Biofeedback in Breast Cancer Rehabilitation: Applying the WHO ICF Core Set to Identify Opportunities and Recommendations

Abstract

Digital biofeedback technologies are used in physical rehabilitation to improve motor learning and enhance engagement with therapies, but they are unfrequently used in breast cancer rehabilitation. Digital biofeedback interventions should be custom-made for the specific breast cancer context. The WHO ICF Core Set for Breast Cancer describes this context by itemising the biopsychosocial and environmental factors associated with breast cancer. We analysed this Core Set to identify opportunities for biofeedback intervention, and to make recommendations for successful, inclusive design of digital biofeedback interventions in breast cancer rehabilitation. Impairments of strength, joint movement and upper limb function present opportunities for the development of digital biofeedback interventions. Factors related to sensory loss, lymphoedema, chemotherapy-related cognitive dysfunction and fatigue should be considered when designing and evaluating biofeedback systems.