An Overview on the Evidence of Physical Activity Interventions in the Health of Individuals with Head and Neck Cancer: Literature Systematic Review
DOI:
https://doi.org/10.32635/2176-9745.RBC.2023v69n1.2652Keywords:
head and neck neoplasm/psychology, exercise therapy/psychology, exerciseAbstract
Introduction: Head and neck cancer is considered a global public health problem, which arises in aesthetically and functionally critical areas. The practice of physical exercise has been considered one of the significant and effective non-pharmacological strategies to minimize the physical and psychological consequences. Objective: To analyze the evidence of physical activity interventions in the physical and psychological health of individuals with head and neck cancer. Method: A systematic review was conducted blindly and independently, from March to May 2021, according to the PRISMA guidelines. The search was performed in the following databases: PubMed Central®; Cochrane Library; Web of Science, Scopus, ScienceDirect. Results: Of the 515 selected studies, 15 were included in this systematic review with a total of 670 participants aged between 18 and 76 years old. The studies included aerobic exercises, endurance, mobility, stretching, strengthening, and yoga. Conclusion: Evidence proves that physical activity interventions performed with individuals with head and neck cancer may be beneficial in the treatment and physical/psychological health of this population. This study may help new researches considering the detailed information described previously regarding the interventions applied, in addition to discussing the most used instruments with this public and indicating the modalities that are being safely performed. It is suggested that more randomized trials be conducted to obtain more concise results.
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Silva FA, Roussenq SC, Tavares MGS, et al. Perfil epidemiológico dos pacientes com câncer de cabeça e pescoço em um Centro Oncológico no Sul do Brasil. Rev Bras Cancerol. 2020;66(1):e-08455. doi: https://doi.org/10.32635/2176-9745.RBC.2020v66n1.455 DOI: https://doi.org/10.32635/2176-9745.RBC.2020v66n1.455
Bye A, Sandmael JA, Stene GB, et al. Exercise and nutrition interventions in patients with head and neck cancer during curative treatment: a systematic review and meta-analysis. Nutrients. 2020;12(11):3233. doi: https://doi.org/10.3390/nu12113233 DOI: https://doi.org/10.3390/nu12113233
Nogueira TE, Adorno M, Mendonca E, et al. Factors associated with the quality of life of subjects with facial disfigurement due to surgical treatment of head and neck cancer. Med Oral Patol Oral Cir Bucal. 2018;23(2):e132-e7. doi: https://doi.org/10.4317/medoral.22072 DOI: https://doi.org/10.4317/medoral.22072
Samuel SR, Maiya AG, Fernandes DJ, et al. Effectiveness of exercise-based rehabilitation on functional capacity and quality of life in head and neck cancer patients receiving chemo-radiotherapy. Support Care Cancer. 2019;27(10):3913–20. doi: https://doi.org/10.1007/s00520-019-04750-z DOI: https://doi.org/10.1007/s00520-019-04750-z
Senchak JJ, Fang CY, Bauman JR. Interventions to improve quality of life (QOL) and/or mood in patients with head and neck cancer (HNC): a review of the evidence. Cancers Head Neck. 2019;4:2. doi: https://doi.org/10.1186/s41199-019-0041-4 DOI: https://doi.org/10.1186/s41199-019-0041-4
Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62. doi: https://doi.org/10.1136/bjsports-2020-102955 DOI: https://doi.org/10.1136/bjsports-2020-102955
Odynets T, Briskin Y, Todorova V. Effects of different exercise interventions on quality of life in breast cancer patients: a randomized controlled trial. Integr Cancer Ther. 2019;18:1534735419880598. doi: https://doi.org/10.1177/1534735419880598 DOI: https://doi.org/10.1177/1534735419880598
Xiao C, Beitler JJ, Higgins KA, et al. Pilot study of combined aerobic and resistance exercise on fatigue for patients with head and neck cancer: inflammatory and epigenetic changes. Brain Behav Immun. 2020;88:184-92. doi: https://doi.org/10.1016/j.bbi.2020.04.044 DOI: https://doi.org/10.1016/j.bbi.2020.04.044
McNeely ML, Parliament M, Courneya KS, et al. A pilot study of a randomized controlled trial to evaluate the effects of progressive resistance exercise training on shoulder dysfunction caused by spinal accessory neurapraxia/neurectomy in head and neck cancer survivors. Head Neck. 2004;26(6):518-30. doi: https://doi.org/10.1002/hed.20010 DOI: https://doi.org/10.1002/hed.20010
Lønbro S, Dalgas U, Primdahl H, et al. Progressive resistance training rebuilds lean body mass in head and neck cancer patients after radiotherapy – Results from the randomized DAHANCA 25B trial. Radiother Oncol. 2013;108(2):314-9. doi: https://doi.org/10.1016/j.radonc.2013.07.002 DOI: https://doi.org/10.1016/j.radonc.2013.07.002
Samuel SR, Maiya GA, Babu AS, et al. Effect of exercise training on functional capacity & quality of life in head & neck cancer patients receiving chemoradiotherapy. Indian J Med Res [Internet]. 2013 [cited 2021 May 15];137:515-20. Available from: https://journals.lww.com/ijmr/Fulltext/2013/37030/Effect_of_exercise_training_on_functional_capacity.11.aspx
Hajdú SF, Wessel I, Johansen C, et al. Swallowing therapy and progressive resistance training in head and neck cancer patients undergoing radiotherapy treatment: randomized control trial protocol and preliminary data. Acta Oncol. 2017;56(2):354-9. doi: https://doi.org/10.1080/0284186X.2016.1269193 DOI: https://doi.org/10.1080/0284186X.2016.1269193
Lynch PT, Horani S, Lee R, et al. Effectiveness of physical activity interventions in improving objective and patient-reported outcomes in head and neck cancer survivors: a systematic review. Oral Oncol. 2021;117:105253. doi: https://doi.org/10.1016/j.oraloncology.2021.105253 DOI: https://doi.org/10.1016/j.oraloncology.2021.105253
Steegmann J, Bartella AK, Kloss-Brandstätter A, et al. A randomized clinical trial on the efficacy of a patient-adapted autonomous exercise regime for patients with head and neck cancer. J Craniomaxillofac Surg. 2020;48(3):187-92. doi: https://doi.org/10.1016/j.jcms.2019.12.009 DOI: https://doi.org/10.1016/j.jcms.2019.12.009
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: https://doi.org/10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71
Booth A, Clarke M, Dooley G, et al. The nuts and bolts of PROSPERO: an international prospective register of systematic reviews. Syst Rev. 2012;1:2. doi: https://doi.org/10.1186/2046-4053-1-2 DOI: https://doi.org/10.1186/2046-4053-1-2
World Health Organization [Internet]. Geneva: World Health Organization; c2022. Physical activity; 2022 Oct 5 [cited 2022 Aug 30]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/physical-activity
Spence RR, Sandler CX, Newton RU, et al. Physical activity and exercise guidelines for people with cancer: Why are they needed, who should use them, and when? Semin Oncol Nurs. 2020;36(5):151075. doi: https://doi.org/10.1016/j.soncn.2020.151075 DOI: https://doi.org/10.1016/j.soncn.2020.151075
Rodriguez AM, Komar A, Ringash J, et al. A scoping review of rehabilitation interventions for survivors of head and neck cancer. Disabil Rehabil. 2019;41(17):2093-2107. doi: https://doi.org/10.1080/09638288.2018.1459880 DOI: https://doi.org/10.1080/09638288.2018.1459880
Swore Fletcher B, Cohen MZ, Schumacher K, et al. A blessing and a curse. Cancer Nurs. 2012;35(2):126-32. doi: https://doi.org/10.1097/NCC.0b013e31821bd054 DOI: https://doi.org/10.1097/NCC.0b013e31821bd054
Howren MB, Christensen AJ, Karnell LH, et al. Psychological factors associated with head and neck cancer treatment and survivorship: evidence and opportunities for behavioral medicine. J Consult Clin Psychol. 2013;81(2):299-317. doi: https://doi.org/10.1037/a0029940 DOI: https://doi.org/10.1037/a0029940
Archer J, Hutchison I, Korszun A. Mood and malignancy: head and neck cancer and depression. J Oral Pathol Med. 2008;37(5):255-70. doi: https://doi.org/10.1111/j.1600-0714.2008.00635.x DOI: https://doi.org/10.1111/j.1600-0714.2008.00635.x
Higgins JPT, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928. doi: https://doi.org/10.1136/bmj.d5928 DOI: https://doi.org/10.1136/bmj.d5928
McNeely ML, Parliament MB, Seikaly H, et al. Sustainability of outcomes after a randomized crossover trial of resistance exercise for shoulder dysfunction in survivors of head and neck cancer. Physiother Can. 2015;67(1):85-93. doi: https://doi.org/10.3138/ptc.2014-13O DOI: https://doi.org/10.3138/ptc.2014-13O
Kim K, Gu MO, Jung JH, et al. Efficacy of a home-based exercise program after thyroidectomy for thyroid cancer patients. Thyroid. 2018;28(2):236-45. doi: https://doi.org/10.1089/thy.2017.0277 DOI: https://doi.org/10.1089/thy.2017.0277
Thomas A, D’Silva C, Mohandas L, et al. Effect of Muscle Energy Techniques V/S active range of motion exercises on shoulder function post modified radical neck dissection in patients with head and neck cancer - A randomized clinical trial. Asian Pac J Cancer Prev. 2020;21(8):2389-93. doi: https://doi.org/10.31557/APJCP.2020.21.8.2389 DOI: https://doi.org/10.31557/APJCP.2020.21.8.2389
Lavigne C, Twomey R, Lau H, et al. Feasibility of eccentric overloading and neuromuscular electrical stimulation to improve muscle strength and muscle mass after treatment for head and neck cancer. J Cancer Surviv. 2020;14(6):790-805. doi: https://doi.org/10.1007/s11764-020-00893-9 DOI: https://doi.org/10.1007/s11764-020-00893-9
Høgdal N, Juhl C, Aadahl M, et al. Early preventive exercises versus usual care does not seem to reduce trismus in patients treated with radiotherapy for cancer in the oral cavity or oropharynx: a randomised clinical trial. Acta Oncol. 2015;54(1):80-7. doi: https://doi.org/10.3109/0284186X.2014.954677 DOI: https://doi.org/10.3109/0284186X.2014.954677
Su TL, Chen AN, Leong CP, et al. The effect of home-based program and outpatient physical therapy in patients with head and neck cancer: a randomized, controlled trial. Oral Oncol. 2017;74:130-4. doi: https://doi.org/10.1016/j.oraloncology.2017.10.002 DOI: https://doi.org/10.1016/j.oraloncology.2017.10.002
Kristensen MB, Wessel I, Beck AM, et al. Effects of a multidisciplinary residential nutritional rehabilitation program in head and neck cancer survivors-results from the NUTRI-HAB randomized controlled trial. Nutrients. 2020;12(17):2117. doi: https://doi.org/10.3390/nu12072117 DOI: https://doi.org/10.3390/nu12072117
Do JH, Yoon IJ, Cho YK, et al. Comparison of hospital based and home based exercise on quality of life, and neck and shoulder function in patients with spinal accessary nerve injury after head and neck cancer surgery. Oral Oncol. 2018;86:100-4. doi: https://doi.org/10.1016/j.oraloncology.2018.06.019 DOI: https://doi.org/10.1016/j.oraloncology.2018.06.019
Yen CJ, Hung CH, Kao CL, et al. Multimodal exercise ameliorates exercise responses and body composition in head and neck cancer patients receiving chemotherapy. Support Care Cancer. 2019;27(12):4687-95. doi: https://doi.org/10.1007/s00520-019-04786-1 DOI: https://doi.org/10.1007/s00520-019-04786-1
Capozzi LC, McNeely ML, Lau HY, et al. Patient-reported outcomes, body composition, and nutrition status in patients with head and neck cancer: results from an exploratory randomized controlled exercise trial. Cancer. 2016;122(8):1185-200. doi: https://doi.org/10.1002/cncr.29863 DOI: https://doi.org/10.1002/cncr.29863
Pagola I, Morales JS, Alejo LB, et al. Concurrent exercise interventions in breast cancer survivors with cancer-related fatigue. Int J Sports Med. 2020;41(11):790-7. doi: https://doi.org/10.1055/a-1147-1513 DOI: https://doi.org/10.1055/a-1147-1513
Jong MC, Boers I, Schouten van der Velden AP, et al. A randomized study of yoga for fatigue and quality of life in women with breast cancer undergoing (Neo) adjuvant chemotherapy. J Altern Complement Med. 2018;24(9-10):942-53. doi: https://doi.org/10.1089/acm.2018.0191 DOI: https://doi.org/10.1089/acm.2018.0191
Dhruva A, Miaskowski C, Abrams D, et al. Yoga breathing for cancer chemotherapy-associated symptoms and quality of life: results of a pilot randomized controlled trial. J Altern Complement Med. 2012;18(5):473-9. doi: https://doi.org/10.1089/acm.2011.0555 DOI: https://doi.org/10.1089/acm.2011.0555
Chaoul A, Milbury K, Spelman A, et al. Randomized trial of Tibetan yoga in patients with breast cancer undergoing chemotherapy. Cancer. 2018;124(1):36-45. doi: https://doi.org/10.1002/cncr.30938 DOI: https://doi.org/10.1002/cncr.30938
Kiecolt-Glaser JK, Bennett JM, Andridge R, et al. Yoga’s impact on inflammation, mood, and fatigue in breast cancer survivors: a randomized controlled trial. J Clin Oncol. 2014;32(10):1040-9. doi: https://doi.org/10.1200/JCO.2013.51.8860 DOI: https://doi.org/10.1200/JCO.2013.51.8860
Taso CJ, Lin HS, Lin WL, et al. The effect of yoga exercise on improving depression, anxiety, and fatigue in women with breast cancer. J Nurs Res. 2014;22(3):155-64. doi: https://doi.org/10.1097/jnr.0000000000000044 DOI: https://doi.org/10.1097/jnr.0000000000000044
Bhatt AD, Goodwin N, Cash E, et al. Impact of transcutaneous neuromuscular electrical stimulation on dysphagia in patients with head and neck cancer treated with definitive chemoradiation. Head Neck. 2015;37(7):1051-6. doi: https://doi.org/10.1002/hed.23708 DOI: https://doi.org/10.1002/hed.23708
Baldwin ERL, Baldwin TD, Lancaster JS, et al. Neuromuscular electrical stimulation and exercise for reducing trapezius muscle dysfunction in survivors of head and neck cancer: a case-series report. Physiother Can. 2012;64(3):317-24. doi: https://doi.org/10.3138/ptc.2011-23O DOI: https://doi.org/10.3138/ptc.2011-23O
Langmore SE, McCulloch TM, Krisciunas GP, et al. Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: a randomized clinical trial. Head Neck. 2016;38(Suppl 1):E1221-31. doi: https://doi.org/10.1002/hed.24197 DOI: https://doi.org/10.1002/hed.24197
Stout NL, Baima J, Swisher AK, et al. A systematic review of exercise systematic reviews in the cancer literature (2005-2017). PM R. 2017;9(9S2):S347-84. doi: https://doi.org/10.1016/j.pmrj.2017.07.074 DOI: https://doi.org/10.1016/j.pmrj.2017.07.074
Cantwell M, Walsh D, Furlong B, et al. Healthcare professionals’ knowledge and practice of physical activity promotion in cancer care: challenges and solutions. Eur J Cancer Care (Engl). 2018;27(2):e12795. doi: https://doi.org/10.1111/ecc.12795 DOI: https://doi.org/10.1111/ecc.12795
Instituto Nacional de Câncer José Alencar Gomes da Silva. Dieta, nutrição, atividade física e câncer: uma perspectiva global: um resumo do terceiro relatório de especialistas com uma perspectiva brasileira [Internet]. Rio de Janeiro: INCA; 2020 [acesso 2022 ago 30]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/dieta_nutricao_atividade_fisica_e_cancer_resumo_do_terceiro_relatorio_de_especialistas_com_uma_perspectiva_brasileira.pdf
Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375-90. doi: https://doi.org/10.1249/MSS.0000000000002116 DOI: https://doi.org/10.1249/MSS.0000000000002116
World Cancer Research Fund International; American Institute for Cancer Research. Physical activity and the risk of cancer [Internet]. London: WCRF; 2018 [cited 2022 Aug 30]. Available from: https://www.wcrf.org/wp-content/uploads/2021/02/Physical-activity.pdf
Falvo MJ, Earhart GM. Six-minute walk distance in persons with parkinson disease: a hierarchical regression model. Arch Phys Med Rehabil. 2009;90(6):1004-8. doi: https://doi.org/10.1016/j.apmr.2008.12.018 DOI: https://doi.org/10.1016/j.apmr.2008.12.018
Wan Leung S, Lee TF, Chien CY, et al. Health-related quality of life in 640 head and neck cancer survivors after radiotherapy using EORTC QLQ-C30 and QLQ-H&N35 questionnaires. BMC Cancer. 2011;11:128. doi: https://doi.org/10.1186/1471-2407-11-128 DOI: https://doi.org/10.1186/1471-2407-11-128
Vartanian JG, Carvalho AL, Yueh B, et al. Brazilian-Portuguese validation of the University of Washington Quality of Life Questionnaire for patients with head and neck cancer. Head Neck. 2006;28(12):1115-21. doi: https://doi.org/10.1002/hed.20464 DOI: https://doi.org/10.1002/hed.20464
Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions. Version 5.1.0. London: Cochrane Collaboration; 2011 [cited 2022 Mar 11]. Available from: https://handbook-5-1.cochrane.org/whnjs.htm
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