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Feasibility And Effects Of Progressive Resistance Training In Head And Neck Cancer Patients Undergoing Concomitant Chemoradiotherapy
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Book Synopsis Feasibility and effects of progressive resistance training in head and neck cancer patients undergoing concomitant chemoradiotherapy by :
Download or read book Feasibility and effects of progressive resistance training in head and neck cancer patients undergoing concomitant chemoradiotherapy written by and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Feasibility and Preliminary Efficacy of Implementing a Group-mediated Cognitive Behavioral Resistance Exercise Intervention in Head and Neck Cancer Patients Undergoing Chemoradiation Treatment by : Alyssa Kathryn Dispennette
Download or read book Feasibility and Preliminary Efficacy of Implementing a Group-mediated Cognitive Behavioral Resistance Exercise Intervention in Head and Neck Cancer Patients Undergoing Chemoradiation Treatment written by Alyssa Kathryn Dispennette and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Head and neck cancer (HNCa) is diagnosed in over 63,000 patients and accounts for approximately 13,000 deaths each year in the United States. HNCa patients report some of the lowest quality of life (QOL) compared to other cancer populations, due to the clinically meaningful deficits that are associated with the established standard of care. The established standard of care for locally advanced HNCa patients includes Chemoradiation therapy (CRT), which causes acute toxicity and contributes to declines in body mass index, muscle mass, and physical function due to treatment-induced sarcopenia, also known as cancer cachexia. Strategies to manage these treatment-related side effects are necessary to preserve muscle mass, physical function, and therefore QOL in patients with HNCa. Emerging evidence supports the utility of exercise, specifically RE, interventions in offsetting the adverse treatment effects on body composition and physical function as a result of CRT in HNCa patients. Despite the potential therapeutic benefits of RE for HNCa patients undergoing treatment: (a) RE is not currently integrated as part of routine cancer care for HNCa patients and (b) few studies have examined the feasibility and preliminary efficacy of integrating RE in the supportive care of HNCa patients undergoing active CRT; and (c) the limited extant research addressing RE interventions during HNCa treatment has yielded poor adherence rates which may undermine the utility of RE as a supportive care approach. Based on this evidence, the overarching research goal is to conduct studies that inform the importance of integrating exercise interventions as an integral component of routine cancer care. The primary aims of this pilot study were to: 1) determine the feasibility of implementing a group-mediated cognitive behavioral (GMCB) RE intervention in HNCa patients undergoing CRT and 2) examine the preliminary efficacy of the personalized, GMCB RE intervention for attenuating and/or reversing the adverse effects of CRT upon relevant clinical and patient reported outcomes in HNCa patients during and following standard of care treatment. Results Feasibility measures and calculations of effect size calculations and percent change were used to examine the feasibility and preliminary efficacy of the GMCB RE intervention in HNCa patient across the 6 month pilot trial. The Cohen’s d effect sizes were calculated by taking the mean difference and diving by the pooled standard deviation to determine the magnitude. Percent change was determined by calculating the mean difference from baseline at each assessment and dividing by the baseline value. Collectively, findings from the initial cohort of the HNCaRE pilot trial (n=9) provide evidence suggesting that the GMCB RE intervention was a feasible, safe, and well-tolerated intervention for HNCa patients undergoing CRT. Evaluation of the effect sizes and percent change in key clinical and patient-reported outcomes indicate the RE intervention attenuated the deleterious effects that have been observed upon body composition, physical function, and QOL previously among HNCa patients undergoing CRT. Additionally, findings revealed that patients who demonstrated the greatest adherence to the intervention sessions yielded the most favorable changes in these outcomes underscoring the integral importance of successfully promoting adoption and adherence to the exercise prescription. Conclusion In summary, findings from the HNCaRE pilot trial provide evidence of the feasibility, safety, and preliminary efficacy of implementing a GMBC-based RE intervention among HNCa patients undergoing CRT. Consequently, the RE intervention show promise for countering the well-established deleterious effects upon body composition, physical function, and QOL accompanying CRT. Although select challenges to integrating RE during CRT remain, the present results suggest the utility of implementing this approach in the supportive care of HNCa patients should be evaluated in future large-scale efficacy studies.
