Motor control integrated into muscle strengthening exercises has more effects on scapular muscle activities and joint range of motion before initiation of radiotherapy in oral cancer survivors with neck dissection: A randomized controlled trial

Chen, Y.-H.; Lin, Chun-Ching; Liang, Wei-An; Huang, Chien-Lan

doi:10.1371/journal.pone.0237133

Cited by 9 publications

(14 citation statements)

References 56 publications

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“…Four experts revised the inclusion criteria and the list of articles and suggested eight articles based on their titles and abstracts. Six were excluded: interventions were multicomponent [ 79 , 80 ]; comparators performed no exercise [ 81 , 82 ]; out of scope [ 83 ]; and unsupervised stretching group [ 84 ]. Two articles were included [ 85 , 86 ], increasing the list to eleven articles [ 33 , 43 , 44 , 45 , 46 , 71 , 72 , 73 , 78 , 85 , 86 ], with 452 participants eligible for meta-analysis ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Strength Training versus Stretching for Improving Range of Motion: A Systematic Review and Meta-Analysis

Afonso

Ramírez‐Campillo

Moscão³

et al. 2021

Healthcare

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(1) Background: Stretching is known to improve range of motion (ROM), and evidence has suggested that strength training (ST) is effective too. However, it is unclear whether its efficacy is comparable to stretching. The goal was to systematically review and meta-analyze randomized controlled trials (RCTs) assessing the effects of ST and stretching on ROM (INPLASY 10.37766/inplasy2020.9.0098). (2) Methods: Cochrane Library, EBSCO, PubMed, Scielo, Scopus, and Web of Science were consulted in October 2020 and updated in March 2021, followed by search within reference lists and expert suggestions (no constraints on language or year). Eligibility criteria: (P) Humans of any condition; (I) ST interventions; (C) stretching (O) ROM; (S) supervised RCTs. (3) Results: Eleven articles (n = 452 participants) were included. Pooled data showed no differences between ST and stretching on ROM (ES = −0.22; 95% CI = −0.55 to 0.12; p = 0.206). Sub-group analyses based on risk of bias, active vs. passive ROM, and movement-per-joint analyses showed no between-protocol differences in ROM gains. (4) Conclusions: ST and stretching were not different in their effects on ROM, but the studies were highly heterogeneous in terms of design, protocols and populations, and so further research is warranted. However, the qualitative effects of all the studies were quite homogeneous.

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Section: Resultsmentioning

confidence: 99%

Strength Training versus Stretching for Improving Range of Motion: A Systematic Review and Meta-Analysis

Afonso

Ramírez‐Campillo

Moscão³

et al. 2021

Healthcare

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“…Because the participants could not maintain a prone position due to tracheostomy, the scapular exercises were performed in an upright posture. 15 , 28 Details of the placement of the EMG electrodes, MVIC tasks, and scapular exercises are presented in Supplemental Table 2 .…”

Section: Methodsmentioning

confidence: 99%

“… 26 , 27 Short-term effects (1 month) of combined scapular-focused exercises and motor-control techniques on the AROM of shoulder abduction and compensatory scapular muscle activities were identified in patients with oral cancer and with spinal accessory nerve dysfunction. 28 However, long-term scapular training effects (3 months) on muscle strength are lacking in patients with oral cancer.…”

Section: Introductionmentioning

confidence: 99%

Effects of Conscious Control of Scapular Orientation in Oral Cancer Survivors With Scapular Dyskinesis: A Randomized Controlled Trial

