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Feasibility of tongue strength measurements during (chemo)radiotherapy in head and neck cancer patients.

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Van den Steen, Leen Vanderveken, Olivier Vanderwegen, Jan Van Gestel, Dirk Daisne, Jean-François [UCL] Delacroix, Laurence [UCL] Desuter, Gauthier [UCL] Lawson, Georges [UCL] Van Nuffelen, Gwen

(eng) PURPOSE: The aim of this study was to investigate the feasibility of tongue strength measures (TSMs) and the influence of bulb location, sex, and self-perceived pain and mucositis in head and neck cancer (HNC) patients during chemoradiotherapy (CRT). METHODS: Twenty-six newly diagnosed HNC patients treated with CRT performed anterior and posterior maximal isometric tongue pressures by means of the Iowa Oral Performance Instrument (IOPI). The Oral Mucositis Weekly Questionnaire (OMWQ) and a Visual Analogue Scale (VAS) for pain during swallowing were completed weekly from baseline to 1 week post CRT. RESULTS: Feasibility of TSMs during CRT declines significantly from 96 to 100% at baseline to 46% after 6 weeks of CRT. But post-hoc analyses reveal only significant differences in feasibility between baseline and measurements after 4 weeks of treatment. No effect of gender or bulb location was established, but feasibility is influenced by pain and mucositis. CONCLUSIONS: Feasibility of TSMs declines during CRT and is influenced by mucositis and pain. For the majority of subjects, TSMs were feasible within the first 4 weeks, which provides a window of scientific and clinical opportunities in this patient population.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2017
Language Anglais
Journal information "Supportive Care in Cancer" - Vol. 25, no. 11, p. 3417-3423 (2017)
Peer reviewed yes
Publisher Springer ((Germany) Berlin)
issn 0941-4355
e-issn 1433-7339
Publication status Publié
Affiliations UCL - SSS/IREC/MONT - Pôle Mont Godinne
UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery
UCL - SSS/IONS/NEUR - Clinical Neuroscience
UCL - (MGD) Service d'oncologie médicale
UCL - (MGD) Service d'oto-rhino-laryngologie
UCL - (SLuc) Service d'oto-rhino-laryngologie
Keywords Chemoradiotherapy ; Deglutition ; Dysphagia ; Head and neck cancer ; Tongue strength
Links
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Bibliographic reference Van den Steen, Leen ; Vanderveken, Olivier ; Vanderwegen, Jan ; Van Gestel, Dirk ; Daisne, Jean-François ; et. al. Feasibility of tongue strength measurements during (chemo)radiotherapy in head and neck cancer patients.. In: Supportive Care in Cancer, Vol. 25, no. 11, p. 3417-3423 (2017)
Permanent URL http://hdl.handle.net/2078.1/185686