Therapeutic exercises for affecting post-treatment swallowing in people treated for advanced-stage head and neck cancers.
Lee, Siew Hwa
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PERRY, A., LEE, S.H., COTTON, S. and KENNEDY, C. 2016. Therapeutic exercises for affecting post-treatment swallowing in people treated for advanced-stage head and neck cancers. Cochrane database of systematic reviews [online], Issue 8, article number DC011112. Available from: https://dx.doi.org/10.1002/14651858.CD011112.pub2
Background - Head and neck cancer treatment has developed over the last decade, with improved mortality and survival rates, but the treatments often result in dysphagia (a difficulty in swallowing) as a side effect. This may be acute, resolving after treatment, or remain as a long-term negative sequela of head and neck cancer (HNC) treatment. Interventions to counteract the problems associated with dysphagia include swallowing exercises or modification of diet (bolus texture, size), or both. Objectives - To determine the effects of therapeutic exercises, undertaken before, during and/or immediately after HNC treatment, on swallowing, aspiration and adverse events such as chest infections, aspiration pneumonia and profound weight loss, in people treated curatively for advanced-stage (stage III, stage IV) squamous cell carcinoma of the head and neck.