Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental Study
Trismus is a severe complication of oral cancer treatment. Oral exercise is a potentially helpful approach for preventing or improving trismus. The study aimed to test the efficacy of an oral exercise for enhancing the maximum inter-incisal opening (MIO) in patients undergoing surgery and radiothera...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Biomedicines |
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| Online Access: | https://www.mdpi.com/2227-9059/10/11/2951 |
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| author | Tsae-Jyy Wang Kuo-Feng Wu Hung-Ming Wang Shu-Yuan Liang Ting-Ru Lin Yi-Wei Chen |
| author_facet | Tsae-Jyy Wang Kuo-Feng Wu Hung-Ming Wang Shu-Yuan Liang Ting-Ru Lin Yi-Wei Chen |
| author_sort | Tsae-Jyy Wang |
| collection | DOAJ |
| description | Trismus is a severe complication of oral cancer treatment. Oral exercise is a potentially helpful approach for preventing or improving trismus. The study aimed to test the efficacy of an oral exercise for enhancing the maximum inter-incisal opening (MIO) in patients undergoing surgery and radiotherapy for oral cancer. This is a quasi-experimental study. A sample of 69 oral cancer patients completed the study, with 35 in the control group and 34 in the intervention group. Intervention subjects were asked to perform three 20-min oral exercise sessions per day for six months. Data on oral exercise practicing time, MIO, and mandibular function impairment were collected at the last radiotherapy exposure (T1), three months (T2), and six months (T3) after the radiotherapy. At T3, the intervention group exercised 217.1 min (95%CI: 107.4~326.7) more than the control group. The generalized estimation equations showed a statistically significant group-by-time interaction in MIO. The change in MIO score from T1 to T3, as indicated by the regression slope, was 2.5 mm (95%CI: 0.4~4.6) greater in the intervention group than in the control group. The results support the efficacy of the study intervention for improving patient exercise adherence and MIO. |
| first_indexed | 2024-03-09T18:27:21Z |
| format | Article |
| id | doaj.art-65965fd1475d4d0a99b074f051afeacc |
| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-09T18:27:21Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj.art-65965fd1475d4d0a99b074f051afeacc2023-11-24T07:46:41ZengMDPI AGBiomedicines2227-90592022-11-011011295110.3390/biomedicines10112951Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental StudyTsae-Jyy Wang0Kuo-Feng Wu1Hung-Ming Wang2Shu-Yuan Liang3Ting-Ru Lin4Yi-Wei Chen5School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, TaiwanDepartment of Nurse-Midwifery and Women Health, National Taipei University of Nursing and Health Science, Taipei 112, TaiwanDepartment of Hematology/Oncology, Chang Gung Memorial Hospital at Linkou and Chang Gung University, Taoyuan City 333, TaiwanSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, TaiwanDepartment of Nursing, Cardinal Tien College of Healthcare and Management, New Taipei City 231, TaiwanSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, TaiwanTrismus is a severe complication of oral cancer treatment. Oral exercise is a potentially helpful approach for preventing or improving trismus. The study aimed to test the efficacy of an oral exercise for enhancing the maximum inter-incisal opening (MIO) in patients undergoing surgery and radiotherapy for oral cancer. This is a quasi-experimental study. A sample of 69 oral cancer patients completed the study, with 35 in the control group and 34 in the intervention group. Intervention subjects were asked to perform three 20-min oral exercise sessions per day for six months. Data on oral exercise practicing time, MIO, and mandibular function impairment were collected at the last radiotherapy exposure (T1), three months (T2), and six months (T3) after the radiotherapy. At T3, the intervention group exercised 217.1 min (95%CI: 107.4~326.7) more than the control group. The generalized estimation equations showed a statistically significant group-by-time interaction in MIO. The change in MIO score from T1 to T3, as indicated by the regression slope, was 2.5 mm (95%CI: 0.4~4.6) greater in the intervention group than in the control group. The results support the efficacy of the study intervention for improving patient exercise adherence and MIO.https://www.mdpi.com/2227-9059/10/11/2951oral canceroral exercisetrismusradiotherapymaximum inter-incisal opening |
| spellingShingle | Tsae-Jyy Wang Kuo-Feng Wu Hung-Ming Wang Shu-Yuan Liang Ting-Ru Lin Yi-Wei Chen Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental Study Biomedicines oral cancer oral exercise trismus radiotherapy maximum inter-incisal opening |
| title | Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental Study |
| title_full | Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental Study |
| title_fullStr | Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental Study |
| title_full_unstemmed | Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental Study |
| title_short | Effect of Oral Exercise on Trismus after Oral Cancer Radiotherapy: A Quasi-Experimental Study |
| title_sort | effect of oral exercise on trismus after oral cancer radiotherapy a quasi experimental study |
| topic | oral cancer oral exercise trismus radiotherapy maximum inter-incisal opening |
| url | https://www.mdpi.com/2227-9059/10/11/2951 |
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