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The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program
Background Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes. Methods Quality of life (QOL), d...
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| Published in: | Head & neck 2019-03, Vol.41 (3), p.606-614 |
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| Main Authors: | , , , , , , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 614 |
| container_issue | 3 |
| container_start_page | 606 |
| container_title | Head & neck |
| container_volume | 41 |
| creator | Van Daele, Douglas J. Langmore, Susan E. Krisciunas, Gintas P. Lazarus, Cathy L. Pauloski, Barbara R. McCulloch, Timothy M. Gramigna, Gary D. Messing, Barbara P. Wagner, Cynthia W. Mott, Sarah L |
| description | Background
Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes.
Methods
Quality of life (QOL), diet, and swallowing variables collected at discrete intervals on 117 patients were reanalyzed to test the hypothesis that shorter time between the completion of radiotherapy and beginning of the swallowing therapy program yielded improved outcomes.
Results
At baseline, subjects 2 years post RT in several measures. Over the therapy program, the early group showed significant improvement in diet and QOL. Swallowing physiologic variables showed no difference between groups.
Conclusion
Beginning a swallowing therapy program within 1 year of completion of radiotherapy demonstrates more consistent improvement in QOL and diet performance compared to later periods. |
| doi_str_mv | 10.1002/hed.25344 |
| format | article |
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Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes.
Methods
Quality of life (QOL), diet, and swallowing variables collected at discrete intervals on 117 patients were reanalyzed to test the hypothesis that shorter time between the completion of radiotherapy and beginning of the swallowing therapy program yielded improved outcomes.
Results
At baseline, subjects < 1 year post radiation had significantly better function than subjects >2 years post RT in several measures. Over the therapy program, the early group showed significant improvement in diet and QOL. Swallowing physiologic variables showed no difference between groups.
Conclusion
Beginning a swallowing therapy program within 1 year of completion of radiotherapy demonstrates more consistent improvement in QOL and diet performance compared to later periods.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.25344</identifier><identifier>PMID: 30629306</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Cancer ; Diet ; Dysphagia ; Electrical stimuli ; Head & neck cancer ; head and neck cancer ; neuromuscular electrical stimulation ; Patients ; Quality of life ; Radiation therapy ; rehabilitation ; Swallowing</subject><ispartof>Head & neck, 2019-03, Vol.41 (3), p.606-614</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3884-24f0de44868f444e7b319bb92181e77de8d69a73ecf451b3c3d7b43a0ef8b9713</citedby><cites>FETCH-LOGICAL-c3884-24f0de44868f444e7b319bb92181e77de8d69a73ecf451b3c3d7b43a0ef8b9713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27936,27937</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30629306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Daele, Douglas J.</creatorcontrib><creatorcontrib>Langmore, Susan E.</creatorcontrib><creatorcontrib>Krisciunas, Gintas P.</creatorcontrib><creatorcontrib>Lazarus, Cathy L.</creatorcontrib><creatorcontrib>Pauloski, Barbara R.</creatorcontrib><creatorcontrib>McCulloch, Timothy M.</creatorcontrib><creatorcontrib>Gramigna, Gary D.</creatorcontrib><creatorcontrib>Messing, Barbara P.</creatorcontrib><creatorcontrib>Wagner, Cynthia W.</creatorcontrib><creatorcontrib>Mott, Sarah L</creatorcontrib><title>The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes.
Methods
Quality of life (QOL), diet, and swallowing variables collected at discrete intervals on 117 patients were reanalyzed to test the hypothesis that shorter time between the completion of radiotherapy and beginning of the swallowing therapy program yielded improved outcomes.
Results
At baseline, subjects < 1 year post radiation had significantly better function than subjects >2 years post RT in several measures. Over the therapy program, the early group showed significant improvement in diet and QOL. Swallowing physiologic variables showed no difference between groups.
