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Updated: Jun 15, 2026
Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: a literature review
Aoife C McGarvey1, Pauline E Chiarelli, Peter G Osmotherly
1Physiotherapy Department, The Calvary Mater Newcastle Hospital, Waratah, NSW, Australia. Aoife.McGarvey@mater.health.nsw.gov.au
Background:
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.
Methods:
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.
Results:
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.
Conclusions:
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.
