Rana M. M. Elattar, Haidy N. Ashem, Ashraf E. M. Elsebaie, Zeinab A. Ali, Khadra M. Ali
Rana M. M. Elattar, Haidy N. Ashem, Ashraf E. M. Elsebaie, Zeinab A. Ali, Khadra M. Ali – Effect of transcutaneous electrical nerve stimulation and Rocabado exercises on temporomandibular joint dysfunction after head and neck surgeries – Fizjoterapia Polska 2024; 24(5); 220-226
DOI: https://doi.org/10.56984/8ZG020CM3WN
Abstract Purpose. To investigate the impact of TENS and Rocabado exercises on TMJ dysfunction after head and neck surgeries. Methods. This study comprised 72 patients (45 males and 27 females) aged 40–60 years who were diagnosed with TMD post-HNCS. The participants were equally divided into three groups: Group A received TENS and Rocabado exercises, Group B followed Rocabado exercises, and Group C received TENS. The three groups received a conventional physiotherapy program. Pre- and post-eight-week intervention, visual analog scale (VAS), maximum mouth opening (MMO), and mandibular function impairment questionnaire (MFIQ) were used for assessment. Results. Both MMO and MFIQ had a non-significant difference between Groups A and B, yet they exhibited a significant disparity in Groups A and B in contrast to Group C (p = 0.001). Additionally, VAS significantly differed in Group A more than in Groups B and C, with no significant difference between Groups B and C (p = 0.001). Conclusion. The combined effect of TENS and Rocabado exercises was comparatively better than TENS or Rocabado exercises alone in managing TMD after HNCS.
Key words TENS, trismus, TMJ, cancer