Frequency of functional and muscular changes after head and neck radiation therapy. A cross-sectional study / Frequência de alterações funcionais e musculares após radioterapia de cabeça e pescoço. Um estudo transversal

Authors

  • Eloisa Aparecida Nelli
  • Debora Foger
  • Paulo Sérgio da Silva Santos

DOI:

https://doi.org/10.34117/bjdv6n7-875

Keywords:

Head and neck neoplasms, Radiotherapy, Physical therapy specialty, Quality of life.

Abstract

Head and neck cancer is considered a mutilating disease, the therapeutic modalities for treatment include surgical, radiotherapeutic and chemotherapeutic procedures. The aim was to evaluate functional and muscular alterations in the head, neck, scapular girdle and upper extremities of individuals with head and neck cancer after radiotherapy. Cross-sectional study with retrospective data. Seventy-one medical charts were selected, analyzing in each of them the routine of the physiotherapeutic diagnosis of patients that includes information about the disease, physical examination and diagnosis of pain and limitation of movement. The results showed muscular alterations in all patients, most of the changes occurred in the area close to the irradiated site, such as the trapezius (90.1%) and pectoral (80.3%) muscles. All patients underwent radiotherapy, 29 (40.8%) used conventional cobalt therapy and 42 (59.2%) intensity-modulated radiation therapy (IMRT). The most used dose among the patients was 6,300 cGy. The Bisserial Correlation Test showed a correlation between the dose of radiotherapy and the segments: temporomandibular dysfunction, sternocleidomastoid, trapezius, pectoralis, cervical, shoulder, winged scapula, and sensory alterations. Radiation therapy in head and neck cancer causes functional and muscular changes in the irradiated regions. The present study showed that areas that were not directly irradiated should be better studied.

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Published

2020-08-03

How to Cite

Nelli, E. A., Foger, D., & Santos, P. S. da S. (2020). Frequency of functional and muscular changes after head and neck radiation therapy. A cross-sectional study / Frequência de alterações funcionais e musculares após radioterapia de cabeça e pescoço. Um estudo transversal. Brazilian Journal of Development, 6(7), 53917–53930. https://doi.org/10.34117/bjdv6n7-875

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Section

Original Papers