Volume 26, Issue 2 (Avicenna Journal of Clinical Medicine-Summer 2019)                   Avicenna J Clin Med 2019, 26(2): 125-130 | Back to browse issues page


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Asadi M R, Hajvalie G. A Case Report of Effect of Physical Therapy on Temporomandibular Joint Dysfunction Following Mandibular Symphyseal Fracture. Avicenna J Clin Med. 2019; 26 (2) :125-130
URL: http://sjh.umsha.ac.ir/article-1-1921-en.html
1- Assistant Professor, Department of Physical Therapy, School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran , reza.asadi21@yahoo.com
2- MSc in Physical Therapy, School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (2331 Views)
Background: Temporomandibular joint (TMJ) dysfunction following Mandibular fractures can lead to limitation of jaw movement especially month opening, pain, and muscular atrophy. In this regard, the current study aimed to determine the effect of manual mobilization along with other physiotherapy modalities on the improved function of TMJ in a patient with Mandibular symphyseal fracture.
Case Presentation: A 16-year-old girl with a complaint of  severe jaw pain and disability of mouth opening was referred to physical therapy clinic of Besat Hospital affiliated to Hamadan University of Medical Sciences. The patient underwent an open surgical treatment due to mandibular symphyseal fracture. A visual analog scale was used for the measurement of pain intensity and the maximal mouth opening was obtained by measuring the distance of the maxillary and mandibular central incisal edges using a dental ruler scaled in millimeters. Thereafter, physical therapy treatment was administered to both TM joints for five sessions every other day. The physiotherapy sessions included Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, hot pack, and Maitland manual mobilization techniques. The patient demonstrated significant reduction in pain and improved maximal mouth opening upon the completion of 5-session physical therapy treatment.
Conclusion: Physical therapy treatment which includes physical modalities along with manual mobilization techniques may be an effective method in the management of TMJ dysfunctions following mandibular symphyseal fracture leading to faster improvement in the function of this joint.
 
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Type of Study: Case Report | Subject: Physical Therapy

