Volume 24 Issue 3
Mar.  2026
Turn off MathJax
Article Contents
HUANG Yaqiong, ZHOU Fang, ZHU Weihong, ZOU Jing, CHEN Tiexia. Effect of multi-mode perception control and motion interactive rehabilitation on cancer related fatigue level of breast cancer patients undergoing chemotherapy[J]. Chinese Journal of General Practice, 2026, 24(3): 424-428. doi: 10.16766/j.cnki.issn.1674-4152.004411
Citation: HUANG Yaqiong, ZHOU Fang, ZHU Weihong, ZOU Jing, CHEN Tiexia. Effect of multi-mode perception control and motion interactive rehabilitation on cancer related fatigue level of breast cancer patients undergoing chemotherapy[J]. Chinese Journal of General Practice, 2026, 24(3): 424-428. doi: 10.16766/j.cnki.issn.1674-4152.004411

Effect of multi-mode perception control and motion interactive rehabilitation on cancer related fatigue level of breast cancer patients undergoing chemotherapy

doi: 10.16766/j.cnki.issn.1674-4152.004411
Funds:

 2022PY079

  • Received Date: 2025-04-09
    Available Online: 2026-06-02
  •   Objective  This study aims to explore the intervention effect of exercise interactive rehabilitation system (MPCI-R) based on multimodal perceptual control technology on cancer-related fatigue (CRF) in breast cancer patients undergoing chemotherapy, and evaluate its effect on cellular immune function, in order to provide a more interactive and individualized rehabilitation program for clinical practice.  Methods  Seventy patients undergoing postoperative chemotherapy for breast cancer at Hangzhou First People's Hospital between January and December 2023 were randomly assigned to a control group (n=34) and an intervention group (n=35) using the random number table. The control group received conventional exercise rehabilitation and comprehensive CRF management. The intervention group also received an 8-week MPCI-R (≥5 sessions per week, ≥150 minutes cumulatively, aerobic and resistance training combined with wearable sensors and virtual reality feedback). The primary outcome was the piper fatigue scale-Chinese (RPFS-C) score at baseline, 4 weeks, and 8 weeks. Secondary outcomes were the percentages of CD3+, CD4+, CD8+ T cells, and natural killer (NK) cells in peripheral blood (baseline and 8 weeks).  Results  Baseline RPFS-C did not differ between groups (P>0.05). At 4 and 8 weeks after intervention, the RPFS-C of the intervention group was lower than that of the control group [(4.23±1.52) vs. (5.59±1.40), t=3.873, P < 0.001; (3.43±1.34) vs. (5.06±1.35), t=5.049, P < 0.001]. Repeated-measures ANOVA indicated significant main effects of group and time and a group×time interaction (P < 0.001). At week 8, the intervention group had higher CD3+ T cells, CD4+ T cells, and NK cell proportions and lower CD8+ T cells proportion than controls (P < 0.05).  Conclusion  Adding MPCI-R to usual care significantly reduces CRF and favorably modulates immune cell profiles during chemotherapy for breast cancer, supporting its feasibility and potential for broader implementation.

     

  • loading
  • [1]
    SUNG H, FERLAY J, SIEGEL R L, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249.
    [2]
    王少明, 郑荣寿, 韩冰峰, 等. 2022年中国人群恶性肿瘤发病与死亡年龄特征分析[J]. 中国肿瘤, 2024, 33(3): 165-174.

    WANG S M, ZHENG R S, HAN B F, et al. Age distribution of cancer incidence and mortality in China in 2022[J]. China Cancer, 2024, 33(3): 165-174.
    [3]
    刘海凤, 戴晓燕, 桑娟, 等. 归因心理调适联合渐进性肌肉放松训练对乳腺癌化疗伴失眠患者身心健康的影响[J]. 中华全科医学, 2024, 22(4): 704-708. doi: 10.16766/j.cnki.issn.1674-4152.003484

