Annals of Rehabilitation Medicine

  • 제42권6호
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  • Pages.846-853
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  • 2018
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  • 2234-0645(pISSN)
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  • 2234-0653(eISSN)
대한재활의학회 (Korean Academy of Rehabilitation Medicine)
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Effects of Ultrasound, Laser and Exercises on Temporomandibular Joint Pain and Trismus Following Head and Neck Cancer

  • Elgohary, Hany Mohamed (Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University) ;
  • Eladl, Hadaya Mosaad (Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University) ;
  • Soliman, Ashraf Hassan (Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University) ;
  • Soliman, Elsadat Saad (Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University)
  • 투고 : 2018.05.11
  • 심사 : 2018.06.26
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Objective To compare the effects of low intensity ultrasound (LIUS), traditional exercise therapy (TET), low level laser therapy (LLLT) and TET on temporomandibular joint (TMJ) pain and trismus following recovery from head and neck cancer (HNC). Methods Sixty participants following, who had experienced HNC, were randomly allocated to three groups of 20 people each. Each group received different therapy. Group A received LIUS and TET; group B received LLLT and TET; while group C received TET. All 60 participants were evaluated under the visual analog scale (VAS), the University of Washington Quality of Life questionnaire (UW-QOL) and the Vernier caliper scale (VCS) at the beginning of the therapies and after 4 weeks. Results ANOVA test revealed significant improvements across all three groups with outcomes of p<0.05. The results of the UW-QOL questionnaire showed a significant difference between groups A, B and C in favor of group A (p<0.05). The VAS results showed a more improvement in group A as compared to group B (p<0.05), while there was no statistical difference between groups B and C (p>0.05). The VCS results showed more improvement for the individuals in group B as compared to those in group C (p<0.05), while there was minimal difference between groups A and B (p>0.05). Conclusion The LIUS and TET are more effective than LLLT and/or TET in reducing TMJ pain and trismus following HNC.

