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The Development of Simple Daily Jaw Exercises for Patients Receiving Radical Head and Neck Radiotherapy.
Tracey Rose1, Pamela Leco1, Jane Wilson1
1The BC Cancer Agency Centre for the Southern Interior, Kelowna, British Columbia, Canada.
Jaw exercises effectively prevent trismus, a debilitating side effect of head and neck radiotherapy. Patients performing these exercises maintained better mouth opening compared to those who did not.
Area of Science:
- Oncology
- Radiotherapy
- Oral Medicine
Background:
- Head and neck radiotherapy can cause trismus, a progressive condition limiting mouth opening.
- Trismus impedes eating and oral hygiene due to radiation damage to jaw muscles.
- Pterygoid muscles are particularly sensitive to radiation, contributing to limited jaw mobility.
Purpose of the Study:
- To evaluate the efficacy of jaw exercises in preventing radiotherapy-induced trismus.
- To assess the impact of jaw exercises on maintaining jaw mobility in cancer patients.
- To determine if simple exercises can mitigate a common late side effect of radiation therapy.
Main Methods:
- A study compared patients performing jaw exercises with a control group not performing exercises.
- Dental gap measurements (incisor-to-incisor or gum-to-gum) tracked mouth opening.
- Measurements were taken at baseline and scheduled follow-up appointments during radiotherapy.
Main Results:
- A statistically significant difference in dental gap measurements was observed between the groups (P = .01).
- Patients who performed jaw exercises demonstrated wider mouth opening.
- Chemotherapy use was not found to be a significant factor in trismus development (P = .6171).
Conclusions:
- Jaw exercises are a beneficial intervention for preventing trismus in radiotherapy patients.
- The exercises are simple, easy to implement, and well-tolerated by patients.
- This intervention is actively used and has been refined in clinical practice.
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