{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:27:47Z","timestamp":1789129667527,"version":"build-2803163510"},"reference-count":62,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2007,4,24]],"date-time":"2007-04-24T00:00:00Z","timestamp":1177372800000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Surgery is a mainstay of primary breast cancer therapy. Alterations in surgical technique have reduced normal tissue injury, yet pain and functional compromise continue to occur following treatment. A tenuous evidence base bolstered by considerable expert opinion suggests that early intervention with conventional rehabilitative modalities can reduce surgery\u2010associated pain and dysfunction. Barriers to the timely rehabilitation of functionally morbid sequelae are discussed at length in this article. Barriers arise from a wide range of academic, human, logistic, and financial sources. Despite obstacles, expeditious and effective post\u2010surgical rehabilitation is being regularly delivered to breast cancer patients at many institutions. This experience has given rise to anecdotal information on the management of common sequelae that may undermine function. The epidemiology, pathophysiology, and management of these sequelae are outlined in this article with an emphasis on the caliber of supporting evidence. Myofascial dysfunction, axillary web syndrome, frozen shoulder, lymphostasis, post\u2010mastectomy syndrome, and donor site morbidity following breast reconstruction are addressed. A critical need for more definitive evidence to guide patient management characterizes the current treatment algorithms for surgical sequelae. Surg. Oncol. 95:409\u2013418. \u00a9 2007 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/jso.20782","type":"journal-article","created":{"date-parts":[[2007,4,24]],"date-time":"2007-04-24T15:18:01Z","timestamp":1177427881000},"page":"409-418","source":"Crossref","is-referenced-by-count":197,"title":["Barriers to rehabilitation following surgery for primary breast cancer"],"prefix":"10.1002","volume":"95","author":[{"given":"Andrea L.","family":"Cheville","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Tchou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,4,24]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa020989"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022152"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199409000-00015"},{"key":"e_1_2_1_5_2","unstructured":"ChevilleAL TroxelAB BasfordJR et al.:Rehabilitation needs and service utilization in patients with Stage IV breast cancer. ECCO 14th Annual Assembly Barcelona 2007."},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.2006.tb00384.x"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.08.116"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200006223422506"},{"key":"e_1_2_1_9_2","unstructured":"AAPMR.Cancer Special Interest Group Directory."},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8510(02)00011-8"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.32155"},{"key":"e_1_2_1_12_2","volume-title":"Physical Medicine and Rehabilitation","author":"Cheville AL","year":"2006"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.242035072"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(96)90035-8"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.24023"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199407000-00006"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2005.08.012"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200508000-00021"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200307000-00011"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000224731.06168.df"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(01)00602-X"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(02)01214-X"},{"key":"e_1_2_1_23_2","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/01893697-200422010-00010","article-title":"Physical therapy treatment of axillary web syndrome","volume":"22","author":"Kepics JM","year":"2004","journal-title":"Rehabil Oncol"},{"key":"e_1_2_1_24_2","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1093\/ptj\/45.9.865","article-title":"Ultrasound: An adjunct treatment for shoulder disabilities","volume":"45","author":"Echternack JL","year":"1965","journal-title":"Phys Ther"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981215)83:12B <2814::AID-CNCR31>3.0.CO;2-E"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11545"},{"key":"e_1_2_1_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20373"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01836960"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004258"},{"key":"e_1_2_1_30_2","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1016\/0003-9993(94)90140-6","article-title":"Treatment of adhesive capsulitis (frozen shoulder) with arthrographic capsular distension and rupture","volume":"75","author":"Rizk TE","year":"1994","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_1_31_2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s00264-002-0397-6","article-title":"Manipulation under anesthesia for the treatment of frozen shoulder","volume":"27","author":"Hamdan TA","year":"2003","journal-title":"Int Orthop"},{"key":"e_1_2_1_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-4296(03)00035-3"},{"key":"e_1_2_1_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981215)83:12B <2821::AID-CNCR33>3.0.CO;2-G"},{"key":"e_1_2_1_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003143.pub2"},{"key":"e_1_2_1_35_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1015880819328"},{"key":"e_1_2_1_36_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/93.2.96"},{"key":"e_1_2_1_37_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981215)83:12B <2788::AID-CNCR27>3.0.CO;2-I"},{"key":"e_1_2_1_38_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(20010915)92:6<1368::AID-CNCR1459>3.0.CO;2-9"},{"key":"e_1_2_1_39_2","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.118.163"},{"key":"e_1_2_1_40_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2354.2002.00312.x"},{"key":"e_1_2_1_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981215)83:12B <2840::AID-CNCR37>3.0.CO;2-5"},{"key":"e_1_2_1_42_2","first-page":"287","article-title":"A comparative lympho\u2010scintigraphic evaluation of manual lymphatic drainage and pressotherapy in edema of the arm following treatment of a breast tumor","volume":"15","author":"Janbon C","year":"1990","journal-title":"J Mal Vasc"},{"key":"e_1_2_1_43_2","first-page":"957","article-title":"Efficacy of masaje and mobilitation of the upper limb alter surgical treatment of breast cancer","volume":"84","author":"Le Vu B","year":"1997","journal-title":"Bull Cancer"},{"key":"e_1_2_1_44_2","first-page":"189","article-title":"Anatomy and, physiology of the lymphatic system","volume":"37","author":"Gruffaz J","year":"1984","journal-title":"Phlebologie"},{"key":"e_1_2_1_45_2","first-page":"CD003141","article-title":"Physical therapies for reducing and controlling lymphoedema of the limbs","author":"Badger C","year":"2004","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_1_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00076-7"},{"key":"e_1_2_1_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(96)03219-8"},{"key":"e_1_2_1_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(89)90235-2"},{"key":"e_1_2_1_49_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602304"},{"key":"e_1_2_1_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-006-0007-1"},{"key":"e_1_2_1_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0014-2999(01)01303-6"},{"key":"e_1_2_1_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-006-0598-7"},{"key":"e_1_2_1_53_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.pharmtox.42.092401.143905"},{"key":"e_1_2_1_54_2","first-page":"363","article-title":"Analgesic alternatives for the control of postoperatory pain in radical mastectomy","volume":"72","author":"Gonzalez\u2010Arrieta ML","year":"2004","journal-title":"Cir Cir"},{"key":"e_1_2_1_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(97)90539-7"},{"key":"e_1_2_1_56_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199810000-00025"},{"key":"e_1_2_1_57_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199709000-00002"},{"key":"e_1_2_1_58_2","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/01893697-199816010-00019","article-title":"Functional limitations of women with transverse rectus abdominis (TRAM) flap breast reconstruction: Summary of presentation at CSM","volume":"16","author":"Field S","year":"1998","journal-title":"Rehabil Oncol"},{"key":"e_1_2_1_59_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006527-199722000-00007"},{"key":"e_1_2_1_60_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000120525.86997.52"},{"key":"e_1_2_1_61_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2003.12.029"},{"key":"e_1_2_1_62_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200205000-00020"},{"key":"e_1_2_1_63_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/77.7.765"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjso.20782","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.20782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T04:38:14Z","timestamp":1694493494000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.20782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4]]},"references-count":62,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1002\/jso.20782"],"URL":"https:\/\/doi.org\/10.1002\/jso.20782","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4]]}}}