{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T06:52:07Z","timestamp":1781506327040,"version":"3.54.1"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T00:00:00Z","timestamp":1781395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T00:00:00Z","timestamp":1781395200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002794","name":"Cancerfonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005009","name":"Stiftelsen Assar Gabrielssons Fond","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dysphagia is a common side\u2010effect after radiotherapy in head and neck cancer patients. This randomized study aimed to evaluate the effect of the shaker head\u2010lift exercise (HLE) after 12\u2009months with flexible endoscopic evaluation of swallowing (FEES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients were randomly assigned to the intervention (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) or the control (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931) group. The primary outcome was change according to the Penetration Aspiration Scale (PAS) at 12\u2009months. Secondary outcomes included change according to the dynamic imaging grade of swallowing toxicity for flexible endoscopic evaluation of swallowing (DIGEST\u2010FEES) at 8\u2009weeks and 12\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intention\u2010to\u2010treat analysis revealed no significant difference between the intervention and control groups regarding the change in the PAS score from baseline to 12\u2009months. Swallowing safety improved significantly in the control group at the 8\u2010week follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HLE does not seem to improve swallowing function in individuals with radiation\u2010induced dysphagia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70352","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T05:55:49Z","timestamp":1781502949000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment With the Shaker Head\u2010Lift Exercise in Head and Neck Cancer Patients With Radiation\u2010Induced Dysphagia: 12\u2010Month Results on Swallowing Function From a Randomized, Controlled Trial"],"prefix":"10.1002","author":[{"given":"Signe","family":"R\u00f6dseth 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