    LIU H F, DAI X Y, SANG J, et al. Effect of attributed psychological adjustment combined with progressive muscle relaxation training on physical and mental health of patients with breast cancer chemotherapy and insomnia[J]. Chinese Journal of General Practice, 2024, 22(4): 704-708. doi: 10.16766/j.cnki.issn.1674-4152.003484
    [4]
    GUPTA A, HUSSAIN S M, NAYYAR H K, et al. Perception, magnitude, and implications of cancer-related fatigue in breast cancer survivors: study from a developing country[J]. J Cancer Res Ther, 2021, 17(4): 998-1002. doi: 10.4103/jcrt.JCRT_151_19
    [5]
    LIU Y C, HUNG T T, KONARA MUDIYANSELAGE S P, et al. Beneficial exercises for cancer-related fatigue among women with breast cancer: a systematic review and network meta-analysis[J]. Cancers (Basel), 2022, 15(1): 151. DOI: 10.3390/cancers15010151.
    [6]
    PEYRACHON R, RÉBILLARD A. Effects of active video games in patients with cancer: systematic review[J]. JMIR cancer, 2023, 9: e45037. DOI: 10.2196/45037.
    [7]
    ALVES I, MOREIRA A P, SOUSA T, et al. The effect of exergame rehabilitation on the quality of life of cancer patients undergoing abdominal surgery: a randomized controlled trial[J]. Supportive Care in Cancer, 2024, 32(12): 794. DOI: 10.1007/s00520-024-09005-0.
    [8]
    曹可鸣, 陈威, 尚荣国, 等. 细胞周期蛋白依赖性激酶4/6抑制剂联合氟维斯群治疗HR阳性/HER2阴性晚期乳腺癌患者的临床综合评价[J]. 临床药物治疗杂志, 2024, 22(S1): 74-80.

    CAO K M, CHEN W, SHANG R G, et al. Clinical comprehensive evaluation of CDK4/6 inhibitor combined with fulvestrant in HR+/HER2-advanced breast cancer patients[J]. Clinical Medication Journal, 2024, 22(S1): 74-80.
    [9]
    KIM S, HAN J, LEE M Y, et al. The experience of cancer-related fatigue, exercise and exercise adherence among women breast cancer survivors: insights from focus group interviews[J]. J Clin Nurs, 2020 29(5-6): 758-769. doi: 10.1111/jocn.15114
    [10]
    邓茹丹, 刘恩慧, 周娟, 等. 三联预康复对晚期三阴性乳腺癌患者生活质量及负性情绪的临床疗效观察[J]. 北京医学, 2025, 47(12): 997-1002.

    DENG R D, LIU E H, ZHOU J, et al. Clinical observation of effects of trimodal prehabilitation on quality of life and negative emotions in patients with advanced triple-negative breast cancer[J]. Beijing Medical Journal, 2025, 47(12): 997-1002.
    [11]
    易心武, 薛锦云, 游珍, 等. 沉浸式虚拟现实多模态交互模型研究[J]. 江西师范大学学报(自然科学版), 2024, 48(1): 52-58.

    YI X W, XUE J Y, YOU Z, et al. The study on immersive virtual reality multimodal interaction model[J]. Journal of Jiangxi Normal University(Natural Science Edition), 2024, 48(1): 52-58.
    [12]
    武文斌, 胡培, 景红霞, 等. 多模态影像在三阴性乳腺癌诊断中的应用价值[J]. 中华实用诊断与治疗杂志, 2021, 35(12): 1212-1217.

    WU W B, HU P, JING H X, et al. Value of multimodality imaging to the diagnosis of triple negative breast cancer[J]. Journal of Chinese Practical Diagnosis and Therapy, 2021, 35(12): 1212-1217.
    [13]
    FEIL K, FRITSCH J, RHODES R E. The intention-behaviour gap in physical activity: a systematic review and meta-analysis of the action control framework[J]. Br J Sports Med, 2023, 57(19): 1265-1271. doi: 10.1136/bjsports-2022-106640
    [14]
    中国抗癌协会乳腺癌专业委员会. 中国抗癌协会乳腺癌诊治指南与规范(2021年版)[J]. 中国癌症杂志, 2021, 31(10): 954-1040.

    Breast Cancer Professional Committee of China Anti-Cancer Association. Guidelines and norms for breast cancer diagnosis and treatment of China Anti-Cancer Association (2021 Edition)[J]. China Oncology, 2021, 31(10): 954-1040.
    [15]
    中华医学会肿瘤分会支持康复治疗学组. 中国癌症相关性疲乏临床实践诊疗指南(2021年版)[J]. 中国癌症杂志, 2021, 31(9): 852-872.

