Additional Effects of Joint Mobilization in Addition to Rocabado Exercises on Alleviating Trismus Following Third Molar Extraction
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Maitland joint mobilization + Rocabdo 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.
干预措施: Electrotherapy (Procedure)
Maitland joint mobilization + Rocabdo 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.
干预措施: Rocabado exercises (Procedure)
Maitland joint mobilization + Rocabdo 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.
干预措施: Maitland oscillatory mobilizations (Procedure)
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.
干预措施: Electrotherapy (Procedure)
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.
干预措施: Rocabado exercises (Procedure)
结局指标
主要结局
Pain intensity
时间窗: 1 week
pain will be measured using Numeric pain rating scale
Range of motion
时间窗: 1 week
A Vernier caliper will be used to measure maximal incisal opening (MIO) ≤ 35 mm (ROM)
Functional Performance
时间窗: 1 week
Gothenburg Trismus Questionnaire will be used for assessing functional performance or trismus-related quality of life.
次要结局
未报告次要终点