Additional Effects of Joint Mobilization in Addition to Rocabado Exercises on Alleviating Trismus Following Third Molar Extraction

NCT06534619 | Active Not Recruiting

• 1 other identifier: FUI/CTR/2024/18
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Trismus

Outcome Measures

Primary Outcomes (3)

• Pain intensity

  pain will be measured using Numeric pain rating scale

  1 week

• Range of motion

  A Vernier caliper will be used to measure maximal incisal opening (MIO) ≤ 35 mm (ROM)

  1 week

• Functional Performance

  Gothenburg Trismus Questionnaire will be used for assessing functional performance or trismus-related quality of life.

  1 week

Study Arms (2)

Maitland joint mobilization + Rocabdo exercises

EXPERIMENTAL

Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides Frequency: 3-4 times in 1 week . 4 sessions in total.

Procedure: Electrotherapy; Procedure: Rocabado exercises; Procedure: Maitland oscillatory mobilizations

Rocabado exercises

EXPERIMENTAL

Participants of this Group will receive the conventional physical therapy along with 6 Rocabado exercises.6 reps each Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 Minutes. Frequency: 3-4 times in 1 week . 4 sessions in total.

Procedure: Electrotherapy; Procedure: Rocabado exercises

Interventions

Electrotherapy PROCEDURE

Therapeutic ultrasound: pulse mode - 1:4, frequency 3 MHz, intensity- 0.8 watt/cm2 for about 3-4 minutes.

Maitland joint mobilization + Rocabdo exercises; Rocabado exercises

Rocabado exercises PROCEDURE

6 Rocabado exercises 6 Reps each.

Maitland joint mobilization + Rocabdo exercises; Rocabado exercises

Maitland oscillatory mobilizations PROCEDURE

Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. Techniques used are anterior, lateral and inferior glides

Maitland joint mobilization + Rocabdo exercises

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Referral or consultation from a dentist to confirm the diagnosis of trismus.
• Age 18-45 years
• Both genders (Male and Female)
• Maximal interincisal opening ≤ 35mm (Restricted jaw motion).
• Unilateral/Bilateral impacted lower third molars.
• days Post mandibular Third molar extraction

You may not qualify if:

• Local Infection or bleeding post third molar extraction.
• Patients with Acute pericoronitis
• Patient undergoing chemotherapy and radiotherapy.
• Type I diabetes, renal failure and chronic liver disease were excluded as immunocompromised state.
• Pregnant or lactating women.
• Cyst or tumor associated with impacted tooth

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Trismus

Interventions

Electric Stimulation Therapy

Condition Hierarchy (Ancestors)

Spasm; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a randomized controlled trail, having two groups. One group will receive Maitland joint mobilization along with rocabado exercises and the second will receive rocabado exercises only. Both groups will be recruited concurrently.

Study Record Dates

• First Submitted: July 30, 2024
• First Posted: August 2, 2024
• Study Start: June 10, 2024
• Primary Completion: December 10, 2024
• Study Completion: December 30, 2024
• Last Updated: August 2, 2024

Record last verified: 2024-07

Locations

PA (1)