Type of Article:  Original Research

Volume 5; Issue 5 (September 2017)

Page No.: 2320-2324

DOI: https://dx.doi.org/10.16965/ijpr.2017.198


Danish Nouman *1, Kayinat Hassan 2.

Physiotherapist, Swami Vivekanand Subharti University, Subhartipuram, Uttar Pradesh Meerut, India.

Corresponding Author Address: Swami Vivekanand Subharti University,Subhartipuram, Nh-58, Delhi Haridwar, Uttar Pradesh Meerut, India.

E-Mail: drdchauhan86@gmail.com


Introduction: Temporomandibular joint (TMJ) ankylosis is a pathologic condition where the mandible is fused to the fossa by bony or fibrotic tissue. This interferes with mastication, speech ,oral hygiene, and normal life activities. During growth period, it can cause gross facial deformities especially, when not identified in time or if treatment is delayed. Surgical treatment is the only choice of treatment in this condition. One main drawback is that despite of extreme care during surgery, facial nerve get damage.

Materials and Methods: The study was of an experimental design, with 15 subjects, 6 were female, 9 were male,and all subjects were assigned according to criteria (inclusion & exclusion) and carried out at physiotherapy OPD of CSS Hospital, Meerut. Maximum mouth opening movements were assessed using the measuring scale & reduced facial movements by House Brackmann Score.  The subjects were reassessed after completion of 3 weeks of intervention. The collected data was of mean and standard deviation of MMO & HBS and has been analyzed using SPSS software. The study was done to determine the effect of electrical stimulation & facial exercises for improving the motor function of facial nerve & mouth opening exercises in patients with reduced mouth opening.

Results: The results showed that there was significant difference in the MMO & Facial movements respectively after the treatment.

Conclusion: Study concluded that the difference from 1st day of 1st week  to 6th day of 3rd week in MMO & HBS which shows that mouth opening exercise are effective  in patients with reduced mouth opening & electrical stimulation along with facial exercises are effective in improving the motor function of facial nerve.

KEY WORDS: Temporomandibular joint (TMJ) ankylosis, Maximum mouth opening(MMO), facial nerve injury & House Brackmann Score (HBS).


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Cite this article: Danish Nouman, Kayinat Hassan. POST OPERATIVE PHYSIOTHERAPY MANAGEMENT OF TEMPOROMANDIBULAR JOINT ANKYLOSIS. Int J Physiother Res 2017;5(5):2320-2324. DOI: 10.16965/ijpr.2017.198