TY - JOUR
T1 - Prophylactic exercises among head and neck cancer patients during and after swallowing sparing intensity modulated radiation
T2 - adherence and exercise performance levels of a 12-week guided home-based program
AU - Cnossen, Ingrid C
AU - van Uden-Kraan, Cornelia F.
AU - Witte, Birgit I.
AU - Aalders, Yke J
AU - de Goede, Cees J T
AU - de Bree, Remco
AU - Doornaert, Patricia
AU - Rietveld, Derek H F
AU - Buter, Jan
AU - Langendijk, Johannes A
AU - Leemans, C René
AU - Verdonck-de Leeuw, Irma M
PY - 2017/2/1
Y1 - 2017/2/1
N2 - The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1–2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70% and decreased to 38% at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34% moderate and 26% high; during 12 weeks: 28% moderate and 18% high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.
AB - The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1–2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70% and decreased to 38% at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34% moderate and 26% high; during 12 weeks: 28% moderate and 18% high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.
KW - (Chemo)radiation
KW - Head and neck cancer
KW - Prophylactic exercises
KW - Speech problems
KW - Swallowing problems
UR - http://www.scopus.com/inward/record.url?scp=84994338572&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84994338572&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00405-016-4367-9
DO - https://doi.org/10.1007/s00405-016-4367-9
M3 - Article
C2 - 27812787
SN - 0937-4477
VL - 274
SP - 1129
EP - 1138
JO - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
IS - 2
ER -