et al. 2021

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Objectives: Spinal accessory nerve dysfunction is one of the complications of neck dissection in patients with oral cancer. This study aimed to explore the effects of long-term scapular-focused exercises and conscious control of scapular orientation on scapular movement and quality of life (QoL). Methods: This study was a randomized controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Thirty-six patients with oral cancer were randomly allocated to the motor-control group (scapular-focused exercise + conscious control of scapular orientation) or the regular-exercise group (scapular-focused exercises only). Both groups received conventional physical therapy after neck dissection for 3 months. Shoulder pain intensity, active range of motion (AROM) of shoulder abduction, scapular muscle strength and activity under maximal voluntary isometric contraction (MVIC), scapular muscle activity when performing scapular movements, and QoL were measured at baseline, 1 month after the start of the intervention, and the end of the intervention. Results: Both groups showed significant improvement in all outcomes except shoulder pain intensity. After the 3-month intervention, the motor-control group had more significant improvement in AROM of shoulder abduction with a 19° difference (95% CI: 10-29, P < .001), muscle strength of upper trapezius with an 11 N difference (95% CI: 2-20; P = .021), and QoL than the regular-exercise group. When performing shoulder horizontal adduction and flexion, the relative value (%MVIC) of serratus anterior was smaller in the motor-control group with a 106%MVIC difference (95% CI: 7-205, P = .037). Conclusions: Scapular-focused exercises have promising effects on spinal accessory nerve dysfunction. Combining scapular-focused exercises with conscious control of scapular orientation has more remarkable benefits on AROM of shoulder abduction, UT muscle strength, and muscle activation pattern than the scapular-focused exercises alone. Conscious control of scapular orientation should be considered to integrate into scapular-focused exercises in patients with oral cancer and scapular dyskinesis. Trial registry name and URL, and registration number: ClinicalTrials.gov (URL: https://clinicaltrials.gov ; Approval No: NCT03545100)

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“…Eight studies with nine articles investigated the impact of neck/shoulder exercise on neck/shoulder function in HNC patients (total n = 362 patients, median = 42.5, range = 20-76). [74][75][76][77][78][79][80][81][82] Interventions commonly targeted shoulder strengthening (7 studies) and ROM (5), and only one study included neck-focused intervention. 75 Accordingly, the most common primary outcomes involved measures of shoulder disability (5 studies) and ROM (6).…”

Section: And Body Composition (4)mentioning

confidence: 99%

Rehabilitation Interventions in Head and Neck Cancer

Cheng,

Ramos Emos,

Leite

et al. 2024

Am J Phys Med Rehabil

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Objective The aim of the study is to identify and appraise current evidence for rehabilitation interventions in head and neck cancer. Design A previously published scoping review spanning 1990 through April 2017 was updated through January 11, 2023 and narrowed to include only interventional studies (Arch Phys Med Rehabil. 2019;100(12):2381–2388). Included studies had a majority head and neck cancer population and rehabilitation-specific interventions. Pairs of authors extracted data and evaluated study quality using the PEDro tool. Results were organized by intervention type. Results Of 1338 unique citations, 83 studies with 87 citations met inclusion criteria. The median study sample size was 49 (range = 9–399). The most common interventions focused on swallow (16 studies), jaw (11), or both (6), followed by whole-body exercise (14) and voice (10). Most interventions took place in the outpatient setting (77) and were restorative in intent (65 articles). The overall study quality was fair (median PEDro score 5, range 0–8); none were of excellent quality (PEDro >9). Conclusions Most head and neck cancer rehabilitation interventions have focused on restorative swallow and jaw exercises and whole-body exercise to address dysphagia, trismus, and deconditioning. More high-quality evidence for head and neck cancer rehabilitation interventions that address a wider range of impairments and activity and social participation limitations during various cancer care phases is urgently needed to reduce head and neck cancer-associated morbidity.

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Motor control integrated into muscle strengthening exercises has more effects on scapular muscle activities and joint range of motion before initiation of radiotherapy in oral cancer survivors with neck dissection: A randomized controlled trial

Cited by 9 publications

References 56 publications

Strength Training versus Stretching for Improving Range of Motion: A Systematic Review and Meta-Analysis

Strength Training versus Stretching for Improving Range of Motion: A Systematic Review and Meta-Analysis

Effects of Conscious Control of Scapular Orientation in Oral Cancer Survivors With Scapular Dyskinesis: A Randomized Controlled Trial

Rehabilitation Interventions in Head and Neck Cancer

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