Physiotherapy Department, The Calvary Mater Newcastle Hospital, Waratah, NSW, Australia.
Head Neck. 2011 Feb;33(2):274-80. doi: 10.1002/hed.21366.
Neck dissection is an operation that can result in accessory nerve injury. Accessory nerve shoulder dysfunction (ANSD) describes the pain and impaired range of motion that may occur following neck dissection. The aim of this review was to establish the level of evidence for the effectiveness of physiotherapy in the postoperative management of ANSD.
A literature search of physiotherapy and ANSD using Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), and Cochrane Library databases was undertaken.
Physiotherapy has been shown to be well tolerated in this patient group following surgery. However, few studies exist as to the effect of physiotherapy on ANSD.
There is a need for research to investigate the effects of early, appropriate physiotherapy on the development of ANSD following neck dissection surgery. Such a study has the potential to improve the functional outcome and quality of life in this patient group, and ultimately to promote best practice guidelines for management.
颈清扫术是一种可能导致副神经损伤的手术。副神经肩功能障碍（ANSD）描述了颈清扫术后可能出现的疼痛和运动范围受限。本综述的目的是确定物理疗法在术后管理 ANSD 中的有效性的证据水平。
使用 Medline、Cumulative Index to Nursing and Allied Health Literature（CINAHL）、Physiotherapy Evidence Database（PEDro）和 Cochrane Library 数据库对物理疗法和 ANSD 进行文献检索。
术后，物理疗法在该患者群体中被证明具有良好的耐受性。然而，关于物理疗法对 ANSD 的影响的研究很少。
需要研究调查颈清扫术后早期、适当的物理疗法对 ANSD 发展的影响。这样的研究有可能改善该患者群体的功能结果和生活质量，并最终为管理制定最佳实践指南。
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