A Randomized Feasibility Trial to Evaluate Use of the Jaw Dynasplint to Prevent Trismus in Patients With Head and Neck Cancer Receiving Primary or Adjuvant Radiation-Based Therapy.
Integr Cancer Ther
; 17(3): 960-967, 2018 09.
Article
em En
| MEDLINE
| ID: mdl-29952235
ABSTRACT
OBJECTIVE:
This study was designed to assess the feasibility of using the Jaw Dynasplint System as an adjunct to conventional stretching exercises as a preventative measure against trismus in patients undergoing radiotherapy.METHODS:
Study participants (n = 40) were randomized using a permuted block design to conventional stretching or stretching plus use of the Jaw Dynasplint 3 times per day for 30 minutes. Patients were instructed to record maximum interincisal opening each day as well as logging use of the Jaw Dynasplint.RESULTS:
At 6 months after initiation of the preventative regimen, 50% of patients in the Dynasplint arm and 75% in the conventional stretching arm remained on their assigned therapy. Trismus was diagnosed in 2 patients in the control arm and in 4 patients in the Dynasplint arm. Only 25% (95% confidence interval = 11.1, 46.9) of patients in the Dynasplint arm used the device as prescribed.CONCLUSIONS:
The addition of the Jaw Dynasplint decreased compliance compared with conventional stretching. It is unlikely that the prescribed regimen will prove efficacious as a preventative measure due to low compliance.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Contenções
/
Trismo
/
Neoplasias de Cabeça e Pescoço
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article