| Title: |
Therapeutic exercises for affecting post-treatment swallowing in people treated for advanced-stage head and neck cancers (review) |
| Authors: |
Perry, Alison; Lee, Siew Hwa; Cotton, Susan; Kennedy, Catriona |
| Publisher Information: |
John Wiley & Sons Ltd. |
| Publication Year: |
2022 |
| Collection: |
University of Limerick: Institutional Repository (ULIR) |
| Subject Terms: |
head and neck cancer treatment |
| Description: |
peer-reviewed ; Background Head and neck cancer treatment has developed over the last decade, with improved mortality and survival rates, but the treatments often result in dysphagia (a difficulty in swallowing) as a side effect. This may be acute, resolving after treatment, or remain as a long term negative sequela of head and neck cancer (HNC) treatment. Interventions to counteract the problems associated with dysphagia include swallowing exercises or modification of diet (bolus texture, size), or both. ObjectivesTo determine the effects of therapeutic exercises, undertaken before, during and/or immediately after HNC treatment, on swallowing, aspiration and adverse events such as chest infections, aspiration pneumonia and profound weight loss, in people treated curatively for advanced-stage (stage III, stage IV) squamous cell carcinoma of the head and neck. Search methods The Cochrane ENT Information Specialist searched the ENT Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL 2016, Issue 6); MEDLINE; PubMed; Embase; CINAHL; LILACS; KoreaMed; IndMed; PakMediNet; Web of Science; ClinicalTrials. gov; ICTRP; speechBITE; Google Scholar; Google and additional sources for published and unpublished trials. The date of the search was 1 July 2016. Selection criteria We selected randomised controlled trials (RCTs) of adults with head and neck cancer (stage III, stage IV) who underwent therapeutic exercises for swallowing before, during and/or immediately after HNC treatment to help produce safe and efficient swallowing. The main comparison was therapeutic exercises versus treatment as usual (TAU). Other possible comparison pairs included: therapeutic exercises versus sham exercises and therapeutic exercises plus TAU versus TAU. TAU consisted of reactive management of a patient s dysphagia, when this occurred. When severe, this included insertion of either a percutaneous endoscopic gastroscopy or nasogastric tube for non-oral feeding.Data collection and analysisWe used the standard methodological ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
Nursing and Midwifery; Allied Health; Cochrane Database of Systematic Reviews (Online);8, Article No. CD011112; https://hdl.handle.net/10344/5269; https://doi.org/10.34961/10281; https://doi.org/10.1002/14651858.CD011112.pub2 |
| DOI: |
10.34961/10281 |
| DOI: |
10.1002/14651858.CD011112.pub2 |
| Availability: |
https://hdl.handle.net/10344/5269; https://doi.org/10.34961/10281; https://doi.org/10.1002/14651858.CD011112.pub2 |
| Rights: |
https://creativecommons.org/licenses/by-nc-sa/1.0/ |
| Accession Number: |
edsbas.75D4356F |
| Database: |
BASE |