Die Wirkung von Elektrostimulations- und Kompressionsanwendungen auf Neuropathiesymptome und Lebensqualität bei der Behandlung der Chemotherapie-induzierten peripheren Neuropathie bei Patienten mit gastrointestinalen Systemkrebserkrankungen, die eine Oxaliplatin-basierte Behandlung erhalten
Die Wirkung von Elektrostimulations- und Kompressionsanwendungen auf Neuropathiesymptome und Lebensqualität bei der Behandlung von Chemotherapie-induzierter peripherer Neuropathie bei gastrointestinalen Krebspatienten mit Oxaliplatin-basierter Behandlung
Diese Forschung wurde durchgeführt, um die Wirkung von Elektrostimulations- und Kompressionsanwendungen auf die Schwere, Anzahl und Schmerzintensität von Neuropathiesymptomen sowie die Lebensqualität von Patienten mit metastasierendem gastrointestinalem Karzinom, die eine Oxaliplatin-basierte Behandlung erhalten, beim Management der chemotherapieinduzierten peripheren Neuropathie zu bewerten.
Die Studienpopulation bestand aus Patienten mit gastrointestinalem Karzinom zwischen 2025-2026. Datenerhebungsinstrumente wurden bei Patienten angewendet, die die Einschlusskriterien erfüllten und eine chemotherapieinduzierte periphere Neuropathie entwickelten. Die Patienten wurden dann nach Alter und Geschlecht stratifiziert und mittels Blockrandomisierung den Gruppen "Kontrollgruppe, Elektrostimulationsgruppe, Kompressionsgruppe und Elektrostimulations+Kompressionsgruppe" zugeordnet. Eine statistische Poweranalyse bestimmte die Gesamtzahl der Teilnehmer in der Studie auf 140 Patienten, mit 35 Patienten in jeder Gruppe. Patienten in der Kontrollgruppe profitierten von den Standardverfahren der Klinik und erhielten keine Intervention.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Sivas
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Sivas, Sivas, Türkei (türkiye), 58010
- Sivas Cumhuriyet University Health Services Application and Research Hospital
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Einschlusskriterien:
- Mindestens 18 Jahre alt sein,
- Diagnose eines metastasierten gastrointestinalen Karzinoms (Magen, Bauchspeicheldrüse, Dickdarm, Mastdarm) haben,
- Geplant sind 6 Zyklen Chemotherapie,
- Ein Zyklus einer Oxaliplatin-basierten Chemotherapie (FOLFOX und FOLFİRİNOX) erhalten haben,
- Keine diagnostizierte psychische Störung haben,
- Keine Hautprobleme in den Bereichen haben, in denen TENS und Kompressionsanwendungen durchgeführt werden,
- Die Einwilligungserklärung nach Aufklärung und Erläuterung der Studie mündlich und schriftlich genehmigt haben.
Ausschlusskriterien:
- Zuvor eine Oxaliplatin-basierte Behandlung (Monotherapie oder Kombination) erhalten haben,
- Einen Herzschrittmacher haben,
- Eine Vorgeschichte von Hautempfindlichkeit an Händen und Füßen haben,
- Eine andere neurotoxische Chemotherapie neben der Oxaliplatin-basierten Behandlung erhalten haben oder derzeit erhalten,
- Periphere Neuropathie aus anderen Gründen als Chemotherapie entwickelt haben [Tumorkompression, Ernährungsdefizite, Infektionen oder schwerwiegende systemische Erkrankungen (Diabetes mellitus usw.)].
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Unterstützende Pflege
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: TENS Group
Participants received the TENS intervention at each scheduled session from Cycle 2 through Cycle 6 during oxaliplatin-based chemotherapy, in addition to usual care.
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TENS was delivered using the F. Bosch FB2405 TENS+EMS dual-channel device with four 5 × 5-cm surface electrodes placed bilaterally over PC6 and KI1.
Program 4 provided a modulated pulse rate of 2-60 Hz and a pulse width of 156-260 microseconds.
