{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:27:09Z","timestamp":1786692429142,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016669","name":"Sj\u00f6bergstiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016669","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>Radiation\u2010associated dysphagia is common after radiotherapy for head and neck cancer and may occur early or years later. The effect of preventive exercises might be undermined by poor adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the effect of a simple preventive exercise protocol on swallowing function up to 12\u2009months after radiotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients were randomized to an active group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945) or control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944). The active group performed preventive exercises including the tongue hold exercise. Assessments were conducted before radiotherapy and at 1, 6, and 12\u2009months post\u2010treatment using the Penetration\u2010Aspiration Scale, DIGEST\u2010FEES, and the M. D. Anderson dysphagia inventory.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No significant differences were found between groups. However, participants with \u2265\u200975% adherence in the active group showed significantly less deterioration at 12\u2009months on the penetration\u2013aspiration scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, no significant effect on swallowing function was demonstrated. However, results indicate that high adherence reduces deterioration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70407","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:38:26Z","timestamp":1786689506000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Twelve\u2010Month Outcomes of a Preventive Dysphagia Intervention in Patients With Head and Neck Cancer\u2014A Randomized Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4171-5454","authenticated-orcid":false,"given":"Kerstin","family":"Petersson","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Sahlgrenska University Hospital, Region V\u00e4stra G\u00f6taland  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Signe R\u00f6dseth","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Sahlgrenska University Hospital, Region V\u00e4stra G\u00f6taland  Gothenburg Sweden"},{"name":"Department of Health and Rehabilitation Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7929-6777","authenticated-orcid":false,"given":"Charlotte","family":"Johansson\u2010Malmeling","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Sahlgrenska University Hospital, Region V\u00e4stra G\u00f6taland  Gothenburg Sweden"},{"name":"Department of Health and Rehabilitation Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6642-930X","authenticated-orcid":false,"given":"Caterina","family":"Finizia","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Sahlgrenska University Hospital, Region V\u00e4stra G\u00f6taland  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2081-3589","authenticated-orcid":false,"given":"Lisa","family":"Tuomi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Sahlgrenska University Hospital, Region V\u00e4stra G\u00f6taland  Gothenburg Sweden"},{"name":"Department of Health and Rehabilitation Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"issue":"11","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"3880","DOI":"10.1002\/hed.25923","article-title":"Swallowing\u2010Related Outcomes Associated With Late Lower Cranial Neuropathy in Long\u2010Term Oropharyngeal Cancer Survivors: Cross\u2010Sectional Survey Analysis","volume":"41","author":"Aggarwal P.","year":"2019","journal-title":"Head & Neck"},{"issue":"3","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1002\/hed.70065","article-title":"Patient\u2010Reported Dysphagia and Swallowing\u2010Related Quality of Life up to 10\u2009Years After (Chemo)radiotherapy for Head and Neck Cancer: A Cross\u2010Sectional Study","volume":"48","author":"Frowen J. 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