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Individualized Lingual Function Rehabilitation in Head and Neck Cancer
Individualized Lingual Function Rehabilitation in Head and Neck Cancer
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211153102
- ISBN
- 9798384087694
- DDC
- 616.8
- 서명/저자
- Individualized Lingual Function Rehabilitation in Head and Neck Cancer
- 발행사항
- [Sl] : The Ohio State University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 118 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-04, Section: B.
- 주기사항
- Advisor: Bae, Youkyung.
- 학위논문주기
- Thesis (Ph.D.)--The Ohio State University, 2024.
- 초록/해제
- 요약Introduction: Dysphagia secondary to head and neck cancer and its associated treatment is on therise. Exercise-based interventions are an important element of the global rehabilitation process. Lingual function is known to decline through the course of head and neck cancer treatment, effective interventions are needed. A few studies have investigated the impact of device-assisted therapies; however, implementation of these findings in a clinical setting is largely lost with high variability of practice when it comes to the approach of exercise-based therapies. Therefore, in this study, we sought to test the patient outcomes and adherence with implementing a loaner program using individualized targets for lingual function rehabilitation (specifically strength and endurance) in head and neck cancer. We sought to achieve this via the following aims: 1) to investigate the change in lingual strength with use of individualized treatment program versus usual care treatment, 2) to examine the change in standardized swallowing assessment scores via the Modified Barium Swallow Impairment Profile (MBSImP) for patients undergoing individualized treatment program versus usual care treatment, and 3) to compare patient adherence with individualized treatment program versus usual care treatment.Methods: A retrospective cohort study was completed to compare outcomes between patients who underwent individualized treatment program (ITP) for lingual function rehabilitation with patients who underwent the usual care program (UCP) at the institution. Patients who demonstrated lingual function deficits following treatment for head and neck cancer and participated in swallowing rehabilitation with dysphagia were included in the cohort. Patients in the ITP group were provided with a Tongueometer device; exercise regimen that included the following components: 1) 30 repetitions of repetitive strength activity at 60-75% of maximum strength per day for 5 days a week, 2) 30 repetitions of isometric endurance activity at 50% of maximum strength per day for 5 days a week, 3) intensity of strength and endurance adjusted every 2 weeks, and 4) total duration of rehabilitation of 12 weeks. Patients in the UCP group were instructed to press against a tongue depressor or other static object for 30 repetitions per day. Total duration of rehabilitation was variable across patients. Patients underwent a pre- and post-treatment Modified Barium Swallow Study (MBSS). Swallow studies were scored using MBSImP ratings for oral total score (OT), pharyngeal total score (PT), and individual component scores were analyzed.Results: The results demonstrated significantly improved strength in both groups (ITP: (z=3.92, p0.05); UCP: (z=3.931, p 0.05)) with a greater magnitude of gains in patients who participated in ITP compared to UCP ((F(1, 37) = 15.280, p0.05)). Lingual endurance was noted to significantly improve through treatment for patients in the ITP group ((z=3.92, p0.05)). With respect to MBSImP ratings, significantly greater improvement in oral total (OT) scores for patients in the ITP compared to UCP were noted ((F(1,37) = 6.40, p 0.05)) or individual components of the MBSImP.Conclusion: Device-assisted lingual function rehabilitation demonstrates improved outcomes forstrength, endurance, and oral phase of swallowing. Further studies to assess the unique impact of strength only training vs endurance only training on swallowing outcomes may be beneficial to understand the unique impact of each function on outcomes. As adherence can be measured and monitored through device-assisted modalities, it provides improved insight into efficacy of a regimen. Additionally, this study also supported improved adherence in the device-assisted program, which inherently can be beneficial to elicit improved outcomes for swallowing.
- 일반주제명
- Speech therapy
- 일반주제명
- Oncology
- 키워드
- Dysphagia
- 키워드
- Lingual function
- 기타저자
- The Ohio State University Speech and Hearing Science
- 기본자료저록
- Dissertations Abstracts International. 86-04B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520250211153102
■006m o d
■007cr#unu||||||||
■020 ▼a9798384087694
■035 ▼a(MiAaPQ)AAI31673912
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a616.8
■1001 ▼aKallambettu, Veena.
