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Category: Volume 05 Issue 08 August 2017
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Title: Shaker’s Exercise Rehabilitation in Head and Neck Cancer Patients – A Clinical Trial

Authors: Dr Renu Pattanshetty, Krystle Mascarenhas, Kennoshea Dias

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.189

Abstract

Context: Dysphagia is a common complication in Head and Neck Cancer patients which is often ignored affecting the quality of life. Shaker’s Exercise has shown to be beneficial in strengthening the muscles of the head and neck, opening of the throat thereby improving the swallowing function. Hence, the study was taken up.AIM: This clinical trial aimed to evaluate the swallowing efficiency using Shaker’s Exercise in Head and Neck Cancer patients.

Settings and Design: The experimental study was undertaken in a tertiary care referral hospital over a period of three months.

Methods and Materials: A total of twenty (20) all adult subjects males and females with head and neck cancer were instructed to perform Shaker’s Exercise for swallowing dysfunction during the hospitalisation phase. M.D. Anderson Dysphagia Inventory (MDADI), Functional Assessment for Cancer Therapy- Head and Neck (FACT H&N), and Cervical Range of Motion were assessed prior to and after one week of intervention.

Stastical Analysis Used: Statistical Analysis was done using SPSS Version 0.21. Students dependent and independent‘t’ test was used to analyse the difference in all outcome measures.

Results: The study demonstrated improvement in the swallowing efficiency in the post scores of MDADI, Quality of Life, and Cervical Ranges of Motion. (p≤0.05)

Conclusions: The present clinical trial has demonstrated improvement in swallowing efficiency in terms of MDADI, Quality of Life and Cervical Range of Motion suggesting similar trials in large sample size with longer duration.

Keywords: Head and Neck Cancer, Dysphagia, Shaker’s Exercise, M.D. Anderson Dysphagia Inventory, Functional Assessment for Cancer Therapy- Head and Neck, Cervical Range Of Motion.

Key Message: Early physical therapy intervention n the form of swallowing/non-swallowing exercises in Head and Neck Cancer patients has proved beneficial in terms of swallowing efficiency. Hence, there are few clinical trials to demonstrate the same. The present study was an attempt to prove the efficiency of simple and cost effective exercises as Shaker’s Exercise which would help patients in long term and improve the Quality of Life.

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Corresponding Author

Dr Renu Pattanshetty MPT, Ph.D

Associate Professor and Head, Department of Oncology Physiotherapy,

KLEU Institute of Physiotherapy, Belagavi, 590010

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Contact No.: +919448482564