a School of Physical and Occupational Therapy , McGill University , Montreal , Canada.
b Faculty of Medicine , University of Toronto , Toronto , Canada.
Disabil Rehabil. 2019 Aug;41(17):2093-2107. doi: 10.1080/09638288.2018.1459880. Epub 2018 Jul 6.
: The objectives of this scoping review were to summarize, understand, and disseminate findings from a broad body of literature on rehabilitation interventions used with survivors of head and neck cancer. : Searches were conducted in six databases. Inclusion criteria were studies of adult head and neck cancer survivors with a predefined primary rehabilitation outcome as a result of an intervention. Excluded were studies not written in English, opinion papers, or studies where the intervention was not carried out by a rehabilitation healthcare service. A second level, full-text review of the studies was conducted. A thematic analysis was used to examine and combine study findings. : A total of 3804 results were retrieved from all sources resulting in 39 papers that were analyzed. The thematic analysis of the included papers represented interventions focusing on swallowing and nutrition, speech, physical therapy, assistive devices, complementary and alternative modalities, comprehensive interdisciplinary programs, and preventive rehabilitation programs. : This review has provided an overview of the scope of rehabilitation interventions available for survivors of head and neck cancer and preliminary information about their efficacy. This is foundational information for the development and refinement of rehabilitation interventions and programs for head and neck cancer survivors. Implications for Rehabilitation The existing evidence suggests that survivors of head and neck cancer can benefit from early screening of potential rehabilitation needs and being involved in preventive rehabilitation programs pre-surgery when possible. Rehabilitation programs should consider swallowing interventions for patients as evidence reports improved swallowing function, decreased pain and discomfort, and reduced duration of feeding tube use. Rehabilitation programs should consider nutritional interventions after radiotherapy: Patients benefited from stabilized weights, improved nutritional status, and an improved quality of life. Physical exercise interventions demonstrated improvements in physical function, muscular endurance, range of motion, overall quality of life, and showed reductions in pain, and fatigue.
对广泛的头颈部癌症幸存者康复干预措施文献进行总结、理解和传播。
在六个数据库中进行检索。纳入标准为针对头颈部癌症幸存者，且干预后存在明确主要康复结果的研究。排除标准为非英文发表的研究、观点性论文或干预措施非由康复医疗保健服务提供的研究。对研究进行二级、全文审查。使用主题分析来检查和合并研究结果。
从所有来源共检索到 3804 项结果，最终分析了 39 篇论文。纳入论文的主题分析代表了专注于吞咽和营养、言语、物理治疗、辅助设备、补充和替代模式、综合多学科项目以及预防康复项目的干预措施。
本综述提供了头颈部癌症幸存者可获得的康复干预措施的范围概述，并初步介绍了其疗效信息。这是对头颈部癌症幸存者康复干预措施和项目的开发和改进的基础信息。
现有证据表明，头颈部癌症幸存者可以受益于早期筛查潜在康复需求，并尽可能在术前参与预防性康复计划。康复计划应考虑针对患者的吞咽干预措施，因为证据表明可改善吞咽功能、减轻疼痛和不适，以及减少饲管使用时间。康复计划应考虑在放疗后进行营养干预：患者的体重稳定、营养状况改善、生活质量提高。体育锻炼干预措施可改善身体功能、肌肉耐力、活动范围、整体生活质量，并减轻疼痛和疲劳。
