Aim: To find the effectiveness of Occupational therapy intervention in post operative mandibular fracture patients. Objective: To improve mouth opening and reduce jaw deviations (temporomandibular joint mobility). Study design: A Retrospective study. Study setting: OPD of Occupational Therapy Department In Seth G. S. Medical College, KEM Hospital, Parel, Mumbai -400012, India. Methodology: Data was retrieved from Occupational therapy department records for the last one and half years i.e from july 2019 to jan 2021. In the said period around 33 operated mandibular fractures patients had been referred to Occupational therapy dept for therapy. Out of which only 20 patients followed up. Data of these 20 mandibular fractures patients were analysed. Inclusion criteria, Both males and females, Age group 20-60 years, Operated for mandibular fractures in period July 2019 – January 2021 who were referred to occupational therapy department for therapeutic intervention. Exclusion criteria: Incomplete data, Patients who have not followed up for second visit also. Outcome measures – Mouth opening with a tape measure at 1st, 3rd and 5th week respectively. All these data was already available in Occupationa therapy department records and there was no patient contact at all. Hence waiver of consent was asked for. Results: Statistical analysis (paired t-test) was used to assess the significance of difference. The calculated t value for mouth opening measurements was 17.1850 which was much much higher than the tabular t value at P=0.001, which means the increase in post treatment mouth opening measurements is just not by chance but it’s extremely significant at p= 0.001. The pre and post photograph of the patients showed a difference in jaw deviation angle too while opening mouth. The above results showed the treatment proved to be effective. Conclusion: The Occupation therapy intervention in post-operative mandibular fracture patients proved to be effective in improving mouth opening measurements and jaw deviations.
| Published in | Clinical Medicine Research (Volume 10, Issue 2) |
| DOI | 10.11648/j.cmr.20211002.14 |
| Page(s) | 53-58 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Mandibular Fractures, Post Operative, Occupational Therpy, Mouth Opening, Jaw Deviations
| [1] | Chaurasia A, Katheriya G. Prevalence of mandibular fracture in patients visiting a tertiary dental care hospital in North India. National journal of maxillofacial surgery. 2018 Jul; 9 (2): 123. |
| [2] | Chandra L, Deepa D, Atri M, Pandey SM, Passi D, Goyal J, Sharma A, Gupta U. A retrospective cross-sectional study of maxillofacial trauma in Delhi-NCR Region. Journal of family medicine and primary care. 2019 Apr; 8 (4): 1453. |
| [3] | Srinivasan B, Balakrishna R, Sudarshan H, Veena GC, Prabhakar S. Retrospective analysis of 162 mandibular fractures: An institutional experience. Annals of maxillofacial surgery. 2019 Jan; 9 (1): 124. |
| [4] | Boljevic T, Vukcevic B, Pesic Z, Boljevic A. The quality of life of patients with surgically treated mandibular fractures and the relationship of the posttraumatic pain and trismus with the postoperative complications: A prospective study. Medicina. 2019 Apr; 55 (4): 109. |
| [5] | Dhananjay Barde, Anupama Mudhol, Ramnik Madan. National journal of maxillofacial surgery 5 (2), 153, 2014. |
| [6] | Van der Merwe A, Barnes R. The need for physiotherapy intervention for mandibular condyle fracture patients: A needs analysis. South African Dental Journal. 2015 Jun; 70 (5): 196-9. |
| [7] | Khuman R, Chavda D, Surbala L, Chaudhary E, Bhatt U, Nambi G. Physical therapy in temporomandibular dysfunction following maxillo–mandibular fixation in sub-condylar mandibular fracture-a single case study. Int J Health Sci Res. 2013; 3 (9): 45-55. |
| [8] | Zhou HH, Lv K, Yang RT, Li Z, Yang XW, Li ZB. Clinical, retrospective case-control study on the mechanics of obstacle in mouth opening and malocclusion in patients with maxillofacial fractures. Scientific reports. 2018 May 16; 8 (1): 1-8. |
| [9] | Kamulegeya A, Lakor F, Kabenge K. Oral maxillofacial fractures seen at a Ugandan tertiary hospital: A six-month prospective study. Clinics (Sao Paulo) 2009; 64: 843–8. [PMC free article] [PubMed] [Google Scholar]. |
| [10] | Al Ahmed HE, Jaber MA, Abu Fanas SH, Karas M. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: A review of 230 cases. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2004; 98: 166-70. [PubMed] [Google Scholar]. |
| [11] | ChandraShekar BR, Reddy C. A five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated at two hospitals of Mysore city. Indian J Dent Res. 2008; 19: 304-8. [PubMed] [Google Scholar]. |
| [12] | Qudah MA, Al-Khateeb T, Bataineh AB, Rawashdeh MA. Mandibular fractures in Jordanians: A comparative study between young and adult patients. J Craniomaxillofac Surg. 2005; 33: 103-6. [PubMed]. |
| [13] | Arya Arun, Vivek Narayanan, C. Saravanan, Karthik R. Prevalence and the pattern of mandibular fractures in north east Chennai. International Journal of contemporary medical research 2020; 7 (8): H9-H12. |
| [14] | Nagi R, Sahu S, Gahwai D, Jain S. Study on evaluation of normal range of maximum mouth opening among Indian adults using three finger index: A descriptive study. Journal of Indian Academy of Oral Medicine and Radiology. 2017 Jul 1; 29 (3): 186. |
| [15] | Moraes AD, Sanches ML, Ribeiro EC, Guimarães AS. Therapeutic exercises for the control of temporomandibular disorders. Dental press journal of orthodontics. 2013 Oct; 18 (5): 134-9. |
| [16] | Preventing trismus MSKCC.org, Memorial sloanKatering cancer center. |
APA Style
