The effect of mulligan technique in osteoarthritis of temporomandibular joint
Swati Rajan Sawant, Dr. Keerthi Rao
Background: Osteoarthritis of Temporomandibular Joint is a condition which can adversely affect the activities daily living like chewing and talking. Problem of TMJ hampers routine of individual so there is a need for understanding the importance of the joint and the ways of conservative management. Various techniques have come up for conservative treatment but Mulligan Technique for Osteoarthritis of Temporomandibular Joint has been one of the best methods. So the study is carried to understand the technique to increase the range of mouth opening and decrease the effect of pain while resting, chewing and talking in Temporomandibular Joint. Objective: The study is undertaken to determine the effect on pain on rest, on chewing, on talking and range of mouth opening by use of Mulligan Technique on Osteoarthritis of Temporomandibular Joint. Materials and Methods: The study included 30 participants according to the inclusive criteria. The Mulligan Technique was performed for intervention of 3 days per week for 3 weeks. Pre and Post measurements for range of mouth opening were taken by measuring tape. Pre and Post measurements for pain on rest, on chewing and on talking were taken by Visual Analogue Scale Result: The participants treated with Mulligan technique in paired ‘t’ test showed highly significant results on rest. (p<0.0001, t=21.215, d. f. =29), on chewing (p<0.0001, t= 32.311, d. f. =29) and on talking (p<0.0001, t=35.182, d. f. =29) on VAS for pain. And there was highly significance of result in range of mouth opening (p<0.0001, t= 26.012, d. f. =29) Conclusion: This study concludes that Mulligan Technique on Osteoarthritis of Temporomandibular Joint has highly significant effect on pain while resting, chewing and talking and also range of mouth opening.