Kamstra Jolanda I, van Leeuwen Marianne, Roodenburg Jan L N, Dijkstra Pieter U
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, The Netherlands.
Department of Rehabilitation, University of Groningen, University Medical Center Groningen, The Netherlands.
Head Neck. 2017 Jan;39(1):160-169. doi: 10.1002/hed.24366. Epub 2016 Feb 15.
Effects of exercise therapy for trismus secondary to head and neck cancer have not been reviewed systematically since 2004.
Four databases were searched. The quality of observational studies and randomized controlled trials was assessed.
Two hundred eleven articles were found, 20 studies were included. A large variation in research methodology, stretching techniques, duration of stretch, and repetition of exercises was found. The overall quality was moderate. Five of the 8 preventive studies found that exercises during (chemo)radiotherapy could not prevent a reduction in mouth opening. In 4 therapeutic case studies, mouth opening increased between 17 and 24 mm. In 8 other therapeutic studies, mouth opening increased between -1.9 and 13.6 mm. No exercise therapy was clearly superior to the others.
Changes in mouth opening ranged considerably and no stretching technique was superior to others regarding either prevention or treatment of trismus. Clinical guidelines cannot be given based on this systematic review. © 2016 Wiley Periodicals, Inc. Head Neck 39: 160-169, 2017.
自2004年以来，尚未对运动疗法对头颈癌继发牙关紧闭的疗效进行系统综述。
检索了四个数据库。评估了观察性研究和随机对照试验的质量。
共检索到211篇文章，纳入20项研究。研究方法、拉伸技术、拉伸持续时间和运动重复次数存在很大差异。总体质量中等。8项预防性研究中有5项发现，（化疗）放疗期间的运动不能预防张口度降低。在4项治疗性病例研究中，张口度增加了17至24毫米。在其他8项治疗性研究中，张口度增加了-1.9至13.6毫米。没有一种运动疗法明显优于其他疗法。
张口度变化范围很大，在预防或治疗牙关紧闭方面，没有一种拉伸技术优于其他技术。基于本系统综述无法给出临床指南。©2016威利期刊公司。《头颈》39:160 - 169，2017。
