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. 2020 Jul 28;10(7):e037280. doi: 10.1136/bmjopen-2020-037280

Table 2.

Rehabilitation services and needs among breast cancer survivors

Presurgery measurement, n (%)
Shoulder ROM 2 (5.7)
Performed by
 Self-measured 1 (2.9)
 Physical therapist 1 (2.9)
Arm circumference 6 (17.1)
Performed by
 Self-measured 2 (5.7)
 Physical therapist 2 (5.7)
 Nurse 2 (5.7)
When was rehabilitation education received*, n (%)
 Never 7 (20.0)
 Presurgery 15 (42.9)
 Within first month postsurgery 8 (22.9)
 Later 8 (22.9)
Who delivered rehabilitation education*, n (%)
 No one 7 (20.0)
 Physical therapist 13 (37.1)
 Surgeon/oncologist 6 (17.1)
 Chiropractor 1 (2.9)
 Other (massage therapist and nurse) 15 (42.9)
Referred to physical therapy, n (%)
 By healthcare professional 9 (25.7)
 Self-referred 14 (40.0)
 Not referred 12 (34.3)
Reason for referral*, n (%)
 Shoulder ROM 17 (48.6)
 Upper body muscle strength 10 (28.6)
 Lymphoedema 12 (34.3)
 Scar tissue 5 (14.3)
 Cording 1 (2.9)
 Peripheral neuropathy 1 (2.9)
 General exercise 7 (20.0)
Setting of rehabilitation care, n (%)
 Private practice 9 (25.7)
 Public facility 7 (20.0)
 Combination of private and public 4 (11.4)
Alternative or complementary treatment†, n (%) 23 (65.7)
Self-managed upper body issues, n (%)
During treatment 32 (91.4)
After treatment 32 (91.4)
 Sufficient support to self-manage upper body issues 18 (51.4)
Upper body issues, n (%)
 Prior to surgery 5 (14.3)
 Currently 35 (100.0)
Number of upper body issues, mean (min-max) mean=4.5, min=1, max=9
Current upper body issues, n (%)
 Tightness 33 (94.3)
 Numbness 23 (65.7)
 Muscle strength 20 (57.1)
 Shoulder ROM 18 (51.4)
 Pain 16 (45.7)
 Skin changes (fibrosis/scarring) 15 (42.9)
 Lymphoedema 14 (40.0)
 Cording 10 (28.6)
 ADL limitations 7 (20.0)
 Skin infection/cellulitis 1 (2.9)

*Participants could choose more than one answer, so % is above 100%.

†Examples of alternative/complementary treatment: massage therapy, diet, mindfulness, manual lymph drainage, yoga and meditation.

ADL, activities of daily living; ROM, range of motion.