COMPLETED

An Exercise Prehabilitation Intervention for Improving Mobility and Recovery Outcomes in Patients Undergoing Head and Neck Cancer Surgery

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This clinical trial evaluates a prehabilitation exercise intervention for improving mobility and recovery outcomes in patients undergoing surgery for head and neck cancer. Prehabilitation focuses on optimizing health before surgery in order to improve outcomes after surgery. Prehabilitation may include aspects of nutrition, exercise, mental health, or a combination of these. Exercise has been proven to improve anxiety, depression, fatigue, health related quality of life, and physical function among patients undergoing cancer treatment, as well as cancer survivors. The prehabilitation exercise intervention being studied includes a daily walking program, sit-to-stand training, and standing therapeutic exercises before patients undergo surgery. Receiving this prehabilitation exercise intervention prior to surgery may improve mobility and recovery outcomes in patients after surgery for head and neck cancer.

Official Title

The Effect of Exercise Prehabilitation on Post-Operative Recovery After Head and Neck Cancer Surgery

Quick Facts

Study Start:2024-02-01

Study Completion:2025-07-15

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:COMPLETED

Study ID

NCT06079697

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 89 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
* Older than 18 years of age and younger than 89 years of age. Both men and women and members of all races and ethnic groups may be included * Planned to undergo major head and neck cancer surgery with free tissue transfer reconstruction at Oregon Health and Science University (OHSU) with the Department of Otolaryngology-Head and Neck Surgery with an expected length of stay (LOS) of 3 days or more * Ability to understand and the willingness to sign a written informed consent document	* Non-English speaking * Planned postoperative admission to the intensive care unit (ICU) * Social or psychiatric conditions that may interfere with compliance * Further exclusion criteria may be applied due to conditions that may impact the ability to safely exercise as well as utilize the Fitbit devices: * Symptoms of or ongoing work-up for unstable angina, uncontrolled tachyarrhythmias, decompensated heart failure, severe aortic stenosis, hypertrophic obstructive cardiomyopathy, uncontrolled hypertension (HTN), uncontrolled pulmonary HTN or uncontrolled asthma * History of chest pain, dizziness or syncope with exercise * Bony metastases to the spine or extremities * Falls in the last year * Cognitive impairments limiting safety or ability to use technology * Impaired mobility requiring the use of assistive devices, such as use of a walker or wheelchair at baseline * Isolation precautions, as they would not be allowed to ambulate on a patient floor post-operatively

Inclusion Criteria

Exclusion Criteria

* Older than 18 years of age and younger than 89 years of age. Both men and women and members of all races and ethnic groups may be included
* Planned to undergo major head and neck cancer surgery with free tissue transfer reconstruction at Oregon Health and Science University (OHSU) with the Department of Otolaryngology-Head and Neck Surgery with an expected length of stay (LOS) of 3 days or more
* Ability to understand and the willingness to sign a written informed consent document

* Non-English speaking
* Planned postoperative admission to the intensive care unit (ICU)
* Social or psychiatric conditions that may interfere with compliance
* Further exclusion criteria may be applied due to conditions that may impact the ability to safely exercise as well as utilize the Fitbit devices:
* Symptoms of or ongoing work-up for unstable angina, uncontrolled tachyarrhythmias, decompensated heart failure, severe aortic stenosis, hypertrophic obstructive cardiomyopathy, uncontrolled hypertension (HTN), uncontrolled pulmonary HTN or uncontrolled asthma
* History of chest pain, dizziness or syncope with exercise
* Bony metastases to the spine or extremities
* Falls in the last year
* Cognitive impairments limiting safety or ability to use technology
* Impaired mobility requiring the use of assistive devices, such as use of a walker or wheelchair at baseline
* Isolation precautions, as they would not be allowed to ambulate on a patient floor post-operatively

Contacts and Locations

Principal Investigator

Ryan J Li

PRINCIPAL_INVESTIGATOR

OHSU Knight Cancer Institute

Study Locations (Sites)

OHSU Knight Cancer Institute

Portland, Oregon, 97239

United States

Collaborators and Investigators

Sponsor: OHSU Knight Cancer Institute

Ryan J Li, PRINCIPAL_INVESTIGATOR, OHSU Knight Cancer Institute

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-02-01

Study Completion Date2025-07-15

Study Record Updates

Study Start Date2024-02-01

Study Completion Date2025-07-15

Terms related to this study

Additional Relevant MeSH Terms

Head and Neck Carcinoma