Effect of an Eclectic Physiotherapeutic Approach on Physical Performance, Fatigue, and Hospital Anxiety and Depression in a Patient Receiving Radiotherapy for Squamous Cell Carcinoma of the Buccal Mucosa: A Case Report

Squamous cell carcinoma of the buccal mucosa is one of the most common tumors among head and neck cancers. It first involves the superficial layer of the buccal mucosa and then slowly starts infiltrating into the deeper tissues as well. A 45-year-old female patient diagnosed with squamous cell carcinoma of the right buccal mucosa underwent a marginal mandibulectomy with pectoralis major myocutaneous flap reconstruction and was admitted for radiotherapy sessions. She also had a history of fatigue and decreased physical performance. A personalized physiotherapy protocol was formulated, which included general mobility exercises, strengthening exercises, light aerobics, yoga, relaxation, and recreational activities. The Timed Up and Go Test was used to assess physical performance, the Functional Assessment of Chronic Illness Therapy Fatigue Scale was used to assess cancer-related fatigue, and the Hospital Anxiety and Depression Scale was used to assess the anxiety and depression due to hospital admission. This case study concluded that this personalized eclectic approach definitely improves physical performance, decreases fatigue, anxiety, and depression.