A multimodal physical therapy approach to the management of a patient with temporomandibular dysfunction and head and neck lymphedema: a case report
Identifieur interne : 000291 ( Pmc/Corpus ); précédent : 000290; suivant : 000292A multimodal physical therapy approach to the management of a patient with temporomandibular dysfunction and head and neck lymphedema: a case report
Auteurs : Patricia Crane ; Lauren Feinberg ; John MorrisSource :
- The Journal of Manual & Manipulative Therapy [ 1066-9817 ] ; 2015.
Abstract
There is a paucity of research that investigates therapeutic interventions of patients with concurrent head and neck lymphedema and temporomandibular dysfunction (TMD). The purpose of this case report is to describe the management and outcomes of a patient with head and neck lymphedema and TMD using a multimodal physical therapy approach.
A 74-year-old male with a past medical history of head and neck lymphedema and TMD was referred to physical therapy with chief complaints of inability to open his mouth in order to eat solid food, increased neck lymphedema, temporomadibular joint pain, and inability to speak for prolonged periods of time.
The patient was treated for three visits over 4 weeks. Treatment included complete decongestive therapy (CDT), manual therapy, therapeutic exercise, and a home exercise program. Upon discharge, the patient had improved mandibular depression, decreased head and neck lymphedema, improved deep neck flexor endurance, decreased pain, and improved function on the Patient Specific Functional Scale (PSFS).
Utilization of a multimodal physical therapy approach to treat a patient with a complex presentation yielded positive outcomes. Further research on outcomes and treatment approaches in patients with TMD and head and neck lymphedema is warranted.
Url:
DOI: 10.1179/2042618612Y.0000000021
PubMed: 26309380
PubMed Central: 4459142
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PMC:4459142Le document en format XML
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Man Manip Ther</journal-id><journal-id journal-id-type="iso-abbrev">J Man Manip Ther</journal-id><journal-id journal-id-type="publisher-id">jmt</journal-id><journal-title-group><journal-title>The Journal of Manual & Manipulative Therapy</journal-title></journal-title-group><issn pub-type="ppub">1066-9817</issn><issn pub-type="epub">2042-6186</issn><publisher><publisher-name>Maney Publishing</publisher-name><publisher-loc>Suite 1C, Joseph's Well, Hanover Walk, Leeds LS3 1AB, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26309380</article-id><article-id pub-id-type="pmc">4459142</article-id><article-id pub-id-type="publisher-id">JMT-23-37</article-id><article-id pub-id-type="doi">10.1179/2042618612Y.0000000021</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>A multimodal physical therapy approach to the management of a patient with temporomandibular dysfunction and head and neck lymphedema: a case report</article-title><alt-title alt-title-type="running-head">Approach to the management of a patient with TMD</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Crane</surname><given-names>Patricia</given-names></name></contrib><contrib contrib-type="author"><name><surname>Feinberg</surname><given-names>Lauren</given-names></name></contrib><contrib contrib-type="author"><name><surname>Morris</surname><given-names>John</given-names></name></contrib></contrib-group><aff id="aff1"><addr-line>MossRehab at Castor, Philadelphia, PA, USA</addr-line></aff><author-notes><corresp>Correspondence to: P. Crane, MossRehab at Castor, Philadelphia, PA, USA. Email: <email xlink:href="metzerpa@einstein.edu">metzerpa@einstein.edu</email></corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2015</year></pub-date><volume>23</volume><issue>1</issue><fpage>37</fpage><lpage>42</lpage><permissions><copyright-statement>© W. S. Maney and Son Ltd 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Maney Publishing</copyright-holder></permissions><abstract><sec><title>Objective and importance:</title><p>There is a paucity of research that investigates therapeutic interventions of patients with concurrent head and neck lymphedema and temporomandibular dysfunction (TMD). The purpose of this case report is to describe the management and outcomes of a patient with head and neck lymphedema and TMD using a multimodal physical therapy approach.</p></sec><sec><title>Clinical presentation:</title><p>A 74-year-old male with a past medical history of head and neck lymphedema and TMD was referred to physical therapy with chief complaints of inability to open his mouth in order to eat solid food, increased neck lymphedema, temporomadibular joint pain, and inability to speak for prolonged periods of time.</p></sec><sec><title>Interventions:</title><p>The patient was treated for three visits over 4 weeks. Treatment included complete decongestive therapy (CDT), manual therapy, therapeutic exercise, and a home exercise program. Upon discharge, the patient had improved mandibular depression, decreased head and neck lymphedema, improved deep neck flexor endurance, decreased pain, and improved function on the Patient Specific Functional Scale (PSFS).</p></sec><sec><title>Conclusion:</title><p>Utilization of a multimodal physical therapy approach to treat a patient with a complex presentation yielded positive outcomes. Further research on outcomes and treatment approaches in patients with TMD and head and neck lymphedema is warranted.</p></sec></abstract><kwd-group><kwd>Head and neck lymphedema</kwd><kwd>Temporomandibular dysfunction</kwd><kwd>Physical therapy</kwd><kwd>Manual therapy</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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