The effect of home-based program and outpatient physical therapy in patients with head and neck cancer: A randomized, controlled trial

Su, Tsui-Ling; Chen, An-Ni; Leong, Chau-Peng; Huang, Yu‐Chi; Chiang, Chia-Wei; Chen, I‐Hsuan; Lee, Yan-Yuh

doi:10.1016/j.oraloncology.2017.10.002

Cited by 27 publications

(72 citation statements)

References 22 publications

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“…The 10 studies included in this review were conducted across six countries, most commonly in Canada (n = 4) [58][59][60][61] and in second place China (n = 2) [62,63]. A total of 533 subjects participated in the studies included in this review (292 IG and 241 CG), and most were males (77%).…”

Section: Descriptive Synthesismentioning

confidence: 99%

“…Of the oncological treatments, the most common was surgery and CRT (28%), followed by RT (20%); surgery plus RT was the least common (14%) (Table 1). Regarding physical therapy modalities, 60% of the studies focused on exercise programs [58,59,[62][63][64][65], and 40% of the studies were based on electrophysical agents [60,61,66,67]. Regarding parameters, there was heterogenicity in terms of type of therapy, frequency and global duration (time per session) for both modalities.…”

Section: Descriptive Synthesismentioning

confidence: 99%

“…Regarding parameters, there was heterogenicity in terms of type of therapy, frequency and global duration (time per session) for both modalities. Considering exercise, three approaches can be distinguished: first, programs based on aerobic exercise [62]; second, programs based on Progressive Resistance Training (PRT) [58,59,64]; and third, a combination of both [63,65]. Regarding parameters for aerobic exercise, one study applied a home-based walking exercise program at a moderate intensity level, 3-5 days per week for 12 weeks for 30 min each session, or a total of 150 min per week [62].…”

Section: Descriptive Synthesismentioning

confidence: 99%

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Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis

Burgos-Mansilla

Galiano‐Castillo

Lozano‐Lozano

et al. 2021

JCM

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The objective was to describe the effectiveness of different physical therapy modalities to improve Quality of Life (QoL) in Head and Neck Cancer (HNC) survivors. PubMed, Scopus, Web of Science, CINAHL and Cochrane Library were searched for randomized clinical controlled trials published until 30 April 2020. Risk of bias assessment and meta-analysis were conducted using the Cochrane tools. A total of 251 records were retrieved, and 10 met the inclusion criteria. Interventions whose parameters focus on a 12-week exercise programs of aerobic activity (walking) or Progressive Resistance Training (PRT) for the whole body are effective and safe modalities improving QoL in HNC survivors. Electrophysical agents did not show significant results between groups. As for the assessment of methodological quality, 4 of the 10 articles included had a high risk of overall bias. Only five articles provided sufficient information to conduct a meta-analysis for exercise program intervention on QoL, showing a tendency in favor of intervention group, even when the global results did not show statistically significant improvements (pooled Cohen’s d 0.15; 95% CI: −0.25 to 0.54; I2 45.87%; p heterogeneity = 0.10). The present review and meta-analysis identified meaningful benefits of exercise on QoL of HNC survivors; this has been confirmed in a meta-analysis. This review adds evidence supporting exercise interventions on Head and Neck Cancer population whose opportunities for successful recovery after medical treatment are more limited.

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Section: Descriptive Synthesismentioning

confidence: 99%

Section: Descriptive Synthesismentioning

confidence: 99%

Section: Descriptive Synthesismentioning

confidence: 99%

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Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis

Burgos-Mansilla

Galiano‐Castillo

Lozano‐Lozano

et al. 2021

JCM

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“…15,16 Although there is a vast amount of publications published on both approaches, limited comparative studies are available which report similar efficacy. 22,23 Ismail and El Shorbagy 24 recently compared home-based and supervised therapy programs after anterior shoulder instability surgery, in a randomized clinical trial. Similar to our data, they have also reported that a home-based program was as effective as a supervised program in increasing shoulder ROM and function after surgery.…”

Section: Discussionmentioning

confidence: 99%

A Clinical Comparison of Home-Based and Hospital-Based Exercise Programs Following Arthroscopic Capsulolabral Repair for Anterior Shoulder Instability

