Background: Systemic sclerosis (SSc) alterations of the face and of the mouth cause aesthetic modifications and disability, impairing self-esteem and quality of life (QoL). The aim of this study was to verify the effects of two rehabilitation protocols on facial mimic and mouth opening.Methods: A total of 47 SSc patients (40 females and 7 males, mean age +/- SD 59.08 +/- 10.31 years), were consecutively selected: 22 were randomly assigned to protocol 1 [home exercises for temporomandibular joint (TMJ), mimic, masticatory and cervical spine muscles] and 25 to protocol 2 (home exercises and combined physiotherapeutic procedures performed by a physiotherapist). Each treatment had a duration of 12weeks with a follow up of 8weeks. TMJ dysfunction, orofacial involvement, disability, QoL, and safety were assessed at enrollment (T0), at the end of the treatment (T1), and at follow up (T2).Results: Both Protocol 1 and Protocol 2 induced significant improvements of some clinical and clinimetric parameters, but better results were obtained with Protocol 2. In the comparison between the effects of Protocol 1 and Protocol 2 at T1 and T2, a significant difference was observed only for Mouth Handicap in SSc [MHISS; Total (p=0.00178] and for MHISS Mouth opening (p= 0.0098) at T1. No significant difference of indices of short-form 36 was observed.Conclusion: The present data suggest that TMJ involvement in SSc may be managed by rehabilitation treatments. The action of a physiotherapist prescribing and personalizing exercises may induce better therapeutic effects.

Rehabilitation of the face and temporomandibular joint in systemic sclerosis / Maddali Bongi, Susanna; Passalacqua, Mauro; Landi, Giovanna; Mikhaylova, Svetlana; Tofani, Lorenzo; Del Rosso, Angela; El Aoufy, Khadija; Baccini, Marco; Matucci Cerinic, Marco; Melchiorre, Daniela. - In: THERAPEUTIC ADVANCES IN MUSCULOSKELETAL DISEASE. - ISSN 1759-720X. - 13:(2021), pp. 1-10. [10.1177/1759720X211020171]

Rehabilitation of the face and temporomandibular joint in systemic sclerosis

Matucci Cerinic, Marco
Penultimo
;
2021-01-01

Abstract

Background: Systemic sclerosis (SSc) alterations of the face and of the mouth cause aesthetic modifications and disability, impairing self-esteem and quality of life (QoL). The aim of this study was to verify the effects of two rehabilitation protocols on facial mimic and mouth opening.Methods: A total of 47 SSc patients (40 females and 7 males, mean age +/- SD 59.08 +/- 10.31 years), were consecutively selected: 22 were randomly assigned to protocol 1 [home exercises for temporomandibular joint (TMJ), mimic, masticatory and cervical spine muscles] and 25 to protocol 2 (home exercises and combined physiotherapeutic procedures performed by a physiotherapist). Each treatment had a duration of 12weeks with a follow up of 8weeks. TMJ dysfunction, orofacial involvement, disability, QoL, and safety were assessed at enrollment (T0), at the end of the treatment (T1), and at follow up (T2).Results: Both Protocol 1 and Protocol 2 induced significant improvements of some clinical and clinimetric parameters, but better results were obtained with Protocol 2. In the comparison between the effects of Protocol 1 and Protocol 2 at T1 and T2, a significant difference was observed only for Mouth Handicap in SSc [MHISS; Total (p=0.00178] and for MHISS Mouth opening (p= 0.0098) at T1. No significant difference of indices of short-form 36 was observed.Conclusion: The present data suggest that TMJ involvement in SSc may be managed by rehabilitation treatments. The action of a physiotherapist prescribing and personalizing exercises may induce better therapeutic effects.
2021
disability
rehabilitation
systemic sclerosis
temporo-mandibular joint
File in questo prodotto:
File Dimensione Formato  
atm rehabilitation SSc.pdf

accesso aperto

Tipologia: PDF editoriale (versione pubblicata dall'editore)
Licenza: Creative commons
Dimensione 517.46 kB
Formato Adobe PDF
517.46 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/154466
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 5
  • ???jsp.display-item.citation.isi??? 4
social impact