{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T21:01:37Z","timestamp":1771275697087,"version":"3.50.1"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate factors influencing the range of motion (ROM) in shoulder flexion and abduction, which are often compromised by postoperative conditions, including pain, soft tissue damage, and muscle weakness, 1\u00a0month after breast cancer surgery in patients undergoing inpatient rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective study, the electronic medical database of a university hospital was searched for patients who underwent inpatient rehabilitation following breast cancer surgery between May 2014 and April 2020. The extracted data included age, sex, affected side, body mass index, number of nodes removed, levels of axillary lymph nodes, type of mastectomy, chemotherapy, radiation therapy, duration of postoperative drain placement, and length of hospital stay after the surgery. Passive shoulder joint ROM was examined before and 1\u00a0month after surgery. Multivariable logistic regression was performed to explore the prevalence of and factors associated with the presence of shoulder joint ROM limitations 1\u00a0month after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study enrolled 258 patients. A total of 210 participants (81.4%) had shoulder ROM limitation after the surgery. Shoulder flexion and abduction ROM decreased after surgery by an average of 31.3\u00b0 and 35.9\u00b0, respectively. Age, number of nodes removed, and total mastectomy were significantly associated with shoulder joint ROM limitation after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Over 80% of participants had reduced shoulder ROM 1\u00a0month after surgery, even after inpatient rehabilitation. We identified age, number of nodes removed, and total mastectomy as risk factors for reduced shoulder ROM, providing useful prognostic information regarding the restriction of passive shoulder ROM after breast cancer surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-025-10260-y","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T11:40:18Z","timestamp":1768477218000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors affecting shoulder joint range of motion after breast cancer surgery: a retrospective cohort study in Japan"],"prefix":"10.1007","volume":"34","author":[{"given":"Soichiro","family":"Koyama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megumi","family":"Ozeki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nariko","family":"Nakano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Okochi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Kijima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohei","family":"Otaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"10260_CR1","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.breast.2022.08.010","volume":"66","author":"M Arnold","year":"2022","unstructured":"Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M et al (2022) Current and future burden of breast cancer: global statistics for 2020 and 2040. Breast 66:15\u201323. https:\/\/doi.org\/10.1016\/j.breast.2022.08.010","journal-title":"Breast"},{"key":"10260_CR2","doi-asserted-by":"publisher","first-page":"2207","DOI":"10.1002\/cncr.27469","volume":"118","author":"JM Binkley","year":"2012","unstructured":"Binkley JM, Harris SR, Levangie PK, Pearl M, Guglielmino J, Kraus V et al (2012) Patient perspectives on breast cancer treatment side effects and the prospective surveillance model for physical rehabilitation for women with breast cancer. Cancer 118:2207\u20132216. https:\/\/doi.org\/10.1002\/cncr.27469","journal-title":"Cancer"},{"key":"10260_CR3","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1080\/09553002.2021.1919782","volume":"97","author":"C