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https://www.readbyqxmd.com/read/29726363/dysphagia-treatment-for-patients-with-head-and-neck-cancer-undergoing-radiation-therapy-a-meta-analysis-review
#1
REVIEW
Elissa Greco, Tijana Simic, Jolie Ringash, George Tomlinson, Yoko Inamoto, Rosemary Martino
PURPOSE: Patients undergoing radiation therapy with or without chemotherapy (C/RT) for head and neck cancer (HNC) often develop dysphagia. Interventions from speech-language pathologists aim to maintain or improve swallow physiology and function. However, it is unclear which interventions provide the greatest benefit. We performed a systematic review to assess the benefit of exercise therapy on swallow physiology, function, and related quality of life (QOL). METHODS AND MATERIALS: We searched 7 electronic databases up to July 12, 2017, for all primary studies of any language or design that included the following: a behavioral swallowing intervention for patients with HNC treated with curative C/RT, a comparison group, and outcomes related to swallow physiology, function, and/or QOL...
June 1, 2018: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29696422/mouth-opening-device-as-a-treatment-modality-in-trismus-patients-with-head-and-neck-cancer-and-oral-submucous-fibrosis-a-prospective-study
#2
Yu-Hsuan Li, Wei-Chin Chang, Tien-En Chiang, Chiun-Shu Lin, Yuan-Wu Chen
OBJECTIVES: This study investigated the clinical effectiveness of intervention with an open-mouth exercise device designed to facilitate maximal interincisal opening (MIO) and improve quality of life in patients with head and neck (H&N) cancer and oral submucous fibrosis (OSF). MATERIALS AND METHODS: Sixty patients with H&N cancer, OSF, and trismus (MIO < 35 mm) participated in the functional rehabilitation program. An open-mouth exercise device intervention group and conventional group, each consisting of 20 patients, underwent a 12-week training and exercising program and follow-up...
April 26, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29650060/gastrostomy-versus-nasogastric-tube-feeding-for-chemoradiation-patients-with-head-and-neck-cancer-the-tube-pilot-rct
#3
Vinidh Paleri, Joanne Patterson, Nikki Rousseau, Eoin Moloney, Dawn Craig, Dimitrios Tzelis, Nina Wilkinson, Jeremy Franks, Ann Marie Hynes, Ben Heaven, David Hamilton, Teresa Guerrero-Urbano, Rachael Donnelly, Stewart Barclay, Tim Rapley, Deborah Stocken
BACKGROUND: Approximately 9000 new cases of head and neck squamous cell cancers (HNSCCs) are treated by the NHS each year. Chemoradiation therapy (CRT) is a commonly used treatment for advanced HNSCC. Approximately 90% of patients undergoing CRT require nutritional support via gastrostomy or nasogastric tube feeding. Long-term dysphagia following CRT is a primary concern for patients. The effect of enteral feeding routes on swallowing function is not well understood, and the two feeding methods have, to date (at the time of writing), not been compared...
April 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29618274/usability-testing-of-an-mhealth-device-for-swallowing-therapy-in-head-and-neck-cancer-survivors
#4
Gabriela Constantinescu, Kristina Kuffel, Ben King, William Hodgetts, Jana Rieger
The objective of this study was to conduct the first patient usability testing of a mobile health (mHealth) system for in-home swallowing therapy. Five participants with a history of head and neck cancer evaluated the mHealth system. After completing an in-application (app) tutorial with the clinician, participants were asked to independently complete five tasks: pair the device to the smartphone, place the device correctly, exercise, interpret progress displays, and close the system. Quantitative and qualitative methods were used to evaluate the effectiveness, efficiency, and satisfaction with the system...
