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

Cited by 7 publications

(9 citation statements)

References 19 publications

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“…Despite the declines in PA, HNC patients with a lower FWB are more interested in undergoing a PA programme and as such may benefi t the most [ 45 ] . There is huge interest in the interactions between exercise interventions, and the physical, emotional, psychological and social wellbeing of patients, and both their general and health-related QOL [ 7 ] . Preliminary research has shown that PA may be an eff ective intervention for improving function, reducing disability and pain, and improving QOL in patients with head and neck malignancies [ 23 ] .…”

Section: Discussionmentioning

confidence: 99%

“…Preliminary research has shown that PA may be an eff ective intervention for improving function, reducing disability and pain, and improving QOL in patients with head and neck malignancies [ 23 ] . Furthermore, among patients undergoing neck dissection, those treated with progressive resistance exercise training have exhibited, albeit non-signifi cantly, reduced impairment and fatigue as well as improved QOL [ 7 ] . These results might not have reached statistical signifi cance due to the lack of an aerobic component, or because the FACT H&N questionnaire, a global QOL instrument, was not the optimal measure to test the intervention directed at only one specifi c treatment-related comorbidity.…”

Section: Discussionmentioning

confidence: 99%

“…The early group had a mean of 6 motion and shoulder disability was found with progressive resistance training [ 7 ] . Exercise intervention improves joint mobility, pain and disability [ 8 , 49 ] .…”

Section: Shoulder Pain and Dysfunction Following Neck Dissectionmentioning

confidence: 99%

“…Exercise intervention improves joint mobility, pain and disability [ 8 , 49 ] . Although there was no signifi cant change in QOL in the three RCTs included in the Cochrane review [ 32 -34 ] , rehabilitation with shoulder exercises is currently recommended for early recovery of passive and active range of movement, and for reducing the risk of joint fi brosis and secondary adhesive capsulitis, thereby promoting QOL [ 7 ] . Interestingly, HNC patients undergoing the accessory nervesparing modifi ed and selective neck dissection had a better exercise adherence than those undergoing radical neck dissections.…”

Section: Shoulder Pain and Dysfunction Following Neck Dissectionmentioning

confidence: 99%

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Physical Activity and Quality of Life in Head and Neck Cancer Survivors: A Literature Review

Sammut¹,

Ward

Patel

2014

Int J Sports Med

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The head and neck region is highly complex in terms of its anatomy and physiology. Head and neck cancer (HNC) and the treatment thereof can significantly affect both the structure and function of this area, especially in terms of swallowing, breathing and speaking. This may lead to a significant reduction in quality of life (QOL), and present challenges to both patients and their caregivers. There is increasing evidence that physical activity (PA) after a diagnosis of cancer is associated with improved overall mortality. This is well established in colon, prostate, ovarian and breast cancer. 2 recent metanalyses have determined that exercise interventions following cancer diagnosis are associated with a 41% reduction in risk of all-cause mortality, and an improvement in QOL. PA has also been found to be valuable in counteracting symptoms that reduce QOL, including depression, fatigue, worry and anxiety. Given that HNC patients face their own unique set of challenges, and may have different needs than other cancer patients, we have reviewed the available literature on the interactions between exercise and QOL in HNC patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Shoulder Pain and Dysfunction Following Neck Dissectionmentioning

confidence: 99%

Section: Shoulder Pain and Dysfunction Following Neck Dissectionmentioning

confidence: 99%

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Physical Activity and Quality of Life in Head and Neck Cancer Survivors: A Literature Review

Sammut¹,

Ward

Patel

2014

Int J Sports Med

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“…Proper pain management of shoulder pain to help HNC patients engage in physical therapy so as to prevent future impaired shoulder function due to “non-use” should be part of routine care [1, 60]. For eating impairment, patients should be weighed on a regular basis and have their nutrition intake monitored by the mouth or feeding tube.…”

Section: Discussionmentioning

confidence: 99%

Shoulder Pain, Functional Status, and Health-Related Quality of Life after Head and Neck Cancer Surgery

Wang

Keck

Weaver

et al. 2013

Rehabilitation Research and Practice

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Head and neck cancer (HNC) patients experience treatment-related complications that may interfere with health-related quality of life (HRQOL). The purpose of this study was to describe the symptom experience (shoulder pain) and functional status factors that are related to global and domain-specific HRQOL at one month after HNC surgery. In this exploratory study, we examined 29 patients. The outcome variables included global HRQOL as well as physical, functional, emotional, and social well-being. Symptom experience and functional status factors were the independent variables. In the symptom experience variables, shoulder pain distress was negatively associated with physical well-being (R 2 = 0.24). Among the functional status variables, eating impairment was negatively related to global HRQOL (R 2 = 0.18) and physical well-being (R 2 = 0.21). Speaking impairment and impaired body image explained a large amount of the variance in functional well-being (R 2 = 0.45). This study provided initial results regarding symptom experience and functional status factors related to poor HRQOL in the early postoperative period for HNC patients.

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Maximizing shoulder function after accessory nerve injury and neck dissection surgery: A multicenter randomized controlled trial

et al. 2014

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

Cited by 7 publications

References 19 publications

Physical Activity and Quality of Life in Head and Neck Cancer Survivors: A Literature Review

Physical Activity and Quality of Life in Head and Neck Cancer Survivors: A Literature Review

Shoulder Pain, Functional Status, and Health-Related Quality of Life after Head and Neck Cancer Surgery

Maximizing shoulder function after accessory nerve injury and neck dissection surgery: A multicenter randomized controlled trial

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