Functional outcomes and quality of life after a 6-month early intervention program for oral cancer survivors: a single-arm clinical trial
Autor: | Yueh-Hsia Chen, Yuan-Hung Chao, Siang-Lan Guo, Shwu-Huei Lien, Chung-Yin Hsu, Hsiao-Jung Tseng, Wei-An Liang |
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Rok vydání: | 2017 |
Předmět: |
Quality of life
Reconstructive surgery medicine.medical_specialty Return to work medicine.medical_treatment lcsh:Medicine General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Evidence Based Medicine Dash Medicine Clinical Trials 030223 otorhinolaryngology business.industry General Neuroscience Oral cancer lcsh:R Cancer Neck dissection Shoulder dysfunction General Medicine medicine.disease Dysphagia Clinical trial Oncology 030220 oncology & carcinogenesis Physical therapy medicine.symptom General Agricultural and Biological Sciences business Range of motion |
Zdroj: | PeerJ PeerJ, Vol 6, p e4419 (2018) |
ISSN: | 2167-8359 |
Popis: | Background Advanced treatment of oral cancer increases survival rates; however, it also increases the risk of developing shoulder dysfunction, dysphagia, oral dysfunction, donor site morbidity and psychological issues. This single-arm preliminary pilot study aims to explore the effects of a six-month early intervention program following reconstructive surgery in oral cancer survivors. Methods A total of 65 participants were analyzed following reconstructive surgery. Outcome measurements were taken during the first visit, and at one, three and six months after reconstructive surgery. Results Scapular muscle strength and shoulder range of motion progressively improved during the 6-month follow-up. The mean Disability of the Arms, Shoulder and Hand (DASH) score showed significant improvement at 1 month (p Conclusions We suggest that early integrated intervention program with a follow-up of at least six months following reconstructive surgery may help develop and identify intervention guidelines and goals in the initial six months of treatment following neck dissection in oral cancer survivors. |
Databáze: | OpenAIRE |
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