Uncertain effect of preventative shoulder rehabilitation for patients who underwent total laryngectomy with neck dissection

Wu, Peixia; Peng, Zhengrong; Chen, Junyi; Hu, Yan

doi:10.1007/s00405-018-4875-x

Cited by 4 publications

(6 citation statements)

References 27 publications

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“…Eighteen ADL/IADL studies (31%) reported non-significant findings with interventions including resistance training, aerobic exercise, toileting behavior and biofeedback, pelvic floor exercises, patient education, swallowing rehabilitation, dietary instruction and training, manual therapy and upper extremity exercise. [150][151][152][153][154][155][156][157][158][159][160][161][162][163][164][165][166][167] .…”

Section: Activities Of Daily Living and Instrumental Activities Of Daily Living (Adl/iadl)mentioning

confidence: 99%

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Sleight

Gerber

Marshall³

et al. 2022

Archives of Physical Medicine and Rehabilitation

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Activities Of Daily Living and Instrumental Activities Of Daily Living (Adl/iadl)mentioning

confidence: 99%

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Sleight

Gerber

Marshall³

et al. 2022

Archives of Physical Medicine and Rehabilitation

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“…However, given that it was underpowered, without randomisation and with a high risk of bias, it was not felt to provide strong enough evidence to prove equipoise. 15…”

Section: Discussionmentioning

confidence: 99%

“…However, given that it was underpowered, without randomisation and with a high risk of bias, it was not felt to provide strong enough evidence to prove equipoise. 15 Importantly, none of the papers described any adverse effects of therapy. Furthermore, the majority of patients enrolled completed the studies.…”

Section: Summary and Comparisonmentioning

confidence: 99%

Do patients benefit from physiotherapy for shoulder dysfunction following neck dissection? A systematic review

Harris

2020

J. Laryngol. Otol.

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ObjectiveAccessory nerve palsy affects a proportion of patients following neck dissection, and results in shoulder dysfunction and regional pain. This project aimed to establish the evidence supporting post-operative physiotherapy for the shoulder following neck dissection.MethodA systematic review was conducted of prospective trials investigating the efficacy of rehabilitation for shoulder or upper limb dysfunction and pain following any type of neck dissection.ResultsA total of 820 papers were identified; through a staged review process, 7 trials were found that fulfilled the inclusion criteria. These included three randomised, controlled trials and four non-randomised studies. Five out of the seven trials demonstrated a statistically significant benefit of physiotherapy.ConclusionCurrent evidence shows a benefit from physiotherapy in patients with shoulder dysfunction following neck dissection. Some evidence suggests progressive resistance is superior to other types of physiotherapy. Long-term benefit and cost efficacy have not been studied.

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“…76 Restorative neck/shoulder exercise interventions were tested in seven studies. 74,75,[77][78][79][80][81][82] Of these, four RCTs with five articles were good quality. Three RCTs examined progressive shoulder strengthening compared with ROM with nonprogressive strengthening exercises in patients with spinal accessory nerve palsy.…”

Section: And Body Composition (4)mentioning

confidence: 98%

“…Eight studies with nine articles investigated the impact of neck/shoulder exercise on neck/shoulder function in HNC patients (total n = 362 patients, median = 42.5, range = 20-76). [74][75][76][77][78][79][80][81][82] Interventions commonly targeted shoulder strengthening (7 studies) and ROM (5), and only one study included neck-focused intervention. 75 Accordingly, the most common primary outcomes involved measures of shoulder disability (5 studies) and ROM (6).…”

Section: And Body Composition (4)mentioning

confidence: 99%

Rehabilitation Interventions in Head and Neck Cancer

Cheng,

Ramos Emos,

Leite

et al. 2024

Am J Phys Med Rehabil

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Objective The aim of the study is to identify and appraise current evidence for rehabilitation interventions in head and neck cancer. Design A previously published scoping review spanning 1990 through April 2017 was updated through January 11, 2023 and narrowed to include only interventional studies (Arch Phys Med Rehabil. 2019;100(12):2381–2388). Included studies had a majority head and neck cancer population and rehabilitation-specific interventions. Pairs of authors extracted data and evaluated study quality using the PEDro tool. Results were organized by intervention type. Results Of 1338 unique citations, 83 studies with 87 citations met inclusion criteria. The median study sample size was 49 (range = 9–399). The most common interventions focused on swallow (16 studies), jaw (11), or both (6), followed by whole-body exercise (14) and voice (10). Most interventions took place in the outpatient setting (77) and were restorative in intent (65 articles). The overall study quality was fair (median PEDro score 5, range 0–8); none were of excellent quality (PEDro >9). Conclusions Most head and neck cancer rehabilitation interventions have focused on restorative swallow and jaw exercises and whole-body exercise to address dysphagia, trismus, and deconditioning. More high-quality evidence for head and neck cancer rehabilitation interventions that address a wider range of impairments and activity and social participation limitations during various cancer care phases is urgently needed to reduce head and neck cancer-associated morbidity.

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Uncertain effect of preventative shoulder rehabilitation for patients who underwent total laryngectomy with neck dissection

Abstract: In this study, preventative exercise program initiated immediately after surgery had a limited impact on both shoulder function and perceived quality of life.

Cited by 4 publications

References 27 publications

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Systematic Review of Functional Outcomes in Cancer Rehabilitation

Do patients benefit from physiotherapy for shoulder dysfunction following neck dissection? A systematic review

Rehabilitation Interventions in Head and Neck Cancer

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