Salata","year":"2021","unstructured":"Salata C, deAlmeida CE, Ferreira-Machado SC, Barroso RC, Nogueira LP, Mantuano A et al (2021) Preliminary pre-clinical studies on the side effects of breast cancer treatment. Int J Radiat Biol 97:877\u2013887. https:\/\/doi.org\/10.1080\/09553002.2021.1919782","journal-title":"Int J Radiat Biol"},{"key":"10260_CR4","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11237239","volume":"11","author":"C Tommasi","year":"2022","unstructured":"Tommasi C, Balsano R, Corian\u00f2 M, Pellegrino B, Saba G, Bardanzellu F et al (2022) Long-term effects of breast cancer therapy and care: calm after the storm. J Clin Med 11:7239. https:\/\/doi.org\/10.3390\/jcm11237239","journal-title":"J Clin Med"},{"key":"10260_CR5","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.breast.2007.08.006","volume":"17","author":"A Husted Madsen","year":"2008","unstructured":"Husted Madsen A, Haugaard K, Soerensen J, Bokmand S, Friis E, Holtveg H et al (2008) Arm morbidity following sentinel lymph node biopsy or axillary lymph node dissection: a study from the Danish Breast Cancer Cooperative Group. Breast 17:138\u2013147. https:\/\/doi.org\/10.1016\/j.breast.2007.08.006","journal-title":"Breast"},{"key":"10260_CR6","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1186\/s12885-021-08891-5","volume":"21","author":"I Klein","year":"2021","unstructured":"Klein I, Kalichman L, Chen N, Susmallian S (2021) A comprehensive approach to risk factors for upper arm morbidities following breast cancer treatment: a prospective study. BMC Cancer 21:1251. https:\/\/doi.org\/10.1186\/s12885-021-08891-5","journal-title":"BMC Cancer"},{"key":"10260_CR7","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1007\/s10549-013-2509-y","volume":"139","author":"JJ Kootstra","year":"2013","unstructured":"Kootstra JJ, Dijkstra PU, Rietman H, de Vries J, Baas P, Geertzen JH et al (2013) A longitudinal study of shoulder and arm morbidity in breast cancer survivors 7 years after sentinel lymph node biopsy or axillary lymph node dissection. Breast Cancer Res Treat 139:125\u2013134. https:\/\/doi.org\/10.1007\/s10549-013-2509-y","journal-title":"Breast Cancer Res Treat"},{"key":"10260_CR8","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/s0002-9610(02)01214-x","volume":"185","author":"M Leidenius","year":"2003","unstructured":"Leidenius M, Lepp\u00e4nen E, Krogerus L, von Smitten K (2003) Motion restriction and axillary web syndrome after sentinel node biopsy and axillary clearance in breast cancer. Am J Surg 185:127\u2013130. https:\/\/doi.org\/10.1016\/s0002-9610(02)01214-x","journal-title":"Am J Surg"},{"issue":"1","key":"10260_CR9","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s10549-012-2061-1","volume":"134","author":"EW Levy","year":"2012","unstructured":"Levy EW, Pfalzer LA, Danoff J, Springer BA, McGarvey C, Shieh CY et al (2012) Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery. Breast Cancer Res Treat 134(1):315\u2013324. https:\/\/doi.org\/10.1007\/s10549-012-2061-1","journal-title":"Breast Cancer Res Treat"},{"key":"10260_CR10","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1097\/phm.0000000000000455","volume":"95","author":"B Smoot","year":"2016","unstructured":"Smoot B, Paul SM, Aouizerat BE, Dunn L, Elboim C, Schmidt B et al (2016) Predictors of altered upper extremity function during the first year after breast cancer treatment. Am J Phys Med Rehabil 95:639\u2013655. https:\/\/doi.org\/10.1097\/phm.0000000000000455","journal-title":"Am J Phys Med Rehabil"},{"key":"10260_CR11","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1002\/pon.1685","volume":"19","author":"TF Hack","year":"2010","unstructured":"Hack TF, Kwan WB, Thomas-Maclean RL, Towers A, Miedema B, Tilley A et al (2010) Predictors of arm morbidity following breast cancer surgery. Psychooncology 