■24510▼aIndividualized Lingual Function Rehabilitation in Head and Neck Cancer
■260 ▼a[Sl]▼bThe Ohio State University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a118 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-04, Section: B.
■500 ▼aAdvisor: Bae, Youkyung.
■5021 ▼aThesis (Ph.D.)--The Ohio State University, 2024.
■520 ▼aIntroduction: Dysphagia secondary to head and neck cancer and its associated treatment is on therise. Exercise-based interventions are an important element of the global rehabilitation process. Lingual function is known to decline through the course of head and neck cancer treatment, effective interventions are needed. A few studies have investigated the impact of device-assisted therapies; however, implementation of these findings in a clinical setting is largely lost with high variability of practice when it comes to the approach of exercise-based therapies. Therefore, in this study, we sought to test the patient outcomes and adherence with implementing a loaner program using individualized targets for lingual function rehabilitation (specifically strength and endurance) in head and neck cancer. We sought to achieve this via the following aims: 1) to investigate the change in lingual strength with use of individualized treatment program versus usual care treatment, 2) to examine the change in standardized swallowing assessment scores via the Modified Barium Swallow Impairment Profile (MBSImP) for patients undergoing individualized treatment program versus usual care treatment, and 3) to compare patient adherence with individualized treatment program versus usual care treatment.Methods: A retrospective cohort study was completed to compare outcomes between patients who underwent individualized treatment program (ITP) for lingual function rehabilitation with patients who underwent the usual care program (UCP) at the institution. Patients who demonstrated lingual function deficits following treatment for head and neck cancer and participated in swallowing rehabilitation with dysphagia were included in the cohort. Patients in the ITP group were provided with a Tongueometer device; exercise regimen that included the following components: 1) 30 repetitions of repetitive strength activity at 60-75% of maximum strength per day for 5 days a week, 2) 30 repetitions of isometric endurance activity at 50% of maximum strength per day for 5 days a week, 3) intensity of strength and endurance adjusted every 2 weeks, and 4) total duration of rehabilitation of 12 weeks. Patients in the UCP group were instructed to press against a tongue depressor or other static object for 30 repetitions per day. Total duration of rehabilitation was variable across patients. Patients underwent a pre- and post-treatment Modified Barium Swallow Study (MBSS). Swallow studies were scored using MBSImP ratings for oral total score (OT), pharyngeal total score (PT), and individual component scores were analyzed.Results: The results demonstrated significantly improved strength in both groups (ITP: (z=3.92, p0.05); UCP: (z=3.931, p 0.05)) with a greater magnitude of gains in patients who participated in ITP compared to UCP ((F(1, 37) = 15.280, p0.05)). Lingual endurance was noted to significantly improve through treatment for patients in the ITP group ((z=3.92, p0.05)). With respect to MBSImP ratings, significantly greater improvement in oral total (OT) scores for patients in the ITP compared to UCP were noted ((F(1,37) = 6.40, p 0.05)) or individual components of the MBSImP.Conclusion: Device-assisted lingual function rehabilitation demonstrates improved outcomes forstrength, endurance, and oral phase of swallowing. Further studies to assess the unique impact of strength only training vs endurance only training on swallowing outcomes may be beneficial to understand the unique impact of each function on outcomes. As adherence can be measured and monitored through device-assisted modalities, it provides improved insight into efficacy of a regimen. Additionally, this study also supported improved adherence in the device-assisted program, which inherently can be beneficial to elicit improved outcomes for swallowing.
■590 ▼aSchool code: 0168.
■650 4▼aSpeech therapy
■650 4▼aOncology
■653 ▼aDysphagia
■653 ▼aIndividualized treatment program
■653 ▼aUsual care program
■653 ▼aLingual function
■690 ▼a0460
■690 ▼a0992
■690 ▼a0769
■71020▼aThe Ohio State University▼bSpeech and Hearing Science.
■7730 ▼tDissertations Abstracts International▼g86-04B.
■790 ▼a0168
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17164910▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
