{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T16:54:34Z","timestamp":1771779274620,"version":"3.50.1"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T00:00:00Z","timestamp":1528848000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118000671_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000671_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000671_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients. Thirty-three per cent of centres offered routine in-patient physiotherapy after surgery. No centres offered out-patient physiotherapy for all patients regardless of symptoms. Seventy-eight per cent offered physiotherapy for patients with any symptoms, with 11 per cent offering physiotherapy for those with severe dysfunction only. Eleven per cent of centres never offered physiotherapy for any dysfunction.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000671_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>The provision of physiotherapy is most commonly reactive rather than proactive, and usually driven by patient request. There is little evidence of pre-arranged physiotherapy for patients to treat or prevent shoulder dysfunction in the UK.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215118000671","type":"journal-article","created":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T09:13:27Z","timestamp":1528881207000},"page":"624-627","source":"Crossref","is-referenced-by-count":11,"title":["Provision of physiotherapy rehabilitation following neck dissection in the UK"],"prefix":"10.1017","volume":"132","author":[{"given":"M","family":"Robinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Ward","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Mehanna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Paleri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S C","family":"Winter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,6,13]]},"reference":[{"key":"S0022215118000671_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2016.06.008"},{"key":"S0022215118000671_ref1","volume-title":"Profile of Head and Neck Cancers in England: Incidence, Mortality and Survival","year":"2010"},{"key":"S0022215118000671_ref3","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1075.100820"},{"key":"S0022215118000671_ref7","volume-title":"Cancer of the Upper Aerodigestive Tract: Assessment and Management in People Aged 16 and Over. NICE Guideline 36","year":"2016"},{"key":"S0022215118000671_ref2","doi-asserted-by":"publisher","DOI":"10.1158\/0008-5472.CAN-16-0633"},{"key":"S0022215118000671_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100117232"},{"key":"S0022215118000671_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/00016480310015317"},{"key":"S0022215118000671_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12063"},{"key":"S0022215118000671_ref9","volume-title":"National Head and Neck Cancer Audit: Tenth Annual Report (DAHNO)","year":"2015"},{"key":"S0022215118000671_ref10","volume-title":"Guidance on Cancer Services. Improving Outcomes in Head and Neck Cancers: The Manual. Cancer Service Guideline 6","year":"2004"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215118000671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,14]],"date-time":"2019-04-14T18:54:16Z","timestamp":1555268056000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215118000671\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,13]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["S0022215118000671"],"URL":"https:\/\/doi.org\/10.1017\/s0022215118000671","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,13]]}}}