April 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29602860/protocol-for-the-trismus-trial-therabite-versus-wooden-spatula-in-the-amelioration-of-trismus-in-patients-with-head-and-neck-cancer-randomised-pilot-study
#5
Rana Lee, Alex Molassiotis, Simon N Rogers, Rhiannon Tudor Edwards, David Ryder, Nick Slevin
INTRODUCTION: Patients can develop trismus from their head and neck cancer or as a result of treatment. Trismus affects the jaw muscles and makes mouth opening difficult. To potentially combat trismus, patients could undertake proactive jaw stretching exercises prior to, during and after radiotherapy, although currently these are not the standard of care. METHODS AND ANALYSIS: This is a randomised, open-label, controlled, two-centre feasibility study, to assess the objective and subjective effectiveness and cost-effectiveness of therabite use compared with wooden spatula in ameliorating trismus in patients treated for stage 3 and 4 oral and oropharyngeal cancer, managed either by primary surgery followed by (chemo)radiotherapy or primary (chemo)radiotherapy...
March 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/29582637/swallowing-exercises-will-they-really-help-head-and-neck-cancer-patients
#6
Karim Mashhour, Rehab Abdelkader, Labiba Abdelkader, Shaimaa El Hadary, Wedad Hashem
Purpose: The work was a comparative study, the aim of which is to evaluate the impact of swallowing exercises on swallowing problems among head and neck cancer patients (HNCPs) after CRT. Methods: The sample of 60 HNCPs was equally divided into control and study groups. The investigators met all patients 3 times (before, during and after CRT); swallowing ability was assessed using the Sydney Swallowing Questionnaire (SSQ). The University of Texas, MD Anderson Cancer Center Swallowing Exercise Protocol was explained and demonstrated by the investigators to the study group...
March 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29564692/a-systematic-review-of-pfe-pre-prostatectomy
#7
REVIEW
S S Goonewardene, D Gillatt, R Persad
Male Stress Urinary Incontinence is a complication post robotic radical prostatectomy. This is a major problem that needs to be solved, since it has great impact on quality of life affecting the patient's physical activity and social well-being. A systematic review relating to literature on impact of preoperative PFE on continence outcomes for patients undergoing prostatectomy was conducted. The search strategy aimed to identify all references related to pelvic floor exercises and post-prostatectomy. Search terms used were as follows: (Pelvic floor exercises) AND (incontinence) AND (prostatectomy)...
March 21, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29526341/randomised-feasibility-study-to-compare-the-use-of-therabite-%C3%A2-with-wooden-spatulas-to-relieve-and-prevent-trismus-in-patients-with-cancer-of-the-head-and-neck
#8
R Lee, S T Yeo, S N Rogers, A L Caress, A Molassiotis, D Ryder, P Sanghera, C Lunt, B Scott, P Keeley, R T Edwards, N Slevin
Our aim was to compare the efficacy of the Therabite® jaw motion rehabilitation system (Atos Medical) with that of wooden spatulas to relieve and prevent trismus in patients who have had radiotherapy for stage three and four oral and oropharyngeal cancer. Secondary aims were to assess the feasibility and the impact of exercise on health-related quality of life (QoL), and the use of health services after treatment. We designed a randomised, open-label, controlled, three-centre feasibility study to compare the effectiveness and cost of the Therabite® and wooden spatulas...
May 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29377317/a-turning-point-head-and-neck-cancer-patients-exercise-preferences-and-barriers-before-and-after-participation-in-an-exercise-intervention
#9
C Jackson, A J Dowd, L C Capozzi, W Bridel, H Y Lau, S N Culos-Reed
This study examined the exercise barriers and preferences of head and neck cancer (HNC) survivors in relation to exercise experience. Participants (n = 22; 46.8% response rate) completed retrospective self-report questionnaires on demographic and medical information, exercise barriers and preferences. A subset of participants then completed semi-structured interviews (n = 18). Participants had previously engaged in the ENHANCE trial during, or immediately following, radiation treatment, an average of 22...
March 2018: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29365012/sun-protection-behaviors-in-head-start-and-other-early-childhood-education-programs-in-illinois
#10
Megan Perez, Marie Donaldson, Namita Jain, June K Robinson
Importance: Sun safety attitudes developed in early childhood can reduce lifetime UV radiation exposure and the risk of skin cancer. Objective: To assess the current policies, practices, and attitudes among caregivers regarding sun protection in children aged 2 to 6 years. Design, Setting, and Participants: A survey of 202 administrators or managers and teachers of Illinois Head Start/Early Head Start (HS/EHS) and day care centers was conducted from July 3 through 21, 2017...
