Exercise therapy to treat trismus in a patient with head neck cancer: A case report

Author:

Mandal Soumyajit1,Mandal Subhajit2,Malik Deepika3,Thakur Kanika4,Chahal Aksh5

Affiliation:

1. Department in Charge, Department of Physiotherapy, Santiniketan Medical College & Hospital, Gobindrapur, Muluk, Bolpur, West Bengal, India

2. Department of Health & Family Welfare, Government of West Bengal, Joypur, West Bengal, India

3. Department of Radiation Oncology, Sri Aurobindo Institute of Medical Science and Post-Graduate Institute, Indore, Madhya Pradesh, India

4. Department of Neurological Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India

5. Department of Physiotherapy, School of Allied Health Science, Galgotias University, Greater Noida, Uttar Pradesh, India

Abstract

Abstract Trismus, a reduction in mouth opening (MO), is frequently observed in head and neck cancer (HNC) patients. Defined by an inter-incisal distance of less than 35 mm, trismus significantly impacts the quality of life. This case study examines a 36-year-old female with left buccal mucosa carcinoma, presenting with an MO of 28 mm, measured via a digital Vernier caliper. A tailored physiotherapy protocol was implemented, involving warm-up exercises and stretching with a Heister jaw opener, executed twice daily for 4 weeks. The posttreatment assessment showed a notable MO increase to 42 mm. This case illustrates the benefits of exercise therapy for trismus in HNC, suggesting its utility as a noninvasive treatment option.

Publisher

Medknow

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