Abstract
Trismus is a severe complication of oral cancer treatment. Oral exercise is a potentially helpful approach for preventing or improving trismus. The study aimed to test the efficacy of an oral exercise for enhancing the maximum inter-incisal opening (MIO) in patients undergoing surgery and radiotherapy for oral cancer. This is a quasi-experimental study. A sample of 69 oral cancer patients completed the study, with 35 in the control group and 34 in the intervention group. Intervention subjects were asked to perform three 20-min oral exercise sessions per day for six months. Data on oral exercise practicing time, MIO, and mandibular function impairment were collected at the last radiotherapy exposure (T1), three months (T2), and six months (T3) after the radiotherapy. At T3, the intervention group exercised 217.1 min (95%CI: 107.4~326.7) more than the control group. The generalized estimation equations showed a statistically significant group-by-time interaction in MIO. The change in MIO score from T1 to T3, as indicated by the regression slope, was 2.5 mm (95%CI: 0.4~4.6) greater in the intervention group than in the control group. The results support the efficacy of the study intervention for improving patient exercise adherence and MIO.
Funder
National Science and Technology Council, Taiwan
Subject
General Biochemistry, Genetics and Molecular Biology,Medicine (miscellaneous)
Reference29 articles.
1. Amin, M.B., Edge, S., Greene, F., Byrd, D.R., Brookland, R.K., Washington, M.K., Gershenwald, J.E., Compton, C.C., Hess, K.R., and Sullivan, D.C. (2017). AJCC Cancer Staging Manual, Springer. [8th ed.].
2. Changes in the 8th Edition of the American Joint Committee on Cancer (AJCC) Staging of Head and Neck Cancer: Rationale and Implications;Curr. Oncol. Rep.,2019
3. Taiwan Ministry of Health and Welfare (2022, July 13). Cancer incidence in Taiwan in 2019, Available online: https://www.mohw.gov.tw/cp-5264-65547-1.html.
4. Taiwan Health Promotion Administration (2022, July 13). Oral Cancer Prevention and Treatment, Available online: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=613&pid=1118.
5. Head and neck cancers, Version 2.2020, NCCN Clinical Practice Guidelines in Oncology;J. Natl. Compr. Canc. Netw.,2020
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献