Dysphagia in post radiotherapy head and neck cancer patients Head and neck cancer, tongue strengthening exercise, tongue hold exercise, Masako Maneuver, Mendelsohn Maneuver, Iowa Oral Performance Instrument (IOPI), surface EMG, radiation therapy (RT), chemoradiation therapy CRT), swallow rehabilitation, prophylactic swallowing therapy
Conditions
Interventions
The Iowa Oral Performance Instrument was used to provide biofeedback on exercise intensity during strengthening of the anterior and posterior tongue muscles at 60 to 80 percent of 1 RM for 5 seconds 1
Iowa Oral Performance Instrument and surface EMG ,exercise
Sponsors
Rajavithi Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with head and neck cancer who are planned to receive radiotherapy or concurrent chemoradiotherapy 2.Age at least 18 years 3.Able to read and understand the Thai language 4.Willing to participate in the research study
Exclusion criteria
Exclusion criteria: 1.Patients with recurrent disease or metastasis from primary cancers outside the head and neck region 2.Patients who have undergone surgical treatment affecting swallowing function 3.Patients with comorbid conditions affecting swallowing, such as neurological or neuromuscular disorders 4.Patients who have previously received swallowing rehabilitation programs prior to study enrollment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| tongue strength 3 months after start radiation therapy kilopascals | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional Oral Intake Scale (FOIS) 3 months after start radiation therapy ordinal scale level 1-7,M.D. Anderson Dysphagia Inventory (MDADI) 3 months after start radiation therapy score 20-100 | — |
Countries
Thailand
Contacts
Public ContactChayanin vVejabhuti
Rajavithi Hospital
Outcome results
None listed