Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy

Background: Breast reconstruction may result in significant functional compromise and pain. Postoperative exercise and physical therapy can mitigate these morbidities, but it is infrequently recommended by healthcare providers. This study asked how many breast reconstruction patients are instructed...

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Autores principales:	Margaret J. Higgins, Nisha Kale, Christopher Homsy, Kelsey L. Alabaster, Peter Ferrin, Cadence Miskimin, Abigail E. Chaffin, Mary K. Mulcahey
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Breast cancer Breast reconstruction Physical therapy Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b7f88e8bedad4aeeaa6165ad6a2a005d
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spelling	oai:doaj.org-article:b7f88e8bedad4aeeaa6165ad6a2a005d2021-12-02T05:02:07ZPatient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy2352-587810.1016/j.jpra.2021.09.002https://doaj.org/article/b7f88e8bedad4aeeaa6165ad6a2a005d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352587821000796https://doaj.org/toc/2352-5878Background: Breast reconstruction may result in significant functional compromise and pain. Postoperative exercise and physical therapy can mitigate these morbidities, but it is infrequently recommended by healthcare providers. This study asked how many breast reconstruction patients are instructed to perform postoperative at-home exercises or physical therapy, how many reported following through with these instructions, and what timeline they were given for these activities. Methods: A 16-question multiple-choice anonymous online survey was distributed to a private breast cancer survivor Facebook group (Diep C. Foundation). Results: A total of 150 breast reconstruction patients responded to our survey. The majority of respondents in our sample were not provided with specific instructions regarding postoperative at-home exercises (N = 70, 54.3%) or physical therapy (N = 77, 63.6%). Approximately 13 of 59 respondents (22%) who had been instructed to participate in postoperative at-home exercises were directed to begin at 2–3 weeks. Approximately 15 of 44 respondents (34.1%) who had been instructed to participate in physical therapy were directed to begin these at 4–5 weeks. Conclusions: To the best of our knowledge, this is the first study of how often postoperative at-home exercises and physical therapy are recommended to breast reconstruction patients. Despite robust evidence of these activities’ benefits, most women are not instructed to participate in postoperative at-home exercises or physical therapy. This is likely to impede breast reconstruction patients’ recovery and delay their return to activities of daily living. More studies are needed of how to actively engage breast reconstruction patients in postoperative at-home exercises and physical therapy.Margaret J. HigginsNisha KaleChristopher HomsyKelsey L. AlabasterPeter FerrinCadence MiskiminAbigail E. ChaffinMary K. MulcaheyElsevierarticleBreast cancerBreast reconstructionPhysical therapySurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 160-169 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Breast cancer Breast reconstruction Physical therapy Surgery RD1-811
spellingShingle	Breast cancer Breast reconstruction Physical therapy Surgery RD1-811 Margaret J. Higgins Nisha Kale Christopher Homsy Kelsey L. Alabaster Peter Ferrin Cadence Miskimin Abigail E. Chaffin Mary K. Mulcahey Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy
description	Background: Breast reconstruction may result in significant functional compromise and pain. Postoperative exercise and physical therapy can mitigate these morbidities, but it is infrequently recommended by healthcare providers. This study asked how many breast reconstruction patients are instructed to perform postoperative at-home exercises or physical therapy, how many reported following through with these instructions, and what timeline they were given for these activities. Methods: A 16-question multiple-choice anonymous online survey was distributed to a private breast cancer survivor Facebook group (Diep C. Foundation). Results: A total of 150 breast reconstruction patients responded to our survey. The majority of respondents in our sample were not provided with specific instructions regarding postoperative at-home exercises (N = 70, 54.3%) or physical therapy (N = 77, 63.6%). Approximately 13 of 59 respondents (22%) who had been instructed to participate in postoperative at-home exercises were directed to begin at 2–3 weeks. Approximately 15 of 44 respondents (34.1%) who had been instructed to participate in physical therapy were directed to begin these at 4–5 weeks. Conclusions: To the best of our knowledge, this is the first study of how often postoperative at-home exercises and physical therapy are recommended to breast reconstruction patients. Despite robust evidence of these activities’ benefits, most women are not instructed to participate in postoperative at-home exercises or physical therapy. This is likely to impede breast reconstruction patients’ recovery and delay their return to activities of daily living. More studies are needed of how to actively engage breast reconstruction patients in postoperative at-home exercises and physical therapy.
format	article
author	Margaret J. Higgins Nisha Kale Christopher Homsy Kelsey L. Alabaster Peter Ferrin Cadence Miskimin Abigail E. Chaffin Mary K. Mulcahey
author_facet	Margaret J. Higgins Nisha Kale Christopher Homsy Kelsey L. Alabaster Peter Ferrin Cadence Miskimin Abigail E. Chaffin Mary K. Mulcahey
author_sort	Margaret J. Higgins
title	Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy
title_short	Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy
title_full	Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy
title_fullStr	Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy
title_full_unstemmed	Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy
title_sort	patient perspective on post-breast reconstruction exercise and physical therapy
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/b7f88e8bedad4aeeaa6165ad6a2a005d
work_keys_str_mv	AT margaretjhiggins patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy AT nishakale patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy AT christopherhomsy patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy AT kelseylalabaster patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy AT peterferrin patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy AT cadencemiskimin patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy AT abigailechaffin patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy AT marykmulcahey patientperspectiveonpostbreastreconstructionexerciseandphysicaltherapy
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Patient Perspective on Post-Breast Reconstruction Exercise and Physical Therapy

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