A pilot study of a randomized controlled trial to evaluate the effects of progressive resistance exercise training on shoulder dysfunction caused by spinal accessory neurapraxia/neurectomy in head and neck cancer survivors
A pilot study of a randomized controlled trial to evaluate the effects of progressive resistance exercise training on shoulder dysfunction caused by spinal accessory neurapraxia/neurectomy in head and neck cancer survivors
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DOI：
10.1002/hed.20010
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发表时间：
2004-06-01
影响因子：
2.9
通讯作者：
Hanson, J
中科院分区：
文献类型：
--
作者：
McNeely, ML;Parliament, M;Hanson, J
背景资料。肩部功能障碍仍然是头颈癌颈淋巴清扫术后常见的并发症。我们进行了一项初步研究，以评价递增阻力运动训练(PRET)对头颈癌患者脊柱副神经失用/神经切除术所致肩部功能障碍的影响。20名患者(平均年龄61+/-7.7岁)随机分配到PRET或标准护理干预组。被分配到Pret组的受试者在12周内每周锻炼三次。锻炼计划的目标是增强肩胛骨的稳定性和上肢的力量。阻力训练计划在进行的集合和重复的次数以及举重的量方面是渐进的，这取决于运动状态。试验完成率为85%(20例中有17例)。锻炼组完成了93%的预定锻炼时间。在主动肩部外旋(p=.001)、肩部疼痛(p=.038)以及肩部疼痛和残疾的总体评分(p=.045)方面，PRET组均有显著改善。研究结果表明，在头颈癌患者中，我们的FRET计划的完成率和遵从率很高。初步发现，虽然有限，但也表明抵抗运动作为标准物理治疗治疗的辅助手段具有潜在的治疗作用。(C)2004年威利期刊公司。
Background. Shoulder dysfunction remains a frequent complication after neck dissection procedures for head and neck cancer,Methods. We conducted a pilot study to evaluate the effects of progressive resistance exercise training (PRET) on shoulder dysfunction caused by spinal accessory neurapraxia/neurectomy in patients with head and neck cancer. Twenty patients (mean age, 61+/-7.7 years) were randomly assigned to PRET or standard care intervention. Subjects assigned to the PRET group exercised three times per week for 12 weeks. The goal of the exercise program was to enhance scapular stability and strength of the upper extremity. The resistance-training program was progressive in terms of number of sets and repetitions performed, as well as the amount of weight lifted, depending on performance status.Results. The completion rate for the trial was 85% (17 of 20). The exercise group completed 93% of scheduled exercise sessions. Significant improvements were found in favor of the PRET group in active shoulder external rotation (p=.001), shoulder pain (p=.038), and overall score for shoulder pain and disability (p=.045).Conclusions. The study results demonstrate a high rate of completion and adherence with our FRET program among patients with head and neck cancer. The preliminary findings, although limited, also suggest a potential therapeutic role for resistance exercise as an adjunct to standard physical therapy treatment. (C) 2004 Wiley Periodicals, Inc.