Swallowing exercises for head and neck cancer patients: A systematic review and meta-analysis of randomized control trials

Banda, Kondwani Joseph; Chu, Hsin; Kao, Ching Chiu; Voss, Joachim G.; Chang, Pi Chen; Chen, Ruey; Chou, Kuei‐Ru

doi:10.1016/j.ijnurstu.2020.103827

Cited by 28 publications

(41 citation statements)

References 58 publications

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“…Swallowing exercises can help to improve swallowing function and maintain the ability to drink and eat safely and decrease swallowing problems that may arise from various neurological diseases. Swallowing dysfunction and its potential complications are common in patients with neurological diseases, thus the swallowing function should be assessed in all neurological patients (Banda et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Effect of Swallowing Exercises on Swallowing Function for Patients with Neurogenic Dysphagia

Abdelmowla

Aziz

et al. 2022

Assiut Scientific Nursing Journal

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Background: Neurogenic dysphagia is one of the most common dangerous disorders for patients with neurological diseases. Aim: The aim of the study was to evaluate the effect of swallowing exercises on swallowing function for patients with neurogenic dysphagia. Patients and Methods: Research design: Quasi experimental (pre/post test) research design was used. Sample and Setting: A selected sample of 60 patients diagnosed with neurogenic dysphagia was recruited and also followed up for 2 months at neurology department and neurology outpatients clinic at neurology, psychiatry and neurosurgery Assiut University Hospital. Each patient was oriented and trained by the researchers to know the effect of practicing swallowing exercises and received brochure to be oriented about its effect on swallowing function. Tools: Patients assessment questionnaire, functional oral intake scale, Bazaz dysphagia score, eating assessment tool-10 and the 8-point penetration-aspiration scale. Results: The study finding revealed a highly statistical significant improvement (p < 0.0001) post application of the swallowing exercises as regard all outcome measures; functional oral intake scale, Bazaz dysphagia scale, aspiration and complications. Conclusion: Swallowing exercises significantly improve swallowing function and decrease severity of neurogenic dysphagia, aspiration and complications. Recommendation: The swallowing exercises (brochure) should be utilized in neurology hospitals as a teaching guide for patients with neurogenic dysphagia.

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Section: Introductionmentioning

confidence: 99%

Effect of Swallowing Exercises on Swallowing Function for Patients with Neurogenic Dysphagia

Abdelmowla

Aziz

et al. 2022

Assiut Scientific Nursing Journal

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“…A study evaluated the effects of a specialized nursing program on patients with HNC on an outpatient basis, which aimed to deal with physical and psychological problems and social consequences of the disease and treatment. After 1 year of intervention (6 counseling consultations every 2 months), patients had a significant improvement in physical terms, pain control, swallowing, social contact, and depressive symptoms [7,[15][16][17][18][20][21][22]. Although this program was applied to patients followed on an outpatient, the authors refer to the importance of health education sessions after clinical discharge.…”

Section: Discussionmentioning

confidence: 99%

“…An umbrella review demonstrated the effectiveness of a rehabilitation program, improving swallowing function, and mouth opening in HNC patients undergoing multimodal treatment [7]. Their swallowing exercises program, which was taught by a multidisciplinary team (speech and language therapists, specialist nurses, and medical professionals), allowed them to address and improve the side effects of multimodal treatment of HNC and led to a better quality of life for patients with HNC [7].…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation Nursing Program in Oncological Surgery of the Head and Neck: A Retrospective Cohort Study

Moreira

Soares

Gomes

et al. 2022

Port J Public Health

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Background: Head and neck cancer (HNC) has a considerable mortality and morbidity rate. Surgery is one of the most effective treatments; however, it may compromise the independence of patients after its performance. Early start rehabilitation is essential for the recovery of these patients, preventing functional capacity limitations. Objective: The objective of this study was to compare the independence between hospitalized patients who underwent rehabilitation nurse (RN) intervention versus general health care after HNC surgery. Methods: Patients submitted to different types of HNC surgery were divided into two groups intervention by the RN versus general health care, the outcome was the independence categorized as dichotomic to assess the patient independence at discharge and their differences calculated by statistical analysis. To analyze the effect of the RN intervention on independence, a Poisson regression model was used, adjusting the confounding factors initial Barthel Index and age in the variable Barthel Index independence. Results: Independence at discharge (p = 0.01) improved significantly in the RN intervention group compared to the general health care group. The intervention of the RN after surgery had a positive effect on the independence of the patients, after adjusting the confounding factors (RR: 1.47; 95% CI: [1.02; 2.12]). In the middle/late postoperative period, in the group with RN intervention (n = 79), the hospitalization time was reduced by 4.29 days versus general health care (n = 72). Conclusion: The RN intervention is an added value in the independence of the patient submitted to HNC surgery. It is an innovative study in patients after diagnosis of HNC, showing that the intervention of RN through rehabilitation programs allows independence after his surgery.

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Section: Introductionmentioning

confidence: 99%

“…Most of them are related to respiratory-swallowing training based on a hierarchy of motor skill acquisition to encourage autonomous and optimal respiratory-swallowing coordination. 13 Although meta-analysis has presented the evidence that swallowing exercises are effective in the management of complications from the HNC treatment, 14 there are still many reports that HNC patients suffer from swallowing difficulties. 15,16 To delay and reverse some of the devastating effects of cancer treatments, it is essential to ensure continued use of swallowing musculature by adherence to targeted vocal, respiration, and swallowing exercises for HNC patients.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic Singing as a Swallowing Intervention in Head and Neck Cancer Patients With Dysphagia

Yeo

Shin

et al. 2021

Integr Cancer Ther

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Background: Head and neck cancer patients often suffer from dysphagia after surgery and radiotherapy. A singing-enhanced swallowing protocol was established to improve their swallowing function. This study aimed to evaluate the beneficial effects of therapeutic singing on dysphagia in head and neck cancer (HNC) patients. Methods: Patients who participated in this study were allocated to the intervention group (15 patients) and the control group (13 patients). Patients assigned to the intervention group received therapeutic singing 3 times per week for 4 weeks. Each group was divided into 2 subgroups, including the oral cavity cancer group and the pharyngeal cancer group. The patients’ vocal functions were evaluated in maximum phonation time, pitch, intensity, jitter, shimmer, harmonics to noise ratio, and laryngeal diadochokinesis (L-DDK). To evaluate swallowing function, videofluoroscopic swallowing study was done, and the results were analyzed by videofluoroscopic dysphagia scale (VDS) and dynamic imaging grade of swallowing toxicity (DIGEST). Results: Among the voice parameters, L-DDK of the intervention group significantly increased compared to that of the control group. Swallowing functions of the intervention group were significantly improved in VDS and DIGEST after the intervention. Detailed items of VDS and DIGEST showed improvements especially in the pharyngeal phase score of VDS, such as laryngeal elevation, pharyngeal transit time, and aspiration. In addition, the pharyngeal cancer group showed significant improvements in VDS and DIGEST scores after the intervention. Conclusions: Our outcomes highlight the beneficial effects of singing for HNC patients with dysphagia. The notable improvements in the pharyngeal phase suggest that therapeutic singing would be more appropriate for HNC patients who need to improve their intrinsic muscle movements of vocal fold and laryngeal elevation.

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Swallowing exercises for head and neck cancer patients: A systematic review and meta-analysis of randomized control trials

Cited by 28 publications

References 58 publications

Effect of Swallowing Exercises on Swallowing Function for Patients with Neurogenic Dysphagia

Effect of Swallowing Exercises on Swallowing Function for Patients with Neurogenic Dysphagia

Rehabilitation Nursing Program in Oncological Surgery of the Head and Neck: A Retrospective Cohort Study

Therapeutic Singing as a Swallowing Intervention in Head and Neck Cancer Patients With Dysphagia

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