{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:08:05Z","timestamp":1790204885959,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2015,10,15]],"date-time":"2015-10-15T00:00:00Z","timestamp":1444867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Neuromuscular electrical stimulation (NMES) is a highly sought after but poorly studied treatment for dysphagia among patients with head and neck cancer with dysphagia. This study investigated the efficacy of NMES in this patient population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this double\u2010blinded, randomized controlled trial, 170 patients with head and neck cancer experiencing posttreatment dysphagia were randomized into active NMES\u2009+\u2009swallow exercise versus sham NMES\u2009+\u2009swallow exercise groups. Outcomes after a 12\u2010week program included changes in fluoroscopy measures, diet, and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the 12\u2010week program, the active NMES group had significantly worse Penetration Aspiration Scale scores than the sham group. Both groups reported significantly better diet and quality of life. No other measures were significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>NMES did not add benefit to traditional swallow exercises. Unfortunately, swallow exercises were not effective by themselves either. For patients with head and neck cancer with moderate to severe dysphagia caused by radiation therapy, current behavioral therapies are of limited help in reversing long\u2010term dysphagia. \u00a9 2015 Wiley Periodicals,<jats:italic>Head Neck<\/jats:italic><jats:bold>38<\/jats:bold>: E1221\u2013E1231, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24197","type":"journal-article","created":{"date-parts":[[2015,10,15]],"date-time":"2015-10-15T16:23:56Z","timestamp":1444926236000},"source":"Crossref","is-referenced-by-count":89,"title":["Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: A randomized clinical trial"],"prefix":"10.1002","volume":"38","author":[{"given":"Susan E.","family":"Langmore","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Boston University School of Medicine Boston Massachusetts"},{"name":"Department of Speech Language Hearing Boston University Boston 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