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Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials. | LitMetric

AI Article Synopsis

  • Orthognathic surgery (OS) can lead to various complications affecting recovery, but there has been no systematic review on physiotherapy's role in post-surgery rehabilitation of OS patients.
  • This systematic review analyzed randomized clinical trials (RCTs) involving physiotherapy interventions after OS, ultimately selecting five RCTs from an initial 1152 based on their methodological quality.
  • The review found that while physiotherapy interventions had limited effects on pain, mobility, and muscle strength, laser therapy and LED showed moderate effectiveness in improving postoperative sensory rehabilitation of the inferior alveolar nerve compared to a placebo.

Article Abstract

Orthognathic surgery (OS) can present many complications that affect patients' rehabilitation. However, there have been no systematic reviews that assessed the effectiveness of physiotherapy interventions in the postsurgical rehabilitation of OS patients. The aim of this systematic review was to analyze the effectiveness of physiotherapy after OS. The inclusion criteria were randomized clinical trials (RCTs) of patients who underwent OS and who received therapeutic interventions that included any physiotherapy modality. Temporomandibular joint disorders were excluded. After the filtering process, five RCTs were selected from the 1152 initially obtained (two had acceptable methodological quality; three had insufficient methodological quality). The results obtained showed that the effects of the physiotherapy interventions studied in this systematic review on the variables of range of motion, pain, edema and masticatory muscle strength were limited. Only laser therapy and LED showed a moderate level of evidence in the postoperative neurosensory rehabilitation of the inferior alveolar nerve compared with a placebo LED intervention.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944893PMC
http://dx.doi.org/10.3390/jfmk8010017DOI Listing

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