Cargando…
Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons
Breast cancer patients have reported restricted mobility, pain, lymphedema, and impaired sensation and strength after breast reconstruction surgery. Many studies have demonstrated benefits of early exercise intervention (within the first 2 weeks) for functional recovery after breast surgery. From th...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8500580/ https://www.ncbi.nlm.nih.gov/pubmed/34646725 http://dx.doi.org/10.1097/GOX.0000000000003857 |
_version_ | 1784580476603727872 |
---|---|
author | Alabaster, Kelsey Homsy, Christopher Puyana, Salomon Higgins, Margaret Ferrin, Peter Mulcahey, Mary K. Chaffin, Abigail |
author_facet | Alabaster, Kelsey Homsy, Christopher Puyana, Salomon Higgins, Margaret Ferrin, Peter Mulcahey, Mary K. Chaffin, Abigail |
author_sort | Alabaster, Kelsey |
collection | PubMed |
description | Breast cancer patients have reported restricted mobility, pain, lymphedema, and impaired sensation and strength after breast reconstruction surgery. Many studies have demonstrated benefits of early exercise intervention (within the first 2 weeks) for functional recovery after breast surgery. From the surgeon’s perspective, there is a concern that early postoperative exercise can potentially lead to complications or even reconstruction failure. The purpose of this study was to evaluate current trends and practices related to patient exercise after breast reconstruction among plastic surgeons in the United States. METHODS: An anonymous, electronic survey was sent to a random cohort of 2336 active members of the American Society of Plastic Surgeons. The survey consisted of 23 questions and was used to assess how plastic surgeons currently manage patients postoperatively after breast reconstruction. RESULTS: Responses were received from 228 plastic surgeons. Thirty-six (18%) respondents reported never prescribing physical therapy (PT) postoperatively. In total, 154 (76%) prescribe PT to less than 50% of their patients, and those who do most commonly prescribe it more than 3 weeks postoperatively. There was no difference in perceived rate of complications by respondents who prescribe early versus late exercise (χ(2) (5) = 8.815, P = 0.117). CONCLUSIONS: Based on our survey results, only a small percentage of plastic and reconstructive surgeons support early initiation of exercise, and PT is being prescribed to a minority of patients. Surgeons and physical therapists must work together to devise a recovery program that maximizes functional outcomes for patients while also limiting complications. |
format | Online Article Text |
id | pubmed-8500580 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-85005802021-10-12 Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons Alabaster, Kelsey Homsy, Christopher Puyana, Salomon Higgins, Margaret Ferrin, Peter Mulcahey, Mary K. Chaffin, Abigail Plast Reconstr Surg Glob Open Breast Breast cancer patients have reported restricted mobility, pain, lymphedema, and impaired sensation and strength after breast reconstruction surgery. Many studies have demonstrated benefits of early exercise intervention (within the first 2 weeks) for functional recovery after breast surgery. From the surgeon’s perspective, there is a concern that early postoperative exercise can potentially lead to complications or even reconstruction failure. The purpose of this study was to evaluate current trends and practices related to patient exercise after breast reconstruction among plastic surgeons in the United States. METHODS: An anonymous, electronic survey was sent to a random cohort of 2336 active members of the American Society of Plastic Surgeons. The survey consisted of 23 questions and was used to assess how plastic surgeons currently manage patients postoperatively after breast reconstruction. RESULTS: Responses were received from 228 plastic surgeons. Thirty-six (18%) respondents reported never prescribing physical therapy (PT) postoperatively. In total, 154 (76%) prescribe PT to less than 50% of their patients, and those who do most commonly prescribe it more than 3 weeks postoperatively. There was no difference in perceived rate of complications by respondents who prescribe early versus late exercise (χ(2) (5) = 8.815, P = 0.117). CONCLUSIONS: Based on our survey results, only a small percentage of plastic and reconstructive surgeons support early initiation of exercise, and PT is being prescribed to a minority of patients. Surgeons and physical therapists must work together to devise a recovery program that maximizes functional outcomes for patients while also limiting complications. Lippincott Williams & Wilkins 2021-10-07 /pmc/articles/PMC8500580/ /pubmed/34646725 http://dx.doi.org/10.1097/GOX.0000000000003857 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Breast Alabaster, Kelsey Homsy, Christopher Puyana, Salomon Higgins, Margaret Ferrin, Peter Mulcahey, Mary K. Chaffin, Abigail Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons |
title | Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons |
title_full | Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons |
title_fullStr | Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons |
title_full_unstemmed | Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons |
title_short | Exercise after Breast Reconstruction Surgery: Evaluating Current Trends and Practices of U.S. Plastic Surgeons |
title_sort | exercise after breast reconstruction surgery: evaluating current trends and practices of u.s. plastic surgeons |
topic | Breast |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8500580/ https://www.ncbi.nlm.nih.gov/pubmed/34646725 http://dx.doi.org/10.1097/GOX.0000000000003857 |
work_keys_str_mv | AT alabasterkelsey exerciseafterbreastreconstructionsurgeryevaluatingcurrenttrendsandpracticesofusplasticsurgeons AT homsychristopher exerciseafterbreastreconstructionsurgeryevaluatingcurrenttrendsandpracticesofusplasticsurgeons AT puyanasalomon exerciseafterbreastreconstructionsurgeryevaluatingcurrenttrendsandpracticesofusplasticsurgeons AT higginsmargaret exerciseafterbreastreconstructionsurgeryevaluatingcurrenttrendsandpracticesofusplasticsurgeons AT ferrinpeter exerciseafterbreastreconstructionsurgeryevaluatingcurrenttrendsandpracticesofusplasticsurgeons AT mulcaheymaryk exerciseafterbreastreconstructionsurgeryevaluatingcurrenttrendsandpracticesofusplasticsurgeons AT chaffinabigail exerciseafterbreastreconstructionsurgeryevaluatingcurrenttrendsandpracticesofusplasticsurgeons |