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

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 ana...

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Autores principales: Navarro-Fernández, Gonzalo, Gil-Martínez, Alfonso, Diaz-Saez, Marta Carlota, Elizagaray-Garcia, Ignacio, Pili-Mayayo, Paloma Qinling, Ocampo-Vargas, Julian Esteban, Beltran-Alacreu, Hector
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944893/
https://www.ncbi.nlm.nih.gov/pubmed/36810501
http://dx.doi.org/10.3390/jfmk8010017
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author Navarro-Fernández, Gonzalo
Gil-Martínez, Alfonso
Diaz-Saez, Marta Carlota
Elizagaray-Garcia, Ignacio
Pili-Mayayo, Paloma Qinling
Ocampo-Vargas, Julian Esteban
Beltran-Alacreu, Hector
author_facet Navarro-Fernández, Gonzalo
Gil-Martínez, Alfonso
Diaz-Saez, Marta Carlota
Elizagaray-Garcia, Ignacio
Pili-Mayayo, Paloma Qinling
Ocampo-Vargas, Julian Esteban
Beltran-Alacreu, Hector
author_sort Navarro-Fernández, Gonzalo
collection PubMed
description 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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spelling pubmed-99448932023-02-23 Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials Navarro-Fernández, Gonzalo Gil-Martínez, Alfonso Diaz-Saez, Marta Carlota Elizagaray-Garcia, Ignacio Pili-Mayayo, Paloma Qinling Ocampo-Vargas, Julian Esteban Beltran-Alacreu, Hector J Funct Morphol Kinesiol Review 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. MDPI 2023-01-30 /pmc/articles/PMC9944893/ /pubmed/36810501 http://dx.doi.org/10.3390/jfmk8010017 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Navarro-Fernández, Gonzalo
Gil-Martínez, Alfonso
Diaz-Saez, Marta Carlota
Elizagaray-Garcia, Ignacio
Pili-Mayayo, Paloma Qinling
Ocampo-Vargas, Julian Esteban
Beltran-Alacreu, Hector
Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials
title Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials
title_full Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials
title_fullStr Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials
title_full_unstemmed Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials
title_short Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials
title_sort effectiveness of physical therapy in orthognathic surgery patients: a systematic review of randomized controlled trials
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944893/
https://www.ncbi.nlm.nih.gov/pubmed/36810501
http://dx.doi.org/10.3390/jfmk8010017
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