{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:51:31Z","timestamp":1787028691495,"version":"build-2736575974"},"reference-count":36,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFMK"],"abstract":"<jats:p>Telemedicine was shown to be indispensable during the SARS-CoV-2 pandemic to ensure continuity of care for fragile patients. We compared a telerehabilitation program versus an outpatient rehabilitation program in women with breast cancer undergoing quadrantectomy surgery. There were 56 women with breast cancer divided into two groups: the treatment group (TG), made up of 24 patients undergoing a remote rehabilitation project program; and the control group (CG), composed of 32 patients subjected to the same rehabilitation project program in an outpatient setting. At the time of enrollment (T0) and the end of the 8 weeks of treatment (T1), the following questionnaire scores were considered: numerical rating scale (NRS), Disabilities of the Arm, Shoulder and Hand questionnaire (Quick-DASH), Piper fatigue scale (PFS)m and Breast Cancer Therapy Functional Rating Scale (FACT-B). We observed that the CG showed greater improvements than the TG in upper limb function (7.8 \u00b1 4.2 vs. 10.9 \u00b1 4.9; p &lt; 0.05) and quality of life (27.9 \u00b1 7.2 vs. 40.0 \u00b1 3.3; p &lt; 0.05). No difference in efficacy between the two groups was observed for pain (2.2 \u00b1 0.6 vs. 2.3 \u00b1 0.9; p = 0.64) and fatigue (3.2 \u00b1 1.1 vs. 3.2 \u00b1 0.6; p = 0.66). Telerehabilitation is a valid tool in the management of women with breast cancer in the postoperative phase. However, face-to-face rehabilitation treatment may be preferred because it is more effective as it allows the construction of a specific, personalized, and targeted rehabilitation program.<\/jats:p>","DOI":"10.3390\/jfmk8030105","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T01:51:47Z","timestamp":1690509107000},"page":"105","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effect of Telerehabilitation and Outpatient Rehabilitation in Women with Breast Cancer"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5035-2288","authenticated-orcid":false,"given":"Dalila","family":"Scaturro","sequence":"first","affiliation":[{"name":"Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, 90127 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1630-1575","authenticated-orcid":false,"given":"Fabio","family":"Vitagliani","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Surgery, University of Catania, 90121 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Silvia","family":"Mangano","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Surgery, University of Catania, 90121 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Tomasello","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Surgery, University of Palermo, 90127 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5345-9902","authenticated-orcid":false,"given":"Cristiano","family":"Sconza","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine, Humanitas Clinical and Research Centre IRCSS, 20019 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Respizzi","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine, Humanitas Clinical and Research Centre IRCSS, 20019 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Vecchio","sequence":"additional","affiliation":[{"name":"Section of Pharmacology, Department of Biomedical and Biotechnological Sciences, University of Catania, 95124 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Letizia Mauro","sequence":"additional","affiliation":[{"name":"Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, 90127 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.2991\/jegh.k.191008.001","article-title":"Current Cancer Epidemiology","volume":"9","author":"Mattiuzzi","year":"2019","journal-title":"J. Epidemiol. Glob. Health"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.3233\/BMR-210012","article-title":"Early Denosumab for the prevention of osteoporotic fractures in breast cancer women undergoing aromatase inhibitors: A case-control retrospective study","volume":"35","author":"Scaturro","year":"2022","journal-title":"J. Back Musculoskelet. Rehabil."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s10549-013-2462-9","article-title":"Postoperative complications and survival of elderly breast cancer patients: A FOCUS study analysis","volume":"138","author":"Kiderlen","year":"2013","journal-title":"Breast Cancer Res. Treat"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"100470","DOI":"10.1016\/j.currproblcancer.2019.02.002","article-title":"Axillary web syndrome: Incidence, pathogenesis, and management","volume":"43","author":"Dinas","year":"2019","journal-title":"Curr. Probl. Cancer"},{"key":"ref_5","first-page":"13","article-title":"Axillary web syndrome following breast cancer surgery: Symptoms, complications, and management strategies","volume":"11","author":"Koehler","year":"2018","journal-title":"Breast Cancer"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.soncn.2016.11.010","article-title":"Exercise for the Patient after Breast Cancer Surgery","volume":"33","author":"Wilson","year":"2017","journal-title":"Semin. Oncol. Nurs."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1016\/j.apmr.2015.01.006","article-title":"Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: A systematic review","volume":"96","author":"DeGroef","year":"2015","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_8","first-page":"601","article-title":"Early rehabilitation reduces the onset of complications in the upper limb following breast cancer surgery","volume":"48","author":"Scaffidi","year":"2012","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_9","first-page":"7","article-title":"The worldwide impact of telemedicine during COVID-19: Current evidence and recommendations for the future","volume":"1","author":"Omboni","year":"2022","journal-title":"Connect Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1093\/jamia\/ocaa072","article-title":"COVID-19 transforms health care through telemedicine: Evidence from the field","volume":"27","author":"Mann","year":"2020","journal-title":"J. Am. Med. Inform. Assoc."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"287","DOI":"10.3233\/NRE-2010-0612","article-title":"Ten years of telerehabilitation: A literature overview of technologies and clinical applications","volume":"27","author":"Rogante","year":"2010","journal-title":"NeuroRehabilitation"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1080\/09638280802062553","article-title":"A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation","volume":"31","author":"Kairy","year":"2009","journal-title":"Disabil. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"pzab053","DOI":"10.1093\/ptj\/pzab053","article-title":"Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview","volume":"101","author":"Seron","year":"2021","journal-title":"Phys. Ther."