Book Synopsis Progressive Resistance Training After Radiotherapy in Head and Neck Cancer Patients - the Effect on Lean Body Mass by : Simon Lønbro
Download or read book Progressive Resistance Training After Radiotherapy in Head and Neck Cancer Patients - the Effect on Lean Body Mass written by Simon Lønbro and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Bailey's Head and Neck Surgery by : Jonas Johnson
Download or read book Bailey's Head and Neck Surgery written by Jonas Johnson and published by Lippincott Williams & Wilkins. This book was released on 2013-07-09 with total page 7305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely revised, this fifth edition of Bailey’s Head and Neck Surgery – Otolaryngology offers the most current and useful evidence-based information available for the practicing otolaryngologist and otolaryngology resident. Written to increase the reader’s understanding, retention, and ability to successfully apply the information learned, this easy-to-read text contains concise, practical content on all areas of head and neck surgery in Otolaryngology. With 207 concise chapters, over 3,000 four-color illustrations, helpful summary tables, and supplemental video segments everything about this two-volume reference is designed to enhance the learning experience. There’s even a Study Guide included to help the reader benchmark progress. This is the tablet version which does not include access to the supplemental content mentioned in the text.
Book Synopsis Effects of Progressive Resistance Exercise on Inflammatory Processes in Breast Cancer Patients Undergoing Radiation Treatment by : Anna Lucca Meynköhn
Download or read book Effects of Progressive Resistance Exercise on Inflammatory Processes in Breast Cancer Patients Undergoing Radiation Treatment written by Anna Lucca Meynköhn and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Feasibility and Safety of Heavy Lifting Strength Training in Head and Neck Cancer Survivors Post-surgical Neck Dissection (the LIFTING Trial) by : Stephanie Magdaline Ntoukas
Download or read book Feasibility and Safety of Heavy Lifting Strength Training in Head and Neck Cancer Survivors Post-surgical Neck Dissection (the LIFTING Trial) written by Stephanie Magdaline Ntoukas and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Despite improvements in surgical neck dissection (ND) procedures, head and neck cancer survivors (HNCS) still endure acute and chronic side effects such as loss of muscular strength, limitations in physical functioning, and fatigue, that impact quality of life and limit return to work. Light-to-moderate intensity resistance training has been shown to improve some of these side effects. Heavy lifting strength training (HLST) has shown promise in further improving outcomes in some populations, but it is unknown if HLST is feasible and safe in HNCS. Purpose: The primary aim of the LIFTING trial was to examine the feasibility and safety of a HLST program in HNCS ≥1-year post surgical ND. Methods: This single arm feasibility study recruited 8 HNCS to a 12-week HLST program. The 12-week HLST program included 2 training days per week, with a 5 to 8-week progression period towards lifting loads of 80%-90% of 1 repetition maximum (1RM) for bench press, and a rating of perceived exertion (RPE) of 8 to 9 (out of 10) for the squat and deadlift. Accessory movements were also incorporated into the HLST program. The primary feasibility outcomes included the eligibility rate (with reasons for ineligibility), recruitment rate (with reasons for refusal), 1RM testing rate (with reasons for not completing the test), HLST program adherence (including attendance, dose modifications, and progression), and follow-up assessment rate (with reasons for drop out). The primary efficacy outcomes were upper and lower body strength changes from baseline to postintervention. Secondary efficacy outcomes were physical functioning, quality of life, fear of cancer recurrence, pain, anxiety, fatigue, stress, shoulder mobility, sleep, and motivation. Wilcoxon signed rank tests were used to compare the pre-post changes in efficacy outcomes. Results: From November 2020 to June 2021 (8 months), 8 participants were recruited to the LIFTING trial. Due to the COVID-19 pandemic, we were unable to track the eligibility rate or recruitment rate, or the associated reasons for not participating. All 8 participants (100%) who were recruited were able to perform the maximal strength tests, and all 8 successfully progressed to heavy loads (80-90% 1RM) at approximately 5-weeks. Median adherence to the 24 supervised HLST sessions was 90.6% (range: 17 (70.8%) to 24 (100%)). Weight lifted from baseline to postintervention increased for the squat/leg press (median change: +36 kg; 95% CI: +25 to +47; p=0.012), bench press (median change: +7 kg; 95% CI: +2 to +10; p=0.012), and deadlift (median change: +13 kg; 95% CI: +6 to +25; p=0.018). In addition, the total weight of the 3 strength exercises combined significantly increased from baseline to postintervention (median change: +55 kg; 95% CI: +40 to +72; p=0.012). Significant improvements were also reported in resting systolic blood pressure (median change: -10.0 mmHg; CI: -17 to -6; p=0.012), resting diastolic blood pressure (median change: -13 mmHg; 95% CI: -16 to -4; p=0.017), resting heart rate (median change: -6 bpm; 95% CI: -10 to -1; p=0.035), and the global health status/quality of life measure (median change: +8.3; 95% CI: 0 to +16.7, p=0.041). No significant changes were observed for physical functioning, fear of cancer recurrence, pain, anxiety, fatigue, stress, shoulder mobility, self-esteem, or sleep quality. Motivational and behavioural outcomes were high at baseline, and remained high postintervention. No adverse events occurred. Conclusions: Preliminary results of the LIFTING trial suggest that a HLST program may be feasible and safe for HNCS who are at least 1-year post-ND, and have evidence of recovery of spinal accessory nerve function. Given our recruitment strategy, the eligibility and recruitment rates could not be adequately tracked. HNCS who performed the HLST achieved significant improvements in muscular strength (squat, bench press, and deadlift), resting heart rate, resting blood pressure, and global health status/quality of life. Future research should consider additional recruitment strategies and compare HLST to light-to-moderate load strength training to determine if it is a better prescription for improving outcomes important to HNCS including return to work. If proven more effective, HLST could be incorporated into the clinical care of HNCS to optimize physical and psychosocial outcomes in this underserved patient population.
Book Synopsis 09 - AEROBIC TRAINING VERSUS A COMBINATION OF AEROBIC AND RESISTANCE TRAINING IN PATIENTS WITH HEAD NECK CANCER RECEIVING CHEMO-RADIOTHERAPY: A PILOT RANDOMIZED CONTROLLED TRIAL by : Stephen Samuel
Download or read book 09 - AEROBIC TRAINING VERSUS A COMBINATION OF AEROBIC AND RESISTANCE TRAINING IN PATIENTS WITH HEAD NECK CANCER RECEIVING CHEMO-RADIOTHERAPY: A PILOT RANDOMIZED CONTROLLED TRIAL written by Stephen Samuel and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract titletAerobic training versus a combination of aerobic and resistance training in patients with head a neck cancer receiving chemo-radiotherapy: A Pilot Randomized Controlled TrialCo-authorstS. Samuel1, T.R. Reddy2, G. Alaaparthy2, P. Saxena3.1Assistant Professor, Department of Physiotherapy-Kasturba Medical College Mangalore-Manipal Academy of Higher Education-Manipal, Mangalore, India.2Kasturba Medical College-Mangalore-Manipal Academy of Higher Education-Manipal, Physiotherapy, Dakshina Kannada, India.3Kasturba Medical College-Mangalore-Manipal Academy of Higher Education-Manipal, Radiotherapy & Oncology, Mangalore, India.Abstract texttIntroduction:There is a growing body of evidence on the role of exercise in alleviating the side effects of chemo radiation during head and neck cancer treatment. There is a need for research to determine the optimal mode and intensity of exercise in this patient population.Methods:This study was a pilot randomized controlled trial where 22 subjects were either assigned to the aerobic training group (n= 11; 9 males and 2 females) or aerobic plus resistance training group (n= 11; 8 males and 3 females). Both the groups followed a 7-week exercise program consisting of 5 weekly sessions of exercise as tolerated by the patient & supervised by an experienced physiotherapist. Aerobic training group received a brisk walking intervention for 15min, 5days a week for 7 weeks while the other group received a combined program of aerobic & progressive resistance training (strengthening with Thera-band for 15-20 minutes, 3days a week for 7 weeks for major muscle groups).Functional capacity, quality of life, skeletal muscle & fatigue were assessed at baseline, end of 3 weeks of chemo-radiation & at the end of chemo-radiation at 7 weeks.Results:This pilot study demonstrated that exercise training prevented a steep decline in the functional capacity, QoL & fatigue in both the groups,while the muscle mass improved.The between group analysis did not show a statistically significant difference.Conclusions:Even though both the exercise interventions prevented a decline in outcome measures in these patients there was no significant difference between the two types of exercise interventions given in this study.KeywordstExerciseRehabilitationCancerQuality of LifeHead and neck CancerFunctional Capacity.