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참고문헌

  1. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011;61:69-90. https://doi.org/10.3322/caac.20107
  2. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. CA Cancer J Clin 2007;57:43-66. https://doi.org/10.3322/canjclin.57.1.43
  3. Boyle P, Levin B. World cancer report 2008. Lyon: International Agency for Research on Cancer Publication; 2008.
  4. Al-Belasy FA. Ultrasound-guided drainage of submasseteric space abscesses. J Oral Maxillofac Surg 2005;63:36-41.
  5. Brooke RI. Facial trismus and myofascial pain associated with infections and malignant disease. Oral Surg Oral Med Oral Pathol 1988;66:450. https://doi.org/10.1016/0030-4220(88)90266-6
  6. Gomez DR, Zhung JE, Gomez J, Chan K, Wu AJ, Wolden SL, et al. Intensity-modulated radiotherapy in postoperative treatment of oral cavity cancers. Int J Radiat Oncol Biol Phys 2009;73:1096-103. https://doi.org/10.1016/j.ijrobp.2008.05.024
  7. Goldstein M, Maxymiw WG, Cummings BJ, Wood RE. The effects of antitumor irradiation on mandibular opening and mobility: a prospective study of 58 patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:365-73. https://doi.org/10.1016/S1079-2104(99)70044-2
  8. Wang CJ, Huang EY, Hsu HC, Chen HC, Fang FM, Hsiung CY. The degree and time-course assessment of radiation-induced trismus occurring after radiotherapy for nasopharyngeal cancer. Laryngoscope 2005;115:1458-60. https://doi.org/10.1097/01.mlg.0000171019.80351.46
  9. Ichimura K, Tanaka T. Trismus in patients with malignant tumours in the head and neck. J Laryngol Otol 1993;107:1017-20. https://doi.org/10.1017/S0022215100125149
  10. Chua DT, Lo C, Yuen J, Foo YC. A pilot study of pentoxifylline in the treatment of radiation-induced trismus. Am J Clin Oncol 2001;24:366-9. https://doi.org/10.1097/00000421-200108000-00010
  11. Buchbinder D, Currivan RB, Kaplan AJ, Urken ML. Mobilization regimens for the prevention of jaw hypomobility in the radiated patient: a comparison of three techniques. J Oral Maxillofac Surg 1993;51:863-7. https://doi.org/10.1016/S0278-2391(10)80104-1
  12. Gray RJ, Quayle AA, Hall CA, Schofield MA. Physiotherapy in the treatment of temporomandibular joint disorders: a comparative study of four treatment methods. Br Dent J 1994;176:257-61. https://doi.org/10.1038/sj.bdj.4808429
  13. Leung MS, Cheing GL. Effects of deep and superficial heating in the management of frozen shoulder. J Rehabil Med 2008;40:145-50. https://doi.org/10.2340/16501977-0146
  14. Shiraishi R, Masaki C, Toshinaga A, Okinaga T, Nishihara T, Yamanaka N, et al. The effects of low-intensity pulsed ultrasound exposure on gingival cells. J Periodontol 2011;82:1498-503. https://doi.org/10.1902/jop.2011.100627
  15. Hashish I, Harvey W, Harris M. Anti-inflammatory effects of ultrasound therapy: evidence for a major placebo effect. Br J Rheumatol 1986;25:77-81. https://doi.org/10.1093/rheumatology/25.1.77
  16. McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006;86:710-25.
  17. Nicolakis P, Erdogmus B, Kopf A, Ebenbichler G, Kollmitzer J, Piehslinger E, et al. Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint. J Oral Rehabil 2001;28:1158-64. https://doi.org/10.1046/j.1365-2842.2001.00784.x
  18. Ferrante M, Petrini M, Trentini P, Perfetti G, Spoto G. Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers Med Sci 2013;28:845-9. https://doi.org/10.1007/s10103-012-1174-4
  19. Alan H, Yolcu U, Koparal M, Ozgur C, Ozturk SA, Malkoc S. Evaluation of the effects of the low-level laser therapy on swelling, pain, and trismus after removal of impacted lower third molar. Head Face Med 2016;12:25. https://doi.org/10.1186/s13005-016-0121-1
  20. Wu VW, Lam YN. Radiation-induced temporo-mandibular joint disorder in post-radiotherapy nasopharyngeal carcinoma patients: assessment and treatment. J Med Radiat Sci 2016;63:124-32. https://doi.org/10.1002/jmrs.145
  21. Agrawal J, Shenai PK, Chatra L, Kumar PY. Evaluation of normal range of mouth opening using three finger index: South India perspective study. Indian J Dent Res 2015;26:361-5. https://doi.org/10.4103/0970-9290.167638
  22. Ringash J, Bezjak A. A structured review of quality of life instruments for head and neck cancer patients. Head Neck 2001;23:201-13. https://doi.org/10.1002/1097-0347(200103)23:3<201::AID-HED1019>3.0.CO;2-M
