Orofacial Myofunctional Therapy with and without Photobiomodulation in the Rehabilitation of Radiation-Induced Trismus: Case Series

Abstract

Photobiomodulation (PBM) as a therapeutic technology is justified by the biochemical changes caused in the intracellular environment, such as increased production of adenosine triphosphate and activation of antioxidant enzymes, allowing early recovery and maintenance of the homeostasis and proper functioning. This case report aimed to describe the effect of orofacial myofunctional therapy associated or not with photobiomodulation in the rehabilitation of radio-induced trismus in 6 patients. Two intervention modalities were performed, with three patients undergoing OMT isolated and the other two subjects undergoing oral myofunctional therapy associated with photobiomodulation therapy (OMT+PBM). All participants completed the radiotherapy between 3 and 15 months before starting the trismus rehabilitation. The mouth opening was 21.00mm for the patients who underwent exclusive OMT and reached 30.25mm at the end of the rehabilitation (difference of 9.25mm), but for the other three patients submitted to OMT+PBM, it went from 8.4mm to 31.5mm (difference of 23,1mm). It was observed that patients who performed PBM+OMT had greater tolerance to the protocol exercises and less pain report. OMT+PBM was a good combination for trismus rehabilitation and could be considered in further randomized clinical trials.

Atuação fisioterapêutica no trismo radioinduzido oriundo do tratamento do câncer de cabeça e pescoço: revisão integrativa

“…De acordo com Henz et al (2018), a fisioterapia para o tratamento do trismo radioinduzido envolve diversas técnicas para melhorar a função e coordenação das articulações, aliviar a dor e promover a circulação sanguíneao que inclui exercícios para os músculos da mandíbula, massagem para relaxar os músculos e liberar pontos de tensão, terapias de calor e luz para reduzir a rigidez e proporcionar alívio da dor, melhorando a qualidade de vida dos pacientes com trismo radioinduzido. Paim et al (2022) e Chee et al (2021) incrementam que o laser de baixa potência pode ser utilizado também no tratamento, sendo associado ou não a exercícios cinético-funcionais.…”