Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
Oral Oncol. 2018 Nov;86:100-104. doi: 10.1016/j.oraloncology.2018.06.019. Epub 2018 Sep 18.
The purpose of this study was to compare the effects of hospital-based and home-based exercise programs on quality of life (QOL) and neck and shoulder function of patients who underwent head and neck cancer (HNC) surgery.
This clinical trial included 40 patients with neck and shoulder dysfunction after HNC. The exercise program included range of motion (ROM) exercises, massage, stretching, and strengthening exercises. Twenty patients who were assigned to the hospital-based exercise group performed physical therapy for 40 min three times a week for four weeks, and the remaining 20 patients were assigned to the home-based group. The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30), the EORTC Head and Neck Questionnaire (EORTC QLQ-H&N), the Neck and Shoulder Disability Index (NDI), ROM, and numeric rating scale (NRS) were assessed before and after the exercise program. The program consisted of a 10-minute ROM to the neck and shoulder, a 10-minute massage, and 15 min of progressive resistance exercises, followed by a five-minute stretching exercise.
There were statistically significant differences in the changes of neck and shoulder disability index (p < .05). Additionally, there were significant differences in neck extension and rotation ROM and NRS in the hospital-based group compared with the home-based group (p < .05). QOL was not significantly different between the two groups.
Home-based exercise was effective for improving QOL, shoulder function, and pain relief. Hospital-based exercise had better effects on physical function of the neck and shoulder and reduced pain.
本研究旨在比较基于医院和基于家庭的运动方案对接受头颈部癌症（HNC）手术后患者生活质量（QOL）和颈部及肩部功能的影响。
本临床试验纳入了 40 例 HNC 后出现颈部和肩部功能障碍的患者。运动方案包括关节活动度（ROM）练习、按摩、伸展和力量练习。20 例被分配到基于医院的运动组的患者每周进行 3 次、每次 40 分钟的物理治疗，持续 4 周，其余 20 例被分配到基于家庭的组。使用欧洲癌症研究与治疗组织核心生活质量问卷（EORTC QLQ-C30）、欧洲癌症研究与治疗组织头颈部问卷（EORTC QLQ-H&N）、颈部和肩部残疾指数（NDI）、ROM 和数字评分量表（NRS）来评估运动方案前后的情况。该方案包括 10 分钟的颈部和肩部 ROM、10 分钟的按摩和 15 分钟的渐进性阻力练习，然后进行 5 分钟的伸展运动。
在颈部和肩部残疾指数的变化方面，差异具有统计学意义（p<0.05）。与基于家庭的组相比，基于医院的组的颈部伸展和旋转 ROM 和 NRS 也有显著差异（p<0.05）。两组间 QOL 无显著差异。
基于家庭的运动对于改善生活质量、肩部功能和缓解疼痛是有效的。基于医院的运动对颈部和肩部的身体功能以及疼痛缓解具有更好的效果。
