Manual Therapy and Kinesio Taping on Temporomandibular Joint Dysfunction Following Oral Surgeries

NCT05422703 | Completed

• 1 other identifier: P.T.REC/012/003508
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Oral surgeries include various types such as impacted wisdom tooth surgery, oral cyst enucleation (cystectomy), surgical incision and drainage of odontogenic abcess, oral tumor excision and open reduction and internal fixation of mandibular fracture (ORIF). Oral surgeries are usually associated with pain, swelling and inability to open the mouth. Those symptoms reach the maximum intensity between the third to fifth days postoperatively for the swelling and 24 to 48 hours postoperatively for the pain and then, they gradually diminished until the 7th day postoperatively

Conditions

Temporomandibular Joint Dysfunction

Keywords

Kinesio taping; Manual therapy; Oral surgeries

Outcome Measures

Primary Outcomes (3)

• facial swelling

  Facial swelling was assessed by a four-line measurement method using a flexible plastic tape measure. The corresponding lines were line A from the most posterior point of the tragus to the most lateral point of the lip commissure),line B (from the most posterior point of the tragus to the pogonion), line C from the most inferior point of the mandibular angle to lateral canthus of the eye ; and line D, most inferior point of the mandibular angle to (the nasal border - wing of the nostril. These measurements were performed with the patient sitting at 90° straight position with physiologic rest position of the mandible.

  Two weeks

• Facial pain

  Visual analogue scale (VAS)measure, consists of a line usually 10 cm in length, with anchor descriptors such as (in the pain context) where 0 means no pain and 10 means worst conceivable pain. patients asked to mark the point corresponding to the intensity of their pain , and the distance from the left endpoint to the mark is measured, in cm.

  Two weeks

• Maximum mouth opening

  measurement of maximal interincisal distance (mm) attained during the active mouth opening by the subject.

  Two weeks

Study Arms (2)

Study group

EXPERIMENTAL

patients who will receive manual therapy and Kinesio taping, in additional to basic post operative care (ice pack , analgesics, Antibiotic treatment and mouth wash daily ) 3 times per week for two weeks.

Device: Kinesio tape; Other: Gauze pack; Device: ice pack; Procedure: Manual therapy; Drug: Analgesic; Drug: Proteolytic enzymes; Drug: Mouth wash; Dietary Supplement: Soft cold diet

Control group

PLACEBO COMPARATOR

patients who will receive basic post operative care (ice pack , analgesics, Antibiotic treatment and mouth wash daily ).

Other: Gauze pack; Device: ice pack; Drug: Analgesic; Drug: Proteolytic enzymes; Drug: Mouth wash; Dietary Supplement: Soft cold diet

Interventions

Kinesio tape DEVICE

Skin-colored Kinesiology Tape (ARES tape,5 cm×5 m) is waterproof tape is made of 100% cotton,applied in the shape of a fan strip, waterproof. The width is 5 cm and thickness of 0.5 mm (5 cm×5 m ).This tape is sticking with a small stretch (about 15%).

Study group

Gauze pack OTHER

Place gauze pack over surgical site for one hour after surgery.

Control group; Study group

ice pack DEVICE

Ice packs will be applied for 6 hours after surgery in all patients

Control group; Study group

Manual therapy PROCEDURE

passive and active range of motion, stretching exercises, resistive mouth exercises, mobilization exercises and coordination exercices.

Also known as: Exercises

Study group

Analgesic DRUG

NSAIDs like ibuprofen (600-800 mg) or declophenac sodium (50-150 mg) 3 times a day

Control group; Study group

Proteolytic enzymes DRUG

1-2 ampoules daily IM box of 3 ampoules of 5 mg crystallized and lyophilized chymotrypsin (450 E. A. Units) + 3 ampoules of 3 ml apyrogenic saline for one week.

Control group; Study group

Mouth wash DRUG

use 0.12% chlorhexidine or povidone iodine mouthwash daily

Control group; Study group

Soft cold diet DIETARY_SUPPLEMENT

For the day of surgery

Control group; Study group

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• age ranged between 20-50 years
• both gender
• TMJ dysfunction following oral surgeries.

You may not qualify if:

• open wound in affected area
• facial trauma,smoker and infection
• sensitivity to tape
• allergies to medication administered in the study
• reluctance to shave facial hair (for men)

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy

Cairo, Giza Governorate, 3753450, Egypt

Location

Related Publications (4)

• Lietz-Kijak D, Kijak E, Krajczy M, Bogacz K, Luniewski J, Szczegielniak J. The Impact of the Use of Kinesio Taping Method on the Reduction of Swelling in Patients After Orthognathic Surgery: A Pilot Study. Med Sci Monit. 2018 Jun 4;24:3736-3743. doi: 10.12659/MSM.909915.

  PMID: 29861496 BACKGROUND

• Yurttutan ME, Sancak KT. The effect of kinesio taping with the web strip technique on pain, edema, and trismus after impacted mandibular third molar surgery. Niger J Clin Pract. 2020 Sep;23(9):1260-1265. doi: 10.4103/njcp.njcp_23_20.

  PMID: 32913166 BACKGROUND

• Jaron A, Preuss O, Grzywacz E, Trybek G. The Impact of Using Kinesio Tape on Non-Infectious Complications after Impacted Mandibular Third Molar Surgery. Int J Environ Res Public Health. 2021 Jan 6;18(2):399. doi: 10.3390/ijerph18020399.

  PMID: 33419167 BACKGROUND

• Tatli U, Benlidayi IC, Salimov F, Guzel R. Effectiveness of kinesio taping on postoperative morbidity after impacted mandibular third molar surgery: a prospective, randomized, placebo-controlled clinical study. J Appl Oral Sci. 2020;28:e20200159. doi: 10.1590/1678-7757-2020-0159. Epub 2020 Jul 13.

  PMID: 32667383 BACKGROUND

MeSH Terms

Conditions

Temporomandibular Joint Disorders

Interventions

Athletic Tape; Musculoskeletal Manipulations; Exercise; Analgesics; Peptide Hydrolases; Mouthwashes

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases

Intervention Hierarchy (Ancestors)

Bandages; Equipment and Supplies; Orthotic Devices; Orthopedic Equipment; Surgical Equipment; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Sensory System Agents; Peripheral Nervous System Agents; Physiological Effects of Drugs; Pharmacologic Actions; Chemical Actions and Uses; Central Nervous System Agents; Therapeutic Uses; Hydrolases; Enzymes; Enzymes and Coenzymes; Biomedical and Dental Materials; Specialty Uses of Chemicals; Cosmetics; Manufactured Materials; Technology, Industry, and Agriculture

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Combined effect of manual therapy and kinesiotaping on temporomandibular joint dysfunction following oral surgeries

Study Record Dates

• First Submitted: June 10, 2022
• First Posted: June 16, 2022
• Study Start: January 15, 2022
• Primary Completion: June 18, 2022
• Study Completion: August 18, 2022
• Last Updated: May 21, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)