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<p>This study aimed to assess the balance, mobility, and vestibular dysfunction using the Activities Specific Balance Confidence Scale (ABC Scale) in patients who underwent surgery in adjunct to radiotherapy (RT)/chemoradiation (CRT) for the treatment of Head and Neck squamous cell carcinoma (HNSCC).&#xa0;This prospective observational study took place in a tertiary care centre, with a cohort of 120 patients who were evaluated using the ABC Scale, Romberg test, and BMI index at the start, i.e., baseline, at 6 weeks, and 3 months after completion of complete treatment for HNSCC. The data was documented and analysed using Relative risk calculation, inter- and intragroup comparison was done using the Mann-Whitney U test, and the Kruskal-Wallis test was used at a 95% confidence interval, and <i>p</i> ≤ 0.05 was considered significant.&#xa0;The results show that participants undergoing CRT/ RT are significantly vulnerable to balance disorder. The role of Vestibulotoxicity due to CRT, BMI, age, and the difference between RT and CRT groups is also documented in our study.&#xa0;We conclude that the magnitude of balance disorder due to vestibulotoxicity is prevalent, and vestibular assessment and management should be included as part of management in patients undergoing RT/CRT in HNSCC.</p>

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Subjective Evaluation of Patients Following Treatment of Head and Neck Cancer Using Romberg Test and Activities Specific Balance Confidence Scale

  • 期刊论文

  • 发表日期：

    2025年11月7日

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  • Vanita Sarin,
  • Arpita Chatterjee Shahi

摘要

This study aimed to assess the balance, mobility, and vestibular dysfunction using the Activities Specific Balance Confidence Scale (ABC Scale) in patients who underwent surgery in adjunct to radiotherapy (RT)/chemoradiation (CRT) for the treatment of Head and Neck squamous cell carcinoma (HNSCC). This prospective observational study took place in a tertiary care centre, with a cohort of 120 patients who were evaluated using the ABC Scale, Romberg test, and BMI index at the start, i.e., baseline, at 6 weeks, and 3 months after completion of complete treatment for HNSCC. The data was documented and analysed using Relative risk calculation, inter- and intragroup comparison was done using the Mann-Whitney U test, and the Kruskal-Wallis test was used at a 95% confidence interval, and p ≤ 0.05 was considered significant. The results show that participants undergoing CRT/ RT are significantly vulnerable to balance disorder. The role of Vestibulotoxicity due to CRT, BMI, age, and the difference between RT and CRT groups is also documented in our study. We conclude that the magnitude of balance disorder due to vestibulotoxicity is prevalent, and vestibular assessment and management should be included as part of management in patients undergoing RT/CRT in HNSCC.