1. Myofascial Induction Therapy Improves the Sequelae of Medical Treatment in Head and Neck Cancer Survivors: A Single-Blind, Placebo-Controlled, Randomized Cross-Over Study
- Author
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Noelia Galiano-Castillo, Lucía Ortiz-Comino, Manuel Arroyo-Morales, Paula Postigo-Martin, Carolina Fernández-Lao, Eduardo Castro-Martín, [Castro-Martín,E, Galiano-Castillo,N, Fernández-Lao,C, Postigo-Martin,P, Arroyo-Morales,M] Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain. [Castro-Martín,E, Arroyo-Morales,M] Sport and Health University Research Institute (iMUDS), Granada, Spain. [Castro-Martín,E, Arroyo-Morales,M] Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain. [Castro-Martín,E, Ortiz-Comino,L, Arroyo-Morales,M] ‘Cuídate’ Support Unit for Oncology Patients, Granada, Spain. [Ortiz-Comino,L] Department of Physical Therapy, Faculty of Health Sciences, Campus of Melilla, University of Granada, Melilla, Spain., This study was financed by the European Regional Development Fund (ERDF) and the 'University of Granada, Excellence Actions: Units of Excellence, and Unit of Excellence on Exercise and Health (UCEES)' program. This work was part of a PhD thesis conducted within the Clinical Medicine and Public Health Doctoral Studies Program of the University of Granada, Spain. This work was supported by the University of Granada: 'Proyectos de Investigación Precompetitivos para Jóvenes Investigadores. Plan Propio 2020' Code: PPJIA2020.15
- Subjects
Persons::Persons::Survivors [Medical Subject Headings] ,medicine.medical_specialty ,Neoplasias de cabeza y cuello ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities::Hyperthermia, Induced::Diathermy::Short-Wave Therapy [Medical Subject Headings] ,Diseases::Neoplasms::Neoplasms by Site::Head and Neck Neoplasms [Medical Subject Headings] ,Anatomy::Body Regions::Extremities::Upper Extremity::Shoulder [Medical Subject Headings] ,Visual analogue scale ,Shoulder pain ,Dolor de hombro ,Pain ,Check Tags::Male [Medical Subject Headings] ,Placebo ,Head and neck neoplasms ,Article ,musculoskeletal manipulations ,range of motion ,Phenomena and Processes::Physical Phenomena::Physical Processes::Motion::Rotation [Medical Subject Headings] ,head and neck neoplasms ,Anatomy::Body Regions::Head::Face::Mouth [Medical Subject Headings] ,Induction therapy ,Medicine ,pain ,Range of motion ,Diseases::Musculoskeletal Diseases::Joint Diseases::Arthralgia::Shoulder Pain [Medical Subject Headings] ,Rango del movimiento articular ,Manipulaciones musculoesqueléticas ,Medical treatment ,business.industry ,Anatomy::Musculoskeletal System::Muscles [Medical Subject Headings] ,Head and neck cancer ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Range of Motion, Articular [Medical Subject Headings] ,Cancer ,General Medicine ,medicine.disease ,Crossover study ,Musculoskeletal manipulations ,Surgery ,Check Tags::Female [Medical Subject Headings] ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Drug Therapy::Induction Chemotherapy [Medical Subject Headings] ,Dolor ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Visual Analog Scale [Medical Subject Headings] ,business - Abstract
Head and neck cancer (HNC) is the sixth most common cancer worldwide. Yet, less than 60% of HNC survivors receive adequate therapy for treatment-related sequelae. The objective of this study was to determine the efficacy of myofascial induction therapy (MIT) in improving cervical and shoulder pain and range of motion, maximal mouth opening, and cervical muscle function in HNC survivors. This crossover, blinded, placebo-controlled study involved 22 HNC survivors (average age 56.55 ± 12.71) of which 13 were males (59.1%) who received, in a crossover fashion, both a single 30-min session of MIT in the form of manual unwinding and simulated pulsed shortwave therapy (placebo), with a 4-week washout interval between the two. Cervical and shoulder pain (visual analogue scale) and range of motion (cervical range of motion device and goniometer), maximum mouth opening (digital caliper), and cervical muscle function (deep cervical flexor endurance test) were measured before and after the treatment and placebo sessions. A single session of MIT improved cervical and affected side shoulder pain, cervical range of motion, maximum mouth opening, and cervical muscle function. The associated effect sizes ranged from moderate to large. The present study suggests that MIT, in the form of manual unwinding, improves cervical (−3.91 ± 2.77) and affected-side shoulder (−3.64 ± 3.1) pain, cervical range of motion (flexion: 8.41 ± 8.26 deg, extension: 12.23 ± 6.55, affected-side rotation: 14.27 ± 11.05, unaffected-side rotation: 11.73 ± 8.65, affected-side lateroflexion: 7.95 ± 5.1, unaffected-side lateroflexion: 9.55 ± 6.6), maximum mouth opening (3.36 ± 3.4 mm), and cervical muscle function (8.09 ± 6.96 s) in HNC survivors.
- Published
- 2021