The effect of physiotherapy on post‐temporomandibular joint surgery patients

Abstract

The purpose of this study was to investigate the effect of physiotherapy on rehabilitation of patients who had temporomandibular joint (TMJ) surgery. The treatment group consisted of 22 post-surgical patients who were treated with physiotherapy, and the non-treatment group consisted of 22 post-surgical patients who received no physiotherapy. The assessment tools were made using visual analogue scale (VAS) and craniomandibular index (CMI) which consisted of dysfunction index (DI) and palpation index (PI). All patients received follow-up for 7 months. The subjects were measured three times; before surgery, 6 weeks after surgery and 7 months after surgery. On the 6 week post-surgery assessment, DI and total CMI scores of the treatment group were significantly lower (P < 0.05) than those of the non-treatment group. On the assessment performed 7 months after surgery, all variables were significantly lower (P < 0.05) for the treatment group compared with those of the non-treatment group. The findings of the study indicate that physiotherapy has a positive effect in relieving pain and restoring TMJ function after surgery.

Surgical treatment of projectile in the infratemporal fossa. Case report

“…The physical presence of the foreign body associated to local edema involving both left lateral pterygoid muscle heads, was clinically manifested by pain at mouth opening and laterality movements to the right. If the projectile was stable in a soft or hard tissue structure not causing pain or masticatory impairment, a more conservative clinical approach associated to physiotherapy could be preferred 7 being also recommended clinical and imaging follow up. The preauricular approach was chosen for allowing adequate local exposure, with excellent view of the region, for being esthetically favorable and acceptable, in addition to minimizing risks of facial nerve injury 5 .…”

Early Stage Physical Therapy After Ankylosing Temporomandibular Joint Surgery: A Multidisciplinary Approach: Case Report

“…Bu iki grup kraniyomandibüler indeks, disfonksiyon indeksi ve VAS indeksleri kullanılarak karşılaştırıldığında fizyoterapi uygulanan grupta, uygunlanmayan gruba göre iyileşme-nin daha iyi olduğu gözlenmiştir. 4 Özellikle ağız açma ve kapama şeklinde yapı-lan postoperatif fizyoterapi; TME hipomobilitesi ve ankiloz tedavilerinin önemli bir parçasıdır. 18,20 Cerrahi ve uzamış mobilizasyon sonrası fizyoterapinin normal hareket açıklığı ve fonksiyonu geri kazanmadaki biyolojik temelleri; ortopedi, travma ve fizyoterapi literatüründe birçok kez kanıtlanmıştır.…”

“…TME ankiloz cerrahisi sonrası, erken dönemde uygulanan fizyoterapi ve rehabilitasyon tam bir fonksiyon elde etmek açı-sından önemlidir. 4 Cerrahi sonrası oluşan ödemi azaltmak, kaslarda oluşan tetik noktaları ve gergin bantları yok etmek, inhibe olan ve zayıflayan kasları kuvvetlendirmek, kazanılan eklem hareket açıklığını (EHA) korumak ve artırmak fizyoterapi uygulamalarının başlıca hedeflerindendir. 5,6 Fizik tedavi uygulamalarının profesyonel bir fizyoterapist eşliğinde, kontrollü olarak yapılması önem arz etmektedir.…”

Standardized Schemes Used for Clinical Evaluation of Temporomandibular Disorder

“…Birçok çal›flma-da kullan›lm›flt›r (3,(5)(6)(7)(8)(9). Disfonksiyon ‹ndeksi (D‹) ve Palpasyon ‹ndeksi (P‹) olarak ikiye ayr›l›r.…”