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The purpose of this study is to examine the effects of exercise on individuals with head and neck cancer who are receiving postoperative radiotherapy.
The study is based on three primary hypotheses:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Structured Home-Based Physiotherapy Program | Experimental | Participants in the intervention group will receive instruction in a structured home-based exercise program to be implemented throughout the radiotherapy period. Adherence, technique, and progression will be monitored and reinforced through weekly in-person sessions with a qualified professional. |
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| Usual Care / Standard Follow-Up | No Intervention | Participants in the control group will receive only radiotherapy and will not undergo any physiotherapy interventions during this period. At the end of the radiotherapy, both groups will be re-evaluated, and participants in the control group will then be provided with appropriate treatment and home-based exercise programs. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home-based exercise | Procedure | The home-based rehabilitation approach was conducted for the patients, consisting of neck and upper extremity mobilization, strengthening, stretching, and breathing exercises, 5 days a week. |
| Measure | Description | Time Frame |
|---|---|---|
| Range of Motion | Range of motion of the cervical region will be assessed using a cervical range of motion (CROM) device, and shoulder range of motion will be assessed using a goniometer, including flexion, extension, lateral flexion, rotation, abduction, and external rotation. | Baseline and Day 25 (end of radiotherapy) |
| Measure | Description | Time Frame |
|---|---|---|
| Muscle Strength | Muscle strength of the cervical and shoulder girdle muscles will be evaluated using manual muscle testing. | Baseline and Day 25 (end of radiotherapy) |
| Postural Alignment | Postural alignment will be assessed through observational postural analysis focusing on head, neck, and shoulder alignment. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gazi University, Faculty of Health Sciences | Ankara | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| D009043 | Motor Activity |
| D008209 | Lymphedema |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001519 | Behavior |
| D008206 | Lymphatic Diseases |
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This was an open-label study. Outcome assessments and interventions were performed by the same researcher. Statistical analysis was conducted by an independent biostatistician.
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| Baseline and Day 25 (end of radiotherapy) |
| Fibrosis Severity | Radiation-induced fibrosis will be evaluated using a standardized clinical fibrosis grading scale. | Day 25 (end of radiotherapy) |
| Lymphedema | Head and neck lymphedema will be assessed using circumferential measurements and/or clinical lymphedema grading. | Day 25 (end of radiotherapy) |
| Swallowing Function | Swallowing function will be evaluated using a validated swallowing assessment scale (Swal-QoL). | Baseline and Day 25 (end of radiotherapy) |
| D006425 |
| Hemic and Lymphatic Diseases |