Exercise therapy for trismus secondary to head and neck cancer: A systematic review
Correction(s) for this article
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Exercise therapy for trismus secondary to head and neck cancer: A systematic review
- Jolanda I. Kamstra DMD,
- Marianne van Leeuwen DMD,
- Jan L.N. Roodenburg DMD, PhD,
- Pieter U. Dijkstra PT, PhD,
- Volume 39Issue 11Head & Neck
- pages: 2352-2362
- First Published online: July 14, 2017
Corresponding Author
Jolanda I. Kamstra DMD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Marianne van Leeuwen and Jolanda I. Kamstra contributed equally to this work.
Corresponding author: J. I. Kamstra, Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands. E-mail: [email protected]Search for more papers by this authorMarianne van Leeuwen DMD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Marianne van Leeuwen and Jolanda I. Kamstra contributed equally to this work.
Search for more papers by this authorJan L.N. Roodenburg DMD, PhD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Search for more papers by this authorPieter U. Dijkstra PT, PhD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Department of Rehabilitation, University of Groningen, University Medical Center Groningen, The Netherlands
Search for more papers by this authorCorresponding Author
Jolanda I. Kamstra DMD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Marianne van Leeuwen and Jolanda I. Kamstra contributed equally to this work.
Corresponding author: J. I. Kamstra, Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands. E-mail: [email protected]Search for more papers by this authorMarianne van Leeuwen DMD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Marianne van Leeuwen and Jolanda I. Kamstra contributed equally to this work.
Search for more papers by this authorJan L.N. Roodenburg DMD, PhD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Search for more papers by this authorPieter U. Dijkstra PT, PhD
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands
Department of Rehabilitation, University of Groningen, University Medical Center Groningen, The Netherlands
Search for more papers by this authorAbstract
Background
Effects of exercise therapy for trismus secondary to head and neck cancer have not been reviewed systematically since 2004.
Methods
Four databases were searched. The quality of observational studies and randomized controlled trials was assessed.
Results
Two hundred eleven articles were found, 20 studies were included. A large variation in research methodology, stretching techniques, duration of stretch, and repetition of exercises was found. The overall quality was moderate. Five of the 8 preventive studies found that exercises during (chemo)radiotherapy could not prevent a reduction in mouth opening. In 4 therapeutic case studies, mouth opening increased between 17 and 24 mm. In 8 other therapeutic studies, mouth opening increased between −1.9 and 13.6 mm. No exercise therapy was clearly superior to the others.
Conclusion
Changes in mouth opening ranged considerably and no stretching technique was superior to others regarding either prevention or treatment of trismus. Clinical guidelines cannot be given based on this systematic review. © 2016 Wiley Periodicals, Inc. Head Neck 39: 160–169, 2017
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