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Head & Neck Cancer Survivorship: Physical and Functional Status

Completed
Conditions
Head and Neck Cancer
Interventions
Drug: systemic chemotherapy
Other: survey administration
Procedure: adjuvant therapy
Procedure: management of therapy complications
Procedure: musculoskeletal complications management/prevention
Procedure: physical therapy
Radiation: radiation therapy
Registration Number
NCT00751816
Lead Sponsor
Vanderbilt University
Brief Summary

RATIONALE: Early physical therapy may be effective in improving range of motion of the neck and shoulders in head and neck cancer survivors who are undergoing chemotherapy and radiation therapy.

PURPOSE: This phase I trial is studying how well early physical therapy works in improving physical and functional well-being in head and neck cancer survivors receiving chemoradiotherapy.

Detailed Description

OBJECTIVES:

* Describe the physical and functional well-being of head and neck cancer (HNC) survivors undergoing physical therapy during adjuvant chemoradiotherapy.

* Describe clinical measure of range of motion for the cervical spine and shoulder of HNC survivors undergoing physical therapy during adjuvant chemoradiotherapy.

* Determine the feasibility of an early physical therapy intervention (prior to and during adjuvant treatment) targeting the physical needs of HNC survivors.

OUTLINE: Patients undergo physical therapy weekly for 10 weeks beginning 1 week prior to initiating adjuvant chemoradiotherapy and continuing until 2 weeks after the completion of adjuvant chemoradiotherapy.

Patients undergo range of motion assessment and complete a Cancer Survivorship Survey (CSS) at baseline and in weeks 4, 8, 9, and 10 of physical therapy.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
23
Inclusion Criteria

DISEASE CHARACTERISTICS:

  • Head and neck cancer survivor

  • Planning to receive adjuvant chemoradiotherapy for head and neck cancer

    • Has not yet initiated adjuvant therapy
  • Referred to rehabilitation oncology physical therapy program

Exclusion Criteria
  • No metastatic disease
  • No CNS cancer

PATIENT CHARACTERISTICS:

  • Speaks English
  • No significant history of cardiovascular or neurovascular disease involving disability

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Not currently in hospice care

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Supportive Caresurvey administrationhead and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Supportive Carephysical therapyhead and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Supportive Caremusculoskeletal complications management/preventionhead and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Supportive Caresystemic chemotherapyhead and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Supportive Careadjuvant therapyhead and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Supportive Caremanagement of therapy complicationshead and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Supportive Careradiation therapyhead and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Primary Outcome Measures
NameTimeMethod
Physical and functional well-being during adjuvant chemoradiotherapy2 weeks after completing treatment
Range of motion for the cervical spine and shoulder during adjuvant chemoradiotherapy2 weeks after completing treatment
Feasibility of an early physical therapy intervention2 weeks after completing treatment
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

Vanderbilt-Ingram Cancer Center - Cool Springs

🇺🇸

Nashville, Tennessee, United States

Vanderbilt-Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

Vanderbilt-Ingram Cancer Center at Franklin

🇺🇸

Nashville, Tennessee, United States

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