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    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.

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    Authors
    Lee, Rana
    Yeo, S
    Rogers, S
    Caress, A
    Molassiotis, A
    Ryder, W David J
    Sanghera, P
    Lunt, Christopher
    Scott, B
    Keeley, P
    Edwards, R
    Slevin, Nicholas J
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    Affiliation
    The Christie, Research and Development, Manchester, United Kingdom
    Issue Date
    2018-03-08
    
    Metadata
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    Abstract
    Our aim was to compare the efficacy of the Therabite®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®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®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.
    Citation
    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. 2018, Br J Oral Maxillofac Surg
    Journal
    The British Journal of Oral & Maxillofacial Surgery
    URI
    http://hdl.handle.net/10541/620881
    DOI
    10.1016/j.bjoms.2018.02.012
    PubMed ID
    29526341
    Type
    Article
    Language
    en
    ISSN
    1532-1940
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.bjoms.2018.02.012
    Scopus Count
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    All Christie Publications

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