Physical therapy for trismus secondary to salivary gland cancer
DOI:
https://doi.org/10.33233/fb.v21i2.2841Keywords:
trismus, Physical Therapy, head and neck neoplasmsAbstract
Introduction: Trismus, a mouth opening amplitude limitation, is one of the morbidities that causes functional limitations. Objective: To describe the effect of physical therapy intervention utilizing manual therapy and wooden tongue depressors exercises in maximum mouth opening in a patient with trismus secondary to salivary gland cancer. Methods: Case report of a patient whose physical therapy intervention consisted in 15 sessions of manual therapy (myofascial liberation and articular mobilization) and wooden tongue depressors exercises, with 40 minutes duration each, to improve mouth opening. Maximum mouth opening was assessed with a paquimeter and number of wood tongue depressors. Results: The patient presented improvements in maximal mouth opening between the first and last assessment (11,5mm - 21,2mm) and increase in number of wood tongue depressors used. Conclusion: Physical therapy approach was an effective treatment for trismus.
References
Alvarenga LM, Ruiz MT, Bertelli ECP, Ruback MJC, Maniglia JV, Bertollo EMG. Avaliação epidemiológica de pacientes com câncer de cabeça e pescoço em um hospital universitário do noroeste do estado de São Paulo. Braz J Otorhinolaryngol 2008;74(1):68-73. doi: 10.1590/S0034-72992008000100011
Grandi G, Silva ML, Streit C, Wagner JCB. A mobilization regimen to prevent mandibular hypomobility in irradiated patients: an analysis and comparison of two techniques. Med Oral Patol Oral Cir Bucal 2007;12(2):105-9.
Kamstra JI, Reintsema H, Roodenburg JLN, Dijkstra PU. Dynasplint Trismus System exercises for trismus secondary to head and neck cancer: a prospective explorative study. Support Care Cancer 2016;24(8):3315-23. doi: 10.1007/s00520-016-3131-4
Miranda RM, Diniz KT, Diniz ET, Vasconcelos DA, Filho JEC. Relação entre as disfunções temporomandibulares e a postura da cabeça. Conscientiae Saúde 2010;9(4):701-6. doi: 10.5585/conssaude.v9i4.2336
Dijkstra PU, Huisman PM, Roodenburg JLN. Criteria for trismus in head and neck oncology. Int J Oral Maxillofac Surg 2006;35(4):337-42. doi: 10.1016/j.ijom.2005.08.001
Høgdal N, Juhl C, Aadahl M, Gluud C. Early preventive exercises versus usual care does not seem to reduce trismus in patients treated with radiotherapy for cancer in the oral cavity or oropharynx: A randomized clinical trial. Acta Oncol 2015;54(1):80-7. doi: 10.3109/0284186X.2014.954677
Abdel-galil K, Anand R, Pratt C, Oeppen B, Brennan P. Trismus: an unconventional approach to treatment. Br J Oral Maxillofac Surg 2007;45(4):339-40. doi: 10.1016/j.bjoms.2005.11.011
Martins WR, Blasczyk JC, Oliveira MAF, Gonçalves KFL, Rocha ACB, Dugailly PM et al. Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis. Man Ther 2016;21:10-17. doi: 10.1016/j.math.2015.06.009
Cohen EEW, LaMonte SJ, Erb NL, Beckman KL, Sadeghi N, Hutcheson KA. American cancer society head and neck cancer survivorship care guideline. CA: CA Cancer J Clin 2016;66(3):203-39.
Armijo-olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A. Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Phys Ther 2015;96(1):9-25. doi: 10.2522/ptj.20140548
Bhatia KS, King AD, Paunipagar BK, Abrigo J, Vlantis AC, Leung SF, Ahuja AT. MRI findings in patients with severe trismus following radiotherapy for nasopharyngeal carcinoma. Eur Radiol 2009;19(11):2586. doi: 10.1007/s00330-009-1445-z
Magnusson T, Syren M. Therapeutic jaw exercises and interocclusal appliance therapy. A comparison between two common treatments of temporomandibular disorders. Swedish Dental Journal 1999;23(1):27-37.
Kraaijenga S, Van der Molen L, Van Tinteren H, Hilgers F, Smeele L. Treatment of myogenic temporomandibular disorder: a prospective randomized clinical trial, comparing a mechanical stretching device (TheraBite®) with standard physical therapy exercise. Cranio 2014;32(3):208-16. doi: 10.1179/0886963413Z.00000000016
Jansma J, Vissink A, Spijkervet FKL, Roodenburg JLN, Panders AK, Vermey A, et al. Protocol for the prevention and treatment of oral sequelae resulting from head and neck radiation therapy. Cancer 1992;70(8):2171-80. doi: 10.1002/1097-0142(19921015)70:8<2171::AID-CNCR2820700827>3.0.CO;2-S
Maloney GE, Mehta N, Forgione AG, Zawawi KH, Al-Badawi EA, Driscoll SE. Effect of a passive jaw motion device on pain and range of motion in TMD patients not responding to flat plane intraoral appliances. Cranio 2002;20(1):55-65. doi: 10.1080/08869634.2002.11746191
Hajdú SF, Wessel I, Johansen C, Kristensen CA, Kadkhoda ZT, Plaschke CC et al. Swallowing therapy and progressive resistance training in head and neck cancer patients undergoing radiotherapy treatment: randomized control trial protocol and preliminary data. Acta Oncol 2017;56(2)354-9. doi: 10.1080/0284186X.2016.1269193
Michelotti A, Steenks MH, Farella M, Parisini F, Cimino R, Martina R. The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical trial. J Oral Facial Pain Headache 2004;18(2):114-25.
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Copyright (c) 2020 André Marques de Moraes, Karissa Yasmim Araújo Rosa, Luciana Lima dos Santos da Silva, Aline Teixeira Alves, Liana Barbaresco Gomide Matheus
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