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Effects of a Physical Therapy Program on Quality of Life, and Neck and Shoulder Disability in Patients With Head and Neck Cancer

두경부암 환자를 위한 물리치료 프로그램이 삶의 질, 목과 어깨의 장애 정도에 미치는 영향

  • Do, Jung-Hwa (Team of Physical Medicine & Rehabilitation, Asan Medical Center) ;
  • Jung, You-Hoi (Team of Physical Medicine & Rehabilitation, Asan Medical Center) ;
  • Song, Eun-Ji (Team of Physical Medicine & Rehabilitation, Asan Medical Center) ;
  • Jung, Soon-Yong (Team of Physical Medicine & Rehabilitation, Asan Medical Center) ;
  • Cho, Young-Ki (Team of Physical Medicine & Rehabilitation, Asan Medical Center)
  • 도정화 (서울아산병원 재활의학팀) ;
  • 정유회 (서울아산병원 재활의학팀) ;
  • 송은지 (서울아산병원 재활의학팀) ;
  • 정순용 (서울아산병원 재활의학팀) ;
  • 조영기 (서울아산병원 재활의학팀)
  • Received : 2012.06.27
  • Accepted : 2012.09.17
  • Published : 2013.02.19

Abstract

This study examined the effects of a physical therapy program on quality of life (QOL), and neck and shoulder disability in head and neck cancer patients. The program included neck and shoulder range of motion (ROM) exercises, massage, progressive strengthening exercises, and stretching exercises. Sixteen patients who were assigned to an experimental group performed physical therapy for 40 minutes three times a week for eight weeks. Fifteen other patients were assigned to a control group who did not performed the physical therapy program. The European organization for research and treatment of cancer (EORTC QLQ-C30) and head and neck (EORTC QLQ-H&N) instruments, and the Neck Disability Index (NDI) were assessed before and after the rehabilitation program. The 40-minute program consisted of a 10-minute ROM exercise for the neck and shoulder, a 10-minute massage and 15-minute of progressive resistance exercises, followed by a five-minute stretching exercises. Statistically significant differences were noted for changes in global health, physical function in the EORTC QLQ-C30 and cancer related symptoms in the EORTC QLQ-H&N35 (p<.05). The NDI also showed significant differences (p<.05). Physical therapy may therefore benefit the physical aspects and QOL and improve neck and shoulder disability in patients with head and neck cancer.

Keywords

References

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