Effects of 2 different swallowing exercise regimens during organ-preservation therapies for head and neck cancers on swallowing function

Document Type

Article

Publication Date

2-1-2015

Abstract

Background. This study investigated the effects of 2 different swallowing exercise regimens performed during radiation therapy with/without chemotherapy on swallowing function. Methods. Fifty patients were recruited prospectively to 2 groups (the exercise group, n = 26 and the repetitive swallow group, n = 24). Functional Oral Intake Scale (FOIS) scores and percutaneous endoscopic gastrostomy (PEG) placements were compared at posttreatment and at 3 months. Results. The exercise group eliminated significantly more PEG tubes at 3 months posttreatment compared to the swallow group (16% vs 50%). Among patients who received both radiation and chemotherapy, the exercise group had significantly less PEG tubes immediately posttreat-ment as well as 3 months posttreatment (35% and 10%), compared to the swallow group (69% and 50%). Conclusion. Findings indicate significant benefits of the exercise group's exercise regimen in reducing PEG dependence and oral intake difficulties.

Publication Source (Journal or Book title)

Head and Neck

First Page

162

Last Page

170

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