Abstract：
Understanding the barriers and facilitators for prophylactic swallowing and trismus exercises for patients undergoing radiation to the head and neck may help exercise adherence. The analysis reviews all published reports of exercise adherence with a critical appraisal following PRISMA guidelines. A total of 137 potential papers were identified; 20 studies met the inclusion criteria. The most commonly reported facilitators for swallowing and trismus exercises were regular clinician contact and online resources to reinforce instructions, set goals, and manage radiation toxicities. Social support and perceived benefit from exercises were also reported to be of help. The most common barriers to exercise were radiation toxicities, anxiety, feeling overwhelmed with information, and not understanding the reason for the exercises. Understanding facilitators and barriers to adherence is critical when designing exercise interventions for patients undergoing radiation for head and neck cancer.
摘要：
了解接受头颈部辐射的患者的预防性吞咽和三联肌锻炼的障碍和促进因素可能有助于锻炼依从性。该分析审查了所有已发布的运动依从性报告，并根据PRISMA指南进行了严格评估。共确定了137篇潜在论文；20项研究符合纳入标准。最常报道的吞咽和牙关练习的促进者是定期的临床医生联系和在线资源，以加强指导，设定目标,管理辐射毒性。据报道，社会支持和锻炼带来的好处也有所帮助。运动最常见的障碍是辐射毒性，焦虑,感觉被信息淹没了，不理解练习的原因。在为接受头颈部癌症放射治疗的患者设计运动干预措施时，了解促进者和依从性障碍至关重要。
