The Safety and Efficacy of Expiratory Muscle Strength Training for Rehabilitation After Supracricoid Partial Laryngectomy: A Pilot Investigation
| Autor: | Andrew D. Palmer, Rachel K. Bolognone, Deanna Britton, Donna J. Graville, Skipp Thomsen, Joshua S. Schindler |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Laryngectomy Pilot Projects Expiratory Muscle Strength Training 03 medical and health sciences 0302 clinical medicine Swallowing Intervention (counseling) medicine Humans Muscle Strength Prospective Studies 030223 otorhinolaryngology Laryngeal Neoplasms Partial laryngectomy Aged Rehabilitation business.industry Swallowing Disorders Resistance Training General Medicine Middle Aged Respiratory Muscles Dyspnea Cough Otorhinolaryngology Exhalation Physical therapy Feasibility Studies Patient Compliance Female Self Report business 030217 neurology & neurosurgery |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 128:169-176 |
| ISSN: | 1943-572X 0003-4894 |
| Popis: | Objectives: Expiratory muscle strength training (EMST) is a safe, effective intervention that can be performed at home and may be beneficial for individuals with voice and swallowing disorders. To date there have been few studies of EMST in the head and neck cancer population, and there are no previous reports of its use after supracricoid partial laryngectomy (SCPL). The current prospective clinical pilot study was undertaken to determine the safety and efficacy of a 4-week treatment program. Methods: Six participants were recruited who had previously undergone SCPL, were medically stable, and had no contraindications for use of the device. At baseline, objective respiratory measurements were collected, dietary status was recorded, and participants were asked to complete a series of validated self-report instruments relating to voice, swallowing, breathing, and cough. Following the completion of treatment, baseline measures were repeated, and participant feedback was solicited. Results: The majority of individuals found the device easy to use (83%) and beneficial (83%). The side effects of treatment were relatively minor and included dizziness, muscle inflammation, and vocal fatigue. There were improvements in 2 measures from before to after treatment, namely, an average 21% increase in peak cough flow (from 371.67 to 451.33 L/min) and a 38% decrease on the Dyspnea Index (from 6.17 to 3.83). Other measures showed inconsistent changes. Conclusions: EMST appeared to improve cough strength and reduce dyspnea symptoms after SCPL. Further study of the relative efficacy of EMST compared to other rehabilitation protocols after SCPL is needed. |
| Databáze: | OpenAIRE |
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