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

作者: Bruno Mazuquin , Mariana Maia de Oliveira Sunemi , Marcela Ponzio Pinto e Silva , Luís Otávio Zanatta Sarian , Esther Williamson

DOI: 10.1016/J.BJPT.2020.05.010

关键词:

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

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