Prophylactic swallowing exercises in patients with head and neck cancer: systematic review

Authors

Veronica Goulart Escola Superior de Saúde do Alcoitão (ESSAlcoitão) Alcabideche https://orcid.org/0009-0008-5131-2940
Sara Ribeiro Escola Superior de Saúde do Alcoitão (ESSAlcoitão) Alcabideche https://orcid.org/0009-0000-0126-0363
Inês Tello Rodrigues Center for Innovative Care and Health Technology (ciTechcare), IPL., Leiria https://orcid.org/0000-0001-9953-8529

DOI:

https://doi.org/10.31877/on.2023.47.05

Keywords:

Deglutition, Head and Neck Neoplasms, Speech Therapy, Patient Care Teams, Systematic Review

Abstract

Introduction: Swallowing disorders are common after treatment for head and
neck cancer. Exercises for the recovery of swallowing functions are important,
but their prophylactic use is still poorly studied. Objective: To analyze the use of
prophylactic swallowing exercises in people with head and neck cancer undergoing (neo)adjuvant treatment with radiotherapy and/or chemotherapy. Methods: Studies were retrieved from a systematic search of published work until October 2022 indexed in the PubMed central, LILACS, Scielo, CINAHL Complete, Cochrane Collection Plus, Nursing & Allied Health Collection and Medic Latina databases.
Methodological quality and evidence synthesis were assessed with using the the
“Quality Assessment Tool for Quantitative Studies” scale. Results: 1,401 studies were identified and only eight were selected for analysis and data extraction.
Conclusion: The use of prophylactic exercises seems to have some benefit on swallowing functions, but the results are not consistent. Further research is suggested to study its potential benefits in a more specific way (i.e. type of exercise versus treatment).

keywords: Deglutition, Head and Neck Neoplasms, Speech Therapy, Patient Care
Teams, Systematic Review.

Downloads

Download data is not yet available.

References

Carreira IM;, Ribeiro IP, Melo JB. Cancro da cabeça e pescoço: aspetos particulares do cancro oral. Coimbra: Imprensa da Universidade de Coimbra; 2021. 9–103 p. doi: 10.1177/15579883211016361

World Health Organization. International Agency for research on Cancer. 2020 [cited 2023 May 10]. Graph production: Global Cancer Observatory.

Lipsky MS, Su S, Crespo CJ, Hung M. Men and Oral Health: A Review of Sex and Gender Differences. Vol. 15, American Journal of Men’s Health. SAGE Publications Inc.; 2021.

doi: 10.1177/15579883211016361

Irani S. New insights into oral cancer-risk factors and prevention: A review of literature. Vol. 11, International Journal of Preventive Medicine. Wolters Kluwer Medknow Publications; 2020. p. 182–90. doi: 10.4103/ijpvm.IJPVM_403_18

Anantharaman D, Abedi-Ardekani B, Beachler DC, Gheit T, Olshan AF, Wisniewski K, et al. Geographic heterogeneity in the prevalence of human papillomavirus in head and neck cancer. Int J Cancer. 2017 May 1;140(9):1968–75. doi: 10.1002/ijc.30608

Toporcov TN, Znaor A, Zhang ZF, Yu GP, Winn DM, Wei Q, et al. Risk factors for head and neck cancer in young adults: A pooled analysis in the INHANCE consortium. Int J Epidemiol. 2015 Feb 1;44(1):169–85. doi: 10.1093/ije/dyu255

Angelis C. & Furia C. L. B. Tratamento fonoaudiológico em hospital oncológico em hospital oncológico — disfagias em câncer de cabeça e pescoço. . In: In Hernandez AM, Marchean I Atuação fonoaudiológica no ambiente hospitalar. Rio de Janeiro: Revinter; 2001. p. 81–99.

