Improving masticatory and swallowing ability of postoperative oral and maxillofacial tumor patients by telerehabilitation—A randomized controlled trial

• Published in: Clinical rehabilitation 2023-09, Vol.37 (9), p.1178-1188
• Main Authors: Pang, Pai, Lin, Shanfeng, Chen, Haiwei, Shan, Yubo, Sun, Changfu
• Format: Article
• Language: English
• Subjects: Ability; Biting; Clinical trials; Dysphagia; Head & neck cancer; Intervention; Mouth; Oral cancer; Rehabilitation; Self evaluation; Swallowing; Telemedicine; Tumors; Water
• ISSN: 0269-2155; 1477-0873
• DOI: 10.1177/02692155231166326

Objective To evaluate the effect of telerehabilitation on oral function of oral and maxillofacial tumor patients. Design Unicentral, single-blind, randomized controlled trial. Setting Community. Subjects Patients with primary oral and maxillofacial tumor receiving surgical treatment. Interventions Telerehabilitation guidance from therapists. Main measures At the beginning of training (T0) and 1 month (T1), 3 months (T2) and 6 months (T3) after training, patients’ masticatory ability (mastication efficiency—masticatory performance evaluating gum, maximum bite force and mouth opening) and swallowing ability (water swallowing test) was measured. Modified Sato questionnaire and MD Anderson dysphagia inventory (MDADI) were used for self-evaluation of masticatory and swallowing ability. Results A total of 64 participants (intervention: 33; control: 31) were included. The masticatory efficiency scores of the intervention group were significantly better than those of the control group at T2 (intervention: 3.67 (0.48); control: 3.03 (0.85)) and T3 (intervention: 4.20 (0.30); control: 3.50 (0.79)); and maximum mouth opening was better at T2 (intervention: 3.18 (0.59); control: 2.77 (0.54)) and T3 (intervention: 3.54 (0.58); control: 3.09 (0.41)). In water swallowing test, the intervention group had better scores at T2 and T3. The scores of MDADI scale in intervention group were better than those in the control group after 3 months of training. In subgroup analysis, the intervention group of oral cancer patients had better swallowing function at T2 and T3, but no significant difference was found in the subgroup of oropharyngeal cancer. Conclusions Telerehabilitation could greatly improve the long-term (3–6 months) training effect under the condition of greatly saving medical resources and reducing personnel contact.