RT Generic
T1 Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis
A1 Burgos-Mansilla, Barbara
A1 Galiano-Castillo, Noelia
A1 Lozano-Lozano, Mario
A1 Fernandez-Lao, Carolina
A1 Lopez-Garzon, Maria
A1 Arroyo-Morales, Manuel
K1 systematic review
K1 meta-analysis
K1 head and neck neoplasms
K1 cancer survivors
K1 physical therapy modalities
K1 quality of life
K1 Randomized controlled-trial
K1 Upper-limb dysfunction
K1 Exercise therapy
K1 Shoulder dysfunction
K1 Induced xerostomia
K1 Nerve-stimulation
K1 Induced trismus
K1 Interventions
K1 Radiotherapy
K1 Dissection
AB The objective was to describe the effectiveness of different physical therapy modalities to improve Quality of Life (QoL) in Head and Neck Cancer (HNC) survivors. PubMed, Scopus, Web of Science, CINAHL and Cochrane Library were searched for randomized clinical controlled trials published until 30 April 2020. Risk of bias assessment and meta-analysis were conducted using the Cochrane tools. A total of 251 records were retrieved, and 10 met the inclusion criteria. Interventions whose parameters focus on a 12-week exercise programs of aerobic activity (walking) or Progressive Resistance Training (PRT) for the whole body are effective and safe modalities improving QoL in HNC survivors. Electrophysical agents did not show significant results between groups. As for the assessment of methodological quality, 4 of the 10 articles included had a high risk of overall bias. Only five articles provided sufficient information to conduct a meta-analysis for exercise program intervention on QoL, showing a tendency in favor of intervention group, even when the global results did not show statistically significant improvements (pooled Cohen's d 0.15; 95% CI: -0.25 to 0.54; I-2 45.87%; p heterogeneity = 0.10). The present review and meta-analysis identified meaningful benefits of exercise on QoL of HNC survivors; this has been confirmed in a meta-analysis. This review adds evidence supporting exercise interventions on Head and Neck Cancer population whose opportunities for successful recovery after medical treatment are more limited.
PB Mdpi
YR 2021
FD 2021-10-01
LK https://hdl.handle.net/10668/28057
UL https://hdl.handle.net/10668/28057
LA en
DS RISalud
RD Apr 17, 2025