[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-351688-105":59,"doc-detail-351688-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","effects-of-traditional-chinese-exercises-for-upper-limb-dysfunction-following-breast-cancer-surgery-protocol-for-a-systematic-review-and-meta-analysis","Effects of Traditional Chinese Exercises for Upper-Limb Dysfunction Following Breast Cancer Surgery - Protocol for a Systematic Review and Meta-Analysis","","Upper-limb dysfunction commonly occurs after breast cancer surgery and can reduce postoperative quality of life. This protocol describes a systematic review and meta-analysis evaluating traditional Chinese exercises as mind-body interventions, integrating physical postures, breathing techniques, and mental focus, for improving upper-limb function. Randomised controlled trials will be searched across major international and Chinese databases up to April 2026, assessing primary functional outcomes and several secondary measures, including motion, pain, strength, limb circumference, and adverse events, with risk of bias, meta-analytic synthesis, and evidence grading planned to support rehabilitation decisions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/effects-of-traditional-chinese-exercises-for-upper-limb-dysfunction-following-breast-cancer-surgery-protocol-for-a-systematic-review-and-meta-analysis/351688/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/effects-of-traditional-chinese-exercises-for-upper-limb-dysfunction-following-breast-cancer-surgery-protocol-for-a-systematic-review-and-meta-analysis/351688.png","ImageObject",300,407,{"name":92,"@type":93},"Adam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-27","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the goal of this protocol for the systematic review and meta-analysis?","Question",{"text":112,"@type":113},"To evaluate whether traditional Chinese exercises improve upper-limb dysfunction following breast cancer surgery, using predefined study selection methods and outcome measures.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which study designs and participants will be included?",{"text":117,"@type":113},"Randomised controlled trials involving individuals with upper-limb dysfunction after breast cancer surgery will be included.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the primary and secondary outcomes?",{"text":121,"@type":113},"Primary outcome is upper limb function measured by validated scales. Secondary outcomes include shoulder range of motion, pain intensity, upper limb circumference, upper limb strength, and adverse events such as haematoma, infection, and lymphoedema.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},351688,1790197883,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Open access Protocol  \nTo cite: Wan Y, Fu Y, Bian Z, et al. Effects of traditional Chinese exercises for upperlimb dysfunction following breast cancer surgery: protocol for a systematic review and meta-analysis. BMJ Open 2026;16:e112564 . doi:10 . 1136/ bmjopen-2025-112564  \n► Prepublication history and additional supplemental material for this paper are available online. To view these files, please visit the journal online ([https://doi.org/10.1136/](https://doi.org/10.1136/)[ ](https://doi.org/10.1136/)[bmjopen-2025-112564](bmjopen-2025-112564)) .  \nReceived 18 October 2025 Accepted 29 April 2026  \n© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.  \nFor numbered affiliations see end of article.  \nCorrespondence to  \nLihua Xuan; [xlh1083@163.com](xlh1083@163.com)  \nEffects of traditional Chinese exercises for upper-limb dysfunction following breast cancer surgery: protocol for a systematic review and meta-analysis  \nYijia Wan  ,1 Yuanyuan Fu,2 Zhiyuan Bian  ,3 Cong Wang  ,1 Ruohan Sun,1 Yongyuan Lu  ,4 Hengfeng Lv,4 Lihua Xuan1  \nABSTRACT  \nIntroduction Upper-limb dysfunction commonly occurs after breast cancer surgery and can impair the quality of life. Traditional Chinese exercises are a category of mindbody practices derived from traditional Chinese culture and exercise traditions. They involve physical postures, breathing techniques and mental focus and have the potential to improve postoperative upper limb function.  \nThis protocol outlines the methods used for a systematic review and meta-analysis evaluating traditional Chinese exercises for upper limb dysfunction following breast cancer surgery.  \nMethods and analysis Randomised controlled trials evaluating traditional Chinese exercises for upper-limb dysfunction among individuals following breast cancer surgery will be searched in MEDLINE (PubMed), Embase (Ovid), Cochrane Library (Wiley), Web of Science (Clarivate), China National Knowledge Infrastructure (CNKI), Wanfang Database (Wanfangdata), VIP Database (cqvip), and China Biology Medicine Database (Sinomed) from inception to April 2026. The search strategy combined terms for participants (eg, breast neoplasms), interventions (eg, Tai Chi, Baduanjin and Qigong) and study design (randomised controlled trials) . The primary outcome is upper limb function, assessed using validated scales (eg, the Disability of the Arm, Shoulder and Hand questionnaire and its quick version and the Upper Extremity Functional Index) . Secondary outcomes include shoulder range of motion (goniometry), pain intensity (Visual Analogue Scale and the Numeric Pain Rating Scale), upper limb circumference (cm), upper limb strength (dynamometers) and adverse events (haematoma, infection and lymphoedema) . After study selection and data extraction, the risk of bias assessment will be performed using the Cochrane Risk of Bias Tool 2.0. Standard pairwise meta-analysis will be conducted using Stata V.16.0 software. Next, sensitivity and subgroup analysis will be performed. The Grading of Recommendations, Assessment, Development and Evaluation system will assess evidence quality for the primary outcome. This review may inform clinical decisionmaking on the rehabilitation of individuals following breast cancer surgery.  \nEthics and dissemination Ethical approval is not required as study data will be drawn from published randomised controlled trials. The systematic review results will be published in a peer-reviewed journal.  \nSTRENGTHS AND LIMITATIONS OF THIS STUDY   \n⇒ This study will assess multiple outcomes related to the upper limb following breast cancer surgery, including range of motion, pain severity, arm circumference, grip strength and scores on validated upper limb function questionnaires.  \n⇒ Subgroup analyses will be performed based on different types of traditional Chinese exercises and surgical methods.  \n⇒ Only studies reported in Chinese or","cbCaicyE4s78P2v7","https://ap.wps.com/l/cbCaicyE4s78P2v7","pdf",366043,"English","# ABSTRACT\n## Introduction\n## Methods and analysis\n## Ethics and dissemination\n# STRENGTHS AND LIMITATIONS OF THIS STUDY\n# PROSPERO registration","[{\"question\":\"What is the goal of this protocol for the systematic review and meta-analysis?\",\"answer\":\"To evaluate whether traditional Chinese exercises improve upper-limb dysfunction following breast cancer surgery, using predefined study selection methods and outcome measures.\"},{\"question\":\"Which study designs and participants will be included?\",\"answer\":\"Randomised controlled trials involving individuals with upper-limb dysfunction after breast cancer surgery will be included.\"},{\"question\":\"What are the primary and secondary outcomes?\",\"answer\":\"Primary outcome is upper limb function measured by validated scales. Secondary outcomes include shoulder range of motion, pain intensity, upper limb circumference, upper limb strength, and adverse events such as haematoma, infection, and lymphoedema.\"}]","Effects of Traditional Chinese Exercises for Upper-Limb Dysfunction Following Breast Cancer Surgery - Protocol for a Systematic Review and Meta-Analysis | PDF",1790095332,15]