Rehabilitation Outcomes in Head and Neck Survivors
Avainsanat
Abstrakti
Kuvaus
Head and neck cancer is prevalent in Taiwan, and oral cancer is the most common location. Patients with advanced stage of the disease need extensive tumor excision with neck dissection. Secondary reconstructive surgeries using free flap could improve the postoperative function or appearance of cancer survivors. Oral functions include respiration, speech, mastication, deglutition, and cosmetics. Advanced treatments make survival rates increased, but might develop shoulder dysfunction, speech, mastication, donor site morbidity and psychological issues. The purpose of this project is to explore the effects of rehabilitation following reconstructive surgery in oral cancer survivors.
This study design is an interrupted time-series design. The investigators will recruit 50 subjects one week following reconstructive surgery. The measurements include manual muscle strength, joint range of motion, maximal mouth opening, pain status, hand-to-neck test, hand-to-scapula test, hand-to-opposite-scapula test, 6-minute walking test, timed up & go test, European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30, European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-H&N35 and return-to-work. These tests were done at the first visit (0 week post-operation), three months and six months after reconstructive surgery respectively. The intervention programs consist of edema control, scar management, pain management, respiration training, oral function training, neck and shoulder function training, donor site mobility training. Continuous variables were analyzed by descriptive statistics. One-way ANOVA was used to compare the difference between measurements. Binary logistic regression was used to predict the factors of return-to-work.
Päivämäärät
Viimeksi vahvistettu: | 04/30/2015 |
Ensimmäinen lähetys: | 02/16/2015 |
Arvioitu ilmoittautuminen lähetetty: | 06/29/2017 |
Ensimmäinen lähetetty: | 07/01/2017 |
Viimeisin päivitys lähetetty: | 06/29/2017 |
Viimeisin päivitys lähetetty: | 07/01/2017 |
Todellinen opintojen alkamispäivä: | 12/31/2014 |
Arvioitu ensisijainen valmistumispäivä: | 06/29/2016 |
Arvioitu tutkimuksen valmistumispäivä: | 06/29/2016 |
Ehto tai tauti
Interventio / hoito
Other: Physiotherapy
Vaihe
Varren ryhmät
Varsi | Interventio / hoito |
---|---|
initial 0 month begin physiotherapy | |
3 months after physiotherapy 3 months after physiotherapy | |
6 months after physiotherapy 6 months after physiotherapy |
Kelpoisuusehdot
Tutkimukseen soveltuvat iät | 20 Years Vastaanottaja 20 Years |
Sukupuolet, jotka ovat kelpoisia tutkimukseen | All |
Näytteenottomenetelmä | Non-Probability Sample |
Hyväksyy terveelliset vapaaehtoiset | Joo |
Kriteeri | Inclusion Criteria: - Clinical diagnosis of oral cancer - Post-reconstructive surgery - Age between 20 to 65 years old - Must be able to follow instructions Exclusion Criteria: - Central nervous disease - Metastasis |
Tulokset
Ensisijaiset tulosmittaukset
1. return to work as measured by interview [1 year]
2. quality of life as measured by European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30 [1 year]
3. physical functions measured by 6-minute walking test [1 year]
4. quality of life as measured by European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-H&N35 [1 year]
5. physical functions measured by time up & go test [1 year]
Toissijaiset tulosmittaukset
1. shoulder function measured by function-related tests [1 year]
2. pain measured by Visual Analog Scale [1 year]
3. mouth opening measured by Boley gauge [1 year]
4. joint range of motion measured by goniometer [1 year]
5. muscle strength measured by manual muscle testing [1 year]