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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRET | Experimental | Progressive Resistance Exercise Training: upper extremity 6-8 exercises |
|
| Standard Care | Active Comparator | Standard Care: physical therapy - range of motion, 6-8 strengthening exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain and dysfunction (baseline, 12 weeks, 6 months, 12 months) | baseline, 12 weeks, 6 months, 12 months | |
| Active and passive range of motion (baseline, 12 weeks) | baseline, 12 weeks | |
| Muscular strength and endurance (baseline, 12 weeks) | baseline, 12 weeks | |
| Quality of life (baseline, 12 weeks, 6 months, 12 months) | baseline, 12 weeks, 6 months, 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety, depression and fatigue (baseline, 12 weeks, 6 months, 12 months) | baseline, 12 weeks, 6 months, 12 months | |
| Nerve conduction testing (baseline, 12 weeks as indicated) | Baseline | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kerry S Courneya, PhD | Professor, Faculty of Physical Education and Recreation, University of Alberta | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Behavioral Medicine Laboratory, University of Alberta | Edmonton | Alberta | T6G 2H9 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15162353 | Background | McNeely ML, Parliament M, Courneya KS, Seikaly H, Jha N, Scrimger R, Hanson J. 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. Head Neck. 2004 Jun;26(6):518-30. doi: 10.1002/hed.20010. |
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| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Electromyography (baseline, 12 weeks as indicated) |
| Baseline |