The purpose of this study is to investigate the effect of a progressive therapeutic exercise program on specific physical and functional deficits in the neck and shoulder region occurring as a result of head and neck cancer treatment.
We will be conducting a randomized controlled trial to evaluate the effects of progressive resistance exercise training (PRET) on shoulder and neck dysfunction due to spinal accessory neurapraxia/ neurectomy in patients with head and neck cancer. Sixty-four head and neck cancer survivors will be randomly assigned to PRET or standard care. Participants assigned to the PRET group will exercise 3 times per week for 12 weeks. The goal of the exercise program will be to enhance scapular stability, and improve mobility and strength of the upper extremity. The resistance exercise program will be progressive in terms of the number of sets and repetitions performed, as well as amount lifted, depending on baseline strength levels and overall performance status. The primary outcomes for the study include pain and dysfunction, active and passive range of motion measures, strength and endurance testing, and quality of life. Nerve conduction testing and electromyography will be performed to assess/ monitor the status of the spinal accessory nerve and trapezius muscle function respectively.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
64
Behavioral Medicine Laboratory, University of Alberta
Edmonton, Alberta, Canada
Pain and dysfunction (baseline, 12 weeks, 6 months, 12 months)
Time frame: baseline, 12 weeks, 6 months, 12 months
Active and passive range of motion (baseline, 12 weeks)
Time frame: baseline, 12 weeks
Muscular strength and endurance (baseline, 12 weeks)
Time frame: baseline, 12 weeks
Quality of life (baseline, 12 weeks, 6 months, 12 months)
Time frame: baseline, 12 weeks, 6 months, 12 months
Anxiety, depression and fatigue (baseline, 12 weeks, 6 months, 12 months)
Time frame: baseline, 12 weeks, 6 months, 12 months
Nerve conduction testing (baseline, 12 weeks as indicated)
Time frame: Baseline
Electromyography (baseline, 12 weeks as indicated)
Time frame: Baseline
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