Margaret L McNeely1, Matthew B Parliament2, Hadi Seikaly3, Naresh Jha2, David J Magee4, Mark J Haykowsky4, Kerry S Courneya5. 1. Department of Physical Therapy, University of Alberta ; Cross Cancer Institute ; Department of Surgical Oncology. 2. Cross Cancer Institute ; Department of Surgical Oncology. 3. Department of Oncology ; Department of Surgical Oncology. 4. Department of Physical Therapy, University of Alberta. 5. Faculty of Physical Education and Recreation, University of Alberta, Edmonton.
Abstract
PURPOSE:Shoulder pain and dysfunction may occur after surgery for head and neck cancer (HNC) as a result of damage to or resection of the spinal accessory nerve. Previous research found that 12 weeks of upper extremity progressive resistance exercise training (PRET) improved shoulder outcomes in survivors of HNC; the purpose of this study was to determine whether benefits persisted over the longer term. METHODS:Survivors of HNC were assigned at random to PRET (n=27) or a standard therapeutic protocol (TP; n=25), with an opportunity for crossover in the TP group after 12 weeks. At 12-month follow-up, participants were mailed a questionnaire that assessed quality of life (QOL), shoulder outcomes, and exercise behaviour. RESULTS: Of the 52 participants enrolled in the study, 44 were eligible at 12-month follow-up, and 37 (71%) completed the questionnaires. Overall, self-reported outcomes were largely sustained over the follow-up period. After 12 months, regardless of original group allocation, participants who continued resistance exercise training during the follow-up period reported better neck dissection-related functioning (p=0.021) and better QOL (p=0.011) than those who did not. CONCLUSIONS: Benefits of PRET were sustained at 12-month follow-up. Ongoing participation in resistance exercise training may prove valuable as a supportive care intervention for survivors of HNC.
RCT Entities:
PURPOSE: Shoulder pain and dysfunction may occur after surgery for head and neck cancer (HNC) as a result of damage to or resection of the spinal accessory nerve. Previous research found that 12 weeks of upper extremity progressive resistance exercise training (PRET) improved shoulder outcomes in survivors of HNC; the purpose of this study was to determine whether benefits persisted over the longer term. METHODS: Survivors of HNC were assigned at random to PRET (n=27) or a standard therapeutic protocol (TP; n=25), with an opportunity for crossover in the TP group after 12 weeks. At 12-month follow-up, participants were mailed a questionnaire that assessed quality of life (QOL), shoulder outcomes, and exercise behaviour. RESULTS: Of the 52 participants enrolled in the study, 44 were eligible at 12-month follow-up, and 37 (71%) completed the questionnaires. Overall, self-reported outcomes were largely sustained over the follow-up period. After 12 months, regardless of original group allocation, participants who continued resistance exercise training during the follow-up period reported better neck dissection-related functioning (p=0.021) and better QOL (p=0.011) than those who did not. CONCLUSIONS: Benefits of PRET were sustained at 12-month follow-up. Ongoing participation in resistance exercise training may prove valuable as a supportive care intervention for survivors of HNC.
Entities:
Keywords:
exercise therapy; follow-up studies; head and neck neoplasms; quality of life; shoulder pain
Authors: Margaret L McNeely; Matthew B Parliament; Hadi Seikaly; Naresh Jha; David J Magee; Mark J Haykowsky; Kerry S Courneya Journal: Cancer Date: 2008-07-01 Impact factor: 6.860
Authors: J E Terrell; D E Welsh; C R Bradford; D B Chepeha; R M Esclamado; N D Hogikyan; G T Wolf Journal: Laryngoscope Date: 2000-04 Impact factor: 3.325
Authors: Femke Jansen; Ingrid C Cnossen; Simone E J Eerenstein; Veerle M H Coupé; Birgit I Witte; Cornelia F van Uden-Kraan; Patricia Doornaert; Weibel W Braunius; Remco De Bree; José A U Hardillo; Jimmie Honings; György B Halmos; C René Leemans; Irma M Verdonck-de Leeuw Journal: BMC Cancer Date: 2016-08-02 Impact factor: 4.430