Hoofdhalskankerpatienten die een totale laryngectomie hebben ondergaan dysphagia Larynx extirpation
Conditions
Interventions
All participants have to train three different strengthening exercises with the
SEA three times a day, including the Chin Tuck against resistance (CTAR+), Jaw
Opening against resistance (JOAR+), and
Sponsors
Antoni van Leeuwenhoek Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • >= 18 years or older • Undergone a TLE • At least six months post TLE • At least six months postoperative (chemo-) radiotherapy (if applicable) • Using Tracheoesophageal speech • Oral intake of a modified diet (FOIS 2 - 6) or who experience swallowing problems • Signed informed consent
Exclusion criteria
Exclusion criteria: • Unable to understand the patient information • Unable to understand the informed consent • Unable to comprehend and use the SEA • Unable or unwilling to provide informed consent • Neuro-degenerative diseases, for instance, dementia, Parkinson, Korsakov
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This study has a multidimensional assessment approach, including feasibility and adherence, physical outcomes, functional outcomes, and patient-reported outcomes. In this study, measures of interest are muscle strength, manofluorography, manometry, voice recordings, dynamic range of voice, maximum fonation time, questionnaires, and information from the electronic medical files. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary: (Multidimensional Evaluation) Physical outcomes: - Strength measurement (IOPI, dynamometer) - Manofluorography - Pressure measurement during breathing and vocalization (manometry) Functional Outcomes: - Voice recordings - Mouth opening Subjective outcomes: - Questionnaires on Quality of life, swallowing problems, voice problems, participation | — |
Countries
Netherlands
Outcome results
None listed