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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
54
Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes.
6 Rocabado exercises 6 Reps each.
Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides
Foundation University College of Physical Therapy
Rawalpindi, Punjab Province, Pakistan
Pain intensity
pain will be measured using Numeric pain rating scale
Time frame: 1 week
Range of motion
A Vernier caliper will be used to measure maximal incisal opening (MIO) ≤ 35 mm (ROM)
Time frame: 1 week
Functional Performance
Gothenburg Trismus Questionnaire will be used for assessing functional performance or trismus-related quality of life.
Time frame: 1 week
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