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IJHSR. 2013; 3(9): 45-55


Physical Therapy in Temporomandibular Dysfunction Following Maxillo–Mandibular Fixation in Sub-Condylar Mandibular Fracture - A Single Case Study.

Ratan Khuman, Dhara Chavda, Lourembam Surbala, Ekta Chaudhary, Urmi Bhatt, Gopal Nambi.

Abstract
Background and objective: Mandibular Condyle fractures are one of the most common fractures which are managed with much controversy compared to any other fractures of mandible. Temporomandibular dysfunctions (TMD) following maxillomandibular fixation (MMF) are well documented however the role of Physical therapy interventions in TMD following MMF in sub-condylar mandibular fracture is uncertain. So the objective of this study was to find the effect of manual therapy, therapeutic exercise and home exercise program in TMD following MMF in sub-condylar mandibular fractureon levels of pain and disability and range of mouth opening and functioning of temporomandibular joint (TMJ).
Methods and Measures: The study consisted of baseline Phase A and intervention Phase B. Phase B consisted of manual therapy, therapeutic exercise, and home exercise program focusing on temporomandibular joint function. Numerical pain rating scale (NPRS), maximum mouth opening (MMO), TMD disability index (TDI), patient-specific functional scale (PSFS) data were obtained for analysis. Visual analysis and 2-SD band method of analysis were used to compare data.
Study Setting: Outpatient Musculoskeletal Physiotherapy department
Study Design: Single case A-B design study
Result: There was significant change in scores of NPRS, MMO, TDI and PSFS following intervention as compared to that at baseline.
Conclusion: The results of 16 treatment session over 5 week study proposed that physical therapy intervention which includes manual therapy, therapeutic exercise and home exercise program may be an effective strategy in management of TMD following MMF in sub condylar mandibular fracture.

Key words: Mandibular condyle fracture, Maxillo-mandibular fixation, TMJ dysfunction, Physical therapy.



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