Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors
- Conditions
- Oral Cancer
- Interventions
- Other: motor control therapyOther: regular physical therapy
- Registration Number
- NCT03545100
- Lead Sponsor
- Chang Gung Memorial Hospital
- Brief Summary
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.
- Detailed Description
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).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description experimental group regular physical therapy motor control therapy experimental group motor control therapy motor control therapy control group regular physical therapy regular physical therapy
- Primary Outcome Measures
Name Time Method shoulder function 1 year the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure for upper extremity function
maximal isometric muscle strength 1 year measurement for the upper trapezius, middle trapezius, lower trapezius and serrates anterior at the moment of SEMG
shoulder joint range of motion 1 year abduction measured by goniometer
shoulder pain 1 year Visual Analog Scale, the \*total\* range = 0-10
- Secondary Outcome Measures
Name Time Method quality of life H&N35 1 year European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-H\&N35
surface electromyography (SEMG) 1 year measure the muscle activities of the upper trapezius, middle trapezius, lower trapezius and serrates anterior
return to work 1 year duration between return-to-work and operation
quality of life C-30 1 year European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30
Trial Locations
- Locations (1)
Department of Plastic and Reconstructive Surgery Rehabilitation Center, Chung Gung Memorial Hospital
🇨🇳Taoyuan, Taiwan