Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: A literature review
Article first published online: 10 MAR 2010
Copyright © 2010 Wiley Periodicals, Inc.
Head & Neck
Volume 33, Issue 2, pages 274–280, February 2011
How to Cite
McGarvey, A. C., Chiarelli, P. E., Osmotherly, P. G., Hoffman, G. R. (2011), Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: A literature review. Head Neck, 33: 274–280. doi: 10.1002/hed.21366
- Issue published online: 10 MAR 2010
- Article first published online: 10 MAR 2010
- Manuscript Accepted: 3 DEC 2009
- Manuscript Revised: NOV 2009
- Manuscript Received: AUG 2009
- The Calvary Mater Newcastle Hospital. Grant Number: James Lawrie Research Grant
- accessory nerve;
- neck dissection;
- shoulder pain/dysfunction
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. © 2010 Wiley Periodicals, Inc. Head Neck, 2011