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Rehabilitation strategies in maxillofacial trauma: systematic review and meta-analysis

  • Karoline Weber dos SantosEmail author
  • Rafaela Soares Rech
  • Eliana Márcia Da Ros Wendland
  • Juliana Balbinot Hilgert
Review Article
  • 3 Downloads

Abstract

Purpose

This study aims to investigate rehabilitation strategies to reduce trismus, pain, and edema in patients with maxillofacial trauma.

Methods

An electronic search in main databases was performed, including studies published until November 2017. Clinical trials aiming to investigate therapeutic techniques to improve mandibular range of motion and to reduce pain and edema compared to other treatments were included.

Results

Nine studies were included in the review with different therapy modalities: photobiomodulation, kinesiologic tape, hilotherapy, jaw exercises, and TENS. Only five studies had available data to be included in a meta-analysis. There were no differences between any of the proposed strategies and its controls to prevent trismus. Individuals treated with hilotherapy presented less pain compared to controls. Kinesiologic tape or hilotherapy reduced edema when compared to controls daily until postoperative day 3.

Conclusions

There is diversity among the proposed rehabilitation techniques, and types of fractures and there are few numbers of included participants in each study. The results obtained in this review do not promote evidence to guide the use of non-drug rehabilitation techniques in patients with maxillofacial trauma after surgical intervention.

Keywords

Edema Maxillofacial injuries Oral rehabilitation Pain Trismus 

Notes

Acknowledgments

Juliana Balbinot Hilgert thanks CNPq (Brazilian National Research Council) for her productivity grant.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

10006_2019_808_MOESM1_ESM.docx (12 kb)
ESM 1 (DOCX 8 kb).

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Faculty of DentistryFederal University of Rio Grande do Sul (UFRGS)Porto AlegreBrazil
  2. 2.Public Health DepartmentFederal University of Health Sciences of Porto Alegre (UFCSPA)Porto AlegreBrazil

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