About this trial
This study examines the effects of AI-based physiotherapy on oral function, shoulder function, whole-body physical function, and quality of life in oral cancer patients. One hundred patients will be recruited before surgery, chemotherapy, or radiotherapy and randomly assigned to an experimental group receiving 12 weeks of AI-guided physiotherapy or a control group receiving usual care. Both groups will perform jaw, neck, and shoulder exercises, with the experimental group using a mobile app to monitor progress. Assessments at baseline, pre-intervention, and 3 months post-intervention will measure maximal in the maximum interincisal opening (MIO), joint range of motion (ROM), pain, endurance (e.g., 6-minute walk test), upper extremity function, and quality of life.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Newly diagnosed oral cancer patients who are scheduled to receive cancer-related treatments (e.g., oral cancer surgery, radiotherapy, chemotherapy, or chemoradiotherapy).
Age between 20 and 65 years.
Disqualifiers
Could not communicate.
Had any disorder that could influence movement performance.
Trial design
Parallel
Treatments tested in this trial
AI-based physiotherapy
Behavioraljaw, neck, shoulder ROM exercises, and scapular-focused exercises guided by AI technology, 30 minutes of intervention, once a week, and a total of 12 weeks
Conventional physiotherapy
Behavioraljaw, neck, shoulder ROM exercises, and scapular-focused exercises, 30 minutes of intervention, once a week, and a total of 12 weeks
Scar management
Behavioralscar massage and jaw-mobilizing exercises combined with devices or depressors
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline in maximal mouth opening
Average maximal mouth opening measured 3 times in mm
Change from baseline in shoulder joint range of motion
Average range of motion of shoulder abduction measured 3 times in degrees
Secondary outcomes
Change from baseline in function on Disabilities of the Arm, Shoulder, and Hand outcome questionnaire
A total scale from 1 to 100. Higher scores indicate greater disability.
Change from baseline in health-related function on EORTC QLQ-C30 questionnaire
A total scale from 1 to 100. Higher scores indicate greater function.
Change from baseline in whole-body physical function on 6-minute walk test
Walking distance measured in meters.
Change from baseline in shoulder pain
Visual analog scale from 0 to 10. Higher scores indicate most pain.
Sponsors and contacts
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