Assessment of musculoskeletal impairment in head and neck cancer patients

Ghiam, Michael K.; Mannion, Kyle; Dietrich, Mary S.; Stevens, Kristen; Gilbert, Jill; Murphy, Barbara A.

doi:10.1007/s00520-017-3603-1

Cited by 27 publications

(41 citation statements)

References 33 publications

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“…This study has described key factors associated with neck disability, which have been identified as underreported in a recent systematic review [14]. Previous studies of patients with HNC have reported similar NDI scores to the present study, but were much smaller and not limited to a surgical population [50] [51]. In contrast, the NDI has been used extensively in the musculoskeletal neck pain literature [21] to measure self-reported neck disability.…”

Section: Discussionsupporting

confidence: 51%

The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection

et al. 2018

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Section: Discussionsupporting

confidence: 51%

The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection

et al. 2018

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“…The lower mean values of the sHNC compared to the control group for the cervical and shoulder AROM variables obtained in the present work agree with reductions consistently reported for populations with HNC (including sHNC) [5,16,18]. Extension and inclination to both sides on the cervical region were lower in sHNC.…”

Section: Plos Onesupporting

confidence: 91%

“…MMO was measured (mm) once as the inter-incisor distance (with the patient sitting) using a sliding caliper [17,18].…”

Section: Maximum Mouth Openingmentioning

confidence: 99%

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Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Ortiz-Comino¹,

Fernández-Lao²,

Speksnijder³

et al. 2020

PLoS ONE

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Background Upper body motor function and swallowing may be affected after curative treatment for head and neck cancer. The aims of this study are to compare maximum mouth opening (MMO), temporomandibular dysfunction (TMD), cervical and shoulder active range of motion (AROM) and strength, and swallowing difficulty between survivors of head and neck cancer (sHNC) and healthy matched controls (HMC) and to examine the correlations between these outcomes in sHNC. Methods Thirty-two sHNC and 32 HMC participated on the study. MMO, TMD, cervical and shoulder AROM, cervical and shoulder strength, the SPADI shoulder pain and disability indices, the Eating Assessment Tool (EAT-10) score, swallowing difficulty as determined using a visual analogue scale (VAS), and the location of disturbances in swallowing, were recorded. Results MMO and cervical and shoulder AROM and strength were significantly lower in sHNC, whereas FAI, SPADI score, EAT-10 and VAS were higher. The MMO, TMD, cervical and shoulder AROM, and cervical shoulder strength values showed significant correlations (some direct, others inverse) with one another. Swallowing difficulty was inversely associated with the MMO, cervical AROM and shoulder strength.

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“…19 Previous reviews have found objective and subjective patient reports of reduced MMO often correlate, however, some patients may continue to complain of trismus while having an MMO within the normal range. [20][21][22] The lack of uniform criteria contributes to the wide range of prevalence presented in previous studies. In addition to the lack of clear diagnostic criteria, there is limited evidence to support clinical guidelines for intervention and treatment.…”

mentioning

confidence: 99%

Prevalence of trismus in patients with head and neck cancer: A systematic review with meta‐analysis

et al. 2019

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Background The purpose of this systematic review and meta‐analysis was to determine the prevalence of trismus in patients with head and neck cancer. Methods Four electronic databases were searched: Cochrane Library, MEDLINE, EMBASE, and Web of Science up to April 2018. Level of evidence was assessed based on Oxford Centre for Evidence‐based Medicine. Publications were restricted to prospective cohort studies (n = 15), randomized clinical trials (n = 3), and cross‐sectional studies (n = 5) reporting on trismus as mouth maximum opening less than or equal to 35 mm in the English language. Results A total of 636 abstracts were reviewed for inclusion. Twenty‐three studies were included in qualitative analysis and 15 studies in meta‐analysis. The results included 2786 patients with head and neck cancer treated with surgery, radiotherapy, and/or chemotherapy either alone or in combination. Based on meta‐analyses, the weighted average prevalence of trismus increased from 17.3% at baseline (95% confidence interval [CI], 10.8%‐26.5%) to a peak of 44.1% at 6 months (95% CI, 36.7%‐51.8%) and decreased to 32.1% at 12 months (95% CI, 27.2%‐37.4%) and continued in average 32.6% at 3‐10 years (95% CI, 22.0%‐45.3%). Conclusions Having a primary site of the oral cavity or oropharynx was associated with a higher risk for developing trismus based on individual studies. Prospective cohort studies or randomized controlled trials with multiple objective trismus measurements, evaluation of disease characteristics, and treatment variables are needed to further investigate the prevalence of trismus secondary to head and neck cancer treatment.

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Assessment of musculoskeletal impairment in head and neck cancer patients

Abstract: Musculoskeletal impairment is a significant side effect in head and neck cancer survivors that results in chronic neck pain, shoulder disability, trismus, and postural deficits. Tools to describe postural deficits are needed.

Cited by 27 publications

References 33 publications

The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection

The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Prevalence of trismus in patients with head and neck cancer: A systematic review with meta‐analysis

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