Effects of exercise on swallowing and tongue strength in patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy |
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| Affiliation: | 1. Department of Otolaryngology – Head and Neck Surgery, Beth Israel Medical Center, New York, USA;2. Thyroid Head and Neck Cancer Foundation, Beth Israel Medical Center, New York, USA;3. Department of Otolaryngology – Head and Neck Surgery, New York University School of Medicine, New York, USA;4. NYU Voice Center, Department of Otolaryngology – Head and Neck Surgery, New York University School of Medicine, New York, USA;5. Center for Head and Neck Oncology, New York Head and Neck Institute, North Shore LIJ Cancer Institute, New York, USA;6. Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, USA;7. Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, USA;8. Department of Radiation Oncology, New York University School of Medicine, New York, USA;1. Department of Otolaryngology-Head and Neck surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan;2. Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan;3. Department of Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan;1. Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan;3. Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan;2. Center for Cancer Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan;1. Department of Clinical Oncology, Leeds Cancer Centre, Leeds, UK;2. Department of Radiotherapy, The James Cook University Hospital, Middlesbrough, UK;3. Department of Radiotherapy, Leeds Cancer Centre, Leeds, UK;4. Dietetic Department, Leeds Cancer Centre, Leeds, UK;1. The Netherlands Cancer Institute, Department of Head and Neck Oncology and Surgery, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands;2. The Netherlands Cancer Institute, Department of Radiation Oncology, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands;3. Institute of Phonetic Sciences/ACLC, University of Amsterdam, Spuistraat 210, 1012 VT Amsterdam, The Netherlands;4. Academic Medical Center, Department of Oral and Maxillofacial Surgery, Meibergdreef 9, 1105AZ Amsterdam, The Netherlands |
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| Abstract: | Tongue strength is reduced in patients treated with chemoradiotherapy for oral/oropharyngeal cancer. Tongue strengthening protocols have resulted in improved lingual strength and swallowing in healthy individuals, as well as in patients following a neurological event. However, no studies have examined the efficacy of tongue strengthening exercises on tongue strength, swallowing, and quality of life (QOL; Head and Neck Cancer Inventory) in patients treated with chemoradiotherapy. A randomized clinical trial examined the effects of a tongue strengthening programme paired with traditional exercises vs. traditional exercises alone. Dependent variables included tongue strength, swallowing, and QOL in a group of patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy. Differences with regard to tongue strength and oropharyngeal swallow efficiency (OPSE) were not observed within or between groups. QOL in the eating and speech domains improved following treatment in both groups. However, the experimental group demonstrated greater impairment in QOL in the social disruption domain following treatment, whereas the control group demonstrated a slight improvement in functioning. Tongue strengthening did not yield a statistically significant improvement in either tongue strength or swallowing measures in this patient cohort. Patient compliance and treatment timing may be factors underlying these outcomes. |
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| Keywords: | tongue strength exercise swallowing chemoradiation quality of life |
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