{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:51:51Z","timestamp":1791982311715,"version":"4.4.0"},"reference-count":42,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic dysphagia persists in some head and neck cancer (HNC) survivors despite preventive exercises, negatively impacting quality of life. Evidence for effective rehabilitation strategies remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study included 34 HNC survivors (\u2265\u20091\u2009year post\u2010treatment) who completed a 3\u2010week intensive swallowing rehabilitation (ISR) program (15 sessions, 60\u2009min\/day). Outcomes were measured at baseline (T0), post\u2010treatment (T1), and 6\u2010month follow\u2010up (T2) using patient\u2010rated (VAS, MDADI, PSS\u2010HN), clinician\u2010rated (food level, AUS\u2010TOM), and objective swallowing outcomes (MSS, MSV, TOMASS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ISR was feasible and safe (92% completion, no adverse events). Patient\u2010rated and most clinician\u2010rated outcomes improved significantly post\u2010ISR and remained stable at 6\u2009months (VAS:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; PSS\u2010HN:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; food level:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). MDADI and AUS\u2010TOM for solids further improved at follow\u2010up. Objective swallowing tests showed no clinically relevant change.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ISR effectively improves normalcy of diet and quality of life in HNC survivors with chronic dysphagia, with benefits sustained at 6\u2009months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70271","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:11:44Z","timestamp":1775805104000},"page":"2617-2626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intensive Swallowing Rehabilitation for Head and Neck Cancer Survivors With Chronic Dysphagia: Outcomes From a Prospective Multicentre Cohort Study With 6\u2010Month Follow\u2010Up"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6864-3875","authenticated-orcid":false,"given":"J. I.","family":"Oldenbeuving","sequence":"first","affiliation":[{"name":"Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"van der Molen","sequence":"additional","affiliation":[{"name":"Antoni Van Leeuwenhoek \u2010 Netherlands Cancer Institute, Department of Head and Neck Oncology and Surgery  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. T.","family":"Groothuis","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. G.","family":"Kalf","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23306"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30283"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2008.05.010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489418804260"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2007.06.004"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2007.33"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25412"},{"issue":"1","key":"e_1_2_9_9_1","article-title":"Correlation Between Swallowing\u2010Related Quality of Life and Videofluoroscopy After Head and Neck Cancer Treatment","volume":"29","author":"Andrade M. 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