Book Synopsis Head and Neck Cancers by : Athanassios Argiris, MD, FACP
Download or read book Head and Neck Cancers written by Athanassios Argiris, MD, FACP and published by Springer Publishing Company. This book was released on 2018-06-28 with total page 553 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Overall, this is an excellent book on an important topic in cancer that medical oncologists, pharmacologists, and nurses, as well as related healthcare professionals, may find very helpful.” Score: 100, 5 Stars, Doody’s Medical Reviews Head and Neck Cancers: Evidence-Based Treatment presents a practical, state-of-the-art resource for any clinical oncologist treating or managing patients with head and neck cancers, including oropharyngeal cancer, cancer of the oral cavity, laryngeal cancer, nasopharyngeal cancer, hypopharyngeal cancer, cancer of the sinuses and the skull base, salivary gland cancer, and neck lymphadenopathy. Section 1 of the book covers the most pertinent details on the epidemiology, biology, diagnosis and staging of the disease including topics such as the genomic landscape of squamous cell carcinoma of the head and neck and novel imaging modalities. Section 2 discusses the evidence-based treatment modalities for conventional and novel chemotherapy regimens, the evidence behind emerging radiation therapy techniques and the minimally invasive surgical advances changing the landscape of care. The chapters in Section 3 are dedicated to site-specific management, including management guidelines, tables with FDA-approved therapies and relevant ongoing clinical trials as well as instructive clinical cases with important discussion on outcomes and follow up care. Finally, Section 4 focuses on recurrent and metastatic disease and Section 5 provides the essentials on supportive care, including managing the elderly, managing patients suffering from dysphagia and oral complications, and must-know details of quality of life assessment and patient-reported outcomes. Emphasizing the practice-changing techniques and the latest evidence-based treatment advances including targeted therapies, immunotherapy, transoral robotic surgery, and radiation therapy precision, this comprehensive yet accessible textbook is indispensable for any clinical oncologist of each discipline wanting a balanced and evidence-based reference on managing patients with head and neck malignancies. Key Features: Includes didactic clinical cases for each type of head and neck cancer Numerous tables highlight FDA approved therapies and ongoing clinical trials Provides evidence-based recommendations for treating head and neck cancers at each stage of the disease with conventional and novel treatment strategies Covers strategies for managing acute and late complications to treatment
Book Synopsis Feasibility of Monitoring Functional Capacity in Patients Undergoing Treatment for Head and Neck Cancer by : Rhys Beaudry
Download or read book Feasibility of Monitoring Functional Capacity in Patients Undergoing Treatment for Head and Neck Cancer written by Rhys Beaudry and published by . This book was released on 2015 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Functional capacity is an indicator of physical fitness and overall health. Low physical fitness has been reported across the cancer spectrum; this can be addressed through exercise interventions. Functional capacity is largely unstudied in head and neck cancer patients. Objectives: To evaluate the feasibility and safety of monitoring functional capacity in patients undergoing treatment for head and neck cancer. To assess functional capacity through the different stages of head and neck cancer treatment. Methods: A pilot, sub-study recruiting recently diagnosed head and neck cancer patients scheduled for oncologic neck dissection. A prospective cohort of subjects underwent a series of five standard 6 minute walk tests spread over the course of their treatment. Physical activity was assessed using the self-reported Godin Leisure Time Physical Activity Questionnaire at baseline and follow-up. Results: Twenty-seven subjects were screened for eligibility, 25 matched the criteria and underwent baseline testing. The planned 5 testing time points were pooled to 3 time points for analysis. 14 subjects were retained until the midpoint and 11 to follow-up. No adverse events were reported. No difference in functional capacity as assessed by the 6MWT was found between baseline and midpoint tests, or baseline and follow-up tests. Only 40% of participants at baseline were meeting American College of Sports Medicine recommendations for physical activity. Conclusions: Monitoring functional capacity in head and neck cancer patients is safe. Recruitment prior to treatment is feasible; however retaining subjects to follow-up poses a significant challenge. Steps may be taken to decrease attrition through increasing flexibility of appointments and offering incentive. A larger scale trial is needed to identify factors influencing functional capacity during head and neck cancer treatment. Interventions are required to increase physical activity and functional capacity in head and neck cancer patients.
Book Synopsis Effects of Resistance Training on Body Composition and Muscular Strength of Breast Cancer Patients Undergoing Treatment by : Logan Elisabeth Rae
Download or read book Effects of Resistance Training on Body Composition and Muscular Strength of Breast Cancer Patients Undergoing Treatment written by Logan Elisabeth Rae and published by . This book was released on 2005 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis PROTRACT - Progressive Resistance Training and Cancer Testis by : Jesper Frank Chrsistensen
Download or read book PROTRACT - Progressive Resistance Training and Cancer Testis written by Jesper Frank Chrsistensen and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Fitness Performance in Patients with Head and Neck Cancer Receiving Chemoradiotherapy and the Therapeutic Effects of the Exercise Intervention by : 鄭惠靖
Download or read book The Fitness Performance in Patients with Head and Neck Cancer Receiving Chemoradiotherapy and the Therapeutic Effects of the Exercise Intervention written by 鄭惠靖 and published by . This book was released on 2018 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Feasibility and Effect of an Exercise Program on Exercise Endurance, Mood, Fatigue, Appetite and Nausea in Patients Receiving Adjuvant Chemotherapy for Breast Cancer by : Ann P. Egan
Download or read book The Feasibility and Effect of an Exercise Program on Exercise Endurance, Mood, Fatigue, Appetite and Nausea in Patients Receiving Adjuvant Chemotherapy for Breast Cancer written by Ann P. Egan and published by . This book was released on 1992 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 1938 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Book Synopsis The Effects of a Resistance Training Protocol on Changes in Muscular Strength and Fatigue Levels in Breast Cancer Patients Undergoing Treatment by : Dianne A. Barfoot
Download or read book The Effects of a Resistance Training Protocol on Changes in Muscular Strength and Fatigue Levels in Breast Cancer Patients Undergoing Treatment written by Dianne A. Barfoot and published by . This book was released on 2005 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Impact Of A 11 Week Exercise Program In Head And Neck Cancer Patients Treated With Radical Chemo-Radiotherapy by : Stephen Samuel
Download or read book Impact Of A 11 Week Exercise Program In Head And Neck Cancer Patients Treated With Radical Chemo-Radiotherapy written by Stephen Samuel and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Impact of a 11 week exercise program in head and neck cancer patients treated with radical chemo-radiotherapy: a randomized controlled trialIntroduction:There is a dearth of literature regarding the effects of exercise training in Head and Neck Cancer patients receiving Chemo-radiotherapy. Increase in survival rates, owing to improvement in cancer care also authenticates the need for rehabilitation programs for this patient population. Objectives:The primary objective of this study was to study the effectiveness of exercise based rehabilitation on Head and Neck Cancer patients receiving Chemo-radiotherapy on their functional capacity and Quality of Life while the secondary objective was to study the effect of exercise on fatigue and blood parameters Hemoglobin and platelets.Methods:A Randomized controlled trial was conducted on 148 patients with Head and Neck Cancer undergoing Chemo-radiotherapy to evaluate the effectiveness of exercise on functional capacity , Quality of Life,Fatigue & blood parameters .The control group received Physical Activity recommendations along with Standard care, while the exercise group received a structured exercise program for a period of 11 weeks.Results: There was significant improvement in the functional capacity (p
Book Synopsis Feasibility of Whole Body Vibration During Intensive Chemotherapy in Patients with Hematological Malignancies - a Randomized Controlled Pilot Study by : Antonia Pahl
Download or read book Feasibility of Whole Body Vibration During Intensive Chemotherapy in Patients with Hematological Malignancies - a Randomized Controlled Pilot Study written by Antonia Pahl and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
