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适合头颈部癌症患者在家独立训练的监督运动方案对身体功能和生活质量的可行性和效果:一项初步研究。

Feasibility and Effects of a Supervised Exercise Program Suitable for Independent Training at Home on Physical Function and Quality of Life in Head and Neck Cancer Patients: A Pilot Study.

机构信息

Department of Medicine, Clinic III - Hematology, Oncology and Palliative Care, Rostock University Medical Center, Rostock Germany.

Institute of Sport Science, University of Rostock, Germany.

出版信息

Integr Cancer Ther. 2020 Jan-Dec;19:1534735420918935. doi: 10.1177/1534735420918935.


DOI:10.1177/1534735420918935
PMID:32476513
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7265079/
Abstract

Head and neck cancer patients often suffer from physical and cognitive impairments after cancer treatment. During rehabilitation, exercise therapy can improve physical function and quality of life (QoL). Surveys demonstrated patients' preference for home training with low- to moderate-intensity. This study was conducted in order to develope a suitable home-based training program. Therefore, the feasibility and effects of a low- to moderate-intensity exercise intervention on physical functions and QoL were evaluated. Training was conducted as supervised group training and consisted of mobilization, coordination, resistance, stretching, and relaxation exercises. The intervention lasted 12 weeks with 2 training sessions per week. Feasibility, attendance rate, physical function (eg, range of motion, 6-minute walk test [6MWT]), and QoL (eg, EORTC QLQ-30) were analyzed. Ten out of 12 participants completed the intervention (83%) with an average attendance rate of 83%. Participants showed significant improvements in selected physical functions. For example, head rotation increased by 11.2° ( = .042), walking distance in the 6MWT increased by an average of 43.3 m ( = .010), and the global QoL scale improved by 8.2 points ( = .059). Additionally, there were positive changes in the physical function scale ( = .008), cognitive function scale ( = .015), and social function scale ( = .031) of the EORTC QLQ-30. : Data indicate that the exercise program was feasible and had positive effects on physical function and QoL. Future research will analyze the effects of a home-based exercise program on physical function and QoL in a large-scale study.

摘要

头颈部癌症患者在癌症治疗后常遭受身体和认知损伤。在康复期间,运动疗法可以改善身体功能和生活质量(QoL)。调查显示,患者更喜欢低到中等强度的家庭训练。本研究旨在制定一种合适的家庭基础训练方案。因此,评估了低到中等强度运动干预对头颈部癌症患者身体功能和生活质量的可行性和效果。

训练作为监督小组训练进行,包括动员、协调、阻力、伸展和放松练习。干预持续 12 周,每周 2 次训练。分析了可行性、出勤率、身体功能(如活动范围、6 分钟步行测试[6MWT])和生活质量(如 EORTC QLQ-30)。12 名参与者中有 10 名(83%)完成了干预,平均出勤率为 83%。参与者在选定的身体功能方面表现出显著改善。例如,头部旋转增加了 11.2°( =.042),6MWT 中的步行距离平均增加了 43.3 米( =.010),全球生活质量量表改善了 8.2 分( =.059)。此外,EORTC QLQ-30 的身体功能量表( =.008)、认知功能量表( =.015)和社会功能量表( =.031)也有积极变化。

数据表明,该运动方案具有可行性,并对身体功能和生活质量产生积极影响。未来的研究将在大规模研究中分析家庭运动方案对身体功能和生活质量的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81be/7265079/da9c96b40f86/10.1177_1534735420918935-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81be/7265079/da9c96b40f86/10.1177_1534735420918935-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81be/7265079/da9c96b40f86/10.1177_1534735420918935-fig1.jpg

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[1]
Individualized home training in head and neck cancer patients is safe and has positive short- and medium-term effects -results of a multicenter, single-arm intervention trial (OSHO #94).

Front Oncol. 2025-6-9

[2]
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Curr Oncol. 2025-5-16

[3]
Predictors of survival among head and neck cancer patients after radiotherapy based on health-related quality of life indices and symptoms-specific outcomes: a systematic review.

Qual Life Res. 2025-4-11

[4]
Feasibility of a comprehensive supervised exercise program during and after treatment of head and neck cancer: a mixed-methods study.

Support Care Cancer. 2025-1-16

[5]
Feasibility of individualized home exercise programs for patients with head and neck cancer-study protocol and first results of a multicentre single-arm intervention trial (OSHO #94).

PLoS One. 2024

[6]
Effect of resistance exercise on physical fitness, quality of life, and fatigue in patients with cancer: a systematic review.

Front Oncol. 2024-7-19

[7]
Factors influencing physical activity in individuals with head and neck cancer: a scoping review.

BMJ Open. 2024-7-17

[8]
Expectations and Experiences of Participating in a Supervised and Home-Based Physical Exercise Intervention in Patients with Head and Neck Cancer during Chemoradiotherapy: A Qualitative Study.

Curr Oncol. 2024-2-4

[9]
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Laryngoscope Investig Otolaryngol. 2023-9-4

[10]
Effectiveness of Home-Based Telerehabilitation Interventions for Dysphagia in Patients With Head and Neck Cancer: Systematic Review.

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本文引用的文献

[1]
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Progressive Muscle Relaxation Combined with Chinese Medicine Five-Element Music on Depression for Cancer Patients: A Randomized Controlled Trial.

Chin J Integr Med. 2017-5-11

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