Head & Neck Cancer Survivorship: Physical and Functional Status
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Vanderbilt University
- Enrollment
- 23
- Locations
- 3
- Primary Endpoint
- Physical and functional well-being during adjuvant chemoradiotherapy
Study Overview
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.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 21 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Supportive Care
head and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Intervention: systemic chemotherapy (Drug)
Supportive Care
head and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Intervention: survey administration (Other)
Supportive Care
head and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Intervention: adjuvant therapy (Procedure)
Supportive Care
head and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Intervention: management of therapy complications (Procedure)
Supportive Care
head and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Intervention: musculoskeletal complications management/prevention (Procedure)
Supportive Care
head and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Intervention: physical therapy (Procedure)
Supportive Care
head and neck cancer survivors who are undergoing chemotherapy and radiation therapy
Intervention: radiation therapy (Radiation)
Outcomes
Primary Outcomes
Physical and functional well-being during adjuvant chemoradiotherapy
Time Frame: 2 weeks after completing treatment
Range of motion for the cervical spine and shoulder during adjuvant chemoradiotherapy
Time Frame: 2 weeks after completing treatment
Feasibility of an early physical therapy intervention
Time Frame: 2 weeks after completing treatment
Secondary Outcomes
No secondary outcomes reported