Mesolella Massimo, Allosso Salvatore, Salerno Grazia, Motta Gaetano
Unit of Otorhinolaryngology, Department of Neuroscience, Reproductive Sciences and Dentistry, University Federico II of Naples, 80131 Naples, Italy.
Unit of Otorhinolaryngology, Department of Mental and Physical Health and Preventive Medicine, University Luigi Vanvitelli, 80131 Naples, Italy.
J Pers Med. 2023 Jun 12;13(6):982. doi: 10.3390/jpm13060982.
Total laryngectomy is an operation that involves numerous problems for the patient, especially in daily life: loss of the fact, loss of voice, evident scars and persistence of the tracheostoma. Much is known about rehabilitation programs involving the voice, swallowing, shoulder girdle rehabilitation; less explored is the field of sport and sports rehabilitation in the laryngectomized patient.
We conduced systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement in order to evaluate the possibilities of practicing sports for the patient after total laryngectomy.
From an initial search of 4191 papers, we have come to include six papers for this literature review. We have also reported one of our clinical cases referring to a laryngectomized patient who swims competitively at an amateur level even after surgery with a particular device. The purpose of this work is to understand the role and importance of sport in rehabilitation and the possibilities that a frail patient like the laryngectomized patient has in practicing sport. Surely the best results are obtained in subjects who practiced sports before surgery.
It is evident that sport is important in the psychological and motor recovery of the laryngectomized patient. There is still a lack of clear rehabilitation protocols, especially for water sports, which allow all laryngectomized patients to return to sports. We believe that early resumption of physical activity makes the experience of the disease less dramatic.
全喉切除术给患者带来诸多问题,尤其是在日常生活中:味觉丧失、声音丧失、明显的疤痕以及气管造口的持续存在。关于涉及语音、吞咽、肩带康复的康复项目已有很多了解;而对全喉切除患者的运动及运动康复领域的探索较少。
我们根据系统评价和Meta分析的首选报告项目(PRISMA)声明进行了系统评价,以评估全喉切除术后患者进行运动的可能性。
在初步检索的4191篇论文中,我们纳入了6篇用于本次文献综述。我们还报告了我们的一个临床病例,该病例涉及一名全喉切除患者,即使在手术后使用了一种特殊装置,他仍能在业余水平上参加竞技游泳。这项工作的目的是了解运动在康复中的作用和重要性,以及像全喉切除患者这样的体弱患者进行运动的可能性。当然,在术前就进行运动的患者中能取得最佳效果。
显然,运动对全喉切除患者的心理和运动恢复很重要。仍然缺乏明确的康复方案,尤其是对于水上运动,这使得所有全喉切除患者都能恢复运动。我们认为早期恢复体育活动会使患病经历不那么痛苦。