Patterson JM, Lu L, Watson LJ, Harding S, Ness AR, Thomas S, et al. Trends in, and predictors of, swallowing and social eating outcomes in head and neck cancer survivors: A longitudinal analysis of head and neck 5000. Oral Oncol. 2021 Jul 1;118.doi: 10.1016/j.oraloncology.2021.105344

Hutchison AR, Wishart LR, Brown B, Ward EC, Hargrave C, Brown E, et al. Exploring the Interplay Between Radiotherapy Dose and Physiological Changes in the Swallowing Mechanism in Patients Undergoing (Chemo) radiotherapy for Oropharynx Cancer. Dysphagia. 2022;37:567–77.

doi: 10.1007/s00455-021-10307-2

Guillen-Sola A, Soler NB, Marco E, Pera-Cegarra O, Foro P. Effects of prophylactic swallowing exercises on dysphagia and quality of life in patients with head and neck cancer receiving (chemo) radiotherapy: The Redyor study, a protocol for a randomized clinical trial. Trials. 2019 Aug 14;20(1):1–7. doi: 10.1186/s13063-019-3587-x

Hajdú SF, Wessel I, Johansen C, Kristensen CA, Kadkhoda ZT, Plaschke CC, et al. Swallowing therapy

and progressive resistance training in head and neck cancer patients undergoing radiotherapy treatment: randomized control trial protocol and preliminary data. Acta Oncol (Madr). 2017 Feb 1;56(2):354–9. doi:10.1080/0284186X.2016.1269193

Mortensen HR, Jensen K, Aksglæde K, Lambertsen K, Eriksen E, Grau C. Prophylactic Swallowing Exercises in Head and Neck Cancer Radiotherapy. Dysphagia. 2015 Jun 17;30(3):304–14. doi: 10.1007/s00455-015-9600-y

Kotz T, Federman AD, Kao J, Milman L, Packer S, Lopez-Prieto C, et al. Prophylactic Swallowing Exercises in Patients With Head and Neck Cancer Undergoing Chemoradiation A Randomized Trial. Arch Otolaryngol Head Neck Surgery [Internet]. 2012;138(4):376–82. doi:10.1001/archoto.2012.187

Cnossen IC, van Uden-Kraan CF, Witte BI, Aalders YJ, de Goede CJT, de Bree R, et al. Prophylactic exercises among head and neck cancer patients during and after swallowing sparing intensity modulated radiation: adherence and exercise performance levels of a 12-week guided home-based program. Eur Arch Otorhinolaryngology. 2017 Feb 1;274(2):1129–38. doi: 10.1007/s00405-016-4367-9

Messing BP, Ward EC, Lazarus CL, Kim M, Zhou X, Silinonte J, et al. Prophylactic Swallow Therapy for

Patients with Head and Neck Cancer Undergoing Chemoradiotherapy: A Randomized Trial. Dysphagia.

Aug 1;32(4):487–500. doi : 10.1007/s00455-017-9790-6

Wall LR, Ward EC, Cartmill B, Hill AJ, Isenring E, Byrnes J, et al. Prophylactic swallowing therapy for patients with head and neck cancer: A three-arm randomized parallel-group trial. Head Neck. 2020 May 1;42(5):873–85. doi: 10.1002/hed.26060

Dos Santos CP. Atuação fonoaudiológica durante a radioterapia em pacientes com câncer de cabeça e pescoço. Revista Hospital Universitário Pedro Ernesto. 2015 Aug 31;14(1):73–9.

Rossi VC, Moraes JL de, Molento CF. Speech therapy in head and neck cancer. Vol. 87, Brazilian Journal of Otorhinolaryngology. Elsevier Editora Ltda; 2021. p. 495–6. doi: 10.1016/j.bjorl.2021.02.002

Balbinot J, Real CS, Melo CC de, Dornelles S, Costa SS da. Quality of life in tongue cancer treated patients before and after speech therapy: a randomized clinical trial. Braz J Otorhinolaryngol. 2022 Jul 1;88(4):491–6. doi:https://doi.org/10.1016/j.bjorl.2020.10.005

Kulbersh BD, Rosenthal EL, McGrew BM, Duncan RD, McColloch NL, Carroll WR, et al. Pretreatment,

preoperative swallowing exercises may improve dysphagia quality of life. Laryngoscope. 2006

Jun;116(6):883–6. doi: https://doi.org/10.1097/01.mlg.0000217278.96901.fc

Carroll WR, Locher JL, Canon CL, Bohannon IA, McColloch NL, Magnuson JS. Pretreatment swallowing exercises improve swallow function after chemoradiation. Laryngoscope. 2008 Jan;118(1):39–43.

doi: https://doi.org/10.1097/MLG.0b013e31815659b0

Van Der Molen L, Van Rossum MA, Burkhead LM, Smeele LE, Rasch CRN, Hilgers FJM. A randomized preventive rehabilitation trial in advanced head and neck cancer patients treated with chemoradiotherapy: Feasibility, compliance, and short-term effects. Dysphagia. 2011 Jun;26(2):155–70. doi: 10.1007/s00455-010-9288-y

Branco C, Portinha S. Disfagia no adulto da teoria à prática. Lisboa: Papa letras; 2017. 135–138 p.

