Navigation Links
Swallowing exercises can help patients with head and neck cancer
Date:4/19/2012

Mount Sinai School of Medicine researchers have found that targeted swallowing exercises can help alleviate swallowing dysfunction a debilitating side effect in people undergoing chemoradiation therapy (CRT) for head and neck cancer. The study, published in the April issue of Archives of Otolaryngology Head & Neck Surgery, a JAMA Network publication, suggests that clinicians should consider giving all patients undergoing CRT an exercise regimen to improve their quality of life after treatment.

"This study provides clear evidence that aggressive swallowing therapy is an important way to improve outcomes after chemoradiation treatment," said Eric Genden, MD, Professor and Chair of Otolaryngology, Mount Sinai School of Medicine, and renowned expert on the use of minimally invasive robotic surgery to treat head and neck cancer. "Difficulty swallowing is the biggest problem people face after undergoing chemoradiation therapy, with an estimated 20 percent of patients losing their ability to swallow for the rest of their lives."

The Mount Sinai team, led by Dr. Genden and Tamar Kotz, MS, CCC-SLP, conducted a randomized controlled trial of 26 patients with head and neck cancer who were receiving CRT. Half were randomized to the intervention group, performing five targeted swallowing exercises throughout their CRT, and participating in weekly swallowing therapy sessions. The other half were randomized to the control group and conducted no swallowing exercises. They were referred for swallowing treatment after completion of CRT, if needed.

Patients were assessed using two measurement tools: the Functional Oral Intake Scale (FOIS), which measures ability to swallow food, and the Performance Status Scale for Head and Neck Cancer, which includes subscales for Eating in Public, Understandability Of Speech, and Normalcy of Diet. Patients in the intervention group showed significantly better scores on both scales at three and six months following treatment.

"CRT is a very arduous treatment regimen for patients and it is difficult for many of them to adhere to a rigorous prophylactic swallow exercise program while undergoing this type of treatment," said Ms. Kotz. "In our study, 69 percent of the patients assigned to the intervention arm were no longer able to tolerate performing the swallowing exercises after week five of the radiation treatment. However even without adherence to the swallowing exercises regimen through the completion of the CRT, these patients still showed meaningful improvements in their swallowing function after treatment. This indicates that even some exercise is better than nothing in improving swallowing outcomes after CRT."

After CRT, tissue in the neck and at the base of tongue is damaged by radiation and becomes stiff, resulting in loss of function. Strengthening the muscles around the damaged tissue may allow them to compensate for the tissue. Other research indicates prophylactic swallowing exercises may actually prevent tissue damage.

"Research showing the efficacy of swallowing exercises has been criticized in the past due to a lack of randomization in certain studies," said Ms. Kotz. "Our study is the first randomized trial to demonstrate a strong quality of life benefit at three and six months in patients undergoing CRT."

The authors plan to study the benefit of swallowing exercises at nine and 12 months using a larger sample size than the one used to study the effects after three and six months. The current study found no significant difference between the groups at nine and 12 months.

"This study demonstrates the intensive team approach required for patients to have the best possible outcome after head and neck cancer treatment," said Dr. Genden. "Mount Sinai is the only center in New York that offers minimally invasive robotic surgery to treat head and neck cancer, which can improve outcomes like swallowing difficulty. Our oncologists, surgeons, and speech pathologists work together on a tailored treatment and rehabilitation regimen for our patients, resulting in much improved quality of life."


'/>"/>

Contact: Christie Corbett
Christie.Corbett@mountsinai.org
212-241-9200
The Mount Sinai Hospital / Mount Sinai School of Medicine
Source:Eurekalert

Related medicine news :

1. Oralflo Pill Swallowing Cup Wins Medical Design Excellence Award, Helps Autism Spectrum Kids and Dysphagia Sufferers Take Medications With No Problem
2. Swallowing safely is no choke
3. Intentional swallowing of foreign bodies and its impact on the cost of health care
4. UC Davis surgeons test innovative device in patient with swallowing disorder
5. Speech, Swallowing Usually OK After Head & Neck Cancer Therapy
6. Factors linked to speech/swallowing problems after treatment for head and neck cancers
7. Brain Stimulation Might Help Stroke Patients With Swallowing Problems
8. Swallowing exercises linked with short-term improvement among patients with head and neck cancer
9. HAPPYneuron Launches 'Vital' Brain Gym: Cognitive Exercises within SCAN Health Plan's Mobile Resource Center for Seniors
10. Breathing Exercises May Boost Athletes Performance
11. Hip exercises found effective at reducing, eliminating common knee pain in runners
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/7/2016)... ... ... When it came time to blow out his candles on his 14th birthday, Estefano Reano ... Transplant team at Joe DiMaggio Children’s Hospital surprised his family with a phone call ... recipient. , “He was playing at home, when we got the phone call telling ...
(Date:12/7/2016)... ... 07, 2016 , ... Baciocco Brothers Insurance Agency, a northern ... Sacramento/Folsom region, is initiating a charity event to raise support and awareness for ... treatment center in Sacramento works to provide area teens and families with treatment ...
(Date:12/7/2016)... ... December 07, 2016 , ... AlignLife clinics nationwide are giving back to ... fortunate enough to receive bountiful gifts wrapped tightly under a Christmas Tree. AlignLife ... children of the world. , In exchange for generous donations, customers will receive a ...
(Date:12/7/2016)... ... December 07, 2016 , ... Sharon Kleyne, host of the ... and Your Health on Voice of America, declared on her radio program in November ... the fact that when these bullies attack leaders in corporate America, they are trying ...
(Date:12/7/2016)... , ... December 07, 2016 , ... Delete® - Tattoo ... Time For The Holiday Party Season. Save Up To 33% Off Botox® and Juvederm® ... is providing the Phoenix Valley with Delightful Deals on Botox® and Juvederm® ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... , Dec. 7, 2016  Organovo Holdings, Inc. ... biology company focused on delivering scientific and medical ... that Chairman and Chief Executive Officer Keith ... on Wednesday, December 14, 2016 at 1:00 p.m. ... are not yet familiar with the Company, an ...
(Date:12/7/2016)... 7, 2016 The global  ... value of USD 3.9 billion by 2024, based ... Inc. The growth of the market is attributed ... technological advancements by the market players. Demand for ... increasing donation, rising awareness about transfusion-transmitted diseases, and ...
(Date:12/6/2016)... 2016 Diabetes & Obesity Drug Development Pipeline ... disease cluster is currently dominated by therapeutics indicated for ... mellitus (T2DM), and the majority of the pipeline, in ... attributable to these indications. While products indicated for obesity ... are a large number of these products in the ...
Breaking Medicine Technology: