Journal article
Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: A randomized clinical trial
Head & neck, Vol.38(S1), pp.E1221-E1231
04/01/2016
DOI: 10.1002/hed.24197
PMCID: PMC4833725
PMID: 26469360
Abstract
Background. Neuromuscular electrical stimulation (NMES) is a highly sought after but poorly studied treatment for dysphagia among patients with head and neck cancer with dysphagia. This study investigated the efficacy of NMES in this patient population.
Methods. In this double-blinded, randomized controlled trial, 170 patients with head and neck cancer experiencing posttreatment dysphagia were randomized into active NMES+swallow exercise versus sham NMES+swallow exercise groups. Outcomes after a 12-week program included changes in fluoroscopy measures, diet, and quality of life.
Results. After the 12-week program, the active NMES group had significantly worse Penetration Aspiration Scale scores than the sham group. Both groups reported significantly better diet and quality of life. No other measures were significant.
Conclusion. NMES did not add benefit to traditional swallow exercises. Unfortunately, swallow exercises were not effective by themselves either. For patients with head and neck cancer with moderate to severe dysphagia caused by radiation therapy, current behavioral therapies are of limited help in reversing long-term dysphagia. (C) 2015 Wiley Periodicals,
Details
- Title: Subtitle
- Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: A randomized clinical trial
- Creators
- Susan E. Langmore - Boston UniversityTimothy M. McCulloch - University of Wisconsin–MadisonGintas P. Krisciunas - Boston Medical CenterCathy L. Lazarus - Icahn School of Medicine at Mount SinaiDouglas J. Van Daele - Roy J. and Lucille A. Carver College of MedicineBarbara Roa Pauloski - Northwestern UniversityDenis Rybin - Boston UniversityGheorghe Doros - Boston University
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.38(S1), pp.E1221-E1231
- DOI
- 10.1002/hed.24197
- PMID
- 26469360
- PMCID
- PMC4833725
- NLM abbreviation
- Head Neck
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Publisher
- Wiley
- Number of pages
- 11
- Grant note
- R01 CA120950 / NCI NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) R01CA120950 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Language
- English
- Date published
- 04/01/2016
- Academic Unit
- Radiation Oncology; Medicine Administration; Otolaryngology
- Record Identifier
- 9984311437502771
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