Efficacy of Maitland joint mobilization technique on pain intensity,mouth opening,functional limitation,kinesiophobia, sleep quality and quality of life in temporomandibular joint dysfunction following bilateral cervicofacial burns |
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| Affiliation: | 1. Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia;2. Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt;1. Burn Center, Red Cross Hospital, Beverwijk, The Netherlands;2. Department of Traumasurgery, Leiden University Medical Center, Leiden, The Netherlands;3. Burn Center Maasstad Hospital, Rotterdam, The Netherlands;4. Amsterdam UMC, Free University Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands;5. Association of Dutch Burn Centers, The Netherlands;6. Department of Public Health Erasmus MC, Rotterdam, The Netherlands;7. Burn Center, Martini Hospital, Groningen, The Netherlands;1. Faculty of Pharmacy and Pharmaceutical Sciences, Kerman University of Medical Sciences, Kerman, Iran;2. Department of Surgery, Kerman University of Medical Sciences, Kerman, Iran;3. Herbal and Traditional Medicines Research Center and Department of Clinical Pharmacy, Faculty of Pharmacy and Pharmaceutical Sciences, Kerman University of Medical Sciences, Kerman, Iran;1. Prosthetic Department, Oral Rehabilitation Clinic, Poznan University of Medical Sciences, Poznan, Poland;2. Division of Restorative, Prosthetic and Primary Care Dentistry, College of Dentistry, The Ohio State University, USA;3. Department of Conservative Dentistry, Poznan University of Medical Sciences, Poznan, Poland;1. Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia;2. Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt;3. Department of Rehabilitation Sciences, Faculty of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia;4. Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt;5. Department of Physiotherapy, Center of Radiation Oncology & Nuclear Medicine, Cairo University, Giza, Egypt;6. Department of Physical Therapy for Women''s Health, Faculty of Physical Therapy, Cairo University, Giza, Egypt;7. Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia;8. Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt;1. Defence Primary Healthcare, Army Training Centre, Pirbright GU24 0QQ, UK;2. Coventry University, Faculty of Health and Life Sciences, Department of Applied Sciences and Health, Priory Street, Coventry CV1 5FB, UK |
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| Abstract: | ![]()
BackgroundBilateral cervicofacial burn contracture initially affects facial expressions and later affects tempero mandibular joint (TMJ) function of the patient. It further tightens the ligaments and capsules around the TMJ and leads to tempero mandibular dysfunction. The consequences of temporomandibular joint dysfunction will be pain, limitation of mouth opening, functional disability and poor quality of life (Qol). However, studies examining the efficacy of Maitland joint mobilization technique in this population are lacking.ObjectivesTo find the short term effects of Maitland joint mobilization technique on pain, mouth opening, functional limitation, kinesiophobia, sleep quality and Quality of life in tempero mandibular joint dysfunction following bilateral cervicofacial burns.MethodsThirty subjects with temporomandibular joint dysfunction following cervicofacial burn (N = 30) were allocated to Maitland joint mobilization group (n = 15) and home based training group (n = 15) randomly to receive Maitland joint mobilization technique and home based training for 4 weeks. All the participants received ultrasound therapy as common treatment. Primary (Numeric Pain Rating Scale – NPRS, maximal mouth opening – MMO & Tempero mandibular disability index – TDI) and secondary (Tampa Scale of Kinesiophobia – TSK-17, Sleep quality questionnaire – SSQ & Global Rating of Change – GRC) outcome measures were measured at baseline, after four weeks and three months follow up. Repeated measures of ANOVA and independent t test were performed for analyzing the dependent variables in both groups.ResultsBaseline demographic characters and study variables show homogenous distribution between the groups (p > 0.05). Four weeks following different training protocols Maitland joint mobilization group shows more significant changes in pain intensity, mouth opening, functional limitation, kinesiophobia, sleep quality and Qol than home based training group (p ≤ 0.05). Also Maitland joint mobilization group show significant improvement in study variables than home based training group (p ≤ 0.05) at three months follow up.ConclusionBoth groups improved over time, however, differences between the groups were noticed small. However, physiotherapy management which includes Maitland joint mobilization technique and therapeutic exercise program has an effective strategy in the treatment of tempero mandibular joint dysfunction following cervicofacial burns. |
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| Keywords: | Cervicofacial burn Tempero mandibular dysfunction Pain intensity Mouth opening Functional disability Kinesiophobia Sleep quality Quality of life |
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