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Current physical therapy care of patients undergoing breast reconstruction for breast cancer : a survey of practice in the United Kingdom and Brazil

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Mazuquin, Bruno F., Sunemi, Mariana Maia de Oliveira, e Silva, Marcela Ponzio Pinto, Sarian, Luís Otávio Zanatta, Williamson, Esther and Bruce, Julie (2021) Current physical therapy care of patients undergoing breast reconstruction for breast cancer : a survey of practice in the United Kingdom and Brazil. Brazilian Journal of Physical Therapy, 25 (2). pp. 175-185. doi:10.1016/j.bjpt.2020.05.010 ISSN 0963-7214.

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Official URL: https://doi.org/10.1016/j.bjpt.2020.05.010

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Abstract

In both the United Kingdom (UK) and Brazil, women undergoing mastectomy should be offered breast reconstruction. Patients may benefit from physical therapy to prevent and treat muscular deficits. However, there are uncertainties regarding which physical therapy program to recommend. Objective: The aim was to investigate the clinical practice of physical therapists for patients undergoing breast reconstruction for breast cancer. A secondary aim was to compare physical therapy practice between the UK and Brazil. Methods: Online survey with physical therapists in both countries. We asked about physical therapists’ clinical practice. Results: 181 physical therapists completed the survey, the majority were from Brazil (77%). Respondents reported that only half of women having breast reconstruction were routinely referred to physical therapy postoperatively. Contact with patients varied widely between countries, the mean number of postoperative sessions was 5.7 in the UK and 15.1 in Brazil. The exercise programs were similar for different reconstruction operations. Therapists described a progressive loading structure over time: range of motion (ROM) was restricted to 90◦of arm elevation in the first two postoperative weeks; by 2---4 weeks ROM was unrestricted; at 1---3 months muscle strengthening was initiated, and after three months the focus was on sports-specificactivities.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
R Medicine > RD Surgery
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Breast -- Cancer -- Surgery, Breast -- Cancer -- Patients -- Rehabilitation, Mammaplasty, Breast -- Cancer, Physical fitness -- Health aspects -- Research, Breast -- Cancer -- Treatment -- Research, Musculocutaneous flaps, Breast -- Cancer -- Physical therapy
Journal or Publication Title: Brazilian Journal of Physical Therapy
Publisher: Elsevier
ISSN: 0963-7214
Official Date: March 2021
Dates:
DateEvent
March 2021Published
4 June 2020Available
25 May 2020Accepted
Volume: 25
Number: 2
Page Range: pp. 175-185
DOI: 10.1016/j.bjpt.2020.05.010
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 3 July 2020
Date of first compliant Open Access: 4 June 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
2018/06161-0Fundação de Amparo à Pesquisa do Estado de São Paulohttp://viaf.org/viaf/147398725

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