Authors :
Dr. Anoli Gupta; Dr. Sneha Ganu
Volume/Issue :
Volume 11 - 2026, Issue 8 - August
Google Scholar :
https://tinyurl.com/4w58d6u2
Scribd :
https://tinyurl.com/5buv3mzf
DOI :
https://doi.org/10.38124/ijisrt/26aug507
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Background:
Temporomandibular dysfunction (TMJ) is a commonly seen maxillofacial disorder in athletes, with a predominance in
females. Contact sports are a contributing factor to TMJ dysfunction, such as blows to the jaw. In recent years,
physiotherapy has had excellent outcomes.
Case Presentation:
A 19-year-old male cricket player came in with a complaint of limited jaw opening and a click on jaw movements after
suffering a blow to the jaw. Based on clinical examination, he was diagnosed with Internal derangement syndrome. He was
treated with joint mobilization, soft tissue manipulation, controlled motion techniques and postural correction for 12 weeks.
Range of motion using a ruler, NRS, palpatory assessment and Jaw Functional Limitation scale - 20 were taken at baseline,
at 6 weeks and at 12 weeks.
Outcomes:
NRS and Range of motion improved at 6 weeks and 12 weeks after 30 sessions. On palpatory assessment, at 12 weeks
click on opening was significantly reduced to only end range of motion. JFLS - 20 scoring was on the lower side indicating
low functional Limitation.
Conclusion:
Physiotherapeutic intervention leads to a good clinical outcome in a case of Chronic Dysfunction due to Trauma in a
cricket player.
Keywords :
Chronic TMJ Dysfunction, Cricket, Internal Derangement Syndrome, Controlled Motion Technique, Case Report, Rocabado and Kraus.
References :
- Weiler RM, Vitalle MS, Mori M, et al. Prevalence of signs and symptoms of temporomandibular dysfunction in male adolescent athletes and non-athletes. Int. J.Pediatr. Otorhinolaryngol. 2010; 74:896–900.
- Starr CL, McGrew C. TMJ Disorders in Athletes. Curr Sports Med Rep. 2023 Jan 1;22(1):10-14. doi: 10.1249/JSR.0000000000001026. PMID: 36606630.
- Shaffer SM, Brismée JM, Sizer PS, Courtney CA. Temporomandibular disorders. Part 1: anatomy and examination/diagnosis. J Man Manip Ther. 2014 Feb;22(1):2-12. doi: 10.1179/2042618613Y.0000000060. PMID: 24976743; PMCID: PMC4062347.
- Crincoli, V., De Biase, C., Cazzolla, A. P., Campobasso, A., Dioguardi, M., Piancino, M. G., Mattia, L., Ribatti, D., & Di Comite, M. (2022). Effects of Contact Sports on Temporomandibular Disorders: An Observational Study. Dentistry journal, 10(10), 180. https://doi.org/10.3390/dj10100180
- Garstka AA, Kozowska L, Kijak K, Brzózka M, Gronwald H, Skomro P, Lietz-Kijak D. Accurate Diagnosis and Treatment of Painful Temporomandibular Disorders: A Literature Review Supplemented by Own Clinical Experience. Pain Res Manag. 2023 Jan 31;2023:1002235. doi: 10.1155/2023/1002235. PMID: 36760766; PMCID: PMC9904928.
- Abdurrahman Tanhan, Aysel Yildiz Ozer & Mine Gulden Polat (2021): Efficacy of different combinations of physiotherapy techniques compared to exercise and patient education in temporomandibular disorders: A randomized controlled study, CRANIO®, DOI: 10.1080/08869634.2021.1909454
- Chapter 10; Temporomandibular Disorders; Burket’s Oral Medicine, Thirteenth Edition. Ohrbach R, Sollecito TP, Omolehinwa TT, Greenberg MS. 2021 Jun 25;349–417. 2021 John Wiley & Sons, Inc. Published 2021 by John Wiley & Sons, Inc.
