A comparison of the head lift exercise and recline exercise in patients with chronic head and neck cancer post-radiation

Larsen, Alyssa M; Wolford, Laura L.; Brobeck, Teresa C.

doi:10.1007/s00520-020-05925-9

Cited by 1 publication

(2 citation statements)

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“…It is essential to measure adherence to exercise when evaluating effect of an intervention. Although the HLE is a strenuous exercise to perform, and high intensity is a factor known to influence compliance negatively, adherence in the present study was high throughout the 12 months [ 12 , 39 ]. In previous studies of swallowing exercises, compliance has been low, making it difficult to draw conclusions [ 38 ].…”

Section: Discussionmentioning

confidence: 88%

“…The head-lift exercise (HLE) was originally developed to improve the upper esophageal sphincter (UES) by strengthening the suprahyoidal, thyrohyoid, and pharyngeal muscles to improve hyoid and laryngeal elevation and consequently the UES opening [ 11 ]. The HLE has been used as an intervention for dysphagia among HNC patients for several years [ 12 ] as research studies have showed some evidence of less aspiration during swallowing and less post-swallow residue as well as better preservation of the UES opening, hyoid bone movement, and strengthened suprahyoid muscles [ 13 – 15 ]. However, results from a large, randomized control trial have previously been lacking.…”

Section: Introductionmentioning

confidence: 99%

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A randomized controlled study evaluating the head-lift exercise in head and neck cancer patients with radiation-induced dysphagia: effect on swallowing function and health-related quality of life over 12 months

Petersson

Finizia

Pauli

et al. 2023

Eur Arch Otorhinolaryngol

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Purpose Dysphagia is common after radiotherapy for head and neck cancer (HNC) and can affect health-related quality of life (HRQL). This randomized controlled trial aimed to evaluate the effect of the head-lift exercise (HLE) over 12 months in HNC patients with radiation-induced dysphagia. Methods Sixty-one patients with dysphagia were randomized to intervention group (n = 30) and control group (n = 31) at 6–36 months after completion of radiotherapy for HNC. Dysphagia-specific HRQL was measured with the MD Anderson Dysphagia Inventory (MDADI); general and HNC-specific HRQL was measured with the European Organization for Research and Treatment of Cancer Quality of Life questionnaire Core 30 (EORTC QLQ-C30) and QLQ-H&N35. Measurements were made at baseline, and at 8 weeks and 12 months after start of intervention. Results Adherence to the intervention was good throughout the year. When comparing change from baseline reports to each follow-up no statistically significant differences between the groups were found in any of the HRQL instruments. There were some statistically significant changes within groups compared to baseline. The intervention group improved self-rated swallowing function on the MDADI at 8 weeks (emotional domain, p = 0.03; functional domain, p = 0.007; total score, p = 0.01) and the control at twelve months (emotional domain, p = 0.03; functional domain, p = 0.02; physical domain, p = 0.004; total score, p = 0.002). Conclusion In this randomized control study, no effect was observed short term or at 12 months on HRQL after use of the HLE as rehabilitation for radiation-induced dysphagia.

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Section: Discussionmentioning

confidence: 88%