week. Exercises are individually tailored according to the initially determined optimal neuromuscular response. The control group receives care as usual. Primary endpoint is the patient reported reduction of CIPN-related symptoms (Functional Assessment of Cancer Therapy/Gynaecology Oncology Group-Neurotoxicity). Secondary endpoints are compound muscle action potentials, distal motor latency, conduction velocity, F-waves from the tibial and peroneal nerve, antidromic sensory nerve conduction studies of the sural nerve, normalised electromyographic activity, peripheral deep sensitivity, proprioception, balance, pain, the feasibility of training settings, quality of life and the level of physical activity. Aim, ethics and dissemination The study was approved by both responsible ethics committees. (1) Our results may contribute to a better understanding of the effects of WBV on motor and sensory functions and (2) may provide information whether WBV at the most effective setting, is feasible for neuropathic patients. (3) Our results may also contribute to improve supportive care in oncology, thereby enhancing quality of life and enabling the optimal medical therapy. All results will be published in international peer-reviewed journals as well as a manual for clinical practice.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Streckmann, FionaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hess, VivianeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bloch, WilhelmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Decard, Bernhard F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ritzmann, RamonaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lehmann, Helmar C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Balke, MaryamUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koliamitra, ChristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oschwald, VanessaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Elter, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zahner, LukasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Donath, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roth, RalfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Faude, OliverUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-146611
DOI: 10.1136/bmjopen-2018-024467
Journal or Publication Title: BMJ Open
Volume: 9
Number: 4
Date: 2019
Publisher: BMJ PUBLISHING GROUP
Place of Publication: LONDON
ISSN: 2044-6055
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
QUALITY-OF-LIFE; BALANCE; EXERCISE; CANCER; QUESTIONNAIRE; NEUROTOXICITY; RELIABILITY; MANAGEMENT; VALIDITY; ADULTSMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14661

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