TheraBite exercises to treat trismus secondary to head and neck cancer
Identifieur interne : 002F29 ( Main/Exploration ); précédent : 002F28; suivant : 002F30TheraBite exercises to treat trismus secondary to head and neck cancer
Auteurs : Jolanda I. Kamstra [Pays-Bas] ; Jan L. N. Roodenburg [Pays-Bas] ; Carien H. G. Beurskens [Pays-Bas] ; Harry Reintsema [Pays-Bas] ; Pieter U. Dijkstra [Pays-Bas]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2012.
Abstract
The aim of this study was to evaluate the effect of TheraBite exercises on mouth opening and to analyze factors influencing this effect in a patient record evaluation.
Effect of exercises with a TheraBite to treat trismus was evaluated in 69 head and neck cancer patients of two university medical centers. Mouth opening was measured as interincisal distance in millimeters. Patient, tumor, and treatment characteristics were analyzed for their relationship with change in mouth opening. Variables univariately associated (
Mean initial mouth opening was 22.0 mm (SD 6.4); mean increase in mouth opening was 5.4 mm (SD 5.7). “Chemotherapy”, “medical center”, and “time from oncological treatment to start exercises” were significantly associated with an increase in mouth opening. In the logistic regression analysis, “medical center” (
After TheraBite exercises, mouth opening increased averagely with 5.4 mm. The odds of an increase in mouth opening of 5 mm or more reduces if the time from oncological treatment to start exercises lengthens, corrected for the effect of medical center.
Url:
DOI: 10.1007/s00520-012-1610-9
PubMed: 23052916
PubMed Central: 3584250
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">TheraBite exercises to treat trismus secondary to head and neck cancer</title><author><name sortKey="Kamstra, Jolanda I" sort="Kamstra, Jolanda I" uniqKey="Kamstra J" first="Jolanda I." last="Kamstra">Jolanda I. Kamstra</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Roodenburg, Jan L N" sort="Roodenburg, Jan L N" uniqKey="Roodenburg J" first="Jan L. N." last="Roodenburg">Jan L. N. Roodenburg</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Beurskens, Carien H G" sort="Beurskens, Carien H G" uniqKey="Beurskens C" first="Carien H. G." last="Beurskens">Carien H. G. Beurskens</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Physical Therapy, Radboud University Nijmegen Medical Center, Radboud University Nijmegen, PO Box 9.102, 6500 HC Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Physical Therapy, Radboud University Nijmegen Medical Center, Radboud University Nijmegen, PO Box 9.102, 6500 HC Nijmegen</wicri:regionArea><wicri:noRegion>6500 HC Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Dijkstra, Pieter U" sort="Dijkstra, Pieter U" uniqKey="Dijkstra P" first="Pieter U." last="Dijkstra">Pieter U. Dijkstra</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Rehabilitation, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23052916</idno><idno type="pmc">3584250</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584250</idno><idno type="RBID">PMC:3584250</idno><idno type="doi">10.1007/s00520-012-1610-9</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000D82</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D82</idno><idno type="wicri:Area/Pmc/Curation">000D82</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D82</idno><idno type="wicri:Area/Pmc/Checkpoint">001C30</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001C30</idno><idno type="wicri:Area/Ncbi/Merge">004165</idno><idno type="wicri:Area/Ncbi/Curation">004165</idno><idno type="wicri:Area/Ncbi/Checkpoint">004165</idno><idno type="wicri:doubleKey">0941-4355:2012:Kamstra J:therabite:exercises:to</idno><idno type="wicri:Area/Main/Merge">002F44</idno><idno type="wicri:Area/Main/Curation">002F29</idno><idno type="wicri:Area/Main/Exploration">002F29</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">TheraBite exercises to treat trismus secondary to head and neck cancer</title><author><name sortKey="Kamstra, Jolanda I" sort="Kamstra, Jolanda I" uniqKey="Kamstra J" first="Jolanda I." last="Kamstra">Jolanda