19:1205\u20131212. https:\/\/doi.org\/10.1002\/pon.1685","journal-title":"Psychooncology"},{"key":"10260_CR12","doi-asserted-by":"publisher","unstructured":"Sintini I, Burton WS, Sade P Sr., Chavarria JM, Laz PJ (2018) Investigating gender and ethnicity differences in proximal humeral morphology using a statistical shape model. J Orthop Res 36:3043\u20133052. https:\/\/doi.org\/10.1002\/jor.24070","DOI":"10.1002\/jor.24070"},{"key":"10260_CR13","doi-asserted-by":"publisher","first-page":"280","DOI":"10.4055\/cios.2016.8.3.280","volume":"8","author":"AF Cabezas","year":"2016","unstructured":"Cabezas AF, Krebes K, Hussey MM, Santoni BG, Kim HS, Frankle MA et al (2016) Morphologic variability of the shoulder between the populations of North American and East Asian. Clin Orthop Surg 8:280\u2013287","journal-title":"Clin Orthop Surg"},{"key":"10260_CR14","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/6307019","volume":"2017","author":"M Fathi","year":"2017","unstructured":"Fathi M, Cheah PS, Ahmad U, Nasir MN, San AA, Abdul Rahim E et al (2017) Anatomic variation in morphometry of human coracoid process among Asian population. Biomed Res Int 2017:6307019. https:\/\/doi.org\/10.1155\/2017\/6307019","journal-title":"Biomed Res Int"},{"key":"10260_CR15","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1002\/ajhb.20956","volume":"22","author":"AM Silva","year":"2010","unstructured":"Silva AM, Shen W, Heo M, Gallagher D, Wang Z, Sardinha LB et al (2010) Ethnicity-related skeletal muscle differences across the lifespan. Am J Hum Biol 22:76\u201382. https:\/\/doi.org\/10.1002\/ajhb.20956","journal-title":"Am J Hum Biol"},{"key":"10260_CR16","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.eurger.2014.04.003","volume":"5","author":"J Woo","year":"2014","unstructured":"Woo J, Arai H, Ng TP, Sayer AA, Wong M, Syddall H et al (2014) Ethnic and geographic variations in muscle mass, muscle strength and physical performance measures. Eur Geriatr Med 5:155\u2013164. https:\/\/doi.org\/10.1016\/j.eurger.2014.04.003","journal-title":"Eur Geriatr Med"},{"key":"10260_CR17","doi-asserted-by":"publisher","first-page":"29","DOI":"10.4103\/ccij.ccij_80_20","volume":"10","author":"A Basu","year":"2021","unstructured":"Basu A, Mondal J, Swetha B, Chakrabarty S, Ghosh D, Gangopadhyay S et al (2021) Patient-reported shoulder morbidity and fatigue among the breast cancer survivors: an insight from a tertiary care cancer hospital. Clin Cancer Investig J 10:29\u201335. https:\/\/doi.org\/10.4103\/ccij.ccij_80_20","journal-title":"Clin Cancer Investig J"},{"key":"10260_CR18","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1007\/bf02574496","volume":"9","author":"KK Swenson","year":"2002","unstructured":"Swenson KK, Nissen MJ, Ceronsky C, Swenson L, Lee MW, Tuttle TM (2002) Comparison of side effects between sentinel lymph node and axillary lymph node dissection for breast cancer. Ann Surg Oncol 9:745\u2013753. https:\/\/doi.org\/10.1007\/bf02574496","journal-title":"Ann Surg Oncol"},{"key":"10260_CR19","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s10549-014-2856-3","volume":"144","author":"CL Miller","year":"2014","unstructured":"Miller CL, Specht MC, Skolny MN, Horick N, Jammallo LS, O\u2019Toole J et al (2014) Risk of lymphedema after mastectomy: potential benefit of applying ACOSOG Z0011 protocol to mastectomy patients. Breast Cancer Res Treat 144:71\u201377. https:\/\/doi.org\/10.1007\/s10549-014-2856-3","journal-title":"Breast Cancer Res Treat"},{"key":"10260_CR20","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.1002\/cncr.11218","volume":"97","author":"KP Yap","year":"2003","unstructured":"Yap KP, McCready DR, Narod S, Manchul LA, Trudeau M, Fyles A (2003) Factors influencing arm and axillary symptoms after treatment for node negative breast carcinoma. Cancer 