Additional Effects of Joint Mobilization in Addition to Rocabado Exercises on Alleviating Trismus Following Third Molar Extraction

Not Applicable

Active, not recruiting

• Conditions: Trismus
• Interventions: Procedure: Electrotherapy; Procedure: Rocabado exercises; Procedure: Maitland oscillatory mobilizations

• Registration Number: NCT06534619
• Lead Sponsor: Foundation University Islamabad

Brief Summary

Without appropriate early intervention, prolonged trismus can lead to lasting complications like reduced jaw mobility or temporomandibular joint disorders.Therefore joint mobilization will impact on trismus, that will offer valuable insights into how these interventions will affect inflammation, muscle function and overall healing process within TMJ besides rocabado exercises that involves a series of movements and stretches targeting the muscles and joints involved in chewing,swallowing and speaking and minimizing muscle tension and opening the mouth, preventing further deterioration of jaw function and improving overall quality of life of individuals. If found effective, this will be added to the literature for the treatment of trismus after third molar extraction.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-06-10
• Status Verified: 2024-07
• Study First Submitted: 2024-07-30
• Study First Submitted QC: 2024-07-30
• Last Update Submitted: 2024-07-30
• Study First Posted: 2024-08-02
• Last Update Posted: 2024-08-02
• Primary Completion: 2024-12-10
• Study Completion: 2024-12-30

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• Referral or consultation from a dentist to confirm the diagnosis of trismus.
• Age 18-45 years
• Both genders (Male and Female)
• Maximal interincisal opening ≤ 35mm (Restricted jaw motion).
• Unilateral/Bilateral impacted lower third molars.
• 3 days Post mandibular Third molar extraction

Exclusion Criteria

• Local Infection or bleeding post third molar extraction.
• Patients with Acute pericoronitis
• Patient undergoing chemotherapy and radiotherapy.
• Type I diabetes, renal failure and chronic liver disease were excluded as immunocompromised state.
• Pregnant or lactating women.
• Cyst or tumor associated with impacted tooth

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Maitland joint mobilization + Rocabdo exercises	Electrotherapy	Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides Frequency: 3-4 times in 1 week . 4 sessions in total.
Maitland joint mobilization + Rocabdo exercises	Rocabado exercises	Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides Frequency: 3-4 times in 1 week . 4 sessions in total.
Rocabado exercises	Electrotherapy	Participants of this Group will receive the conventional physical therapy along with 6 Rocabado exercises.6 reps each Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Frequency: 3-4 times in 1 week . 4 sessions in total.
Rocabado exercises	Rocabado exercises	Participants of this Group will receive the conventional physical therapy along with 6 Rocabado exercises.6 reps each Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Frequency: 3-4 times in 1 week . 4 sessions in total.
Maitland joint mobilization + Rocabdo exercises	Maitland oscillatory mobilizations	Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides Frequency: 3-4 times in 1 week . 4 sessions in total.

Primary Outcome Measures

Name	Time	Method
Pain intensity	1 week	pain will be measured using Numeric pain rating scale
Range of motion	1 week	A Vernier caliper will be used to measure maximal incisal opening (MIO) ≤ 35 mm (ROM)
Functional Performance	1 week	Gothenburg Trismus Questionnaire will be used for assessing functional performance or trismus-related quality of life.

Trial Locations

Locations (1)

Foundation University College of Physical Therapy; 🇵🇰 Rawalpindi, Punjab, Pakistan