Roe, J. W. G., Ashforth, K. M. (2011) Prophylactic swallowing exercises for patients receiving radiotherapy for head and neck cancer. Current Opinion in Otolaryngology & Head and Neck Surgery, 19 (3). pp. 144-149. ISSN 1068-9508

Full text not available from this repository.

Abstract

Purpose of review Oncological treatment outcomes in head and neck cancer suggest both acute and longer-term oropharyngeal dysphagia. Studies have been published exploring the potential to improve swallowing outcomes using more targeted treatment modalities such as intensity-modulated radiotherapy (IMRT) and through the introduction of swallowing exercises prior to treatment. In this article, we will explore the literature relating to prophylactic swallowing exercises for patients undergoing (chemo-) radiotherapy. Recent findings Recent studies have attempted to evaluate the benefit of prophylactic, pretreatment swallowing exercises for patients undergoing (chemo-) radiotherapy. We identified three peer-reviewed published studies which present data on the potential benefit of exercise. Only one randomized control trial which includes multidimensional swallowing evaluation with instrumental measures has been published. Authors of all the reviewed studies agree that randomized control trials including baseline measures are required with longitudinal follow-up. Summary More research is required to complement oncological clinical trials evaluating the impact of prophylactic exercise on swallowing outcome. Multidimensional swallowing evaluation including instrumental and patient-reported measures should be conducted pretreatment and longitudinally to develop the evidence base for intervention in patients undergoing organ-preserving treatment protocols.

Item Type:	Article
All Authors:	Roe, J. W. G., Ashforth, K. M.
Additional Information:	ISI Document Delivery No.: 762WY Times Cited: 0 Cited Reference Count: 56 Roe, Justin W. G. Ashforth, Kate M. Oracle Cancer Research Trust ; NHS Executive ; NHS J.W.G.R. is funded by a grant from the Oracle Cancer Research Trust. This work was undertaken in The Royal Marsden NHS Foundation Trust, which received a proportion of its funding from the NHS Executive; the views expressed in this publication are those of the authors and not necessarily those of the NHS Executive. The authors acknowledge NHS funding to the NIHR Biomedical Research Centre. Lippincott williams & wilkins Philadelphia
Uncontrolled Keywords:	deglutition deglutition disorders head and neck neoplasms pretreatment exercise radiotherapy rehabilitation quality-of-life radiation-therapy chemoradiation dysphagia aspiration dysfunction carcinoma chemoradiotherapy rehabilitation pretreatment
Research teams:	ICR divisions > Clinical Studies > Clinical Trials & Statistics Unit
Depositing User:	Users 11 not found.
Date Deposited:	31 May 2011 11:41
Last Modified:	10 Aug 2011 13:59
URI:	http://publications.icr.ac.uk/id/eprint/10733

Actions (login required)

View Item