  23. Kanatas AN, Rogers SN. A national survey of healthrelated quality of life questionnaires in head and neck oncology. Ann R Coll Surg Engl 2004;86:6-10.
  24. Rogers SN, Lowe D. Screening for dysfunction to promote multidisciplinary intervention by using the University of Washington Quality of Life Questionnaire. Arch Otolaryngol Head Neck Surg 2009;135:369-75. https://doi.org/10.1001/archoto.2009.7
  25. The British Pain Society. Pain scales in multiple languages [Internet]. London: The British Pain Society; c2014 [cited 2018 Nov 15]. Available from: https://www.britishpainsociety.org/british-pain-societypublications/pain-scales-in-multiple-languages/.
  26. Dijkstra PU, Sterken MW, Pater R, Spijkervet FK, Roodenburg JL. Exercise therapy for trismus in head and neck cancer. Oral Oncol 2007;43:389-94. https://doi.org/10.1016/j.oraloncology.2006.04.003
  27. Israel HA, Syrop SB. The important role of motion in the rehabilitation of patients with mandibular hypomobility: a review of the literature. Cranio 1997;15:74-83. https://doi.org/10.1080/08869634.1997.11745995
  28. Lee LY, Chen SC, Chen WC, Huang BS, Lin CY. Postradiation trismus and its impact on quality of life in patients with head and neck cancer. Oral Surg Oral Med Oral Pathol Oral Radiol 2015;119:187-95. https://doi.org/10.1016/j.oooo.2014.10.003
  29. Pauli N, Johnson J, Finizia C, Andrell P. The incidence of trismus and long-term impact on health-related quality of life in patients with head and neck cancer. Acta Oncol 2013;52:1137-45. https://doi.org/10.3109/0284186X.2012.744466
  30. Carrillo JS, Calatayud J, Manso FJ, Barberia E, Martinez JM, Donado M. A randomized double-blind clinical trial on the effectiveness of helium-neon laser in the prevention of pain, swelling and trismus after removal of impacted third molars. Int Dent J 1990;40:31-6.
  31. Zecha JA, Raber-Durlacher JE, Nair RG, Epstein JB, Elad S, Hamblin MR, et al. Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: part 2: proposed applications and treatment protocols. Support Care Cancer 2016;24:2793-805. https://doi.org/10.1007/s00520-016-3153-y
  32. Roynesdal AK, Bjornland T, Barkvoll P, Haanaes HR. The effect of soft-laser application on postoperative pain and swelling: a double-blind, crossover study. Int J Oral Maxillofac Surg 1993;22:242-5. https://doi.org/10.1016/S0901-5027(05)80646-0
  33. Fernando S, Hill CM, Walker R. A randomised double blind comparative study of low level laser therapy following surgical extraction of lower third molar teeth. Br J Oral Maxillofac Surg 1993;31:170-2. https://doi.org/10.1016/0266-4356(93)90118-G
  34. Esposito CJ, Veal SJ, Farman AG. Alleviation of myofascial pain with ultrasonic therapy. J Prosthet Dent 1984;51:106-8. https://doi.org/10.1016/S0022-3913(84)80115-8
  35. Rai S, Kaur M, Goel S, Panjwani S, Singh S. Prospective utility of therapeutic ultrasound in dentistry: review with recent comprehensive update. Adv Biomed Res 2012;1:47. https://doi.org/10.4103/2277-9175.100153
  36. Grieder A, Vinton PW, Cinotti WR, Kangur TT. An evaluation of ultrasonic therapy for temporomandibular joint dysfunction. Oral Surg Oral Med Oral Pathol 1971;31:25-31. https://doi.org/10.1016/0030-4220(71)90029-6
  37. Oh DW, Kim KS, Lee GW. The effect of physiotherapy on post-temporomandibular joint surgery patients. J Oral Rehabil 2002;29:441-6. https://doi.org/10.1046/j.1365-2842.2002.00850.x
  38. Tuncer AB, Ergun N, Tuncer AH, Karahan S. Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: a randomized controlled trial. J Bodyw Mov Ther 2013;17:302-8. https://doi.org/10.1016/j.jbmt.2012.10.006
  39. Calixtre LB, Moreira RF, Franchini GH, Alburquerque-Sendin F, Oliveira AB. Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder: a systematic review of randomised controlled trials. J Oral Rehabil 2015;42:847-61. https://doi.org/10.1111/joor.12321

피인용 문헌

  1. Interprofessional Collaboration in Dentistry: Role of physiotherapists to improve care and outcomes for chronic pain conditions and sleep disorders vol.49, pp.6, 2018, https://doi.org/10.1111/jop.13068
  2. Interventions for Trismus in Head and Neck Cancer Patients: A Systematic Review of Randomized Controlled Trials vol.20, pp.None, 2021, https://doi.org/10.1177/15347354211006474