References
1. Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013;57(3):465-79. PMID: 23809304 DOI: 10.1016/j.cden.2013.04.006
2. Goncalves DA, Dal Fabbro AL, Campos JA, Bigal ME, Speciali JG. Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain. 2010;24(3):270-8. PMID: 20664828
3. Motamedi MH. A textbook of advanced oral and maxillofacial surgery. Croatia: BoD–Books on Demand; 2013.
4. Chaurasia N, Guan J, Wang X, Sah G. Clinical analysis of changes in function of the temporomandibular joint after open reduction and internal fixation of mandible fracture. Indian J Oral Sci. 2015;6(2):60-4. DOI: 10.4103/0976-6944.162653
5. Dworkin SF. Research diagnostic criteria for temporomandibular disorders: current status & future relevance. J Oral Rehabil. 2010;37(10):734-43. PMID: 20529171 DOI: 10.1111/j.1365-2842.2010.02090.x
6. Handa R, Sunil M, Gupta C, Raina A, Khan T, Gulzar A. Efficacy of ultrasound massage therapy as an adjuvant pain control modality in TMDs: a clinical study. J Indian Acad Oral Med Radiol. 2018;30(2)107-9. DOI: 10.4103/jiaomr.jiaomr_5_18
7. Kirupa K, Divya Mary S, Vaishnavi G, Nisha RN, Mercy JR, Jaiganesh G. A comparative study of ultrasound therapy and transcutaneous electrical nerve stimulation in reducing pain for temporomandibular joint disorder. Drug Invent Today. 2019;12(3):515-7.
8. Ucar M, Sarp U, Koca I, Eroglu S, Yetisgin A, Tutoglu A, et al. Effectiveness of a home exercise program in combination with ultrasound therapy for temporomandibular joint disorders. J Phys Ther Sci. 2014;26(12):1847-9. PMID: 25540479 DOI: 10.1589/jpts.26.1847
9. Awan KH, Patil S. The role of transcutaneous electrical nerve stimulation in the management of temporomandibular joint disorder. J Contemp Dent Pract. 2015;16(12):984-6. PMID: 27018034
10. Nunez SC, Garcez AS, Suzuki SS, Ribeiro MS. Management of mouth opening in patients with temporomandibular disorders through low-level laser therapy and transcutaneous electrical neural stimulation. Photomed Laser Surg. 2006;24(1):45-9. PMID: 16503788 DOI:10.1089/pho.2006.24.45
11. Shanavas M, Chatra L, Shenai P, Rao PK, Jagathish V, Kumar SP, et al. Transcutaneous electrical nerve stimulation therapy: an adjuvant pain controlling modality in TMD patients - A clinical study. Dent Res J. 2014;11(6):676-9. PMID: 25540662
12. Chang WD, Lee CL, Lin HY, Hsu YC, Wang CJ, Lai PT. A meta-analysis of clinical effects of low-level laser therapy on temporomandibular joint pain. J Phys Ther Sci. 2014;26(8):1297-300. PMID: 25202201 DOI: 10.1589/jpts.26.1297
13. Ahmad RE, Elatief EE, El Sayed WH, Ali RR, Ashour EM, Abdelsamee MY. Effect of conventional therapy and low level laser therapy on pain and limitation of daily functions in patients with temporomandibular joint dysfunction. Int J Physiother Res. 2018;6(2):2797-805. DOI: 10.16965/ijpr.2018.154
14. Sayed N, Murugavel C, Gnanam A. Management of temporomandibular disorders with low level laser therapy. J Maxillofacial Oral Surg. 2014;13(4):444-50. PMID: 26225009 DOI: 10.1007/s12663-013-0544-1
15. Shukla D, Muthusekhar MR. Efficacy of low-level laser therapy in temporomandibular disorders: a systematic review. Natl J Maxillofac Surg. 2016;7(1):62-6. PMID: 28163481 DOI: 10.4103/0975-5950.196127
16. Armijo-Olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A. Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Phys Ther. 2016;96(1):9-25. PMID: 26294683 DOI: 10.2522/ptj.20140548
17. Calixtre LB, Moreira RF, Franchini GH, Alburquerque-Sendin F, Oliveira AB. Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder: a systematic review of randomised controlled trials. J Oral Rehabil. 2015;42(11):847-61. PMID: 26059857 DOI: 10.1111/joor.12321
18. Tuncer AB, Ergun N, Tuncer AH, Karahan S. Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: a randomized controlled trial. J Bodyw Mov Ther. 2013;17(3):302-8. PMID: 23768273 DOI: 10.1016/j.jbmt.2012.10.006
19. Barretto SR, de Melo GC, dos Santos JC, de Oliveira MG, Pereira-Filho RN, Alves AV, et al. Evaluation of anti-nociceptive and anti-inflammatory activity of low-level laser therapy on temporomandibular joint inflammation in rodents. J Photochem Photobiol B. 2013;129:135-42. PMID: 24231378 DOI: 10.1016/j.jphotobiol.2013.10.002
20. Khaled YA, Brennan MI, Napeñas JO. Using physical therapy to treat temporomandibular disorders. A cohort study. J Dent Maxillofacial Res. 2018;1(1):31-5. DOI: 10.30881/jdsomr.00008
21. Melis M. The role of physical therapy for the treatment of temporomandibular disorders. J Orthod Sci. 2013;2(4):113-4. PMID: 24987651 DOI: 10.4103/2278-0203.123196
22. Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain. 2011;152(10):2399-404. PMID: 21856077 DOI: 10.1016/j.pain.2011.07.005
23. Walker N, Bohannon RW, Cameron D. Discriminant validity of temporomandibular joint range of motion measurements obtained with a ruler. J Orthop Sports Phys Ther. 2000;30(8):484-92. PMID: 10949505 DOI:10.2519/jospt.2000.30.8.484
24. Pawar R, Gulve N, Nehete A, Dhope S, Deore D, Chinglembi N. Examination of the temporomandibular joint-a review. J Appl Dent Med Sci. 2016;2:1.
25. Cameron MH. Physical agents in rehabilitation (an evidence-based approach to practice). 5th ed. Philadelphia: Saunders; 2017.
26. Hertling D. Management of common musculoskeletal disorders. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006.
27. Shirai M, Kawai N, Hichijo N, Watanabe M, Mori H, Mitsui SN, et al. Effects of gum chewing exercise on maximum bite force according to facial morphology. Clin Exp Dent Res. 2018;4(2):48-51. PMID: 29744215 DOI: 10.1002/cre2.102
28. Madani AS, Mirmortazavi A. Comparison of three treatment options for painful temporomandibular joint clicking. J Oral Sci. 2011;53(3):349-54. PMID: 21959663
29. Khuman R, Chavda D, Surbala L, Chaudhary E, Bhatt U, Nambi G. Physical therapy in temporomandibular dysfunction following maxillo–mandibular fixation in sub-condylar mandibular fracture-a single case study. Int J Health Sci Res. 2013;3(9):45-55.

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