Background:
This study evaluates the feasibility of providing an education-based rehabilitation intervention targeting physical function in the acute surgical setting for patients with head and neck cancer.
Methods:
This single arm prospective feasibility study involved the provision of an exercise booklet and a once-off standardized treatment session 4-6 weeks post-operatively. Outcomes collected prior to surgery (T1) and 16-18 weeks post-surgery (T2) included lymphoedema screening questions, 30 second sit to stand test, upper limb function, quality of Life, and physical activity.
Results:
Participants (n=26) were 42% male, with a mean of 65.96 years (SD 8.99, range 44-80). Tongue cancer (n=10, 38%) was most prevalent type of HNC. A greater number of patients had positive subjective signs of lymphoedema at T2 (0%, T1 vs 46%,T2, p= 0.000512). The median DASH score of participants at T1 was significantly lower than scores at T2 (p=0.000488). There was no change to physical function or quality of life (p>0.05) between T1 and T2. In total 88% of participants (n=23) reported use of the booklet in their recovery.
Conclusion:
It appears feasible and acceptable to provide patients with head and neck cancer with a rehabilitation education session and booklet in the acute post-operative phase.