Eren¹,

Canbulat²,

Atalar³

et al. 2020

Journal of Sport Rehabilitation

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Context: Ideal rehabilitation method following arthroscopic capsulolabral repair surgery for anterior shoulder instability has not been proven yet. Although rapid or slow protocols were compared previously, home- or hospital-based protocols were not questioned before. Objective: The aim of this prospective unrandomized controlled clinical trial is to compare the clinical outcomes of home-based and hospital-based rehabilitation programs following arthroscopic Bankart repair. Design: Nonrandomized controlled trial. Setting: Orthopedics and physical therapy units of a single institution. Patients: Fifty-four patients (49 males and 5 females) with an average age of 30.5 (9.1) years, who underwent arthroscopic capsulolabral repair and met the inclusion criteria, with at least 1-year follow-up were allocated into 2 groups: home-based (n = 33) and hospital-based (n = 21) groups. Interventions: Both groups received identical rehabilitation programs. Patients in the home-based group were called for follow-up every 3 weeks. Patients in the hospital-based group admitted for therapy every other day for a total of 6 to 8 weeks. Both groups were followed identically after the eighth week and the rehabilitation program continued for 6 months. Main Outcome Measures: Clinical outcomes were assessed using Disabilities of Arm Shoulder Hand, Constant, and Rowe scores. Mann–Whitney U test was used to compare the results in both groups. Wilcoxon test was used for determining the progress in each group. Results: Groups were age and gender matched (P = .61, P = .69). Average number of treatment sessions was 13.8 (7.3) for patients in the hospital-based group. Preoperative Disabilities of Arm Shoulder Hand (27.46 [11.81] vs 32.53 [16.42], P = .22), Constant (58.23 [14.23] vs 54.17 [10.46], P = .13), and Rowe (51.72 [15.36] vs 43.81 [19.16], P = .12) scores were similar between groups. Postoperative scores at sixth month were significantly improved in each group (P = .001, P = .001, and P = .001). No significant difference was observed between 2 groups regarding clinical scores in any time point. Conclusions: We have, therefore, concluded that a controlled home-based exercise program is as effective as hospital-based rehabilitation following arthroscopic capsulolabral repair for anterior shoulder instability.

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“…Exercise has been recommended by the American Cancer Society Head and Neck Cancer Survivorship Care Guideline as effective in reducing fatigue and improving functional capacity and HRQoL [14]. Previous studies have also shown that exercise may have a beneficial effect on pain, physical function, fatigue and HRQoL in patients with HNC who have completed cancer treatments [15][16][17], and that exercise is safe and feasible in patients who are undergoing concurrent chemoradiotherapy [18][19][20][21][22] or radiotherapy [23][24][25]. A systematic review by Bye et al [26] investigated the effects of physical exercise and nutrition interventions during curative (radiotherapy) treatment for patients with HNC and found that nutrition alone and physical exercise alone may be effective in improving body composition and objective physical function.…”

Section: Introductionmentioning

confidence: 99%

Effects of Exercise in Patients Undergoing Chemotherapy for Head and Neck Cancer: A Pilot Randomized Controlled Trial

Lin

Cheng

Yen

et al. 2021

IJERPH

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Background: Cisplatin administration may induce muscle atrophy, thereby reducing the fitness level of patients with head and neck cancer (HNC). To date, only animal studies have been conducted to test the effectiveness of exercise interventions in diminishing side effects of cisplatin. Aim: To determine whether exercise training improves physical fitness and health-related quality of life (HRQoL) in patients receiving chemotherapy for Head & Neck (H&N). Material and methods: This pilot-randomized controlled trial was conducted on 57 participants receiving chemotherapy for HNC. The participants were randomized into an exercise group and a control group. The exercise group received moderate-intensity combined aerobic, resistance and flexibility exercises three times a week for eight weeks during chemotherapy. The control group received no specific information regarding exercise. The outcome measures including body composition, muscle strength, balance, flexibility, cardiovascular fitness and health-related quality of life (HRQoL) were assessed at baseline and eight weeks following baseline. Results: The body composition (body fat percentage, p = 0.002; skeletal muscle percentage, p = 0.008), dynamic balance (p = 0.01), muscle strength (upper extremity, p = 0.037; lower extremity, p = 0.025) and HRQoL (p = 0.001) showed a significant difference between the exercise group and the control group eight weeks following baseline. Significant deteriorations were noted in flexibility, muscle strength, cardiovascular fitness and several domains of HRQoL scale in the control group at eight weeks following baseline. Conclusions: This study found that a combined aerobic, resistance and flexibility exercise program during chemotherapy may improve physical fitness (i.e., muscle strength, balance, flexibility and body composition) and HRQoL and alleviate the deterioration of cardiovascular fitness in patients with HNC. Further research studies with large sample sizes are warranted to investigate the long-term effects of exercise in this population.

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The effect of home-based program and outpatient physical therapy in patients with head and neck cancer: A randomized, controlled trial

Cited by 27 publications

References 22 publications

Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis

Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis

A Clinical Comparison of Home-Based and Hospital-Based Exercise Programs Following Arthroscopic Capsulolabral Repair for Anterior Shoulder Instability

Effects of Exercise in Patients Undergoing Chemotherapy for Head and Neck Cancer: A Pilot Randomized Controlled Trial

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