I. Kamstra</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Roodenburg, Jan L N" sort="Roodenburg, Jan L N" uniqKey="Roodenburg J" first="Jan L. N." last="Roodenburg">Jan L. N. Roodenburg</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Beurskens, Carien H G" sort="Beurskens, Carien H G" uniqKey="Beurskens C" first="Carien H. G." last="Beurskens">Carien H. G. Beurskens</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Physical Therapy, Radboud University Nijmegen Medical Center, Radboud University Nijmegen, PO Box 9.102, 6500 HC Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Physical Therapy, Radboud University Nijmegen Medical Center, Radboud University Nijmegen, PO Box 9.102, 6500 HC Nijmegen</wicri:regionArea><wicri:noRegion>6500 HC Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Dijkstra, Pieter U" sort="Dijkstra, Pieter U" uniqKey="Dijkstra P" first="Pieter U." last="Dijkstra">Pieter U. Dijkstra</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Rehabilitation, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The aim of this study was to evaluate the effect of TheraBite exercises on mouth opening and to analyze factors influencing this effect in a patient record evaluation.</p></sec><sec><title>Methods</title><p>Effect of exercises with a TheraBite to treat trismus was evaluated in 69 head and neck cancer patients of two university medical centers. Mouth opening was measured as interincisal distance in millimeters. Patient, tumor, and treatment characteristics were analyzed for their relationship with change in mouth opening. Variables univariately associated (<italic>p</italic> ≤ 0.05) with change in mouth opening were entered in a logistic regression analysis as possible predictors for an increase in mouth opening of the smallest detectable difference of 5 mm or more.</p></sec><sec><title>Results</title><p>Mean initial mouth opening was 22.0 mm (SD 6.4); mean increase in mouth opening was 5.4 mm (SD 5.7). “Chemotherapy”, “medical center”, and “time from oncological treatment to start exercises” were significantly associated with an increase in mouth opening. In the logistic regression analysis, “medical center” (<italic>β</italic> = 1.97) and “time from oncological treatment to start exercises” reduced the odds of reaching an increase in mouth opening of 5 mm or more, <italic>β</italic> = −0.11 per month.</p></sec><sec><title>Conclusions</title><p>After TheraBite exercises, mouth opening increased averagely with 5.4 mm. The odds of an increase in mouth opening of 5 mm or more reduces if the time from oncological treatment to start exercises lengthens, corrected for the effect of medical center.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Dijkstra, Pu" uniqKey="Dijkstra P">PU Dijkstra</name></author><author><name sortKey="Huisman, Pm" uniqKey="Huisman P">PM Huisman</name></author><author><name sortKey="Roodenburg, Jl" uniqKey="Roodenburg J">JL Roodenburg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johnson, J" uniqKey="Johnson J">J Johnson</name></author><author><name sortKey="Van As Brooks, Cj" uniqKey="Van As Brooks C">CJ van As-Brooks</name></author><author><name sortKey="Fagerberg Mohlin, B" uniqKey="Fagerberg Mohlin B">B Fagerberg-Mohlin</name></author><author><name sortKey="Finizia, C" uniqKey="Finizia C">C Finizia</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Kamstra</name></noRegion><name sortKey="Beurskens, Carien H G" sort="Beurskens, Carien H G" uniqKey="Beurskens C" first="Carien H. G." last="Beurskens">Carien H. G. Beurskens</name><name sortKey="Dijkstra, Pieter U" sort="Dijkstra, Pieter U" uniqKey="Dijkstra P" first="Pieter U." last="Dijkstra">Pieter U. Dijkstra</name><name sortKey="Dijkstra, Pieter U" sort="Dijkstra, Pieter U" uniqKey="Dijkstra P" first="Pieter U." last="Dijkstra">Pieter U. Dijkstra</name><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name><name sortKey="Roodenburg, Jan L N" sort="Roodenburg, Jan L N" uniqKey="Roodenburg J" first="Jan L. N." last="Roodenburg">Jan L. N. Roodenburg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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