Effects of 2 different swallowing exercise regimens during organ-preservation therapies for head and neck cancers on swallowing function.

Autor: Virani A; Department of Communication Sciences and Disorders, Louisiana State University, Baton Rouge, Louisiana., Kunduk M, Fink DS, McWhorter AJ
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2015 Feb; Vol. 37 (2), pp. 162-70. Date of Electronic Publication: 2014 Mar 17.
DOI: 10.1002/hed.23570
Abstrakt: Background: This study investigated the effects of 2 different swallowing exercise regimens performed during radiation therapy with/without chemotherapy on swallowing function.
Methods: Fifty patients were recruited prospectively to 2 groups (the exercise group, n = 26 and the repetitive swallow group, n = 24). Functional Oral Intake Scale (FOIS) scores and percutaneous endoscopic gastrostomy (PEG) placements were compared at posttreatment and at 3 months.
Results: The exercise group eliminated significantly more PEG tubes at 3 months posttreatment compared to the swallow group (16% vs 50%). Among patients who received both radiation and chemotherapy, the exercise group had significantly less PEG tubes immediately posttreatment as well as 3 months posttreatment (35% and 10%), compared to the swallow group (69% and 50%).
Conclusion: Findings indicate significant benefits of the exercise group's exercise regimen in reducing PEG dependence and oral intake difficulties.
(© 2014 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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