REHABILITATION OF PATIENTS WITH HEAD AND NECK CANCER

头颈部癌患者的现代成功管理 经常导致沟通技能的功能障碍， 营养维持 本建议旨在研究 单一和多模式癌症治疗的几个重要功能- 具体来说，自我护理行为和依从性，听力，平衡，言语， 吞咽、味觉、嗅觉、咀嚼和营养。 该研究计划分为七个组成项目。 项目我 评估教育干预对患者健康的有用性， 自我照顾行为和遵守规定的团。 承包 方法也将被审查。 项目II研究行为和目标 测量听觉和前庭功能障碍并量化耳毒性 是治疗方案的结果 项目三研究心理声学 以及言语产生的物理视角。 传统的生理学， 声学和感知方法将通过基于计算机的 腭测量技术 早期和后期的康复工作也将是 考察 项目IV评价吞咽功能障碍。 方法包括 视频透视和造影。 第五个项目是味觉和嗅觉， 检查癌症治疗前后的功能能力 用于阈值识别。 项目六集中在咀嚼和 分析咀嚼性能和效率以及吞咽指数， 而且没有假肢 项目七的营养干预 研究营养状况的改变和营养风险的有效性 这个人群的因素。 该计划的设计提供了充分的机会，以确定 癌症治疗对特定残疾的影响。 交叉研究 相关性应该增加关于一个或几个影响的信息， 变量相互作用。 结果应该是新的数据库， 有效地用于规划癌症治疗和 患者的康复。

Contemporary successful management of patients with head and neck cancer often results in functional disability of communicative skills and nutritional maintenance. This proposal intends to study the effects of single and multimodality cancer therapy upon several important functions - specifically, self-care behavior and compliance, hearing, balance, speech, deglutition, taste, smell, mastication, and nutrition. The research program is divided into seven component projects. Project I evaluates the usefulness of educational interventions upon patient health, self-care behavior and compliance with prescribed regiments. Contracting methods will also be examined. Project II studies behavioral and objective measures of auditory and vestibular dysfunction and quantitates ototoxicity as a result of treatment protocols. Project III examines psychoacoustic and physical perspectives of speech production. Traditional physiologic, acoustic, and perceptual methods will be augmented by computer-based palatometry techniques. Early and late rehabilitative efforts will also be examined. Project IV evaluates swallowing dysfunction. Methods include videofluoroscopy and scintigraphy. Project V, on taste and olfaction, examines functional capacity before and after cancer treatment with tests for threshold identification. Project VI concentrates on mastication and analyzes masticatory performance and efficiency and swallowing indices with and without prosthetic devices. Nutritional interventions in Project VII studies alterations in nutritional status and efficacy of nutritional risk factors in this population. The design of the program provides ample opportunity for determining the effects of cancer therapy upon specific disabilities. Cross-study correlations should add information regarding the effects of one or several variables upon each other. The outcomes should be new data bases that can be used effectively in the planning of cancer treatment and the rehabilitation of the patient.