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Park, H.Y., Nam, K.E., Lim, J.Y., Yeo, S.M., Lee, J.I., and Hwang, J.H. (2022). Real-Time Interactive Digital Health Care System for Postoperative Breast Cancer Patients: A Randomized Controlled Trial. Telemed. J. E Health, ahead of print.","DOI":"10.1089\/tmj.2022.0360"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"8","DOI":"10.4103\/ijnmr.ijnmr_472_20","article-title":"Telerehabilitation and Monitoring Physical Activity in Patient with Breast Cancer: Systematic Review","volume":"27","author":"Keikha","year":"2022","journal-title":"Iran. J. Nurs. Midwifery. Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3166","DOI":"10.1002\/cncr.30172","article-title":"Telehealth system: A randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors","volume":"122","year":"2016","journal-title":"Cancer"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1249\/MSS.0b013e3181e0c112","article-title":"American College of Sports Medicine. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors","volume":"42","author":"Schmitz","year":"2010","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.jpainsymman.2010.08.016","article-title":"European Palliative Care Research Collaborative (EPCRC). Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: A systematic literature review","volume":"41","author":"Hjermstad","year":"2011","journal-title":"J. Pain Symptom. Manag."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.apmr.2013.09.016","article-title":"Validation of QuickDASH outcome measure in breast cancer survivors for upper extremity disability","volume":"95","author":"LeBlanc","year":"2014","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_20","first-page":"677","article-title":"The revised Piper Fatigue Scale: Psychometric evaluation in women with breast cancer","volume":"25","author":"Piper","year":"1998","journal-title":"Oncol. Nurs. Forum."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"157","DOI":"10.2217\/cer.14.76","article-title":"EORTC QLQ-BR23 and FACT-B for the assessment of quality of life in patients with breast cancer: A literature review","volume":"4","author":"Nguyen","year":"2015","journal-title":"J. Comp. Eff. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"2245","DOI":"10.3109\/09638288.2013.774441","article-title":"Rehabilitation following cancer treatment","volume":"35","author":"Egan","year":"2013","journal-title":"Disabil. Rehabil."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"633","DOI":"10.23736\/S1973-9087.17.04551-8","article-title":"Multidisciplinary rehabilitation program after breast cancer: Benefits on physical function, anthropometry and quality of life","volume":"53","author":"Leclerc","year":"2017","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1007\/s11764-020-00884-w","article-title":"Addressing the needs of cancer survivors during the COVID-19 pandemic","volume":"14","author":"Nekhlyudov","year":"2020","journal-title":"J. Cancer Surviv."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Piraux, E., Caty, G., Reychler, G., Forget, P., and Deswysen, Y. (2020). Feasibility and Preliminary Effectiveness of a Tele-Prehabilitation Program in Esophagogastric Cancer Patients. J. Clin. Med., 9.","DOI":"10.3390\/jcm9072176"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Loubani, K., Schreuer, N., and Kizony, R. (2022). Telerehabilitation for Managing Daily Participation among Breast Cancer Survivors during COVID-19: A Feasibility Study. J. Clin. Med., 11.","DOI":"10.3390\/jcm11041022"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"7502205030p1","DOI":"10.5014\/ajot.2021.042119","article-title":"Feasibility of Remote Occupational Therapy Services via Telemedicine in a Breast Cancer Recovery Program","volume":"75","author":"Lai","year":"2021","journal-title":"Am. J. Occup. Ther."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1186\/1745-6215-14-187","article-title":"Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: Rationale and study protocol for a randomized clinical trial","volume":"14","year":"2013","journal-title":"Trials"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1682\/JRRD.2010.05.0089","article-title":"Effect of home-based exercise program on lymphedema and quality of life in female postmastectomy patients: Pre-post intervention study","volume":"48","author":"Gautam","year":"2011","journal-title":"J. Rehabil. Res. Dev."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s13063-022-07015-z","article-title":"Telehealth multicomponent exercise and health education in breast cancer patients undergoing primary treatment: Rationale and methodological protocol for a randomized clinical trial (ABRACE: Telehealth)","volume":"24","author":"Henkin","year":"2023","journal-title":"Trials"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.rehab.2019.07.007","article-title":"Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors: Randomized controlled trial","volume":"63","year":"2020","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"321","DOI":"10.3138\/ptc.2012-06","article-title":"The efficacy of exercise therapy in reducing shoulder pain related to breast cancer: A systematic review","volume":"65","author":"Tatham","year":"2013","journal-title":"Physiother. Can."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"443","DOI":"10.3349\/ymj.2008.49.3.443","article-title":"Effects of supervised exercise therapy in patients receiving radiotherapy for breast cancer","volume":"49","author":"Hwang","year":"2008","journal-title":"Yonsei Med. J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.ypmed.2017.07.015","article-title":"Exercise interventions for individuals with advanced cancer: A systematic review","volume":"104","author":"Dittus","year":"2017","journal-title":"Prev. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/j.1365-2354.2009.01161.x","article-title":"Interest and preferences for exercise counselling and programming among Norwegian cancer survivors","volume":"20","author":"Gjerset","year":"2011","journal-title":"Eur. J. Cancer Care"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"3633","DOI":"10.1007\/s00520-015-2916-1","article-title":"Cancer rehabilitation and palliative care: Critical components in the delivery of high-quality oncology services","volume":"23","author":"Silver","year":"2015","journal-title":"Support. Care Cancer"}],"container-title":["Journal of Functional Morphology and Kinesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2411-5142\/8\/3\/105\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:20:32Z","timestamp":1760127632000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2411-5142\/8\/3\/105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,27]]},"references-count":36,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["jfmk8030105"],"URL":"https:\/\/doi.org\/10.3390\/jfmk8030105","relation":{},"ISSN":["2411-5142"],"issn-type":[{"value":"2411-5142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,27]]}}}