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The implementation of post breast cancer surgery physical therapy instructions for patients―A case study of Israeli medical centers

  • Tamar Jacob1,*,
  • Ruth Peleg2
  • Jillian Bracha3
  • Helena Silman Cohen4

1Physical Therapy Department, Faculty of Health Sciences, Ariel University, 4076405 Ariel, Israel

2Oncology-Plastic Surgery Departments, Tel Aviv Sourasky Medical Center, 6423906 Tel-Aviv, Israel

3Private Practice, Maagan Michael, 3780500 Maagan Michael, Israel

4Division of Oncology, Rambam Health Care Center, 3525408 Haifa, Israel

DOI: 10.22514/ejgo.2022.062 Vol.43,Issue 6,December 2022 pp.96-103

Submitted: 04 August 2022 Accepted: 09 October 2022

Published: 15 December 2022

*Corresponding Author(s): Tamar Jacob E-mail:


That patients undergoing breast cancer (BC) surgery need instruction post-surgery has been well described in the literature. Therefore, new off and online patient instructions have been developed and made available in Israel. This study aimed to evaluate the degree to which these instructions reach patients in Israeli medical centers and reasons for use or non-use. A case study. The study population were managers of physical therapy services in Israeli medical centers. Telephone interviews, using a semi structured questionnaire, were recorded and transcribed. The research team summarized and discussed the issues raised. Managers of physical therapy service or representative from 18 public medical centers were interviewed. All medical centers employ a full or part time physical therapist in their surgical wards and all except one provide some pre-discharge instructions to all or to selected women after BC surgery. Nine interviewees think that the new instruction is suitable as is. Disagreeing opinions were that the content is too long and not suitable for all patients. In medical centers with strong interdisciplinary cooperation there is greater use of the new instruction. Online distribution of instruction to the managers of the PT services in medical centers helped encourage their use. Instruction promotion can be increased through interdisciplinary cooperation, educational seminars, staff meetings and electronic media.


Breast cancer; Information-provision; Instruction; Physiotherapy; Side-effects

Cite and Share

Tamar Jacob,Ruth Peleg,Jillian Bracha,Helena Silman Cohen. The implementation of post breast cancer surgery physical therapy instructions for patients―A case study of Israeli medical centers. European Journal of Gynaecological Oncology. 2022. 43(6);96-103.


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