RecruitingNot ApplicableNCT07110142

Tongue Proactive Strengthening Exercise Program Following Partial/Hemi Glossectomy and Reconstruction

Impact of Tongue Proactive Strengthening Exercise Program on Speech and Swallowing Outcomes Following Partial/Hemiglossectomy and Reconstruction


Sponsor

Case Comprehensive Cancer Center

Enrollment

40 participants

Start Date

Dec 10, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study is being done to determine whether adding a proactive tongue strengthening exercise program using a biofeedback device (the Tongueometer) improves speech and swallowing outcomes after surgery for tongue cancer. Patients who undergo partial or hemiglossectomy often experience difficulties with speech and swallowing, which can significantly impact their quality of life. While speech and swallow therapy is typically provided in response to problems, this study investigates whether introducing structured tongue strengthening exercises with biofeedback early-can lead to better long-term outcomes. This research will help establish whether this approach should become part of standard post-operative care.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is looking at a tongue-strengthening exercise program for people who are about to have surgery to remove part of their tongue (partial or hemi-glossectomy) due to oral cancer. The goal is to see if doing these exercises before and after surgery can help preserve swallowing and speech function. **You may be eligible if...** - You are 18 years or older - You have no prior history of head and neck cancer or radiation - You are planning to have surgery to remove up to 50% of your tongue, with immediate reconstruction (including free flap) - You can read English, French, Spanish, or Simplified Chinese **You may NOT be eligible if...** - You have distant (spread) cancer at the time of enrollment - You have previously been treated by a speech therapist for swallowing or speech problems unrelated to this cancer - You have had prior radiation to the head and neck - Your surgery requires removal of more than 50% of the tongue or removal of part of the jaw Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERTongueometer

The Tongueometer device features an air-filled bulb that is placed against the roof of the mouth by the tongue for resistance training. This setup allows for an initial measurement of the patient's maximum tongue strength and endurance, which helps establish goals that are specific to each patient. The device connects to a mobile application that provides visual biofeedback, ensuring consistent monitoring as the patient completes exercises using the tongue bulb for resistance. Once the patient's goals are set based on their initial measurements, the app offers two exercise modules designed to improve both tongue strength and endurance.


Locations(1)

Case Comprehensive Cancer Center, Cleveland Clinic Foundation

Cleveland, Ohio, United States

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NCT07110142


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