Provision of physiotherapy rehabilitation following neck dissection in the UK
Research output: Contribution to journal › Article › peer-review
Standard
Provision of physiotherapy rehabilitation following neck dissection in the UK. / Robinson, M; Ward, L; Mehanna, H; Paleri, V; Winter, S C.
In: The Journal of laryngology and otology, 13.06.2018.Research output: Contribution to journal › Article › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
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
U2 - 10.1017/S0022215118000671
DO - 10.1017/S0022215118000671
M3 - Article
C2 - 29897032
JO - The Journal of laryngology and otology
JF - The Journal of laryngology and otology
SN - 0022-2151
ER -