March 1, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29151175/demographic-clinical-lifestyle-related-and-social-cognitive-correlates-of-physical-activity-in-head-and-neck-cancer-survivors
#11
Laurien M Buffart, Remco de Bree, Martine Altena, Sophie van der Werff, Constance H C Drossaert, Caroline M Speksnijder, Michiel W van den Brekel, Harriët Jager-Wittenaar, Neil K Aaronson, Martijn M Stuiver
PURPOSE: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). METHODS: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records...
November 18, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29127589/correction-to-exercise-following-breast-cancer-exploratory-survival-analyses-of-two-randomised-controlled-trials
#12
S C Hayes, M L Steele, R R Spence, L Gordon, D Battistutta, J Bashford, C Pyke, C Saunders, E Eakin
In the original publication of the article, under the heading Discussion, 1st paragraph, the sentence that reads as, "Nonetheless, our observed improvements of over 50% for OS and over 30% for DFS (HRs: 0.45 and 0.66, respectively) are consistent with results from other available studies" should read as "Nonetheless, our observed improvements of over 50% for OS and DFS (HRs: 0.45 and 0.66, respectively) are consistent with results from other available studies." Under the heading Discussion, 3rd paragraph, the sentence that reads as "We cannot discount the possibility …such as education, income and access to care [1, 7]" should read as "We cannot discount the possibility…such as education, income and access to care, which ultimately have on survival outcomes [1, 7]...
January 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29114887/cough-strength-and-expiratory-force-in-aspirating-and-nonaspirating-postradiation-head-and-neck-cancer-survivors
#13
Katherine A Hutcheson, Martha P Barrow, Carla L Warneke, Yiqun Wang, George Eapen, Stephen Y Lai, Denise A Barringer, Emily K Plowman, Jan S Lewin
OBJECTIVE: Expiratory functions that clear aspiration from the airway are compromised in patients with neurogenic dysphagia for whom cough and expiratory force may be impaired by the primary disease process. The relationship between expiratory function, cough, and aspiration is less clear in head and neck cancer (HNC) survivors for whom the disease process does not directly impact the lower respiratory system. Our objective was to compare mechanisms of airway clearance (expiratory force and cough) with aspiration status in postradiated HNC survivors...
November 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29103741/the-effect-of-home-based-program-and-outpatient-physical-therapy-in-patients-with-head-and-neck-cancer-a-randomized-controlled-trial
#14
Tsui-Ling Su, An-Ni Chen, Chau-Peng Leong, Yu-Chi Huang, Chia-Wei Chiang, I-Hsuan Chen, Yan-Yuh Lee
OBJECTIVES: Physical therapy improves outcomes for patients with head and neck cancer (HNC) but home-based program (HBP) has not yet been investigated thoroughly. This study compared a HBP with outpatient physical therapy (OPT). METHODS: This trial categorized patients with primary HNC into OPT and HBP groups. The patients in the HBP group received home-based therapy once a day for 5 days per week. By contrast, the OPT group received various physical therapies, including aerobic, anaerobic, and stretching therapies, twice per week, plus a thrice-weekly home-based therapy that similarly consisted of aerobic, anaerobic, and stretching exercises...
November 2017: Oral Oncology
https://www.readbyqxmd.com/read/29098398/evaluation-of-an-automated-swallow-detection-algorithm-using-visual-biofeedback-in-healthy-adults-and-head-and-neck-cancer-survivors
#15
Gabriela Constantinescu, Kristina Kuffel, Daniel Aalto, William Hodgetts, Jana Rieger
Mobile health (mHealth) technologies may offer an opportunity to address longstanding clinical challenges, such as access and adherence to swallowing therapy. Mobili-T® is an mHealth device that uses surface electromyography (sEMG) to provide biofeedback on submental muscles activity during exercise. An automated swallow-detection algorithm was developed for Mobili-T®. This study evaluated the performance of the swallow-detection algorithm. Ten healthy participants and 10 head and neck cancer (HNC) patients were fitted with the device...
