Comparison of two physiotherapy programmes for rehabilitation after temporomandibular joint arthroscopy
| Autor: | Noam Yarom, H. Elishoov, Ran Yahalom, Shoshana Reiter, M. Joachim, W. Abboud, O. Koren |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale medicine.medical_treatment 03 medical and health sciences Arthroscopy 0302 clinical medicine Medicine Humans Range of Motion Articular Physical Therapy Modalities Pain Measurement Retrospective Studies Rehabilitation medicine.diagnostic_test business.industry Temporomandibular disorder 030206 dentistry Temporomandibular Joint Disorders Surgery Temporomandibular joint Mouth opening medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Closed lock Physical therapy Female Oral Surgery business Range of motion 030217 neurology & neurosurgery |
| Zdroj: | International journal of oral and maxillofacial surgery. 47(6) |
| ISSN: | 1399-0020 |
| Popis: | The purpose of this study was to compare two physiotherapy programmes for rehabilitation after temporomandibular joint (TMJ) arthroscopy. The medical files of 137 consecutive patients diagnosed with closed lock and treated by arthroscopic lysis and lavage were analyzed retrospectively. Sixty-eight patients were rehabilitated with gradually increasing range of motion self-exercises (gradual programme) and 69 patients were rehabilitated with immediate full range of motion self-exercises (immediate programme). The outcome variables were maximum mouth opening (MMO) and pain (on a visual analogue scale). The postoperative measurements taken at 1 month, 6 months, and last follow-up examination available (mean of 10 months postoperative) were analyzed and compared between the two groups. The results showed significantly better MMO and pain outcomes for the immediate group than for the gradual group at the 1-month and 6-month postoperative evaluations. The results of the two groups were comparable at the last follow-up examination available. It is concluded that after arthroscopic treatment of closed lock of the TMJ, a physiotherapy programme consisting of immediate postoperative full range of motion mobilizations achieves better results (in terms of pain and mouth opening) than a physiotherapy programme consisting of gradual and controlled increases in range of motion. |
| Databáze: | OpenAIRE |
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