Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/78465
Title: Randomised feasibility study to compare the use of Therabite (R) with wooden spatulas to relieve and prevent trismus in patients with cancer of the head and neck
Authors: Lee, R
Yeo, ST
Rogers, SN
Caress, AL
Molassiotis, A 
Ryder, D
Sanghera, P
Lunt, C
Scott, B
Keeley, P
Edwards, RT
Slevin, N
Keywords: Trismus
Head and Neck cancer
Randomised trial
Feasibility
Health economics
Exercises
Issue Date: 2018
Publisher: Churchill Livingstone
Source: British journal of oral and maxillofacial surgery, May 2018, v. 56, no. 4, p. 283-291 How to cite?
Journal: British journal of oral and maxillofacial surgery 
Abstract: Our aim was to compare the efficacy of the Therabite (R) jaw motion rehabilitation system (Atos Medical) with that of wooden spatulas to relieve and prevent trismus in patients who have had radiotherapy for stage three and four oral and oropharyngeal cancer. Secondary aims were to assess the feasibility and the impact of exercise on health-related quality of life (QoL), and the use of health services after treatment. We designed a randomised, open-label, controlled, three-centre feasibility study to compare the effectiveness and cost of the Therabite (R) and wooden spatulas. We studied compliance with exercises and health-related QoL, assessed cost using three health economics measures, and conducted semistructured interviews with patients. Patients were randomised into two groups: the Therabite (R) group (n = 37) and the wooden spatula group (n = 34). All patients had some sense of jaw tightening before the study started. Mean mouth opening after six months increased in both groups, but the difference between the groups was not significant (p = 0.39). Completion rates for the three economic measures were good. There was no significant difference between the two groups in frequency of contact with care services or in QoL. Exercises during and after radiotherapy can ameliorate trismus in patients with stage three and four oral and oropharygeal cancers, but differences between groups in efficacy, compliance, QoL, or use of hospital or community health services, were not significant.
URI: http://hdl.handle.net/10397/78465
EISSN: 0266-4356
DOI: 10.1016/j.bjoms.2018.02.012
Rights: © 2018 The Authors. Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons. This is an open access article under the CC BY-NC-ND license (http://creativ commons.org/licenses/by-nc-nd/4.0/)
The following publication Lee, R., Yeo, S. T., Rogers, S. N., Caress, A. L., Molassiotis, A., Ryder, D., . . . Slevin, N. (2018). Randomised feasibility study to compare the use of therabite® with wooden spatulas to relieve and prevent trismus in patients with cancer of the head and neck. British Journal of Oral and Maxillofacial Surgery, 56(4), 283-291 is available at https://dx.doi.org/10.1016/j.bjoms.2018.02.012
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