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Stomatologija 2016; 18 (4): 107-11 481 KB

Physical therapy in cancer related vs non-cancer trismus

Demirhan Dıraçoğlu¹, Ekin İlke Şen¹, Sezai Vatansever², Nalan Çapan¹, Ayşe Karan¹

Summary

Objective. Trismus may be caused by several factors including those related with cancer and non-cancer disorders. The purpose of our study was to explore the effectiveness of physical therapy in cancer related vs non-cancer trismus.

Material and methods. Thirty trismus patients who had undergone radiotherapy due to a tumor at the maxillary or nasopharyngeal region (cancer group) and 65 trismus patients with various underlying causes (non-cancer group) were enrolled. Fifteen sessions of physical therapy have been applied to both TMJ regions of the patients. Patients performed active manual stretching and relaxation exercises with the company of a physiotherapist after each physical therapy session.

Results. Although maximal mouth opening (changing from 17.7±5.4 to 27.4±6.9 mm in non-cancer group and from 10.5±5.6 to 12.8±6.9 mm in cancer group) and VAS values (changing from 58.4±21.5 to 41.8±22.4 mm in non-cancer group and from 68.3±25.7 to 60.3±25.7 mm in cancer group) showed significant improvements in both groups at the end of the physical therapy program (p=0.00); the difference was significantly higher in the non-cancer group (p=0.00). Post-treatment patient global self-assessment was found to be significantly higher in the non-cancer group when compared with the cancer group (p=0.005).

Conclusions. In summary, combined physical therapy and exercise program appears to be effective in the treatment in both cancer related and non-cancer trismus. But clinical relevance of the results is doubtful and far from satisfying in the patients with cancer related trismus.

Key words: trismus, physical therapy, cancer.

Received: 11 05 2015

Accepted for publishing: 28 12 2016

¹Istanbul University Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul

²Istanbul University Istanbul Faculty of Medicine, Department of Internal Medicine and Medical Oncology, Istanbul

Address correspondence to Demirhan Dıraçoğlu, Istanbul Universitesi, Istanbul Tip Fakultesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dali, 34093 Capa, Istanbul, Turkey.

E-mail address: demirhan1@yahoo.com



	Baltic Dental and Maxillofacial Journal

December, 2016, Vol. 18, No. 4 CONTENTS SCIENTIFIC ARTICLES Physical therapy in cancer related vs non-cancer trismus Demirhan Dıraçoğlu, Ekin İlke Şen, Sezai Vatansever, Nalan Çapan, Ayşe Karan 107-111 REVIEW The influence of fixed prostheses on periodontal health Elina Bluma, Aldis Vidzis, Guntis Zigurs 112-121 Impact of early complications of sinus floor elevation and individual factors of the body on the long-term treatment results Jokūbas Kezys, Gintaras Janužis 122-127 CASE REPORT Delayed removal of maxillary third molar displaced into the maxillary sinus Bruno Tochetto Primo, Diego José Stringhini, Delson João da Costa, Nelson Luiz Barbosa Rebellato, Rafaela Scariot 128-132 Simultaneous bilateral ranula in an edentulous patient. Rare presentation with a brief review of the literature Amit S. Date, Mukul Padhye, Rujuta Desai, Abhinav Hire 133-136 © 2017 Stomatologija		Stomatologija 2016; 18 (4): 107-11 481 KB Physical therapy in cancer related vs non-cancer trismus Demirhan Dıraçoğlu¹, Ekin İlke Şen¹, Sezai Vatansever², Nalan Çapan¹, Ayşe Karan¹ Summary Objective. Trismus may be caused by several factors including those related with cancer and non-cancer disorders. The purpose of our study was to explore the effectiveness of physical therapy in cancer related vs non-cancer trismus. Material and methods. Thirty trismus patients who had undergone radiotherapy due to a tumor at the maxillary or nasopharyngeal region (cancer group) and 65 trismus patients with various underlying causes (non-cancer group) were enrolled. Fifteen sessions of physical therapy have been applied to both TMJ regions of the patients. Patients performed active manual stretching and relaxation exercises with the company of a physiotherapist after each physical therapy session. Results. Although maximal mouth opening (changing from 17.7±5.4 to 27.4±6.9 mm in non-cancer group and from 10.5±5.6 to 12.8±6.9 mm in cancer group) and VAS values (changing from 58.4±21.5 to 41.8±22.4 mm in non-cancer group and from 68.3±25.7 to 60.3±25.7 mm in cancer group) showed significant improvements in both groups at the end of the physical therapy program (p=0.00); the difference was significantly higher in the non-cancer group (p=0.00). Post-treatment patient global self-assessment was found to be significantly higher in the non-cancer group when compared with the cancer group (p=0.005). Conclusions. In summary, combined physical therapy and exercise program appears to be effective in the treatment in both cancer related and non-cancer trismus. But clinical relevance of the results is doubtful and far from satisfying in the patients with cancer related trismus. Key words: trismus, physical therapy, cancer. Received: 11 05 2015 Accepted for publishing: 28 12 2016 ¹Istanbul University Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul ²Istanbul University Istanbul Faculty of Medicine, Department of Internal Medicine and Medical Oncology, Istanbul Address correspondence to Demirhan Dıraçoğlu, Istanbul Universitesi, Istanbul Tip Fakultesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dali, 34093 Capa, Istanbul, Turkey. E-mail address: demirhan1@yahoo.com