Effects of exercise on swallowing and tongue strength in patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy Journal Article
| Authors: | Lazarus, C. L.; Husaini, H.; Falciglia, D.; Delacure, M.; Branski, R. C.; Kraus, D.; Lee, N.; Ho, M.; Ganz, C.; Smith, B.; Sanfilippo, N. |
| Article Title: | Effects of exercise on swallowing and tongue strength in patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy |
| Abstract: | Tongue strength is reduced in patients treated with chemoradiotherapy for oral/oropharyngeal cancer. Tongue strengthening protocols have resulted in improved lingual strength and swallowing in healthy individuals, as well as in patients following a neurological event. However, no studies have examined the efficacy of tongue strengthening exercises on tongue strength, swallowing, and quality of life (QOL; Head and Neck Cancer Inventory) in patients treated with chemoradiotherapy. A randomized clinical trial examined the effects of a tongue strengthening programme paired with traditional exercises vs. traditional exercises alone. Dependent variables included tongue strength, swallowing, and QOL in a group of patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy. Differences with regard to tongue strength and oropharyngeal swallow efficiency (OPSE) were not observed within or between groups. QOL in the eating and speech domains improved following treatment in both groups. However, the experimental group demonstrated greater impairment in QOL in the social disruption domain following treatment, whereas the control group demonstrated a slight improvement in functioning. Tongue strengthening did not yield a statistically significant improvement in either tongue strength or swallowing measures in this patient cohort. Patient compliance and treatment timing may be factors underlying these outcomes. © 2013 Published by Elsevier Ltd on behalf of International Association of Oral and Maxillofacial Surgeons. All rights reserved. |
| Keywords: | adult; cancer chemotherapy; clinical article; controlled study; cancer patient; cancer radiotherapy; quality of life; randomized controlled trial; exercise; eating; patient compliance; oropharynx cancer; general condition improvement; tongue; chemoradiation; mouth cancer; speech; swallowing; muscle strength; human; male; female; article; tongue strength |
| Journal Title: | International Journal of Oral and Maxillofacial Surgery |
| Volume: | 43 |
| Issue: | 5 |
| ISSN: | 0901-5027 |
| Publisher: | Churchill Livingstone |
| Date Published: | 2014-05-01 |
| Start Page: | 523 |
| End Page: | 530 |
| Language: | English |
| DOI: | 10.1016/j.ijom.2013.10.023 |
| PROVIDER: | scopus |
| PUBMED: | 24332586 |
| DOI/URL: | |
| Notes: | Export Date: 1 May 2014 -- CODEN: IJOSE -- Source: Scopus |
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