97:1369\u20131375. https:\/\/doi.org\/10.1002\/cncr.11218","journal-title":"Cancer"},{"key":"10260_CR21","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1023\/a:1016571204924","volume":"75","author":"RC Box","year":"2002","unstructured":"Box RC, Reul-Hirche HM, Bullock-Saxton JE, Furnival CM (2002) Shoulder movement after breast cancer surgery: results of a randomised controlled study of postoperative physiotherapy. Breast Cancer Res Treat 75:35\u201350. https:\/\/doi.org\/10.1023\/a:1016571204924","journal-title":"Breast Cancer Res Treat"},{"key":"10260_CR22","doi-asserted-by":"publisher","first-page":"10432","DOI":"10.1038\/s41598-021-89908-8","volume":"11","author":"I Klein","year":"2021","unstructured":"Klein I, Kalichman L, Chen N, Susmallian S (2021) Effect of physical activity levels on oncological breast surgery recovery: a prospective cohort study. Sci Rep 11:10432. https:\/\/doi.org\/10.1038\/s41598-021-89908-8","journal-title":"Sci Rep"},{"key":"10260_CR23","first-page":"275","volume":"50","author":"A Testa","year":"2014","unstructured":"Testa A, Iannace C, Di Libero L (2014) Strengths of early physical rehabilitation programs in surgical breast cancer patients: results of a randomized controlled study. Eur J Phys Rehabil Med 50:275\u2013284","journal-title":"Eur J Phys Rehabil Med"},{"key":"10260_CR24","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1159\/000506922","volume":"16","author":"A Akbas","year":"2021","unstructured":"Akbas A, Dagmura H, Daldal E, Dasiran FM, Deveci H, Okan I (2021) Association between shoulder range of motion and pain catastrophizing scale in breast cancer patients after surgery. Breast Care (Basel) 16:66\u201371. https:\/\/doi.org\/10.1159\/000506922","journal-title":"Breast Care (Basel)"},{"key":"10260_CR25","doi-asserted-by":"publisher","unstructured":"Neto CM, Pezarat P, Oliveira R (2018) Effects of breast cancer treatment on shoulder function: what to expect and how to treat. Int J Phys Ther Rehabi 4: 147.\u00a0https:\/\/doi.org\/10.15344\/2455-7498\/2018\/147","DOI":"10.15344\/2455-7498\/2018\/147"},{"key":"10260_CR26","doi-asserted-by":"publisher","first-page":"39","DOI":"10.2147\/bctt.S102598","volume":"8","author":"CC Davies","year":"2016","unstructured":"Davies CC, Brockopp D, Moe K (2016) Astym therapy improves function and range of motion following mastectomy. Breast Cancer (Dove Med Press) 8:39\u201345. https:\/\/doi.org\/10.2147\/bctt.S102598","journal-title":"Breast Cancer (Dove Med Press)"},{"key":"10260_CR27","doi-asserted-by":"publisher","first-page":"2068","DOI":"10.1152\/japplphysiol.00670.2007","volume":"103","author":"JM Haus","year":"2007","unstructured":"Haus JM, Carrithers JA, Trappe SW, Trappe TA (2007) Collagen, cross-linking, and advanced glycation end products in aging human skeletal muscle. J Appl Physiol 103:2068\u20132076. https:\/\/doi.org\/10.1152\/japplphysiol.00670.2007","journal-title":"J Appl Physiol"},{"key":"10260_CR28","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1002\/path.2097","volume":"211","author":"AJ Freemont","year":"2007","unstructured":"Freemont AJ, Hoyland JA (2007) Morphology, mechanisms and pathology of musculoskeletal ageing. J Pathol 211:252\u2013259. https:\/\/doi.org\/10.1002\/path.2097","journal-title":"J Pathol"},{"key":"10260_CR29","doi-asserted-by":"publisher","first-page":"673","DOI":"10.3390\/curroncol30010052","volume":"30","author":"Y Akezaki","year":"2023","unstructured":"Akezaki Y, Nakata E, Kikuuchi M, Tominaga R, Kurokawa H, Okamoto M et al (2023) Characteristics of postoperative patients with breast cancer aged 65 years and older. Curr Oncol 30:673\u2013680. https:\/\/doi.org\/10.3390\/curroncol30010052","journal-title":"Curr Oncol"},{"key":"10260_CR30","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1007\/s10549-013-2462-9","volume":"138","author":"NA