Swallow training in head and neck cancer Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Have a clinical diagnosis of dysphagia on instrumental assessment using videofluoroscopic swallow study or fibreoptic endoscopic evaluation of swallowing 2. Have dysphagia indicated by outcome measures with penetration aspiration scale score at least 3 and/or DIGEST efficiency grade at least 1 3. Have completed chemotherapy, radiotherapy and or surgical intervention with curative intent for first time diagnosis of squamous cell carcinoma of the head and neck at least 3 months previously 4. Be able to give informed consent 5. Be aged 18 years or above 6. Be able to tolerate fluids orally IDDSI Level 0 to 3 7. Exhibit a suboptimal respiratory swallow pattern exhale to inhale, inhale to inhale, or inhale to exhale in at least 20% of swallow trials 8. Be able to hold a drink orally and resume breathing
Exclusion criteria
Exclusion criteria: 1. A nasogastric tube, laryngectomy or tracheostomy where tube presence will alter respiratory swallow coordination 2. Known neurological disease or insult impacting on swallowing 3. Spinal surgery or insult impacting on swallowing 4. Chronic COPD with forced expiratory volume less than 30% on pulmonary function testing 5. Recent history within the last 3 months of aspiration pneumonia
Countries
England, United Kingdom