Exercise interventions for shoulder dysfunction in patients treated for head and neck cancer

Carvalho, Alan PV; Vital, Flávia Mr; Soares, Bernardo

doi:10.1002/14651858.cd008693.pub2

Cited by 43 publications

(49 citation statements)

References 27 publications

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“…[13][14][15] A metaanalysis examining the effect of RET on QOL for all cancers reported a small clinical benefit from resistance exercise immediately post-intervention; 14 because few of the included studies reported follow-up data, however, the authors were not able to draw conclusions on longterm effects. 14 Our follow-up results show that benefits are largely sustained over the follow-up period and that further improvement may also occur in the subgroup of participants who continue regular RET.…”

Section: Discussionmentioning

confidence: 99%

“…Our study is one of the first to provide follow-up data on a resistance exercise intervention for shoulder pain and dysfunction after neck dissection in HNC survivors. [13][14][15] Because the study design allowed crossover for participants originally assigned to the TP group, we did not anticipate continued group differences at 12-month follow-up based on randomization. We were interested to determine, however, whether any benefits from the 12-week PRET intervention persisted over the longer term.…”

Section: Ré Sumémentioning

confidence: 99%

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Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

McNeely

Parliament

Seikaly³

et al. 2015

Physiotherapy Canada

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Purpose: Shoulder pain and dysfunction may occur after surgery for head and neck cancer (HNC) as a result of damage to or resection of the spinal accessory nerve. Previous research found that 12 weeks of upper extremity progressive resistance exercise training (PRET) improved shoulder outcomes in survivors of HNC; the purpose of this study was to determine whether benefits persisted over the longer term. Methods: Survivors of HNC were assigned at random to PRET (n ¼ 27) or a standard therapeutic protocol (TP; n ¼ 25), with an opportunity for crossover in the TP group after 12 weeks. At 12-month follow-up, participants were mailed a questionnaire that assessed quality of life (QOL), shoulder outcomes, and exercise behaviour. Results: Of the 52 participants enrolled in the study, 44 were eligible at 12-month follow-up, and 37 (71%) completed the questionnaires. Overall, self-reported outcomes were largely sustained over the follow-up period. After 12 months, regardless of original group allocation, participants who continued resistance exercise training during the follow-up period reported better neck dissection-related functioning (p ¼ 0.021) and better QOL (p ¼ 0.011) than those who did not. Conclusions: Benefits of PRET were sustained at 12-month follow-up. Ongoing participation in resistance exercise training may prove valuable as a supportive care intervention for survivors of HNC.Key Words: exercise therapy; follow-up studies; head and neck neoplasms; quality of life; shoulder pain RÉ SUMÉObjet : Une douleur à l'é paule et une dysfonction peuvent faire leur apparition aprè s une intervention chirurgicale pour un cancer de la tê te et du cou (CTC) parce que le nerf spinal accessoire a é té endommagé ou ré sé qué . Des recherches anté rieures ont ré vé lé que 12 semaines d'exercice contre ré sistance progressive (ERP) des membres supé rieurs amé lioraient le ré sultat pour l'é paule chez les survivants d'un CTC. Cette é tude visait à dé terminer si les bienfaits persistaient à long terme. Mé thodes : Les survivants d'un CTC ont é té ré partis au hasard pour suivre un programme d'ERP (n ¼ 27) ou un protocole thé rapeutique habituel (PT; n ¼ 25) et ont pu passer au groupe PT aprè s 12 semaines. Au suivi à 12 mois, on a envoyé par la poste aux participants un questionnaire d'é valuation de la qualité de vie (QDV), des ré sultats pour l'é paule et du comportement lié à l'exercice. Ré sultats : Sur les 52 participants inscrits à l'é tude, 44 é taient admissibles au suivi à 12 mois et 37 (71 %) ont ré pondu aux questionnaires. Dans l'ensemble, les ré sultats autodé claré s ont é té maintenus en grande partie au cours de la pé riode de suivi. Aprè s 12 mois, sans é gard à leur affectation au groupe original, les participants qui ont poursuivi leur entraînement par l'exercice à ré sistance au cours de la pé riode de suivi ont signalé un meilleur fonctionnement lié à la dissection subie au cou (p ¼ 0,021) et une meilleure QDV (p ¼ 0,011) que ceux qui ne l'ont pas fait. Conclusions : Les bienfaits de l'ERP persi...

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Section: Discussionmentioning

confidence: 99%

Section: Ré Sumémentioning

confidence: 99%

Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

McNeely

Parliament

Seikaly³

et al. 2015

Physiotherapy Canada

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“…A 2012 review led by Carvalho et al found 3 trials, including the study by McNeely et al, 135 involving 104 participants that evaluated therapeutic exercise interventions for shoulder dysfunction in individuals treated for head and neck cancer. 136 In this review, 2 RCTs demonstrated that progressive resistance training combined with range-of-motion exercises and stretching was more CA CANCER J CLIN 2013;63:295-317 VOLUME 63 _ NUMBER 5 _ SEPTEMBER/OCTOBER 2013 effective than "standard physiotherapy." Of note is that other exercise regimens were not shown to be effective compared with postoperative physical therapy.…”

Section: Rehabilitation After Cancer Care In Survivorsmentioning

confidence: 94%

Impairment‐driven cancer rehabilitation: An essential component of quality care and survivorship

Silver

Baima

Mayer

2013

CA A Cancer J Clinicians

344

259

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Adult cancer survivors suffer an extremely diverse and complex set of impairments, affecting virtually every organ system. Both physical and psychological impairments may contribute to a decreased health-related quality of life and should be identified throughout the care continuum. Recent evidence suggests that more cancer survivors have a reduced health-related quality of life as a result of physical impairments than due to psychological ones. Research has also demonstrated that the majority of cancer survivors will have significant impairments and that these often go undetected and/or untreated, and consequently may result in disability. Furthermore, physical disability is a leading cause of distress in this population. The scientific literature has shown that rehabilitation improves pain, function, and quality of life in cancer survivors. In fact, rehabilitation efforts can ameliorate physical (including cognitive) impairments at every stage along the course of treatment. This includes prehabilitation before cancer treatment commences and multimodal interdisciplinary rehabilitation during and after acute cancer treatment. Rehabilitation appears to be cost-effective and may reduce both direct and indirect health care costs, thereby reducing the enormous financial burden of cancer. Therefore, it is critical that survivors are screened for both psychological and physical impairments and then referred appropriately to trained rehabilitation health care professionals. This review suggests an impairment-driven cancer rehabilitation model that includes screening and treating impairments all along the care continuum in order to minimize disability and maximize quality of life.

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“…3,13,48,49 Several randomized controlled trials have reported a reduction of neck and shoulder pain associated with exercise or therapy programs. 50-52 In one study, 52 survivors of head and neck cancer were randomized to a progressive-resistance exercise training (PRET) program or standard therapeutic exercise for 12 weeks.…”

Section: Management Of Painmentioning

confidence: 99%

Survivorship: Pain Version 1.2014

Denlinger¹,

Ligibel²,

Are³

et al. 2014

J Natl Compr Canc Netw

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Exercise interventions for shoulder dysfunction in patients treated for head and neck cancer

Cited by 43 publications

References 27 publications

Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

Impairment‐driven cancer rehabilitation: An essential component of quality care and survivorship

Survivorship: Pain Version 1.2014

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