de Glas","year":"2013","unstructured":"de Glas NA, Kiderlen M, Bastiaannet E, de Craen AJM, van de Water W, van de Velde CJH et al (2013) Postoperative complications and survival of elderly breast cancer patients: a FOCUS study analysis. Breast Cancer Res Treat 138:561\u2013569. https:\/\/doi.org\/10.1007\/s10549-013-2462-9","journal-title":"Breast Cancer Res Treat"},{"key":"10260_CR31","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1590\/1809-2950\/21001929012022en","volume":"29","author":"MT Rett","year":"2022","unstructured":"Rett MT, Moura DP, Oliveira FBd, Domingos HYB, Oliveira MMFd, Gallo RBS et al (2022) Physical therapy after breast cancer surgery improves range of motion and pain over time. Fisioter Pesqui 29:46\u201352. https:\/\/doi.org\/10.1590\/1809-2950\/21001929012022en","journal-title":"Fisioter Pesqui"},{"key":"10260_CR32","doi-asserted-by":"publisher","first-page":"6071","DOI":"10.1245\/s10434-021-09947-3","volume":"28","author":"A Kuijer","year":"2021","unstructured":"Kuijer A, Dominici LS, Rosenberg SM, Hu J, Gelber S, Di Lascio S et al (2021) Arm morbidity after local therapy for young breast cancer patients. Ann Surg Oncol 28:6071\u20136082. https:\/\/doi.org\/10.1245\/s10434-021-09947-3","journal-title":"Ann Surg Oncol"},{"key":"10260_CR33","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1097\/prs.0000000000009986","volume":"151","author":"JI Payton","year":"2023","unstructured":"Payton JI, Abraham JT, Novak MD, Monsivais SE, Hammonds KP, Altman AM (2023) Impact of age, body mass index, and resection weight on postoperative complications in reduction mammaplasty. Plast Reconstr Surg 151:727\u2013735. https:\/\/doi.org\/10.1097\/prs.0000000000009986","journal-title":"Plast Reconstr Surg"},{"key":"10260_CR34","first-page":"35","volume":"4","author":"W Xinghua","year":"2023","unstructured":"Xinghua W (2023) The research on strategies and methods for postoperative recovery and functional reconstruction in surgery. MEDS Clin Med 4:35\u201340","journal-title":"MEDS Clin Med"},{"key":"10260_CR35","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1186\/1471-2407-7-166","volume":"7","author":"CH Beurskens","year":"2007","unstructured":"Beurskens CH, van Uden CJ, Strobbe LJ, Oostendorp RA, Wobbes T (2007) The efficacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled study. BMC Cancer 7:166. https:\/\/doi.org\/10.1186\/1471-2407-7-166","journal-title":"BMC Cancer"},{"key":"10260_CR36","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/jknz2003","volume":"26","author":"J Bruce","year":"2022","unstructured":"Bruce J, Mazuquin B, Mistry P, Rees S, Canaway A, Hossain A et al (2022) Exercise to prevent shoulder problems after breast cancer surgery: the PROSPER RCT. Health Technol Assess 26:1\u2013124. https:\/\/doi.org\/10.3310\/jknz2003","journal-title":"Health Technol Assess"},{"key":"10260_CR37","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000030810","volume":"101","author":"H Byun","year":"2022","unstructured":"Byun H, Jang Y, Kim JY, Kim JM, Lee CH (2022) Effects of preoperative personal education on shoulder function and lymphedema in patients with breast cancer: a consort. Medicine (Baltimore) 101:e30810. https:\/\/doi.org\/10.1097\/md.0000000000030810","journal-title":"Medicine (Baltimore)"},{"key":"10260_CR38","doi-asserted-by":"publisher","first-page":"1902","DOI":"10.1111\/j.1365-2648.2010.05374.x","volume":"66","author":"DN Chan","year":"2010","unstructured":"Chan DN, Lui LY, So WK (2010) Effectiveness of exercise programmes on shoulder mobility and lymphoedema after axillary lymph node dissection for breast cancer: systematic review. J Adv Nurs 66:1902\u20131914. https:\/\/doi.org\/10.1111\/j.1365-2648.2010.05374.x","journal-title":"J Adv Nurs"},{"key":"10260_CR39","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1097\/01.NCC.0000305696.12873.0e","volume":"31","author":"N