Provision of physiotherapy rehabilitation following neck dissection in the UK

M Robinson; L Ward; H Mehanna; V Paleri; S C Winter

doi:10.1017/S0022215118000671

Provision of physiotherapy rehabilitation following neck dissection in the UK

M Robinson, L Ward, H Mehanna, V Paleri, S C Winter

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Abstract

BACKGROUND: Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection.

METHOD: Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients.

RESULTS: Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients. Thirty-three per cent of centres offered routine in-patient physiotherapy after surgery. No centres offered out-patient physiotherapy for all patients regardless of symptoms. Seventy-eight per cent offered physiotherapy for patients with any symptoms, with 11 per cent offering physiotherapy for those with severe dysfunction only. Eleven per cent of centres never offered physiotherapy for any dysfunction.

CONCLUSION: The provision of physiotherapy is most commonly reactive rather than proactive, and usually driven by patient request. There is little evidence of pre-arranged physiotherapy for patients to treat or prevent shoulder dysfunction in the UK.

Original language	English
Number of pages	4
Journal	The Journal of laryngology and otology
Early online date	13 Jun 2018
DOIs	https://doi.org/10.1017/S0022215118000671
Publication status	E-pub ahead of print - 13 Jun 2018

Keywords

Neck Dissection
Physical Therapy Modalities
Otolaryngology
Malignancy

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Checked for eligibility: 28/06/2018 This document is the Accepted Manuscript version of a Published Work that appeared in final form in The Journal of Laryngology and Otology, copyright © JLO (1984) Limited, 2018 after peer review and technical editing by the publisher. To access the final edited and published work see: https://doi.org/10.1017/S0022215118000671
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https://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/provision-of-physiotherapy-rehabilitation-following-neck-dissection-in-the-uk/7B3A38CEB54D8285BA5B902AFD13E207/core-readerLicence: None: All rights reserved

Cite this

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title = "Provision of physiotherapy rehabilitation following neck dissection in the UK",

abstract = "BACKGROUND: Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection.METHOD: Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients.RESULTS: Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients. Thirty-three per cent of centres offered routine in-patient physiotherapy after surgery. No centres offered out-patient physiotherapy for all patients regardless of symptoms. Seventy-eight per cent offered physiotherapy for patients with any symptoms, with 11 per cent offering physiotherapy for those with severe dysfunction only. Eleven per cent of centres never offered physiotherapy for any dysfunction.CONCLUSION: The provision of physiotherapy is most commonly reactive rather than proactive, and usually driven by patient request. There is little evidence of pre-arranged physiotherapy for patients to treat or prevent shoulder dysfunction in the UK.",

keywords = "Neck Dissection, Physical Therapy Modalities, Otolaryngology, Malignancy",

author = "M Robinson and L Ward and H Mehanna and V Paleri and Winter, {S C}",

year = "2018",

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doi = "10.1017/S0022215118000671",

language = "English",

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T1 - Provision of physiotherapy rehabilitation following neck dissection in the UK

AU - Robinson, M

AU - Ward, L

AU - Mehanna, H

AU - Paleri, V

AU - Winter, S C

PY - 2018/6/13

Y1 - 2018/6/13

N2 - BACKGROUND: Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection.METHOD: Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients.RESULTS: Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients. Thirty-three per cent of centres offered routine in-patient physiotherapy after surgery. No centres offered out-patient physiotherapy for all patients regardless of symptoms. Seventy-eight per cent offered physiotherapy for patients with any symptoms, with 11 per cent offering physiotherapy for those with severe dysfunction only. Eleven per cent of centres never offered physiotherapy for any dysfunction.CONCLUSION: The provision of physiotherapy is most commonly reactive rather than proactive, and usually driven by patient request. There is little evidence of pre-arranged physiotherapy for patients to treat or prevent shoulder dysfunction in the UK.

AB - BACKGROUND: Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection.METHOD: Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients.RESULTS: Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients. Thirty-three per cent of centres offered routine in-patient physiotherapy after surgery. No centres offered out-patient physiotherapy for all patients regardless of symptoms. Seventy-eight per cent offered physiotherapy for patients with any symptoms, with 11 per cent offering physiotherapy for those with severe dysfunction only. Eleven per cent of centres never offered physiotherapy for any dysfunction.CONCLUSION: The provision of physiotherapy is most commonly reactive rather than proactive, and usually driven by patient request. There is little evidence of pre-arranged physiotherapy for patients to treat or prevent shoulder dysfunction in the UK.

KW - Neck Dissection

KW - Physical Therapy Modalities

KW - Otolaryngology

KW - Malignancy

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SN - 0022-2151

JO - The Journal of laryngology and otology

JF - The Journal of laryngology and otology

ER -

Provision of physiotherapy rehabilitation following neck dissection in the UK

Abstract

Keywords

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