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ID 48198
本文ファイル
著者
Furuie, Hiromi
Hamamoto, Takao 大学院医系科学研究科(医) 広大研究者総覧
Chikuie, Nobuyuki
Kono, Takashi 大学院医系科学研究科(医) 広大研究者総覧
Ueda, Tsutomu 大学院医系科学研究科(医) 広大研究者総覧
Takeno, Sachio 大学院医系科学研究科(医) 広大研究者総覧
キーワード
Head and neck cancer
swallowing
fluorography
rehabilitation
抄録(英)
Concurrent chemoradiotherapy (CRT) for head and neck cancer (HNC) is associated with substantial side effects, most notably those related to swallowing function. Recently, early implementation of protective exercises has been recommended as an important intervention in patients treated with chemoradiotherapy. Several studies, including randomized controlled trials, have evaluated prophylactic swallowing exercises and swallowing outcomes. Although several clinical outcome measures to assess the severity of swallowing dysfunction are available, they are indirect measures. Videofluorography is the most popular and efficient examination that visually demonstrates the dynamic state of swallowing. This study aimed to determine whether prophylactic swallowing rehabilitation provided to HNC patients receiving CRT would result in better swallowing outcomes. Thirty patients were enrolled in this study. Fifteen patients (the control group) received swallowing rehabilitation after CRT on demand, and the other 15 (the rehabilitation group) received prophylactic swallowing rehabilitation from the beginning. Swallowing motion was evaluated with motion analysis software. There were statistically significant differences in hyoid bone displacement, duration of swallowing onset, larynx elevation time, and total swallowing time between the control and rehabilitation groups. Based on the results of this study, prophylactic swallowing rehabilitation seems to reduce the extent and severity of the functional problems that occur after CRT.
内容記述
This study was supported in part by Tsuchiya Medical Foundation Grant (no. 3010281).
掲載誌名
Hiroshima Journal of Medical Sciences
68巻
2-3号
開始ページ
27
終了ページ
34
出版年月日
2019-09
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
権利情報
Copyright (c) 2019 Hiroshima University Medical Press
部局名
医系科学研究科
病院
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