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Speech-language therapy program for mouth opening in patients with oral and oropharyngeal cancer undergoing adjuvant radiotherapy: a pilot study.

Abstract Purpose Assess the effectiveness of an orofacial myofunctional therapeutic program in patients with oral or oropharyngeal cancer submitted to adjuvant radiotherapy through pre- and post-program comparison of maximum mandibular opening. Methods Prospective study involving five adult patients and five elderly patients postoperatively to oral cavity/oropharynx surgery who were awaiting the beginning of radiotherapy or had undergone fewer than five treatment sessions. The study participants had their maximum jaw opening measured using a sliding caliper at the beginning and end of the program. Two mobility exercises and three mandibular traction exercises were selected and weekly monitored presentially for 10 weeks. Descriptive data and pre- and post-therapy comparative measures were statistically analyzed using the Wilcoxon test. Results Ten patients (two women and eight men) with mean age of 58.4 years, median of 57.0 years, completed the therapeutic program. They presented mean maximum mandibular opening of 31.6 ± 11.7 and 36.4 ± 8.0 mm pre- and post-therapy, respectively (p =0.021). Conclusion The proposed orofacial myofunctional therapeutic program increased the maximum jaw opening of patients referred to adjuvant radiotherapy for oral cavity or oropharynx cancer treatment.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title codas
Publication Year Start




PMID- 29694489
OWN - NLM
STAT- MEDLINE
DCOM- 20180507
LR  - 20180507
IS  - 2317-1782 (Electronic)
IS  - 2317-1782 (Linking)
VI  - 30
IP  - 2
DP  - 2018
TI  - Speech-language therapy program for mouth opening in patients with oral and
      oropharyngeal cancer undergoing adjuvant radiotherapy: a pilot study.
PG  - e20160221
LID - S2317-17822018000200501 [pii]
LID - 10.1590/2317-1782/20182016221 [doi]
AB  - Purpose Assess the effectiveness of an orofacial myofunctional therapeutic
      program in patients with oral or oropharyngeal cancer submitted to adjuvant
      radiotherapy through pre- and post-program comparison of maximum mandibular
      opening. Methods Prospective study involving five adult patients and five elderly
      patients postoperatively to oral cavity/oropharynx surgery who were awaiting the 
      beginning of radiotherapy or had undergone fewer than five treatment sessions.
      The study participants had their maximum jaw opening measured using a sliding
      caliper at the beginning and end of the program. Two mobility exercises and three
      mandibular traction exercises were selected and weekly monitored presentially for
      10 weeks. Descriptive data and pre- and post-therapy comparative measures were
      statistically analyzed using the Wilcoxon test. Results Ten patients (two women
      and eight men) with mean age of 58.4 years, median of 57.0 years, completed the
      therapeutic program. They presented mean maximum mandibular opening of 31.6 +/-
      11.7 and 36.4 +/- 8.0 mm pre- and post-therapy, respectively (p =0.021).
      Conclusion The proposed orofacial myofunctional therapeutic program increased the
      maximum jaw opening of patients referred to adjuvant radiotherapy for oral cavity
      or oropharynx cancer treatment.
FAU - Marrafon, Caroline Somera
AU  - Marrafon CS
AD  - Programa de Pos-graduacao em Ciencias da Reabilitacao, Faculdade de Medicina,
      Universidade de Sao Paulo, Sao Paulo, SP, Brasil.
FAU - Matos, Leandro Luongo
AU  - Matos LL
AD  - Instituto do Cancer do Estado de Sao Paulo, Sao Paulo, SP, Brasil.
FAU - Simoes-Zenari, Marcia
AU  - Simoes-Zenari M
AD  - Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de 
      Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brasil.
FAU - Cernea, Claudio Roberto
AU  - Cernea CR
AD  - Disciplina de Cirurgia de Cabeca e Pescoco, Faculdade de Medicina, Universidade
      de Sao Paulo, Sao Paulo, SP, Brasil.
FAU - Nemr, Katia
AU  - Nemr K
AD  - Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de 
      Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brasil.
LA  - eng
LA  - por
PT  - Evaluation Studies
PT  - Journal Article
TT  - Programa terapeutico fonoaudiologico para abertura de boca em pacientes com
      cancer de boca e orofaringe em radioterapia adjuvante: estudo piloto.
DEP - 20180419
PL  - Brazil
TA  - Codas
JT  - CoDAS
JID - 101623246
SB  - IM
MH  - Adult
MH  - Aged
MH  - Exercise Therapy/methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mouth/physiopathology/radiation effects
MH  - Myofunctional Therapy/*methods
MH  - Oropharyngeal Neoplasms/physiopathology/*radiotherapy
MH  - Pilot Projects
MH  - Prospective Studies
MH  - Radiation Injuries/physiopathology/*rehabilitation
MH  - Radiotherapy, Adjuvant/adverse effects
MH  - Reproducibility of Results
MH  - Speech Therapy/*methods
MH  - Statistics, Nonparametric
MH  - Treatment Outcome
MH  - Trismus/etiology/physiopathology/*rehabilitation
EDAT- 2018/04/26 06:00
MHDA- 2018/05/08 06:00
CRDT- 2018/04/26 06:00
PHST- 2016/11/21 00:00 [received]
PHST- 2017/08/14 00:00 [accepted]
PHST- 2018/04/26 06:00 [entrez]
PHST- 2018/04/26 06:00 [pubmed]
PHST- 2018/05/08 06:00 [medline]
AID - S2317-17822018000200501 [pii]
AID - 10.1590/2317-1782/20182016221 [doi]
PST - ppublish
SO  - Codas. 2018;30(2):e20160221. doi: 10.1590/2317-1782/20182016221. Epub 2018 Apr
      19.