November 2, 2017: Dysphagia
https://www.readbyqxmd.com/read/29058083/exercise-program-design-considerations-for-head-and-neck-cancer-survivors
#16
Adrian W Midgley, Derek Lowe, Andrew R Levy, Vishal Mepani, Simon N Rogers
The present study aimed to establish exercise preferences, barriers, and perceived benefits among head and neck cancer survivors, as well as their level of interest in participating in an exercise program. Patients treated for primary squamous cell carcinoma of the head and neck between 2010 and 2014 were identified from the hospital database and sent a postal questionnaire pack to establish exercise preferences, barriers, perceived benefits, current physical activity levels, and quality of life. A postal reminder was sent to non-responders 4 weeks later...
January 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29044879/exercise-therapy-for-trismus-secondary-to-head-and-neck-cancer-a-systematic-review
#17
Jolanda I Kamstra, Marianne van Leeuwen, Jan L N Roodenburg, Pieter U Dijkstra
BACKGROUND: Effects of exercise therapy for trismus secondary to head and neck cancer have not been reviewed systematically since 2004. METHODS: Four databases were searched. The quality of observational studies and randomized controlled trials was assessed. RESULTS: Two hundred eleven articles were found, 20 studies were included. A large variation in research methodology, stretching techniques, duration of stretch, and repetition of exercises was found...
November 2017: Head & Neck
https://www.readbyqxmd.com/read/28965240/patient-adherence-to-dysphagia-recommendations-a-systematic-review
#18
REVIEW
Brittany N Krekeler, Courtney K Broadfoot, Stephen Johnson, Nadine P Connor, Nicole Rogus-Pulia
Patient adherence to treatment recommendations is an important issue for healthcare providers, in a multitude of specialties, and is critical when assessing the efficacy and effectiveness of a particular treatment approach. Patients who have swallowing impairment often require complex and specific interventions requiring altered daily patterns of behavior. Patients with dysphagia who do not follow recommendations or prescribed exercises may not receive maximum benefit of an intervention. Poor adherence also makes it more difficult to evaluate efficacy of a treatment both clinically and in experimental settings...
September 30, 2017: Dysphagia
https://www.readbyqxmd.com/read/28965209/feasibility-of-a-mobile-application-to-enhance-swallowing-therapy-for-patients-undergoing-radiation-based-treatment-for-head-and-neck-cancer
#19
Heather M Starmer, Rina Abrams, Kimberly Webster, Jennifer Kizner, Beth Beadle, F Christopher Holsinger, Harry Quon, Jeremy Richmon
Dysphagia following treatment for head and neck cancer is one of the most significant morbidities impacting quality of life. Despite the value of prophylactic exercises to mitigate the impact of radiation on long-term swallowing function, adherence to treatment is limited. The purpose of this investigation was to explore the feasibility of a mobile health application to support patient adherence to swallowing therapy during radiation-based treatment. 36 patients undergoing radiation therapy were provided with the Vibrent™ mobile application as an adjunct to standard swallowing therapy...
September 30, 2017: Dysphagia
https://www.readbyqxmd.com/read/28833185/expiratory-muscle-strength-training-for-radiation-associated-aspiration-after-head-and-neck-cancer-a-case-series
#20
Katherine A Hutcheson, Martha P Barrow, Emily K Plowman, Stephen Y Lai, Clifton David Fuller, Denise A Barringer, George Eapen, Yiqun Wang, Rachel Hubbard, Sarah K Jimenez, Leila G Little, Jan S Lewin
OBJECTIVE/HYPOTHESIS: Expiratory muscle strength training (EMST) is a simple, inexpensive, device-driven exercise therapy. Therapeutic potential of EMST was examined among head and neck cancer survivors with chronic radiation-associated aspiration. STUDY DESIGN: Retrospective case series. METHODS: Maximum expiratory pressures (MEPs) were examined among n = 64 radiation-associated aspirators (per penetration-aspiration scale score ≥ 6 on modified barium swallow)...
May 2018: Laryngoscope
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