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Research Article

JCR. 2020; 7(13): 1996-2000


HIGH POWER LASER THERAPY VERSUS TRADITIONAL PHYSICAL THERAPY ON TEMPORO-MANDIBULAR JOINT POST GUNSHOT INJURY

Raafat Ezz El Deen Abd El Hameed, Dalia Galal El Sayed, Fatma Mohammed Alfeky.

Abstract
Introduction: No one can deny that physical therapy program for post traumatic Temporomandibular Joint (TMJ) gunshot adhesion is controversial. The purpose of this study is to investigate the effectiveness of High Power LASER on adhesion treatment in patient with post traumatic TMJ gunshot injury.
Methods: Thirty male patients with post traumatic TMJ gunshot injury participated in the study, and were divided randomly into two equal groups. Group (A) received High Power LASER, Mobilization and strengthening exercises, Group (B) received Mobilization and strengthening exercises. Both groups were assessed before and after treatment in terms of pain and range of motion.
Results: By performing Independent sample t –test to compare between ROM of Temporomandibular Joint (TMJ) before and after treatment for both experimental group (Group A) that received High Power LASER, Mobilization and Jaw strengthening exercises and Control one (Group B) that received Mobilization and Jaw strengthening exercises , P value = 0.09 so, there were a statistical difference between both groups and also performing Independent sample t –test to compare between the degree of TMJ pain by using VAS before and after treatment for both groups (A &B) , P value = 0.00 so, there were a statistical difference between both groups.
Conclusion: We stated that combination between High Power LASER Therapy, Jaw strengthening exercises and TMJ mobilization has a positive effect in treatment of post traumatic TMJ gunshot injuries.

Key words: Temporomandibular Joint, Gunshot Injury, High Power LASER.



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