About this trial
The goal of this clinical trial is to assess the feasibility, acceptability, and safety of a supervised home-based physiotherapy programme for adult oncology patients. The programme combines aerobic cycling exercise, resistance training, and mental preparation strategies, delivered at home with regular professional supervision.
The main questions this study aims to answer are:
Is a 6-month supervised home-based physiotherapy programme feasible in terms of recruitment, adherence, and retention?
Is the programme safe for oncology patients undergoing or having recently completed cancer treatment?
Is the programme acceptable and satisfactory from the patient's perspective?
How do physical function and health-related quality of life change over the course of the programme?
This is a single-arm feasibility study with no comparison group.
Participants will:
Receive a stationary exercise bike delivered and installed at their home
Follow a 6-month individualized physiotherapy programme including:
Three weekly sessions combining moderate-intensity cycling and resistance exercises
Wear a connected activity watch during exercise sessions to monitor heart rate and exercise duration
Receive weekly supervision from oncology-trained physiotherapists through alternating in-person hospital visits and structured phone calls
Complete physical function assessments and questionnaires on quality of life, fatigue, and programme satisfaction at baseline, mid-program, and study completion
The results of this study will inform the design of a future larger controlled trial and contribute to the development of accessible home-based rehabilitation programmes for oncology patients.
Eligibility criteria
Qualifiers
Age ≥ 18 years
Diagnosis of solid cancer, undergoing or recently completed treatment.
Overall survival greater than 12 months, as judged by the treating oncologist
Clinically stable and deemed fit for moderate exercise by the treating oncologist
Disqualifiers
Medical contraindication to moderate exercise (e.g. uncontrolled cardiac or pulmonary disease, recent myocardial infarction, severe anemia or acute infection, unstable bone metastases or high fracture risk)
Cognitive impairment preventing active participation
Physical inability to perform the prescribed exercise programme, including cycling and resistance exercises.
Participation in another intensive rehabilitation program
Trial design
Treatments tested in this trial
- Home-based cycling + resistance training with physiotherapist supervision