Oral Cancer Patients After Selective Neck Dissection
Conditions
Brief summary
Consecutive patients undergoing oral cancer treatment at the hospital were enrolled and randomly assigned to either a control group or an experimental group using a random number table. The control group received standard postoperative rehabilitation, including instructional manuals and exercise videos, to ensure proper rehabilitation training and precautions after discharge. Rehabilitation physicians assessed outcomes and provided guidance during follow-up visits. The experimental group adopted the "Internet +" remote rehabilitation model. Patients were instructed to download a rehabilitation follow-up app, which provided daily exercise reminders. Patients logged their completed exercises and periodically recorded rehabilitation videos. Rehabilitation physicians remotely evaluated and guided patients based on the submitted videos. Shoulder and neck function were assessed using the Constant-Murley Shoulder Score and Neck Dissection Impairment Index (NDII) at preoperative, 10-day, 1-month, and 3-month postoperative intervals.
Interventions
BEHAVIORAL"Internet +" remote rehabilitation model
Patients were instructed to download a rehabilitation follow-up app, which provided daily exercise reminders. Patients logged their completed exercises and periodically recorded rehabilitation videos. Rehabilitation physicians remotely evaluated and guided patients based on the submitted videos.
BEHAVIORALInstructional manuals and exercise videos
Postoperative shoulder and neck rehabilitation instructional manuals and exercise videos for home-based training.
Sponsors
Pai Pang
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
A randomized, parallel-group, open-label trial
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Primary oral cancer patients with surgical indications who provided informed consent and underwent surgical treatment including neck dissection with spinal accessory nerve preservation. * Able to understand and provide informed consent for rehabilitation training, cooperative with training and required follow-ups. * No history of conditions affecting shoulder mobility, including scapulohumeral periarthritis, cervical spondylosis, myofascial pain syndrome, or rheumatic diseases.
Exclusion criteria
* Previous surgery or trauma in the neck and shoulder region, or prior neck lymph node dissection. * Pre-existing shoulder and neck pain, abnormal bilateral shoulder and neck range of motion, or abnormal muscle strength. * Severe systemic underlying diseases that prevent cooperation with examinations. * Underwent radical neck dissection or received postoperative radiotherapy or chemotherapy that may affect shoulder and neck mobility.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Constant-Murley shoulder score at baseline, 10 days, 1 month, and 3 months | Baseline, 10 days, 1 month, 3 months | Shoulder function (pain, daily activity, range of motion, muscle strength) measured by the Constant-Murley score at baseline, 10 days, 1 month, and 3 months postoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck Dissection Impairment Index (NDII) score at baseline, 10 days, 1 month, and 3 months | Baseline, 10 days, 1 month, 3 months | Neck pain, stiffness, and quality of life assessed by the Neck Dissection Impairment Index (NDII) at baseline, 10 days, 1 month, and 3 months postoperatively |
Countries
China
Outcome results
None listed