Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis
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 Ap...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/20/4696 |
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| author | Barbara Burgos-Mansilla Noelia Galiano-Castillo Mario Lozano-Lozano Carolina Fernández-Lao Maria Lopez-Garzon Manuel Arroyo-Morales |
| author_facet | Barbara Burgos-Mansilla Noelia Galiano-Castillo Mario Lozano-Lozano Carolina Fernández-Lao Maria Lopez-Garzon Manuel Arroyo-Morales |
| author_sort | Barbara Burgos-Mansilla |
| collection | DOAJ |
| description | 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 0.11; 95% CI: −0.27 to 0.50; I<sup>2</sup> 42.68%; <i>p</i> heterogeneity = 0.12). 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. |
| first_indexed | 2024-03-10T06:29:22Z |
| format | Article |
| id | doaj.art-f283f2714e6e4b5cbba950dfa3af3d32 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:29:22Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f283f2714e6e4b5cbba950dfa3af3d322023-11-22T18:41:45ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020469610.3390/jcm10204696Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-AnalysisBarbara Burgos-Mansilla0Noelia Galiano-Castillo1Mario Lozano-Lozano2Carolina Fernández-Lao3Maria Lopez-Garzon4Manuel Arroyo-Morales5Kinesiology Program, Faculty of Health Sciences, Universidad Autónoma de Chile, Avenida Alemania, Temuco 4810101, ChileDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainDepartment of Physical Therapy, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainThe 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 0.11; 95% CI: −0.27 to 0.50; I<sup>2</sup> 42.68%; <i>p</i> heterogeneity = 0.12). 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.https://www.mdpi.com/2077-0383/10/20/4696systematic reviewmeta-analysishead and neck neoplasmscancer survivorsphysical therapy modalitiesquality of life |
| spellingShingle | Barbara Burgos-Mansilla Noelia Galiano-Castillo Mario Lozano-Lozano Carolina Fernández-Lao Maria Lopez-Garzon Manuel Arroyo-Morales Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis Journal of Clinical Medicine systematic review meta-analysis head and neck neoplasms cancer survivors physical therapy modalities quality of life |
| title | Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis |
| title_full | Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis |
| title_fullStr | Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis |
| title_full_unstemmed | Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis |
| title_short | Effect of Physical Therapy Modalities on Quality of Life of Head and Neck Cancer Survivors: A Systematic Review with Meta-Analysis |
| title_sort | effect of physical therapy modalities on quality of life of head and neck cancer survivors a systematic review with meta analysis |
| topic | systematic review meta-analysis head and neck neoplasms cancer survivors physical therapy modalities quality of life |
| url | https://www.mdpi.com/2077-0383/10/20/4696 |
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