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Year : 2021  |  Volume : 3  |  Issue : 2  |  Page : 107-111

Immediate effect of mulligan's mobilization with movement on forward head posture and postural sway in temporomandibular joint dysfunction: An experimental study

Department of Orthopedic Manual Therapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India

Correspondence Address:
Dr. Anand Heggannavar
Departmnet of Orthopaedic Manual Therapy, KAHER Institute of Physiotherapy, Belagavi, Karntaka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijptr.ijptr_57_19

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Context: Temporomandibular joint dysfunction (TMJD) is defined as orofacial disorders including pain, clicking in the temporomandibular joint (TMJ), fatigue of the masticatory muscles, and limitation of mandibular movements. TMJD is responsible for forward head posture (FHP) and postural sway leading to neck pain, headache, and absenteeism from work affecting their quality of life. Management of the dysfunction can alleviate pain and improve work efficiency. Aim: The aim of this study is to evaluate the immediate effect of Mulligan's mobilization with movement (MWM) on numeric pain rating scale (NPRS), maximum mouth opening (MMO), FHP, and postural sway in participants with TMJD. Settings and Design: Pre-and postexperimental study conducted in tertiary care hospital in Belagavi, Karnataka, India. Methodology: Of 59 screened, 39 participants between the age group of 20–40 years of both genders were screened based on the scores obtained from Fonseca's Questionnaire and those eligible were recruited. One session of TMJ MWM was administered and outcome measures were assessed preintervention and immediately postintervention using NPRS, MMO, postural sway, and craniovertebral angle. Statistical Analysis Used: Wilcoxon matched-pairs test and paired t-test were used for pre-and posttest scores of variable. Results: After data analysis, the severity of pain, MMO, postural sway, and FHP showed significant improvement postintervention (P < 0.0001). Conclusion: One session of MWM for TMJ was effective in alleviating pain, improving mouth opening, postural sway, and FHP immediately posttreatment in participants with TMJD.

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