Preventive Physical Activity Intervention in Head and Neck Cancer
- Conditions
- Head and Neck NeoplasmsPhysical Inactivity
- Interventions
- Behavioral: Preventive physical exercise
- Registration Number
- NCT05432297
- Lead Sponsor
- Sahlgrenska University Hospital, Sweden
- Brief Summary
The study includes patients with tumors of the oropharynx, larynx and hypopharynx scheduled to receive radiotherapy with curative intent (+/- chemotherapy). The patients will be randomized into either an intervention group (performing a preventive physical activity protocol before and during radiotherapy) or a control group not performing a specified physical exercise protocol. All patients will be in contact with with a speech language pathologist or a physical therapist weekly during radiotherapy. The study is expected to improve physical function and quality of life during and after oncologic treatment
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 80
- Head and neck cancer (tumors of the oropharynx, pharynx, hypopharynx and larynx)
- Receiving radiohterapy (+/- chemotherapy) with curative intent
- Surgery due to head and neck cancer
- Previous treatment for head and neck cancer
- Tracheostomized patients
- Inability to perform exercise intervention
- Inability to perform part of 6-minute walking test
- Inability to independently fill out questionnaires in Swedish
- Previous neurologic or neuromuscular disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Physical exercise intervention Preventive physical exercise The physical activity intervention is based on national guidelines of physical activity in cancer rehabilitation. A physiotherapist together with each patient will develop individual adaptations to the exercise protocol, with suggestions on which type of exercise the participant is able to perform depending on their daily condition. Suggestions on physical activity for good, bad and in-between-days will be listed in collaboration with the participant, and the participant will report number of minutes/day in each of the 3 physical activity levels stated.
- Primary Outcome Measures
Name Time Method Objectively measured physical activity Up to 12 months Measured with an accelerometer. Measures time spent in different activities i minutes/day.
Subjectively measured physical activity (IPAQ) Up to 12 months Measured with the International Physical Activity Questionnaire
Subjectively measured physical activity - Saltin-Grimby Up to 12 months Measured with the Saltin-Grimby physical activity level scale and the International Physical Activity Questionnaire.
- Secondary Outcome Measures
Name Time Method Health related quality of life (HRQL) using the EORTC QLQ H&N35 Up to 5 years post radiotherapy Measured with the EORTC QLQ Head and neck module (HN35). It consists of 35 questions regarding symptoms more specific to the head and neck cancer population, and domain scores range from 0-100, where a higher score represents the prevalence of more symtoms, i.e. worse HRQL.
Maximal Interincisal opening (MIO) Up to 5 years post radiotherapy Jaw opening measured in millimeters
Body composition Up to 12 months post radiotherapy Bioelectric impedance analysis.
Grip strength Up to 12 months post radiotherapy Measured with the a hand dynamometer
Health related quality of life (HRQL) using the EORTC QLQ-C30 Up to 5 years post radiotherapy Measured with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) core questionnaire (c30). Consists of 30 items divided into six functional domains (Physical, Role, Cognitive, Emotional, and Social Functioning and Global Quality of life), three symptom scales (Fatigue, Pain, and Nausea/Vomiting) and six single items (Constipation, Diarrhea, Insomnia, Dyspnea, Appetite Loss, and Financial Difficulties). All domains range from 0-100. For the functional domains a higher score indicates good function, while for all other domains a high score indicates a high prevalence of symtoms, i.e. worse HRQL.
Dysphagia related symtoms Up to 5 years post radiotherapy PRO measured with M.D Anderson Dysphagia Inventory (MDADI). This is a cancer-specific instrument measuring dysphagia, social function and quality of life in head and neck cancer patients. It consists of 19 items in four domains; emotional, physical, functional and global quality of life. The range for each subscale is 20-100 where 100 indicates best possible swallowing, i.e. better outcome.
Trismus and jaw related symptoms Up to 5 years post radiotherapy Patient Reported Outcomes (PRO) measured with Gothenburg Trismus Questionnaire (GTQ). The GTQ consists of 21 items divided into 3 domains; Jaw related problems, Eating limitations and Muscular tension and eight single items concerning facial pain, limitations in mouth opening and inabilities to function on social and working contexts. The GTQ domains range from 0-100 where 0 equals to absence of symtoms and 100 equals worst possible symptoms.
6-minute walking test Up to 12 months post radiotherapy Measures total walking distance during 6 minutes.
Trial Locations
- Locations (1)
Sahlgrenska University Hospital
🇸🇪Gothenburg, Sweden