Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors

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Brief Title

Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors

Official Title

Rehabilitation Outcomes of Shoulder Function in Oral Cancer Survivors Cancer Survivors

Brief Summary

      Head and neck cancer is prevalent in Taiwan, and oral cancer is the most common location.
      Advanced treatment of oral cancer increases survival rates; however, it also increases the
      risk of developing shoulder dysfunction, dysphagia, oral dysfunction, donor site morbidity
      and psychological issues. The probability of shoulder dysfunction after neck dissection is as
      high as 70%. Rehabilitation effects on shoulder function for head and neck survivors are
      needed for further studied.The purpose of this randomized clinical trial is to explore the
      effects of rehabilitation for shoulder function in oral cancer survivors.

Detailed Description

      Head and neck cancer is prevalent in Taiwan, and oral cancer is the most common location.
      Advanced treatment of oral cancer increases survival rates; however, it also increases the
      risk of developing shoulder dysfunction, dysphagia, oral dysfunction, donor site morbidity
      and psychological issues. The probability of shoulder dysfunction after neck dissection is as
      high as 70%. Rehabilitation effects on shoulder function for head and neck survivors are
      needed for further studied.

      The purpose of this randomized clinical trial is to explore the effects of rehabilitation for
      shoulder function in oral cancer survivors. We will recruit 60 newly diagnosed oral cancer
      subjects through the plastic surgeon's referral from April 2018 to March 2020. The
      participants will be randomized separated into experimental or control group. Each group
      would receive regular physical therapy for shoulder function (i.e., transcutaneous electrical
      stimulation, shoulder joint range of motion exercise, scapular muscle strengthening
      training). Experimental group would be supplemented by motor control therapy targeting the
      scapular muscle progressive resistance exercise (exercise plus manual therapy).

Study Type

Interventional

Primary Outcome

shoulder pain

Secondary Outcome

 surface electromyography (SEMG)

Condition

Oral Cancer

Intervention

motor control therapy

Study Arms / Comparison Groups

 experimental group
Description:  motor control therapy

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information

Recruitment Status

Other

Estimated Enrollment

60

Start Date

June 1, 2018

Completion Date

February 6, 2020

Primary Completion Date

February 6, 2020

Eligibility Criteria

        Inclusion Criteria:

          -  Willing to sign the inform consent

          -  Sufficiently communicate in the Chinese language

          -  Be able to follow instructions

          -  Newly diagnosed oral cancer

          -  Spinal accessory shoulder dysfunction

        Exclusion Criteria:

          -  Pregnant or breast-feeding woman

          -  Cognitively impaired

          -  Central nervous disease

          -  Distant metastasis or recurrence

          -  A history of shoulder pain or known shoulder pathology

          -  Unable to communicate or comprehend the questionnaires

Gender

All

Ages

20 Years - 65 Years

Accepts Healthy Volunteers

No

Contacts

Yueh-Hsia Chen, Master, ,

Location Countries

Taiwan

Location Countries

Taiwan

Administrative Informations

NCT ID

NCT03545100

Organization ID

201800026A3

Responsible Party

Sponsor

Study Sponsor

Chang Gung Memorial Hospital

Study Sponsor

Yueh-Hsia Chen, Master, Principal Investigator, Chang Gung Memorial Hospital

Verification Date

August 2019