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Effects of 2 different swallowing exercise regimens during organ‐preservation therapies for head and neck cancers on swallowing function
Author(s) -
Virani Aneesha,
Kunduk Melda,
Fink Daniel S.,
McWhorter Andrew J.
Publication year - 2015
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23570
Subject(s) - medicine , swallowing , dysphagia , chemotherapy , regimen , head and neck cancer , head and neck , peg ratio , radiation therapy , surgery , anesthesia , finance , economics
Background This study investigated the effects of 2 different swallowing exercise regimens performed during radiation therapy with/without chemotherapy on swallowing function. Methods Fifty patients were recruited prospectively to 2 groups (the exercise group, n = 26 and the repetitive swallow group, n = 24). Functional Oral Intake Scale (FOIS) scores and percutaneous endoscopic gastrostomy (PEG) placements were compared at posttreatment and at 3 months. Results The exercise group eliminated significantly more PEG tubes at 3 months posttreatment compared to the swallow group (16% vs 50%). Among patients who received both radiation and chemotherapy, the exercise group had significantly less PEG tubes immediately posttreatment as well as 3 months posttreatment (35% and 10%), compared to the swallow group (69% and 50%). Conclusion Findings indicate significant benefits of the exercise group's exercise regimen in reducing PEG dependence and oral intake difficulties. © 2014 Wiley Periodicals, Inc. Head Neck 37 : 162‐170, 2015