Prophylactic exercises among head and neck cancer patients during and after swallowing sparing intensity modulated radiation: Adherence and exercise performance levels of a 12-week guided home-based program

Authors Ingrid Cnossen , Cornelia F. van Uden-Kraan , Birgit I. Witte , Yke J. Aalders , Cees J.T. de Goede , Remco de Bree , Patricia Doornaert , Derek H.F. Rietveld , Jan Buter , Johannes A. Langendijk , C. René Leemans , Irma M. Verdonck-de Leeuw
Published in European Archives of Oto-Rhino-Laryngology
Publication date 2017
Research groups Speech and Language Therapy: Participation through communication
Type Article

Summary

The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1–2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70% and decreased to 38% at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34% moderate and 26% high; during 12 weeks: 28% moderate and 18% high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.

Language English
Published in European Archives of Oto-Rhino-Laryngology
Year and volume 274 2
Key words kanker, chemotherapie, slikproblemen, profylactische oefeningen, spraakproblemen
Page range 1129-1138

Speech and Language Therapy: Participation through communication