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 |
Issue Date: | 2018 | Source: | British journal of oral and maxillofacial surgery, May 2018, v. 56, no. 4, p. 283-291 | 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. | Keywords: | Trismus Head and Neck cancer Randomised trial Feasibility Health economics Exercises |
Publisher: | Churchill Livingstone | Journal: | British journal of oral and maxillofacial surgery | 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 |
| Appears in Collections: | Journal/Magazine Article |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Lee_Therabite_Wooden_Spatulas.pdf | 1.13 MB | Adobe PDF | View/Open |
Access
View full-text via PolyU eLinks 
Page views
80
Last Week
2
2
Last month
Citations as of May 28, 2023
Downloads
147
Citations as of May 28, 2023
SCOPUSTM
Citations
29
Citations as of Jun 2, 2023
WEB OF SCIENCETM
Citations
22
Last Week
0
0
Last month
Citations as of Jun 1, 2023
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.