Rudberg I, Bergquist H., Andersson M, Dotevall H, Horváth S, Finizia C. Shaker Exercise Rehabilitation

in Head and Neck Cancer and Stroke Patients with Dysphagia - A Pilot Study. Journal of Cancer Science

and Clinical Oncology [Internet]. 2015 Sep;2(3). doi:10.15744/2394-6520.2.302

Furkim AM. Fonoterapia nas disfagias orofaríngeas neurogênicas. In: Furkim A, Santini C, editors. In Furkim, A & Santini C (Eds) Disfagias Orofaríngeas. São Paulo: Pró-Fono; 1999. p. 229–58.

Crary MA, Groher M.E. Introduction to adult swallowing disorders. St. Louis, Missouri: Butterworth Heinemann; 2003.

Marchesan I, Furkim A. Manobras utilizadas na reabilitação da deglutição. In: In Castro, LP & Costa, M (Eds) Tópicos em deglutição e disfagia. Rio de Janeiro: Medsi; 2003. p. 375–84.

Silva R. Disfagia orofaríngea pós-acidente vascular encefálico. In: In Ferreira, L Befi-Lopes, D Limongi, S (Eds) Tratado de fonoaudiologia. São Paulo: Roca; 2004. p. 354–69. doi: https://doi.org/10.1590/1809-9823.2006.09028

Lazarus C. Mendelsohn maneuver and masako maneuver. In: In Shaker, R, Easterling, C, Belafsky, P & Postma, G (Eds) Manual of diagnostic and therapeutic techniques for disorders of deglutition. Nova Iorque: Springer; 2013. p.269–80. doi: 10.1310/tsr1903-234

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg. 2021 Dec 1;105906:88.

doi: https://doi.org/10.1016/j.ijsu.2021.105906

Effective Public Health Practice Project - EPHPP. Quality assessment tool for quantitative studies. 2009;

Critical Appraisal Skills Programme. CASP Randomised Controlled Trial Standard Checklist. [Internet]. 2020 [cited 2023 Aug 9].

Carnaby-Mann G, Crary MA, Schmalfuss I, Amdur R. “Pharyngocise”: Randomized controlled trial of

preventative exercises to maintain muscle structure and swallowing function during head-and-neck chemoradiotherapy. Int J Radiat Oncol Biol Phys. 2012 May 1;83(1):210–9.

doi: https://doi.org/10.1016/j.ijrobp.2011.06.1954

Van Den Berg MGA, Kalf JG, Hendriks JCM, Takes RP, Van Herpen CML, Wanten GJA, et al. Normalcy of food intake in patients with head and neck cancer supported by combined dietary counseling and swallowing therapy: A randomized clinical trial. Head Neck. 2016 Apr 1;38:E198–206.

doi: 10.1002/hed.23970

Karsten RT, van der Molen L, Hamming-Vrieze O, van Son RJJH, Hilgers FJM, van den Brekel MWM, et al. Long-term swallowing, trismus, and speech outcomes after combined chemoradiotherapy and preventive rehabilitation for head and neck cancer; 10-year plus update. Head Neck. 2020 Aug 1;42(8):1907–18. doi:https://doi.org/10.1002/hed.26120

Banda KJ, Chu H, Kao CC, Voss J, Chiu HL, Chang PC, et al. Swallowing exercises for head and neck cancer patients: A systematic review and meta-analysis of randomized control trials. Int J Nurs Stud. 2021 Feb;114:103827. doi: https://doi.org/10.1016/j.ijnurstu.2020.103827.

Downloads

PDF (Português (Portugal))

Published

2023-11-28

How to Cite

Goulart V, Ribeiro S, Tello Rodrigues I. Prophylactic swallowing exercises in patients with head and neck cancer: systematic review. journal [Internet]. 2023 Nov. 28 [cited 2024 May 17];(47):e0212. Available from: https://onco.news/index.php/journal/article/view/212