Conclusion
Beginning a swallowing therapy program within 1 year of completion of radiotherapy demonstrates more consistent improvement in QOL and diet performance compared to later periods.</description><subject>Cancer</subject><subject>Diet</subject><subject>Dysphagia</subject><subject>Electrical stimuli</subject><subject>Head & neck cancer</subject><subject>head and neck cancer</subject><subject>neuromuscular electrical stimulation</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Radiation therapy</subject><subject>rehabilitation</subject><subject>Swallowing</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kLFu2zAQhomgReOkHfICxQGdMighRVqUxsJN4gAGuqSzcBJPFlOJUkkaht8gj106TsYsd4cfH74DfsauBL8RnOe3PZmbfCmVOmMLwSudcan0p-OtZCa5VufsIoRnzrksVP6FnUte5FUaC_by1BPYccY2wtRBtCMBdpE8eDQWo50cRE8YR3KJcGAOYe5xaxGsgzkBKQ-wt7GHntAAOgOO2r_QomuThpyfhoHMEUcIexyGaW_dFmJPHucDzH7aehy_ss8dDoG-ve1L9uf-7mm1zja_Hx5XPzdZK8tSZbnquCGlyqLslFKkGymqpqlyUQrS2lBpigq1pLZTS9HIVhrdKImcurKptJCX7MfJm_7-21GI9fO08y69rJNDLpd5VRaJuj5RrZ9C8NTVs7cj-kMteH3svE6d16-dJ_b7m3HXjCl9J99LTsDtCdjbgQ4fm-r13a-T8j_j8oxt</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Van Daele, Douglas J.</creator><creator>Langmore, Susan E.</creator><creator>Krisciunas, Gintas P.</creator><creator>Lazarus, Cathy L.</creator><creator>Pauloski, Barbara R.</creator><creator>McCulloch, Timothy M.</creator><creator>Gramigna, Gary D.</creator><creator>Messing, Barbara P.</creator><creator>Wagner, Cynthia W.</creator><creator>Mott, Sarah L</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope></search><sort><creationdate>201903</creationdate><title>The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program</title><author>Van Daele, Douglas J. ; Langmore, Susan E. ; Krisciunas, Gintas P. ; Lazarus, Cathy L. ; Pauloski, Barbara R. ; McCulloch, Timothy M. ; Gramigna, Gary D. ; Messing, Barbara P. ; Wagner, Cynthia W. ; Mott, Sarah L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-24f0de44868f444e7b319bb92181e77de8d69a73ecf451b3c3d7b43a0ef8b9713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Cancer</topic><topic>Diet</topic><topic>Dysphagia</topic><topic>Electrical stimuli</topic><topic>Head & neck cancer</topic><topic>head and neck cancer</topic><topic>neuromuscular electrical stimulation</topic><topic>Patients</topic><topic>Quality of life</topic><topic>Radiation therapy</topic><topic>rehabilitation</topic><topic>Swallowing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Daele, Douglas J.</creatorcontrib><creatorcontrib>Langmore, Susan E.</creatorcontrib><creatorcontrib>Krisciunas, Gintas P.</creatorcontrib><creatorcontrib>Lazarus, Cathy L.</creatorcontrib><creatorcontrib>Pauloski, Barbara R.</creatorcontrib><creatorcontrib>McCulloch, Timothy M.</creatorcontrib><creatorcontrib>Gramigna, Gary D.</creatorcontrib><creatorcontrib>Messing, Barbara P.</creatorcontrib><creatorcontrib>Wagner, Cynthia W.</creatorcontrib><creatorcontrib>Mott, Sarah L</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Daele, Douglas J.</au><au>Langmore, Susan E.</au><au>Krisciunas, Gintas P.</au><au>Lazarus, Cathy L.</au><au>Pauloski, Barbara R.</au><au>McCulloch, Timothy M.</au><au>Gramigna, Gary D.</au><au>Messing, Barbara P.</au><au>Wagner, Cynthia W.</au><au>Mott, Sarah L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2019-03</date><risdate>2019</risdate><volume>41</volume><issue>3</issue><spage>606</spage><epage>614</epage><pages>606-614</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes.
Methods
Quality of life (QOL), diet, and swallowing variables collected at discrete intervals on 117 patients were reanalyzed to test the hypothesis that shorter time between the completion of radiotherapy and beginning of the swallowing therapy program yielded improved outcomes.
Results
At baseline, subjects < 1 year post radiation had significantly better function than subjects >2 years post RT in several measures. Over the therapy program, the early group showed significant improvement in diet and QOL. Swallowing physiologic variables showed no difference between groups.
Conclusion
Beginning a swallowing therapy program within 1 year of completion of radiotherapy demonstrates more consistent improvement in QOL and diet performance compared to later periods.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30629306</pmid><doi>10.1002/hed.25344</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Head & neck, 2019-03, Vol.41 (3), p.606-614 |
| issn | 1043-3074 1097-0347 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Cancer Diet Dysphagia Electrical stimuli Head & neck cancer head and neck cancer neuromuscular electrical stimulation Patients Quality of life Radiation therapy rehabilitation Swallowing |
| title | The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program |
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