Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- shoulder function
研究概览
简要总结
Head and neck cancer is prevalent in Taiwan, and oral cancer is the most common location. Advanced treatment of oral cancer increases survival rates; however, it also increases the risk of developing shoulder dysfunction, dysphagia, oral dysfunction, donor site morbidity and psychological issues. The probability of shoulder dysfunction after neck dissection is as high as 70%. Rehabilitation effects on shoulder function for head and neck survivors are needed for further studied.The purpose of this randomized clinical trial is to explore the effects of rehabilitation for shoulder function in oral cancer survivors.
详细描述
Head and neck cancer is prevalent in Taiwan, and oral cancer is the most common location. Advanced treatment of oral cancer increases survival rates; however, it also increases the risk of developing shoulder dysfunction, dysphagia, oral dysfunction, donor site morbidity and psychological issues. The probability of shoulder dysfunction after neck dissection is as high as 70%. Rehabilitation effects on shoulder function for head and neck survivors are needed for further studied.
The purpose of this randomized clinical trial is to explore the effects of rehabilitation for shoulder function in oral cancer survivors. We will recruit 60 newly diagnosed oral cancer subjects through the plastic surgeon's referral from April 2018 to March 2020. The participants will be randomized separated into experimental or control group. Each group would receive regular physical therapy for shoulder function (i.e., transcutaneous electrical stimulation, shoulder joint range of motion exercise, scapular muscle strengthening training). Experimental group would be supplemented by motor control therapy targeting the scapular muscle progressive resistance exercise (exercise plus manual therapy).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Willing to sign the inform consent
- •Sufficiently communicate in the Chinese language
- •Be able to follow instructions
- •Newly diagnosed oral cancer
- •Spinal accessory shoulder dysfunction
排除标准
- •Pregnant or breast-feeding woman
- •Cognitively impaired
- •Central nervous disease
- •Distant metastasis or recurrence
- •A history of shoulder pain or known shoulder pathology
- •Unable to communicate or comprehend the questionnaires
结局指标
主要结局
shoulder function
时间窗: 1 year
the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure for upper extremity function
maximal isometric muscle strength
时间窗: 1 year
measurement for the upper trapezius, middle trapezius, lower trapezius and serrates anterior at the moment of SEMG
shoulder joint range of motion
时间窗: 1 year
abduction measured by goniometer
shoulder pain
时间窗: 1 year
Visual Analog Scale, the \*total\* range = 0-10
次要结局
- quality of life H&N35(1 year)
- surface electromyography (SEMG)(1 year)
- return to work(1 year)
- quality of life C-30(1 year)