Physiotherapists' experiences of managing upper limb movement impairments due to breast cancer treatment. (2nd January 2020)

• Record Type: Journal Article
• Authors: Kenyon, Karen; Hebron, Clair; Vuoskoski, Pirjo; McCrum, Carol
• Is Part Of: Physiotherapy theory and practice. Volume 36:Number 1(2020)
• Page Start: 71
• Page End: 84
• Publication Date: 2020-01-02
• Subjects: Physiotherapy -- breast cancer -- upper limb -- qualitative research -- hermeneutic phenomenology; Physical therapy -- Periodicals; 615.82
• DOI: 10.1080/09593985.2018.1480077
• Languages: English
• ISSNs: 0959-3985

Abstract

ABSTRACT: 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.