Dr. Sanjeev Kumar Singh, Nawaz Mulla, Dr. Ronika Agrawal
Abstract: BACKGROUND- The International association for the study of pain defines Temporomandibular Joint Disorder as aching in the muscles of mastication, sometimes with occasional brief severe pain on chewing, often associated with restricted jaw movement and clicking or popping sounds. AIM- To compare the effects of Rocabodos exercises with Combination Therapy (U.S + TENS) and Rocabodos Exercise on Pain and Range of Motion in Temporomandibular Joint Disorders. METHODOLOGY - 60 subjects were convineintly taken and divided into two groups- Group A, Rocabodos exercise along with Combination Therapy (Ultrasound + T.E.N.S) and Group B (Rocabodos Exercises alone) for 4 weeks with duration of each session being 30mins. Subjects with Age Criteria 18-45 Years, limitation of mouth opening due to pain with VAS of 2 and more than that out of 10, Type 1 TMD based on Laskins Criteria (unilateral pain, muscular tenderness, clicking or popping sounds and limitation of mouth opening) and acute Pain less than 4 weeks were included in the study. Exclusion criteria includes patients with the history of oral tumor, History of trauma to the TM Joint, Other problems related to the Masticatory System, Patients on Temporomandibular Joint Disorder drug use and Metal Implants in the oral cavity. The outcome measures used were Vernier Calliper and Visual Analogue Scale. RESULTS- Group A, Rocabodos exercise along with Combination Therapy (Ultrasound + T.E.N.S) and Group B (Rocabodos Exercises alone) both showed significant improvements But, Group A showed more significant improvement than Group B. CONCLUSION - Group A, Rocabodos Exercises done for five days per week for four weeks along with Combination Therapy prove to be more effective when given to patients with Type I TMD as compared to the patients who were only given Rocabodos Exercises as a home program alone in Group B.
Keywords: Combination therapy, Rocabodos exercises, temporomandibular joint disorders