头颈癌患者的康复治疗:文献综述。

Irene Loewen, Caroline C Jeffery, Jana Rieger, Gabriela Constantinescu
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引用次数: 36

摘要

背景:吞咽困难是头颈癌的一个后果,对头颈癌幸存者的生活质量有重大影响。虽然存活率继续提高,但重点已经转移到最大化长期功能上,预防或康复计划变得越来越普遍。康复前计划通常包括一个运动计划,其中规定了运动类型、每组要完成的重复次数、每天要完成的每种运动的次数,以及治疗时间。理想情况下,锻炼计划的设计要考虑到神经肌肉可塑性的原则。方法:本研究纳入了2006年至2020年间发表的29篇原创研究论文,并对项目时间和细节进行了检查。结果:注意到两种对康复的定义:三分之一的研究将康复定义为急性癌症治疗开始前的预防性锻炼;其余三分之二的人将康复定义为治疗与康复同时进行。规定的练习范围从一般的伸展和运动范围练习到咬牙和吞咽特定的练习。最常见的吞咽特定练习是门德尔松动作,其次是用力吞咽、摇法和Masako动作。最常见的剂量是10次重复的运动,在放射治疗期间每天三次。最常见的测量方法是问卷调查,其次是g管依赖、张嘴和MBS报告。结论:这篇文献综述揭示了与康复相关的康复时间、运动类型、剂量、治疗持续时间和结果的可变性,使得此时选择最佳的康复方案变得困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prehabilitation in head and neck cancer patients: a literature review.

Prehabilitation in head and neck cancer patients: a literature review.

Prehabilitation in head and neck cancer patients: a literature review.

Prehabilitation in head and neck cancer patients: a literature review.

Background: Dysphagia is one consequence of head and neck cancer that has a significant impact on quality of life for head and neck cancer survivors. While survival rates continue to improve, focus has shifted to maximizing long-term function, with prevention or prehabilitation programs becoming more common. Prehabilitation programs typically include an exercise regime that specifies the exercise type, the number of repetitions to complete per set, the number of sets of each exercise to complete per day, as well as the length of the treatment block. Ideally, exercise programs are designed with principles of neuromuscular plasticity in mind.

Methods: Twenty-nine original research articles published between 2006 and 2020 were included in this state-of-the-art review and examined for program timing and details.

Results: Two definitions for prehabilitation were noted: one third of the studies defined prehabilitation as preventative exercises prior to the start of acute cancer treatment; the remaining two thirds defined prehabilitation as treatment concurrent prehabilitation. Exercises prescribed ranged from general stretching and range of motion exercises, to trismus and swallowing specific exercises. The most common swallowing specific exercise was the Mendelsohn's maneuver, followed by the effortful swallow, Shaker, and Masako maneuver. The most common dose was 10 repetitions of an exercise, three times per day for the duration of radiation therapy. The most common measures were questionnaires, followed by g-tube dependence, mouth opening, and MBS reports.

Conclusion: This review of the literature has shed light on the variability of prehabilitation timing, exercise type, dose, duration of treatment, and outcomes associated with prehabilitation, making the selection of an optimal prehabilitation program difficult at this time.

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