Head & Neck Cancer Survivorship: Physical and Functional Status
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Purpose
RATIONALE: Early physical therapy may be effective in improving range of motion of the neck and shoulders in head and neck cancer survivors who are undergoing chemotherapy and radiation therapy.
PURPOSE: This phase I trial is studying how well early physical therapy works in improving physical and functional well-being in head and neck cancer survivors receiving chemoradiotherapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Head and Neck Cancer |
Drug: systemic chemotherapy Other: survey administration Procedure: adjuvant therapy Procedure: management of therapy complications Procedure: musculoskeletal complications management/prevention Procedure: physical therapy Radiation: radiation therapy |
Phase 1 |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Head & Neck Cancer Survivorship: Physical and Functional Status |
- Physical and functional well-being during adjuvant chemoradiotherapy [ Time Frame: 2 weeks after completing treatment ] [ Designated as safety issue: No ]
- Range of motion for the cervical spine and shoulder during adjuvant chemoradiotherapy [ Time Frame: 2 weeks after completing treatment ] [ Designated as safety issue: No ]
- Feasibility of an early physical therapy intervention [ Time Frame: 2 weeks after completing treatment ] [ Designated as safety issue: No ]
| Enrollment: | 23 |
| Study Start Date: | June 2008 |
| Estimated Study Completion Date: | June 2014 |
| Primary Completion Date: | February 2009 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| Supportive Care |
Drug: systemic chemotherapy
Not specified
Other Name: none noted
Other: survey administration
will be administered before, during, and after medical intent-to-cure treatment to describe head and neck cancer survivors' physical and functional well-being.
Other Name: none noted
Procedure: adjuvant therapy
not specified
Other Name: none noted
Procedure: management of therapy complications
not specified
Other Name: None noted
Procedure: musculoskeletal complications management/prevention
Not specified
Other Name: none noted
Procedure: physical therapy
weekly visits coordinated with adjuvant treatment as part of standard care
Other Name: none noted
Radiation: radiation therapy
not specified
Other Name: none noted
|
Detailed Description:
OBJECTIVES:
- Describe the physical and functional well-being of head and neck cancer (HNC) survivors undergoing physical therapy during adjuvant chemoradiotherapy.
- Describe clinical measure of range of motion for the cervical spine and shoulder of HNC survivors undergoing physical therapy during adjuvant chemoradiotherapy.
- Determine the feasibility of an early physical therapy intervention (prior to and during adjuvant treatment) targeting the physical needs of HNC survivors.
OUTLINE: Patients undergo physical therapy weekly for 10 weeks beginning 1 week prior to initiating adjuvant chemoradiotherapy and continuing until 2 weeks after the completion of adjuvant chemoradiotherapy.
Patients undergo range of motion assessment and complete a Cancer Survivorship Survey (CSS) at baseline and in weeks 4, 8, 9, and 10 of physical therapy.
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Head and Neck Cancer Patients
Inclusion Criteria:
DISEASE CHARACTERISTICS:
- Head and neck cancer survivor
Planning to receive adjuvant chemoradiotherapy for head and neck cancer
- Has not yet initiated adjuvant therapy
- Referred to rehabilitation oncology physical therapy program
Exclusion Criteria:
- No metastatic disease
- No CNS cancer
PATIENT CHARACTERISTICS:
- Speaks English
- No significant history of cardiovascular or neurovascular disease involving disability
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Not currently in hospice care
Contacts and Locations| United States, Tennessee | |
| Vanderbilt-Ingram Cancer Center - Cool Springs | |
| Nashville, Tennessee, United States, 37064 | |
| Vanderbilt-Ingram Cancer Center at Franklin | |
| Nashville, Tennessee, United States, 37064 | |
| Vanderbilt-Ingram Cancer Center | |
| Nashville, Tennessee, United States, 37232-6838 | |
| Study Chair: | Ann Marie Flores, Ph.D. | Vanderbilt-Ingram Cancer Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | Ann Marie Flores, Ph.D., Vanderbilt-Ingram Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00751816 History of Changes |
| Other Study ID Numbers: | CDR0000613863, VU-VICC-SUPP-0843 |
| Study First Received: | September 11, 2008 |
| Last Updated: | January 3, 2011 |
| Health Authority: | United States: Federal Government |
Keywords provided by Vanderbilt University:
|
salivary gland acinic cell tumor musculoskeletal complications stage I squamous cell carcinoma of the hypopharynx stage II squamous cell carcinoma of the hypopharynx stage III squamous cell carcinoma of the hypopharynx stage IV squamous cell carcinoma of the hypopharynx stage I squamous cell carcinoma of the larynx stage I verrucous carcinoma of the larynx stage II squamous cell carcinoma of the larynx stage II verrucous carcinoma of the larynx stage III squamous cell carcinoma of the larynx stage III verrucous carcinoma of the larynx stage IV squamous cell carcinoma of the larynx stage IV verrucous carcinoma of the larynx stage I adenoid cystic carcinoma of the oral cavity |
stage I mucoepidermoid carcinoma of the oral cavity stage I verrucous carcinoma of the oral cavity stage II adenoid cystic carcinoma of the oral cavity stage II mucoepidermoid carcinoma of the oral cavity stage II verrucous carcinoma of the oral cavity stage III adenoid cystic carcinoma of the oral cavity stage III mucoepidermoid carcinoma of the oral cavity stage III verrucous carcinoma of the oral cavity stage IV adenoid cystic carcinoma of the oral cavity stage IV mucoepidermoid carcinoma of the oral cavity stage IV verrucous carcinoma of the oral cavity stage I squamous cell carcinoma of the lip and oral cavity stage II squamous cell carcinoma of the lip and oral cavity stage III squamous cell carcinoma of the lip and oral cavity stage IV squamous cell carcinoma of the lip and oral cavity |
Additional relevant MeSH terms:
|
Head and Neck Neoplasms Neoplasms by Site Neoplasms Adjuvants, Immunologic |
Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013