    Tumor Support and Rehabilitation Therapy Group, the Oncology Committee of Chinese Medical Association. Clinical practice guidelines for cancer-related fatigue in China(2021 edition)[J]. China Oncology, 2021, 31(9): 852-872.
    [16]
    张如娜, 段霞. 乳腺癌放化疗患者癌因性疲乏运动干预最佳证据总结[J]. 现代临床护理, 2023, 22(4): 64-70.

    ZHANG R N, DUAN X. Best evidences of exercise interventions for cancer-related fatigue in patients undergoing radiochemotherapy for breast cancer[J]. Modern Clinical Nursing, 2023, 22(4): 64-70.
    [17]
    FOX R S, ANCOLI-ISRAEL S, ROESCH S C, et al. Sleep disturbance and cancer-related fatigue symptom cluster in breast cancer patients undergoing chemotherapy[J]. Support Care Cancer, 2020, 28(2): 845-855.
    [18]
    何佩佩, 陈丽, 孙淼娟, 等. 基于系统教学模式的腹膜透析患者再培训方案的构建及应用[J]. 中华护理杂志, 2024, 59(2): 149-155.

    HE P P, CHEN L, SUN M J, et al. Construction of a retraining model for peritoneal dialysis patients based on ADDIE model[J]. Chinese Journal of Nursing, 2024, 59(2): 149-155.
    [19]
    SO W K W, DOGSON J, TAI J W M. Fatigue and quality of lifeamong Chinese patients with hematologic malignancy after bone marrow transplantation[J]. Cancer Nursing, 2003, 26(3): 211-219. doi: 10.1097/00002820-200306000-00006
    [20]
    胡岚坤. 心理干预配合临床护理路径在乳腺癌整形保乳术围手术期的效果观察: 评《乳腺癌的治疗与护理》[J]. 中国临床研究, 2025, 38(9): 1463.

    HU L K. Effect of psychological intervention combined with clinical nursing pathway in the perioperative period of plastic breast-conserving surgery for breast cancer: a review of the Treatment and nursing of breast Cancer[J]. Chinese Journal of Clinical Research, 2025, 38(9): 1463.
    [21]
    CERBAS S, KELEMEN A, LIANG Y, et al. A physical activity mobile game for hematopoietic stem cell transplant patients: App design, development, and evaluation[J]. JMIRx Med, 2021, 2(2): e20461. DOI: 10.2196/20461.
    [22]
    WANG Y, ZHANG X T, WANG L. Assessing the intention to use sports bracelets among Chinese university students: an extension of technology acceptance model with sports motivation[J]. Front Psychol, 2022, 13(3): 594-607.
    [23]
    SCOTT J M, LEE J, HERNDON J E, et al. Timing of exercise therapy when initiating adjuvant chemotherapy for breast cancer: a randomized trial[J]. Eur Heart J, 2023, 44(46): 4878-4889. doi: 10.1093/eurheartj/ehad085
    [24]
    HOLMEN OLOFSSON G, MIKKELSEN M K, RAGLE A M, et al. High intensity aerobic exercise training and immune cell mobilization in patients with lung cancer (HI AIM): a randomized controlled trial[J]. BMC Cancer, 2022, 22(1): 246. DOI: 10.1186/s12885-022-09349-y.
    [25]
    李欣, 徐咏梅, 富琦, 等. 节拍化疗治疗老年晚期乳腺癌的研究进展[J]. 北京医学, 2024, 46(8): 679-683.

    LI X, XU Y M, FU Q, et al. Research progress of metronomic chemotherapy in the treatment of elderly patients with advanced breast cancer[J]. Beijing Medical Journal, 2024, 46(8): 679-683.
    [26]
    LAVÍN-PÉREZ A M, COLLADO-MATEO D, ABBASI S, et al. Effects of exercise on immune cells with tumor-specific activity in breast cancer patients and survivors: a systematic review and meta-analysis[J]. Support Care Cancer, 2023, 31(9): 507. DOI: 10.1007/s00520-023-07968-0.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (1) PDF downloads(0) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return