The device output was adjustable from 0-80 mA per channel into a 500-Ω load, but no fixed mA value was used.
Intensity was individually titrated to a strong, comfortable, non-painful sensory level without visible muscle contraction.
Each session lasted 180 minutes: 30 minutes before, throughout the 120-minute oxaliplatin infusion, and 30 minutes after the infusion.
Sessions were administered every 14 days from Cycle 2 through Cycle 6, for five sessions.
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Experimental: Compression group
Participants received the compression intervention at each scheduled session from Cycle 2 through Cycle 6 during oxaliplatin-based chemotherapy, in addition to usual care.
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Bilateral compression of the hands and feet was applied using Beybi Sensitive surgical gloves one size smaller than the participant's measured glove size and knee-high Varimed CCL II graduated compression stockings providing 23-32 mmHg.
Each session lasted 180 minutes: 30 minutes before, throughout the 120-minute oxaliplatin infusion, and 30 minutes after the infusion.
Sessions were administered every 14 days from Cycle 2 through Cycle 6, for five sessions.
All applications were individually fitted and directly supervised by the same research nurse.
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Experimental: Sequential TENS Plus Compression Group
Participants received TENS followed by compression at each scheduled intervention session from Cycle 2 through Cycle 6 during oxaliplatin-based chemotherapy, in addition to usual care.
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Participants received 90 minutes of TENS followed immediately by 90 minutes of bilateral hand-and-foot compression, using the same devices, parameters, electrode placement, gloves, and stockings as in the monotherapy groups.
TENS began 30 minutes before the oxaliplatin infusion and continued during the first 60 minutes of the 120-minute infusion.
After TENS was stopped and the electrodes were removed, compression was applied during the remaining 60 minutes of the infusion and for 30 minutes afterward.
The total sequential intervention lasted 180 minutes.
Sessions were administered every 14 days from Cycle 2 through Cycle 6, for five sessions.
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Kein Eingriff: Usual Care Control Group
Participants received usual care from Cycle 2 through Cycle 6 and received no study-specific TENS or compression intervention.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Baseline-Adjusted EORTC QLQ-CIPN20 Total Score Trajectory Across T1-T4
Zeitfenster: Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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The EORTC QLQ-CIPN20 is a 20-item patient-reported questionnaire assessing sensory, motor, and autonomic symptoms associated with chemotherapy-induced peripheral neuropathy. Scores are linearly transformed to a 0-100 scale, with higher scores indicating greater CIPN-related symptom burden. The primary outcome was the baseline-adjusted post-baseline trajectory of the EORTC QLQ-CIPN20 total score across T1-T4. The assessments before Cycles 3-6 (T1-T4) were modelled jointly, with the score obtained before Cycle 2 (T0) included as the baseline covariate. The overall Group-by-Time interaction constituted the primary treatment-effect test. Baseline-adjusted between-group contrasts at T4 constituted the primary endpoint pairwise comparisons. |
Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Baseline-Adjusted EORTC QLQ-C30 Scale Score Trajectories Across T1-T4
Zeitfenster: Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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The EORTC QLQ-C30 is a 30-item patient-reported questionnaire assessing health-related quality of life in patients with cancer. It includes five functional scales, three symptom scales, a global health status/quality-of-life scale, and six single-item symptom measures. Scores are linearly transformed to a 0-100 scale. Higher functional and global health status scores indicate better functioning and quality of life, whereas higher symptom scores indicate greater symptom burden. For each EORTC QLQ-C30 scale, the assessments before Cycles 3-6 (T1-T4) were modelled jointly, with the corresponding score obtained before Cycle 2 (T0) included as the baseline covariate. The Group-by-Time interaction was evaluated as a secondary treatment-period effect. |
Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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NCI-CTCAE v5.0 Peripheral Sensory Neuropathy Grade Across T1-T4
Zeitfenster: Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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Chemotherapy-induced peripheral sensory neuropathy severity was assessed by a medical oncologist using the clinician-rated National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0). Peripheral sensory neuropathy was graded from 0 to 4, with higher grades indicating greater severity and functional impairment. Because all participants were classified as Grade 2 at T0 and sparse or zero cells prevented stable repeated-measures categorical modelling, grade distributions were compared among the randomized groups separately at each post-baseline treatment-period assessment from T1 to T4. |
Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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DN4 Total Score Trajectory and DN4-Defined Neuropathic Pain Positivity Across T1-T4
Zeitfenster: Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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Neuropathic pain was assessed using the Douleur Neuropathique en 4 Questions (DN4), a 10-item clinician-administered instrument comprising seven symptom-interview items and three clinical-examination items. The total score ranges from 0 to 10, with higher scores indicating a greater number of neuropathic pain features. A score of 4 or higher was classified as DN4-defined neuropathic pain positivity. The DN4 total scores obtained before Cycles 3-6 (T1-T4) were modelled jointly, with the DN4 total score obtained before Cycle 2 (T0) included as the baseline covariate. The Group-by-Time interaction was evaluated as a continuous secondary treatment-period effect. DN4-defined neuropathic pain positivity was compared among the randomized groups separately at each T1-T4 assessment. |
Before Cycles 3, 4, 5, and 6 (T1-T4), corresponding to 2, 4, 6, and 8 weeks after the T0 assessment before Cycle 2; each chemotherapy cycle lasted 14 days.
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Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Exploratory QLQ-CIPN20 Total Scores at 6-Month Follow-up
Zeitfenster: At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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The EORTC QLQ-CIPN20 total score was assessed at the prespecified 6-month follow-up.
Scores range from 0 to 100, with higher scores indicating greater CIPN-related symptom burden.
This assessment was analyzed separately as an exploratory follow-up outcome and was not included in the primary T0-T4 treatment-period analysis.
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At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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Exploratory EORTC QLQ-C30 Scale Scores at 6-Month Follow-up
Zeitfenster: At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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EORTC QLQ-C30 scale scores were assessed exploratorily at the prespecified long-term follow-up.
Scores range from 0 to 100.
Higher functional and global health status scores indicate better functioning and quality of life, whereas higher symptom scores indicate greater symptom burden.
This assessment was conducted to examine participants' health-related quality-of-life status after the extended follow-up interval.
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At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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Exploratory NCI-CTCAE v5.0 Peripheral Sensory Neuropathy Grade at 6-Month Follow-up
Zeitfenster: At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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Peripheral sensory neuropathy severity was assessed exploratorily at the prespecified long-term follow-up using NCI-CTCAE v5.0.
Neuropathy is graded from 0 to 5, with higher grades indicating greater severity and functional impairment.
This assessment was conducted to examine participants' neuropathy status after the extended follow-up interval.
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At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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Exploratory DN4 Total Score and Neuropathic Pain Positivity at 6-Month Follow-up
Zeitfenster: At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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Neuropathic pain was assessed exploratorily at the prespecified long-term follow-up using the DN4.
Total scores range from 0 to 10, with higher scores indicating more neuropathic pain features.
A score of 4 or higher was classified as positive for neuropathic pain.
This assessment was conducted to examine participants' neuropathic pain status after the extended follow-up interval.
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At 6 months after completion of Cycle 6 (T5 exploratory follow-up assessment); each chemotherapy cycle lasted 14 days.
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Şerife KARAGÖZOĞLU, Proff., Cumhuriyet University
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Neubildungen nach Standort
- Neubildungen
- Neoplasmen des Verdauungssystems
- Erkrankungen des Verdauungssystems
- Magen-Darm-Erkrankungen
- Gastrointestinale Neubildungen
- Therapeutika
- Physiotherapiemodalitäten
- Rehabilitation
- Anästhesie und Analgesie
- Elektrische Stimulationstherapie
- Analgesie
- Transkutane Elektro -Nervenstimulation
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CumhuriyetU-SBE-SÖ-1
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IPD-Sharing-Zeitrahmen
IPD-Sharing-Zugriffskriterien
Art der unterstützenden IPD-Freigabeinformationen
- STUDIENPROTOKOLL
- SAFT
- ANALYTIC_CODE
- CSR
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