Effects of Ultrasound, Laser and Exercises on Temporomandibular Joint Pain and Trismus Following Head and Neck Cancer

• Published in: Annals of rehabilitation medicine Vol. 42; no. 6; pp. 846 - 853
• Main Authors: Elgohary, Hany Mohamed, Eladl, Hadaya Mosaad, Soliman, Ashraf Hassan, Soliman, Elsadat Saad
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Academy of Rehabilitation Medicine 01.12.2018; 대한재활의학회
• Subjects: Head and neck neoplasms; Lasers; Original; Temporomandibular joint; Trismus; Ultrasonics; 재활의학; Temporomandibular joint; Trismus; Head and neck neoplasms; Lasers; Ultrasonics
• ISSN: 2234-0645; 2234-0653
• DOI: 10.5535/arm.2018.42.6.846

To compare the effects of low intensity ultrasound (LIUS), traditional exercise therapy (TET), low level laser therapy (LLLT) and TET on temporomandibular joint (TMJ) pain and trismus following recovery from head and neck cancer (HNC). Sixty participants following, who had experienced HNC, were randomly allocated to three groups of 20 people each. Each group received different therapy. Group A received LIUS and TET; group B received LLLT and TET; while group C received TET. All 60 participants were evaluated under the visual analog scale (VAS), the University of Washington Quality of Life questionnaire (UW-QOL) and the Vernier caliper scale (VCS) at the beginning of the therapies and after 4 weeks. ANOVA test revealed significant improvements across all three groups with outcomes of p<0.05. The results of the UW-QOL questionnaire showed a significant difference between groups A, B and C in favor of group A (p<0.05). The VAS results showed a more improvement in group A as compared to group B (p<0.05), while there was no statistical difference between groups B and C (p>0.05). The VCS results showed more improvement for the individuals in group B as compared to those in group C (p<0.05), while there was minimal difference between groups A and B (p>0.05). The LIUS and TET are more effective than LLLT and/or TET in reducing TMJ pain and trismus following HNC.