View : 607 Download: 0
Therapeutic Singing as a Swallowing Intervention in Head and Neck Cancer Patients With Dysphagia
- Title
- Therapeutic Singing as a Swallowing Intervention in Head and Neck Cancer Patients With Dysphagia
- Authors
- Jo, Seongmoon; Yeo, Myung Sun; Shin, Yoon-Kyum; Shin, Ki Hun; Kim, Se-Heon; Kim, Hye Ryun; Kim, Soo Ji; Cho, Sung-Rae
- Ewha Authors
- 김수지; 여명선
- SCOPUS Author ID
- 김수지; 여명선
- Issue Date
- 2021
- Journal Title
- INTEGRATIVE CANCER THERAPIES
- ISSN
- 1534-7354
1552-695X
- Citation
- INTEGRATIVE CANCER THERAPIES vol. 20
- Keywords
- head and neck cancer; deglutition disorders; laryngeal elevation; aspiration; singing
- Publisher
- SAGE PUBLICATIONS INC
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background: Head and neck cancer patients often suffer from dysphagia after surgery and radiotherapy. A singing-enhanced swallowing protocol was established to improve their swallowing function. This study aimed to evaluate the beneficial effects of therapeutic singing on dysphagia in head and neck cancer (HNC) patients. Methods: Patients who participated in this study were allocated to the intervention group (15 patients) and the control group (13 patients). Patients assigned to the intervention group received therapeutic singing 3 times per week for 4 weeks. Each group was divided into 2 subgroups, including the oral cavity cancer group and the pharyngeal cancer group. The patients' vocal functions were evaluated in maximum phonation time, pitch, intensity, jitter, shimmer, harmonics to noise ratio, and laryngeal diadochokinesis (L-DDK). To evaluate swallowing function, videofluoroscopic swallowing study was done, and the results were analyzed by videofluoroscopic dysphagia scale (VDS) and dynamic imaging grade of swallowing toxicity (DIGEST). Results: Among the voice parameters, L-DDK of the intervention group significantly increased compared to that of the control group. Swallowing functions of the intervention group were significantly improved in VDS and DIGEST after the intervention. Detailed items of VDS and DIGEST showed improvements especially in the pharyngeal phase score of VDS, such as laryngeal elevation, pharyngeal transit time, and aspiration. In addition, the pharyngeal cancer group showed significant improvements in VDS and DIGEST scores after the intervention. Conclusions: Our outcomes highlight the beneficial effects of singing for HNC patients with dysphagia. The notable improvements in the pharyngeal phase suggest that therapeutic singing would be more appropriate for HNC patients who need to improve their intrinsic muscle movements of vocal fold and laryngeal elevation.
- DOI
- 10.1177/15347354211065040
- Appears in Collections:
- 교육대학원 > 교육학과 > Journal papers
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML