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A Study on Effectiveness of Conventional Mode TENS on Trismus


Affiliations
1 Saveetha College of Physiotherapy, Saveetha University, Thandalam, Chennai -102, Tamil Nadu, India
     

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Background: Trismus is un controlled inability to open the mouth or jaw. It interferes with mainly daily activities chewing, swallowing and talking, brushing teeth. It can be improve by the transcutaneous electrical nerve stimulation and increased full jaw function. Aim: To find out the therapeutic effects of conventional mode TENS in pain reduction and increased range of motion among Trismus patients with limited mouth opening. Methodology: A convenient sample of subjects was solicited from Saveetha medical college and hospital and the subjects were divided into two groups. Group-1(control group) who were diagnosed with restricted mouth opening due to trismus were given active jaw exercises. Group-2(experimental group) with restricted mouth opening were subjected to conventional mode TENS for 20 minutes and they were given active jaw exercises before and after the application of the modality. Post-test NPRS and functional outcome were taken and documented for statistical analysis. Outcome measures: Numerical pain rating scale for jaw pain, A regular ruler for measuring the inter-incise distance. Results: Statistical analysis was done to identify the difference between pre and post test measurements by paired t test analysis. The two tailed p-value is less than 0.0001 by conventional criteria, this difference is considered to be extremely statistically significant. Conclusion: It was recognised that trismus patients were initially undergoing an increased rate of difficulty in jaw opening but after a two week exercise and conventional mode TENS application there was an appreciable increase in their mouth opening and alleviation of pain.

Keywords

Conventional Mode TENS, Trismus, NPRS, Restricted Mouth Opening, Modality.
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  • Akinwande 1.A. Fractures of the mandible due to road traffic accidents in Lagos, Nigeria, Nigerian Dent. 1. 1990,9: 15- 20.

  • Langdon 1.D and Rapidis A.D. Maxillofacial injuries & 1. Hosp. Med. 1982,12: 589-599. ~

  • Cawson R.A. Fractures of the jaw and facial skeleton: In Essentials of Dental Surgery and Pathology, 4th Edition Churchill Livingstone, New York,1986;207-229.

  • Rood 1. Pand Sowray JH. Maxillofacial injuries: In Rowe AHR, Alexander A. G, John R.B. (Eds). A Comprehensive guide to clinical dentistry. Class Publishing, London, 1989; 1223-1244.

  • Ewers R and Harle F. Experimental and clinical results of new advances in the treatment of facial trauma. Plast. Reconst. Surg. 1985;75: 25-31.

  • RavehJ, Vuillenin T, Ladrach K, Roux Mand Suter F. Plate osteosynthesis of 367 mandibular fractures. 1. Crania. Maxil/ofac. Surg. 1987; 15: 244-253.

  • Wald R.M, Abermayore E, Zemplenty J, Mannai C and Lesavoy M.A. The transoral treatment of mandibular fractures using non-compressionmini-plates: Aprospective study. Ann. Plast. Surg. 1998; 20: 409—413

  • UgbokoV.I, Odusanya S. Aand Fagade 0.0. Maxillofacial fractures in a semi-urban Nigerian Teaching Hospital. A review of 442 cases. Int. 1. Oral Maxillofac. Surg. 1998; 27: 286-289.

  • 9.Balogun1. A.Pain complaint and Muscle soreness associated with high voltage electrical stimulation. Effecton Tamptime. Journal of Perceptual and Motor skills. 1986; 62: 799- 809

  • Belanger A.Y. Physiological evidence of an endogenous opiate- related pain modulating system and its relevance to .... IJ TENS: A review of literature. Physiotherapy Canada 1985; 37: 1080-1084.

  • Linzer M and Long D.M. Transcutaneous neural stimulation for the relief of pain. IEEE Trans. Biomedical Engineering 1976; 23: 341-345.

  • Gunn c.c. Review off 100 patients with 'Low Back Sprain' treated by surface electrode stimulation of acupunture points. Amer 1. ACUpllllcture.1975;3: 224-232.

  • Strassburg H.M, Kranick JV and Thoden V. Influence of Transcutaneous nerve stimulation TENS on acute pain. Journal of Neural. 1977;217: 1-10.

  • Fagade 0.0 and Waste llDG. Comparative study of Aspirin and Temgesicon long-latency trigeminal evoked potentials. Nigerian Med. 1. 1995;28: 122-126.

  • Levin MF, Hui-Chan CW. Conventional and acupuncture-like transcutaneous electrical nerve stimulation excite similar afferent fibers. Arch. Phys. Med. Rehabil. 1993; 74:54–60. [PubMed]

  • Radhakrishnan R, Sluka KA. Deep tissue afferents, but not cutaneous afferents, mediate TENS-induced antihyperalgesia. J. Pain. 2005; 6:673–680. [PubMed] •• ‘Transcutaneous’ may be a misnomer as transcutaneous electrical nerve stimulation (TENS) induced anti-hyperalgesia is mediated by deep tissue afferents. Animal study showing that anesthetic applied to the skin has no effect on the analgesia produced by TENS while anesthetic within the knee joint prevents the analgesia produced by TENS.

  • Desantana JM, Da Silva LF, De Resende MA, Sluka KA. Transcutaneous electrical nerve stimulation at both high and low frequencies activates ventrolateral periaqueductal grey to decrease mechanical hyperalgesia in arthritic rats. Neuroscience. 2009;163(4):1233–1241. [PMC free article] [PubMed]

  • Kalra A, Urban MO, Sluka KA. Blockade of opioid receptors in rostral ventral medulla prevents antihyperalgesia produced by transcutaneous electrical nerve stimulation (TENS) J. Pharmacol. Exp. Ther. 2001; 298:257–263. [PubMed]

  • Sluka KA, Deacon M, Stibal A, et al. Spinal blockade of opioid receptors prevents the analgesia produced by TENS in arthritic rats. J. Pharmacol. Exp. Ther. 1999; 289:840–846. [PubMed]

  • Melzack R. Prolonged Relief of Pain by Brief Intense, Transcutane~) Us Somatic stimulation. Pain 1975; 1: 357- 367.

  • Cervero F. Pain: Friend or Foe? A Neurobiologic Perspective: The 2008 Bonica Award Lecture. Reg Anesth Pain Med. 2009;34(6):569-74.

  • Mauro Mondelli, Alessandro Aretini, Giuseppe Greco Funct Neurol. 2014 Jul-Sep; 29(3): 195–200. Published online 2014 Dec4.PMCID: PMC4264787

  • Sook Y. Loh, Robert W. J. Mcleod, Hassan A. Elhassan Eur Arch Otorhinolaryngol. 2017; 274(7): 2695–2707. Published online 2017 Mar 25. doi: 10.1007/s00405-017-4519-6 PMCID: PMC5486547

  • Susan Armijo-Olivo, Laurent Pitance, Vandana Singh, Francisco Neto, Norman Thie, Ambra Michelotti Phys Ther. 2016 Jan; 96(1): 9–25. Published online 2015 Aug 20. doi: 10. 2522/ptj.20140548 PMCID: PMC4706597


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  • A Study on Effectiveness of Conventional Mode TENS on Trismus

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Authors

S. Senthil Kumar
Saveetha College of Physiotherapy, Saveetha University, Thandalam, Chennai -102, Tamil Nadu, India
A. Abdul Rahim
Saveetha College of Physiotherapy, Saveetha University, Thandalam, Chennai -102, Tamil Nadu, India

Abstract


Background: Trismus is un controlled inability to open the mouth or jaw. It interferes with mainly daily activities chewing, swallowing and talking, brushing teeth. It can be improve by the transcutaneous electrical nerve stimulation and increased full jaw function. Aim: To find out the therapeutic effects of conventional mode TENS in pain reduction and increased range of motion among Trismus patients with limited mouth opening. Methodology: A convenient sample of subjects was solicited from Saveetha medical college and hospital and the subjects were divided into two groups. Group-1(control group) who were diagnosed with restricted mouth opening due to trismus were given active jaw exercises. Group-2(experimental group) with restricted mouth opening were subjected to conventional mode TENS for 20 minutes and they were given active jaw exercises before and after the application of the modality. Post-test NPRS and functional outcome were taken and documented for statistical analysis. Outcome measures: Numerical pain rating scale for jaw pain, A regular ruler for measuring the inter-incise distance. Results: Statistical analysis was done to identify the difference between pre and post test measurements by paired t test analysis. The two tailed p-value is less than 0.0001 by conventional criteria, this difference is considered to be extremely statistically significant. Conclusion: It was recognised that trismus patients were initially undergoing an increased rate of difficulty in jaw opening but after a two week exercise and conventional mode TENS application there was an appreciable increase in their mouth opening and alleviation of pain.

Keywords


Conventional Mode TENS, Trismus, NPRS, Restricted Mouth Opening, Modality.

References