Cinar","year":"2008","unstructured":"Cinar N, Seckin U, Keskin D, Bodur H, Bozkurt B, Cengiz O (2008) The effectiveness of early rehabilitation in patients with modified radical mastectomy. Cancer Nurs 31:160\u2013165. https:\/\/doi.org\/10.1097\/01.NCC.0000305696.12873.0e","journal-title":"Cancer Nurs"},{"key":"10260_CR40","doi-asserted-by":"publisher","unstructured":"Huang M, Wang Y, Wang T, Guo S (2023) Effects of progressive physical exercises combined with equipment-assisted training on postoperative rehabilitation of breast cancer patients underwent same-day surgery with axillary dissection. https:\/\/doi.org\/10.21203\/rs.3.rs-3186678\/v1","DOI":"10.21203\/rs.3.rs-3186678\/v1"},{"key":"10260_CR41","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1089\/acm.2017.0145","volume":"24","author":"M Mazor","year":"2018","unstructured":"Mazor M, Lee JQ, Peled A, Zerzan S, Irwin C, Chesney MA et al (2018) The effect of yoga on arm volume, strength, and range of motion in women at risk for breast cancer-related lymphedema. J Altern Complement Med 24:154\u2013160. https:\/\/doi.org\/10.1089\/acm.2017.0145","journal-title":"J Altern Complement Med"},{"key":"10260_CR42","doi-asserted-by":"publisher","first-page":"1876","DOI":"10.1177\/0269215519873026","volume":"33","author":"IL Ribeiro","year":"2019","unstructured":"Ribeiro IL, Moreira RFC, Ferrari AV, Alburquerque-Send\u00edn F, Camargo PR, Salvini TF (2019) Effectiveness of early rehabilitation on range of motion, muscle strength and arm function after breast cancer surgery: a systematic review of randomized controlled trials. Clin Rehabil 33:1876\u20131886. https:\/\/doi.org\/10.1177\/0269215519873026","journal-title":"Clin Rehabil"},{"key":"10260_CR43","first-page":"9512","volume":"6","author":"DG Tareef","year":"2022","unstructured":"Tareef DG, Ali DDKA, Mohammad DAR (2022) The efficacy of range of motion exercise in reducing shoulder pain related to mastectomy: randomized control trial. J Posit Sch Psychol 6:9512\u20139522","journal-title":"J Posit Sch Psychol"},{"key":"10260_CR44","unstructured":"OECD (2022) Length of hospital stay. https:\/\/www.oecd.org\/en\/data\/indicators\/length-of-hospital-stay.html. Accessed Accessed 2025 Oct 22"},{"key":"10260_CR45","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1054\/brst.2001.0412","volume":"11","author":"I Bendz","year":"2002","unstructured":"Bendz I, Fagevik Ols\u00e9n M (2002) Evaluation of immediate versus delayed shoulder exercises after breast cancer surgery including lymph node dissection--a randomised controlled trial. Breast 11:241\u2013248. https:\/\/doi.org\/10.1054\/brst.2001.0412","journal-title":"Breast"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-10260-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-025-10260-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-10260-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:03:00Z","timestamp":1771272180000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-025-10260-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,15]]},"references-count":45,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10260"],"URL":"https:\/\/doi.org\/10.1007\/s00520-025-10260-y","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,15]]},"assertion":[{"value":"22 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in accordance with the principles of the Declaration of Helsinki. The Medical Research Ethics Review Committee of Fujita Health University approved the study protocol (No. HM21-300).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The requirement for informed consent was waived because of the retrospective study design; individuals who did not opt out were included.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"97"}}