Evidence map›Paper›PMID 41915079›Full record

Trial reportClinical oral investigations2026

Preventive exercise intervention for trismus in head and neck cancer - a randomized study : Preventive exercise intervention for trismus.

Nina Pauli, Lisa Tuomi, Ellen Lindell, Helen Larsson, Caterina Finizia

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nina PauliRegion Västra Götaland, Department of Otorhinolaryngology, Head and Neck Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden. nina.pauli@vgregion.se.
Lisa TuomiDepartment of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, S-41345, Sweden.
Ellen LindellDepartment of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, S-41345, Sweden.
Helen LarssonDepartment of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, S-41345, Sweden.
Caterina FiniziaRegion Västra Götaland, Department of Otorhinolaryngology, Head and Neck Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the study was to investigate the effect of preventive exercise therapy on radiation-induced trismus in head and neck cancer. MATERIALS AND

methodsEighty-nine patients (n = 89) with newly diagnosed head and neck cancer were included and randomized to either the preventive exercise intervention group (n = 45) or the control group. (n = 44). The intervention group was instructed to perform jaw opening exercises once daily.

resultsNo differences were found in mouth opening capacity between the intervention and the control groups in the first year after oncological treatment. At the 6-month follow-up, the prevalence of trismus was 7% and 19% in the intervention and the control groups, respectively, and at the 12-month follow-up, 7% and 3%, respectively; these differences were not statistically significant.

conclusionPreventive exercise was not effective in improving trismus and mouth opening-related outcomes in this randomized study. A surprisingly low prevalence of trismus was seen in both groups in the first year after radiotherapy. CLINICAL RELEVANCE: There is reason to believe that newer radiotherapy regimens have reduced radiation trismus in HNC. Although prophylactic intervention does not appear to influence mouth opening capacity, it is important to carefully monitor mouth opening in patients undergoing radiotherapy for HNC. Early detection of a reduction in MIO can permit early initiation of exercise interventions for trismus.

Indexed as

Exercise TherapyHead and Neck NeoplasmsTrismusAgedFemaleHumansMaleMiddle AgedTreatment OutcomeHead and neck cancerhealth-related quality of lifepreventive exerciseradiotherapytrismus

Identifiers

PMID41915079
PMCPMC13038768

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.