Additional Effects of Joint Mobilization in Addition to Rocabado Exercises on Alleviating Trismus Following Third Molar Extraction

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-10

Study Completion Date

2024-12-30

Brief Summary

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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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Detailed Description

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Conditions

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Trismus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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.

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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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.

Group Type EXPERIMENTAL

Electrotherapy

Intervention Type PROCEDURE

Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes.

Rocabado exercises

Intervention Type PROCEDURE

6 Rocabado exercises 6 Reps each.

Maitland oscillatory mobilizations

Intervention Type 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

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.

Group Type EXPERIMENTAL

Electrotherapy

Intervention Type PROCEDURE

Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes.

Rocabado exercises

Intervention Type PROCEDURE

6 Rocabado exercises 6 Reps each.

Interventions

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Electrotherapy

Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes.

Intervention Type PROCEDURE

Rocabado exercises

6 Rocabado exercises 6 Reps each.

Intervention Type PROCEDURE

Maitland oscillatory mobilizations

Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3.

Techniques used are anterior, lateral and inferior glides

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* 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

Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes