Indian Journal of Palliative Care
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Year : 2020  |  Volume : 26  |  Issue : 3  |  Page : 385--387

Respiratory muscle function and exercise capacity in a stage 4 head and neck cancer patient receiving chemoradiotherapy

1 Department of Physiotherapy, KMC, Mangalore, Karnataka, India
2 Department of Radio Diagnosis, KMC, Mangalore, Karnataka, India
3 Department of Radiotherapy and Oncology, KMC, Mangalore, Manipal Academy of Higher Education, Mangalore, Karnataka, India
4 Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, UAE

Correspondence Address:
Stephen Rajan Samuel
Department of Physiotherapy, KMC, MAHE, Mangalore, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPC.IJPC_210_19

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Background: Reduced physical and functional capacity is one of the main treatment-related side effects of chemoradiation therapy in head-and-neck cancer patients. We evaluated a case of a head-and-neck cancer patient who was undergoing chemoradiation and was assessed for various components of cardiopulmonary function that plays a vital role in the treatment prognosis. The aim of this case report was to evaluate the respiratory muscle function and exercise capacity of a head-and-neck cancer patient receiving chemoradiation therapy. Settings and Design: From among the newly diagnosed admitted to the hospital care, a 60-year-old male with supraglottic carcinoma, who was undergoing concomitant chemoradiation for 7 weeks, was evaluated for various components of cardiopulmonary function. Subjects and Methods: Outcomes assessed were diaphragm function (mobility and thickness), maximal inspiratory pressure and maximal expiratory pressure, and 6-min walk test at baseline (pre), after 3 weeks, and after 7 weeks of chemoradiation therapy. The data were quantitatively analyzed to interpret the difference of respiratory muscle function and exercise capacity. Results: Evaluation of these outcomes showed a significant decrease from the baseline till the end of the 7th week. Conclusions: Therefore, concomitant chemoradiation therapy substantially decreased the respiratory muscle function and exercise capacity in the head-and-neck cancer patient.


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