Navigation Links
Swallowing exercises preserve function in head and neck cancer patients receiving radiation
Date:9/4/2013

A study at UCLA's Jonsson Comprehensive Cancer Center has found that head and neck cancer patients receiving radiation as part of their treatment were less likely to need a feeding tube or suffer unwanted side effects such as worsening of diet or narrowing of the throat passage if they performed a set of prescribed swallowing exercises called a "swallow preservation protocol" during therapy.

The study, conducted from 2007 to 2012, was led by Dr. Marilene Wang, a member of the Jonsson Cancer Center and professor-in-residence in the department of head and neck surgery at UCLA's David Geffen School of Medicine. The study was published online by the journal OtolaryngologyHead and Neck Surgery, and will appear later in the journal's print edition.

Surgery and radiation have been the traditional treatments for head and neck cancer, but with the advent of improved and targeted chemotherapy, many types of this disease are treated with chemotherapy and radiation, (chemoradiation) in the hope of preserving the tissue and structure. But, even when tissue and structure are preserved, patients do not always retain their ability to swallow naturally and normally.

Most patients who receive chemoradiation have significant side effects during treatment and for a long time after recovery. Difficulty swallowing (dysphagia) is one of the most common unwanted side effects of radiation and chemoradiation, and is one of the main predictors of diminished quality of life for the patient after treatment.

Wang's study was designed to evaluate the swallow preservation protocol, in which patients had swallow therapy before, during and after radiation treatment. The protocol's effectiveness was measured by patients' continued ability to swallow and how that affected their diets, whether they needed a feeding tube, and whether they developed narrowing of the throat (stenosis). The same attributes were also measured for a group of patients who were not compliant with the protocol.

Study participants received assessments of their swallowing ability by Wang's team two weeks before their treatment, were taught what side effects they could expect from the treatment and were given an introduction to the swallowing exercise program. The exercises were designed to maintain the range of motion of mouth and neck muscles involved in swallowing and to counter the formation of excess tissue caused by the radiation (radiation fibrosis), which contributes to loss of swallowing ability. Compliance to the protocol was self-reported by patients during weekly visits to UCLA.

Among 85 participants, 57 were deemed compliant with the protocol and 28 were non-compliant. Patients' ages ranged from 22 to 91, and there were more 66 men and 19 women.

Swallow preservation exercises before and during radiation treatment appeared to maintain patient's ability to swallow, and patients who were compliant with the protocol had a faster return to normal diet and lower incidence of throat stenosis.

"Our results demonstrate that compliance with swallow therapy during radiation or chemoradiation treatment is beneficial to patients' retaining their ability to swallow after treatment is over," Wang said. "The real benefit of this compliance is that patients benefit immediately after treatment and for a prolonged time afterward. Attending our weekly program, fully committing to the exercises and being monitored by our staff appears to have a significantly measurable effect for these patients."


'/>"/>

Contact: Shaun Mason
smason@mednet.ucla.edu
310-206-2805
University of California - Los Angeles
Source:Eurekalert

Related medicine news :

1. Swallowing exercises linked with short-term improvement among patients with head and neck cancer
2. Swallowing exercises can help patients with head and neck cancer
3. Food elimination diet identifies causes of difficulty swallowing and swelling of the throat
4. Electrical brain stimulation can alleviate swallowing disorders after stroke
5. Swallowing Nasal Sprays, Eye Drops Can Harm Kids, FDA Warns
6. Experts urge rapid evaluation for swallowing and voice problems after brain surgery
7. Fewer Children Injured From Swallowing Caustic Chemicals: Study
8. West Penn Allegheny Health System is First in Pennsylvania to Perform Groundbreaking Minimally-Invasive Procedure for Swallowing Disorder
9. Swallowing Magnets Can Be Fatal for Children
10. A comparison of 2 home exercises to treat vertigo
11. Simple exercises are an easy and cost-effective treatment for persistent dizziness
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... 2017 , ... As health professionals work to improve their approach to healthcare, ... doing more than filling out a survey; in many cases health professionals and patients ... health care and research on the importance of active engagement with patients and members ...
(Date:10/13/2017)... ... 2017 , ... PurhealthRX , a leading Health and Nutrition Company, is ... to full spectrum CBD oil will revolutionize the rapidly growing CBD market by reducing ... easily incorporated into liquid products, while reducing costs to end users. , The team ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Many families have ... many long-term care insurance companies have a waiver for care if the client has ... period, when the family pays for care, is often waived, so the benefits from ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer ... one of the most popular and least understood books in the Holy Scriptures, Revelation. ... descriptions that have baffled scholars for centuries. Many have tossed it off as mere ...
(Date:10/13/2017)... ... ... “America On The Brink”: the Christian history of the United States and the ... published author, William Nowers. Captain Nowers and his wife, Millie, have six children, ... in the Navy. Following his career as a naval aviator and carrier pilot, ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... Oct. 11, 2017  True Health, a leader ... its effort during National Breast Cancer Awareness month ... risks. Research ... calculated that more than 10 million American women ... in BRCA1 or BRCA2 and have not had testing. ...
(Date:10/5/2017)... 2017  In response to the nationwide opioid ... Surgeons (AAOMS) released prescribing recommendations that urge ibuprofen ... as a first-line therapy to manage a patient,s ... Recognizing the value and importance of ... Prescribing: Acute and Postoperative Pain Management" stresses that ...
(Date:10/2/2017)... 2017  Eli Lilly and Company (NYSE: ... third quarter of 2017 on Tuesday, October 24, 2017. ... day with the investment community and media to further ... call will begin at 9 a.m. Eastern time. Investors, ... webcast of the conference call through a link that ...
Breaking Medicine Technology: