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
Article first published online: 10 MAY 2004
Copyright © 2004 Wiley Periodicals, Inc.
Head & Neck
Volume 26, Issue 6, pages 518–530, June 2004
How to Cite
McNeely, M. L., Parliament, M., Courneya, K. S., Seikaly, H., Jha, N., Scrimger, R. and Hanson, J. (2004), 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, 26: 518–530. doi: 10.1002/hed.20010
- Issue published online: 20 MAY 2004
- Article first published online: 10 MAY 2004
- Manuscript Accepted: 12 MAY 2003
- In part by an Alberta Research Award administered by the Physiotherapy Foundation of Canada. Kerry S. Courneya is supported by an Investigator Award from the Canadian Institutes of Health Research and a Research Team Grant from the National Cancer Institute of Canada (NCIC) with funds from the Canadian Cancer Society (CCS) and the CCS/NCIC Sociobehavioral Cancer Research Network. We thank Rebecca McKeever, BScPT for assisting with the exercise supervision and data management
- physical therapy techniques;
- accessory nerve;
- neck dissection;
- shoulder pain
Shoulder dysfunction remains a frequent complication after neck dissection procedures for head and neck cancer.
We conducted a pilot study to evaluate the effects of progressive resistance exercise training (PRET) on shoulder dysfunction caused by spinal accessory neurapraxia/neurectomy in patients with head and neck cancer. Twenty patients (mean age, 61 ± 7.7 years) were randomly assigned to PRET or standard care intervention. Subjects assigned to the PRET group exercised three times per week for 12 weeks. The goal of the exercise program was to enhance scapular stability and strength of the upper extremity. The resistance-training program was progressive in terms of number of sets and repetitions performed, as well as the amount of weight lifted, depending on performance status.
The completion rate for the trial was 85% (17 of 20). The exercise group completed 93% of scheduled exercise sessions. Significant improvements were found in favor of the PRET group in active shoulder external rotation (p = .001), shoulder pain (p = .038), and overall score for shoulder pain and disability (p = .045).
The study results demonstrate a high rate of completion and adherence with our PRET program among patients with head and neck cancer. The preliminary findings, although limited, also suggest a potential therapeutic role for resistance exercise as an adjunct to standard physical therapy treatment. © 2004 Wiley Periodicals, Inc. Head Neck26: 518–530, 2004