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The goal of this clinical trial is to determine whether far-infrared therapy and transcutaneous electrical nerve stimulation (TENS) can improve postoperative side effects in patients with head and neck cancer. The main questions this study aims to answer are:
Can far-infrared therapy and transcutaneous electrical nerve stimulation reduce pain and improve neck range of motion?
Can far-infrared therapy and transcutaneous electrical nerve stimulation reduce inflammation?
Researchers will compare three groups:
Group A: control group; Group B: transcutaneous electrical nerve stimulation; Group C: far-infrared therapy combined with transcutaneous electrical nerve stimulation, to evaluate differences in pain, neck range of motion, and inflammation.
Participants will receive the assigned intervention in the morning and evening for five consecutive days. Outcome measurements will be conducted on the first and fifth days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | routine care | |
| Transcutaneous Electrical Nerve Stimulation (TENS) | Active Comparator |
| |
| TENS Combined With Far-Infrared Therapy | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transcutaneous Electrical Nerve Stimulation (TENS) | Device | Transcutaneous electrical nerve stimulation is applied to the neck region twice daily, in the morning and evening, for five consecutive days. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | Pain intensity will be assessed using a numeric rating scale (NRS), with scores ranging from 0 (no pain) to 10 (worst pain imaginable). | Preoperative baseline (before surgery), postoperative day 10, and postoperative day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Neck range of motion (ROM) | Active neck range of motion will be measured in degrees, including flexion, extension, bilateral rotation, and bilateral lateral flexion. | Preoperative baseline (before surgery), postoperative day 10, and postoperative day 15 |
| Inflammatory markers (LMR, NLR) |
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Inclusion Criteria
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation | Hualien City | Hualien County | 97002 | Taiwan |
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| Far-Infrared Therapy | Device | Far-infrared therapy is applied to the neck region twice daily, in the morning and evening, for five consecutive days. |
|
Inflammatory markers will be calculated from complete blood counts, including the Lymphocyte-to-monocyte ratio(LMR) and neutrophil-to-lymphocyte ratio (NLR) |
| Preoperative baseline (before surgery), postoperative day 10, and postoperative day 15 |
| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D004561 | Transcutaneous Electric Nerve Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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