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NCT Number: NCT07504809

Research on the Effectiveness of Remote Rehabilitation l for Shoulder and Neck Recovery in Oral Cancer Patients After Selective Neck Dissection

Consecutive patients undergoing oral cancer treatment at the hospital were enrolled and randomly assigned to either a control group or an experimental group using a random number table. The control group received standard postoperative rehabilitation, including instructional manuals and exercise videos, to ensure proper rehabilitation training and precautions after discharge. Rehabilitation physicians assessed outcomes and provided guidance during follow-up visits. The experimental group adopted the "Internet +" remote rehabilitation model. Patients were instructed to download a rehabilitation follow-up app, which provided daily exercise reminders. Patients logged their completed exercises and periodically recorded rehabilitation videos. Rehabilitation physicians remotely evaluated and guided patients based on the submitted videos. Shoulder and neck function were assessed using the Constant-Murley Shoulder Score and Neck Dissection Impairment Index (NDII) at preoperative, 10-day, 1-month, and 3-month postoperative intervals.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

.Department of Oromaxillofacial-Head and Neck Surgery, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, PR China.

Shenyang, Liaoning, 110001, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Primary oral cancer patients with surgical indications who provided informed consent and underwent surgical treatment including neck dissection with spinal accessory nerve preservation.
  • Able to understand and provide informed consent for rehabilitation training, cooperative with training and required follow-ups.
  • No history of conditions affecting shoulder mobility, including scapulohumeral periarthritis, cervical spondylosis, myofascial pain syndrome, or rheumatic diseases.

Exclusion criteria

  • Previous surgery or trauma in the neck and shoulder region, or prior neck lymph node dissection.
  • Pre-existing shoulder and neck pain, abnormal bilateral shoulder and neck range of motion, or abnormal muscle strength.
  • Severe systemic underlying diseases that prevent cooperation with examinations.
  • Underwent radical neck dissection or received postoperative radiotherapy or chemotherapy that may affect shoulder and neck mobility.

Treatment and study plan

"Internet +" remote rehabilitation model

Behavioral

Patients were instructed to download a rehabilitation follow-up app, which provided daily exercise reminders. Patients logged their completed exercises and periodically recorded rehabilitation videos. Rehabilitation physicians remotely evaluated and guided patients based on the submitted videos.

Instructional manuals and exercise videos

Behavioral

Postoperative shoulder and neck rehabilitation instructional manuals and exercise videos for home-based training.

Primary outcomes

  1. Constant-Murley shoulder score at baseline, 10 days, 1 month, and 3 months

    Time frame: Baseline, 10 days, 1 month, 3 months

    Shoulder function (pain, daily activity, range of motion, muscle strength) measured by the Constant-Murley score at baseline, 10 days, 1 month, and 3 months postoperatively

Secondary outcomes

  1. Neck Dissection Impairment Index (NDII) score at baseline, 10 days, 1 month, and 3 months

    Time frame: Baseline, 10 days, 1 month, 3 months

    Neck pain, stiffness, and quality of life assessed by the Neck Dissection Impairment Index (NDII) at baseline, 10 days, 1 month, and 3 months postoperatively

Sponsors and collaborators

Lead sponsor

Pai Pang

Other

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Apr 1, 2026
Registry last updated
Apr 1, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.