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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
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Official URL: https://doi.org/10.1016/j.bjpt.2020.05.010
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 | ||||||||
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| Subjects: | R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) R Medicine > RD Surgery |
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| 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 |
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| 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 | ||||||||
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| 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 | ||||||||
| RIOXX Funder/Project Grant: |
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