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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Maitland joint mobilization + Rocabdo exercises | Experimental | 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 | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electrotherapy | Procedure | Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | pain will be measured using Numeric pain rating scale | 1 week |
| Range of motion | A Vernier caliper will be used to measure maximal incisal opening (MIO) ≤ 35 mm (ROM) | 1 week |
| Functional Performance | Gothenburg Trismus Questionnaire will be used for assessing functional performance or trismus-related quality of life. | 1 week |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University College of Physical Therapy | Rawalpindi | Punjab Province | 46000 | Pakistan |
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This is a randomized controlled trail, having two groups. One group will receive Maitland joint mobilization along with rocabado exercises and the second will receive rocabado exercises only. Both groups will be recruited concurrently.
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| Rocabado exercises | Procedure | 6 Rocabado exercises 6 Reps each. |
|
| Maitland oscillatory mobilizations | Procedure | Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides |
|
| ID | Term |
|---|---|
| D014313 | Trismus |
| ID | Term |
|---|---|
| D013035 | Spasm |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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