Physiotherapists' experiences of managing upper limb movement impairments due to breast cancer treatment.
Background: Physiotherapy is recommended for upper limb movement impairments (ULMI) following breast cancer treatment. There is limited research into the pathophysiology and management of ULMI. Care is provided in different health-care contexts by specialist and nonspecialist physiotherapists, with...
| Publicado en: | Physiotherapy Theory & Practice Vol. 36; no. 1; pp. 71 - 85 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141376922&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141376922 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jan2020 vid: 36 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 141376922 141376922 141376922 10.1080/09593985.2018.1480077 141376922 ppf: 71 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Physiotherapists' experiences of managing upper limb movement impairments due to breast cancer treatment. aug: au: Kenyon, Karen Hebron, Clair Vuoskoski, Pirjo McCrum, Carol affil: Physiotherapy Department, East Sussex Healthcare NHS Trust, Eastbourne, UK sug: subj: Physical Therapist Attitudes Upper Extremity Physiopathology Movement Disorders Prevention and Control Breast Neoplasms Therapy Treatment Complications, Delayed Human Exploratory Research Qualitative Studies Phenomenological Research Semi-Structured Interview Confidence Fear Empowerment Quality of Life Professional Knowledge Male Female Job Experience Funding Source Male Female ab: Background: Physiotherapy is recommended for upper limb movement impairments (ULMI) following breast cancer treatment. There is limited research into the pathophysiology and management of ULMI. Care is provided in different health-care contexts by specialist and nonspecialist physiotherapists, with referrals set to increase. This study explores physiotherapists' experiences of managing ULMI. Design: Qualitative study using a hermeneutic phenomenological approach. Method: We interviewed six physiotherapists from various UK treatment settings. The data were analyzed using interpretative phenomenological analysis. Findings: Four master themes were identified: (1) lack of confidence surrounds various aspects of practice, influenced by limited evidence to guide treatment of ULMI, fear of causing harm, and working in a less-established area of physiotherapy; (2) increasing confidence in practice develops with experience, reinforcing perceptions of the benefits of physiotherapy; (3) physiotherapy is understood to empower and enable patients to regain their sense of self and quality of life; and (4) provision of care is perceived to be subject to many barriers. Conclusion: Physiotherapy for ULMI has professional challenges but is seen as beneficial, encompassing psychosocial and physical effects. Experiences in this area of practice suggest a need for increased professional support, further research to guide treatment, and better patient and health professional awareness of ULMI and the role of physiotherapy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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