Vaijanti Jain, Arti Yadav, Ashwini Chauhan. (2021). Effect of Occupational Therapy Intervention Inpost-operative Mandibular Fractures - A Retrospective Study. Clinical Medicine Research, 10(2), 53-58. https://doi.org/10.11648/j.cmr.20211002.14
ACS Style
Vaijanti Jain; Arti Yadav; Ashwini Chauhan. Effect of Occupational Therapy Intervention Inpost-operative Mandibular Fractures - A Retrospective Study. Clin. Med. Res. 2021, 10(2), 53-58. doi: 10.11648/j.cmr.20211002.14
AMA Style
Vaijanti Jain, Arti Yadav, Ashwini Chauhan. Effect of Occupational Therapy Intervention Inpost-operative Mandibular Fractures - A Retrospective Study. Clin Med Res. 2021;10(2):53-58. doi: 10.11648/j.cmr.20211002.14
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Download@article{10.11648/j.cmr.20211002.14,
author = {Vaijanti Jain and Arti Yadav and Ashwini Chauhan},
title = {Effect of Occupational Therapy Intervention Inpost-operative Mandibular Fractures - A Retrospective Study},
journal = {Clinical Medicine Research},
volume = {10},
number = {2},
pages = {53-58},
doi = {10.11648/j.cmr.20211002.14},
url = {https://doi.org/10.11648/j.cmr.20211002.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211002.14},
abstract = {Aim: To find the effectiveness of Occupational therapy intervention in post operative mandibular fracture patients. Objective: To improve mouth opening and reduce jaw deviations (temporomandibular joint mobility). Study design: A Retrospective study. Study setting: OPD of Occupational Therapy Department In Seth G. S. Medical College, KEM Hospital, Parel, Mumbai -400012, India. Methodology: Data was retrieved from Occupational therapy department records for the last one and half years i.e from july 2019 to jan 2021. In the said period around 33 operated mandibular fractures patients had been referred to Occupational therapy dept for therapy. Out of which only 20 patients followed up. Data of these 20 mandibular fractures patients were analysed. Inclusion criteria, Both males and females, Age group 20-60 years, Operated for mandibular fractures in period July 2019 – January 2021 who were referred to occupational therapy department for therapeutic intervention. Exclusion criteria: Incomplete data, Patients who have not followed up for second visit also. Outcome measures – Mouth opening with a tape measure at 1st, 3rd and 5th week respectively. All these data was already available in Occupationa therapy department records and there was no patient contact at all. Hence waiver of consent was asked for. Results: Statistical analysis (paired t-test) was used to assess the significance of difference. The calculated t value for mouth opening measurements was 17.1850 which was much much higher than the tabular t value at P=0.001, which means the increase in post treatment mouth opening measurements is just not by chance but it’s extremely significant at p= 0.001. The pre and post photograph of the patients showed a difference in jaw deviation angle too while opening mouth. The above results showed the treatment proved to be effective. Conclusion: The Occupation therapy intervention in post-operative mandibular fracture patients proved to be effective in improving mouth opening measurements and jaw deviations.},
year = {2021}
}
TY - JOUR T1 - Effect of Occupational Therapy Intervention Inpost-operative Mandibular Fractures - A Retrospective Study AU - Vaijanti Jain AU - Arti Yadav AU - Ashwini Chauhan Y1 - 2021/04/26 PY - 2021 N1 - https://doi.org/10.11648/j.cmr.20211002.14 DO - 10.11648/j.cmr.20211002.14 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 53 EP - 58 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20211002.14 AB - Aim: To find the effectiveness of Occupational therapy intervention in post operative mandibular fracture patients. Objective: To improve mouth opening and reduce jaw deviations (temporomandibular joint mobility). Study design: A Retrospective study. Study setting: OPD of Occupational Therapy Department In Seth G. S. Medical College, KEM Hospital, Parel, Mumbai -400012, India. Methodology: Data was retrieved from Occupational therapy department records for the last one and half years i.e from july 2019 to jan 2021. In the said period around 33 operated mandibular fractures patients had been referred to Occupational therapy dept for therapy. Out of which only 20 patients followed up. Data of these 20 mandibular fractures patients were analysed. Inclusion criteria, Both males and females, Age group 20-60 years, Operated for mandibular fractures in period July 2019 – January 2021 who were referred to occupational therapy department for therapeutic intervention. Exclusion criteria: Incomplete data, Patients who have not followed up for second visit also. Outcome measures – Mouth opening with a tape measure at 1st, 3rd and 5th week respectively. All these data was already available in Occupationa therapy department records and there was no patient contact at all. Hence waiver of consent was asked for. Results: Statistical analysis (paired t-test) was used to assess the significance of difference. The calculated t value for mouth opening measurements was 17.1850 which was much much higher than the tabular t value at P=0.001, which means the increase in post treatment mouth opening measurements is just not by chance but it’s extremely significant at p= 0.001. The pre and post photograph of the patients showed a difference in jaw deviation angle too while opening mouth. The above results showed the treatment proved to be effective. Conclusion: The Occupation therapy intervention in post-operative mandibular fracture patients proved to be effective in improving mouth opening measurements and jaw deviations. VL - 10 IS - 2 ER -
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