- Shaffer SM, Brismée JM, Sizer PS, Courtney CA. Temporomandibular disorders. Part 2: conservative management. Journal of Manual & Manipulative Therapy. 2014 Feb;22(1):13–23. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062348/
- Crăciun MD, Geman O, Leuciuc FV, Holubiac IŞ, Gheorghiţă D, Filip F. Effectiveness of Physiotherapy in the Treatment of Temporomandibular Joint Dysfunction and the Relationship with Cervical Spine. Biomedicines. 2022 Nov 17;10(11):2962. doi: 10.3390/biomedicines10112962. PMID: 36428529; PMCID: PMC9687864.
- Panga SSR, Sekhar R, Sekhar R. Diagnosis and Treatment Modalities for Temporomandibular Disorders (Part I): History, Classification, Anatomy and Patient Evaluation. International Journal of Prosthodontics and Restorative Dentistry. 2011;1(3):186–91.
- Ba S, Zhou P, Yu M. Ultrasound is Effective to Treat Temporomandibular Joint Disorder. Journal of Pain Research. 2021 Jun;Volume 14:1667–73.
- Freiwald HC, Schwarzbach NP, Wolowski A. Effects of competitive sports on temporomandibular dysfunction: a literature review. Clin Oral Investig. 2021 Jan;25(1):55-65. doi: 10.1007/s00784-020-03742-2. Epub 2020 Dec 26. PMID: 33367991; PMCID: PMC7785544.
- Medeiros BP, Grossmann E, Bavaresco CS. Prevalence of temporomandibular dysfunction in athletes: integrative review. Brazilian Journal Of Pain. 2021.
- Singarapu R, Panneerselvam E, Balasubramaniam S, Nakkeeran KP, Ramanathan M, Raja VB K. The Role of Mouthguards in Preventing Temporomandibular Joint Injuries During Contact Sports: A Prospective Study. Front Dent. 2023:20:12.
- Chapter 4; Magee D. Orthopedic Physical Assessment. Elsevier; 2020.
- Abdurrahman Tanhan, Aysel Yildiz Ozer & Mine Gulden Polat (2021): Efficacy of different combinations of physiotherapy techniques compared to exercise and patient education in temporomandibular disorders: A randomized controlled study, CRANIO®, DOI: 10.1080/08869634.2021.1909454
- Oleksy Ł, Kielnar R, Mika A, Jankowicz-Szymańska A, Bylina D, Sołtan J, et al. Impact of Cervical Spine Rehabilitation on Temporomandibular Joint Functioning in Patients with Idiopathic Neck Pain. Brunelli S, editor. BioMed Research International. 2021 Oct 7;2021:1–13.
Background:
Temporomandibular dysfunction (TMJ) is a commonly seen maxillofacial disorder in athletes, with a predominance in
females. Contact sports are a contributing factor to TMJ dysfunction, such as blows to the jaw. In recent years,
physiotherapy has had excellent outcomes.
Case Presentation:
A 19-year-old male cricket player came in with a complaint of limited jaw opening and a click on jaw movements after
suffering a blow to the jaw. Based on clinical examination, he was diagnosed with Internal derangement syndrome. He was
treated with joint mobilization, soft tissue manipulation, controlled motion techniques and postural correction for 12 weeks.
Range of motion using a ruler, NRS, palpatory assessment and Jaw Functional Limitation scale - 20 were taken at baseline,
at 6 weeks and at 12 weeks.
Outcomes:
NRS and Range of motion improved at 6 weeks and 12 weeks after 30 sessions. On palpatory assessment, at 12 weeks
click on opening was significantly reduced to only end range of motion. JFLS - 20 scoring was on the lower side indicating
low functional Limitation.
Conclusion:
Physiotherapeutic intervention leads to a good clinical outcome in a case of Chronic Dysfunction due to Trauma in a
cricket player.
Keywords :
Chronic TMJ Dysfunction, Cricket, Internal Derangement Syndrome, Controlled Motion Technique, Case Report, Rocabado and Kraus.