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1. Citation: De Groef, A., Van Kampen, M., Dieltjens, E., Christiaens, M. R., Neven, P., Geraerts, I., & Devoogdt, N. (2015). Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: a systematic review. Archives of Physical Medicine and Rehabilitation, 96(6), 1140-1153. doi:10.1016/j.apmr.2015.01.006
Keywords: Breast neoplasms; Physical therapy modalities; Rehabilitation; Shoulder pain
Abstract: Based on a review of 18 RCTs of the effectiveness of various postoperative physical therapy modalities and timing of physical therapy (within 6 weeks of surgery) after treatment of breast cancer on pain and impaired range of motion (ROM) of the upper limb. 3 studies investigated the effect of multifactorial therapy, of which 2 found that the combination of general exercises and stretching is effective for the treatment of impaired ROM and 1 showed that passive mobilization combined with massage had no beneficial effects on pain and impaired ROM. Of 15 studies investigating the effectiveness of a single physical therapy modality, 1 (of poor quality) found evidence supporting the beneficial effects of passive mobilization. The only study investigating the effect of stretching did not find any beneficial effects. 5 studies found that active exercises were more effective than no therapy or information on the treatment of upper limb impairments, and 3 supported the early start of exercises for recovery of shoulder ROM, whereas 4 studies supported the delay of exercises to avoid prolonged wound healing. Concludes that multifactorial physical therapy and active exercises are effective to treat postoperative pain and impaired ROM after treatment for breast cancer.
Full-Text Availability Options:full text available for a fee
Link to Full Text:https://www.ncbi.nlm.nih.gov/pubmed/?term=25595999
https://www.sciencedirect.com/science/article/abs/pii/S0003999315000106
Record Updated:2016-11-15
 

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