Temporomandibular disorders treatment: comparison of home exercise an manual therapy

Year 2013, Volume: 24 Issue: 1, 9 - 16, 01.04.2013

Abstract

Purpose: The aim of this study was to compare the effectiveness of home exercises therapy (HT) and manual therapy (MT) in patients with temporomandibular disorders (TMD) after 4weeks of intervention period. Methods: Forty patients with TMD with myofascial pain and/or anterior disc displacement with reduction were randomly divided into two groups: HT (N=20) and MT (N=20) groups. The HT group received education and postural exercises. The MT group

Keywords

Temporomandibular joint dysfunction , Manual therapy , Exercise therapy

Temporomandibular disfonksiyon tedavisi: ev egzersizi ve manual tedavinin karşılaştırılması

Abstract

Amaç: Çalışmanın amacı, temporomandibular eklem disfonksiyonu (TMD) olan hastalarda ev egzersiz tedavisi (ET) ile manuel tedavinin (MT) etkisini dört haftalık tedavi sonrası karşılaştırmaktı. Yöntem: Bu çalışma TMD miyofasiyal ağrılı ve/veya temporomandibular eklem redüksiyonlu disk problemi olan 40 hasta ile gerçekleştirildi. Hastalar rastgele yöntemle ET grubu (N=20) ile MT grubu (N=20) olmak üzere ikiye ayrıldı. ET grubuna, eğitim ile postür egzersizleri verildi. MT grubuna; eğitim, postür egzersizleri ve temporomandibular eklem ve yumuşak doku mobilizasyonu uygulandı. Her iki grupta tedavi öncesi ve tedavi sonrası ağrı ve baş postürü açısından değerlendirildi. Sonuçlar: Her iki grubun tedavi öncesi ve sonrası değerleri karşılaştırıldığında vizüel ağrı skalası (VAS) ve baş postüründe istatistiksel olarak anlamlı gelişme saptandı (p<0.05). VAS değerinde azalma ve baş postüründe düzelme kaydedildi. Gruplar arası karşılaştırma yapıldığında her iki parametrede de iyileşme açısından farkın MT grubu lehine istatistiksel olarak anlamlı olduğu belirlendi (p<0.05). Tartışma: TMD hastalarında ET ve MT programlarının birlikte uygulanmasının daha etkili olduğu görüldü

Keywords

Temporomandibular eklem disfonksiyonu , Manuel tedavi , Egzersiz tedavisi

References

• La Touche R, Paris-Alemany A, von Piekartz H, et al. The influence of crania-cervical posture on maximal mouth opening and pressure pain threshold in patients with myofascial temporal pain disorders. Clin J Pain. 2011;27:48-55.
• Goldstein DF, Kraus S, Willams WB, Glasheen- Wray M. Influence of cervical posture on mandibular movement. J Prosthet Dent. 1984;52:421-426.
• Makofsky HW. The effect of head posture on muscle contact position: The sliding cranium theory. J Craniomandib Pract. 1989;7(4):286-292.
• Bogduk N. The neck and headaches. Neurol Clin. 2004;22(1):151-171.
• McNeely ML, Armco OS, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther. 2006;86(5):710-725.
• Medlicott MS, Harris SR. A systematic review of the effectiveness of electrotherapy, relaxation training, and biofeedback in the management of temporomandibular disorder. Phys Ther. 2006;86:955-973. manual therapy,
• Michelotti A, de Wijer A, Stinks M, Ferrule M. Home-exercise regimes for the management of non- specific temporomandibular disorders. J Oral Rehabil. 2005;32:779-785.
• Michelotti A, Stinks MH, Ferrule M, et al. The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical trial. J Orofac Pain. 2004;18:114-125.
• Hanten WP, Olson SL, Butts NL, Nowicki AL. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Phys Ther. 2000;80:997- 1003.
• Kaltenborn FM. Manual Mobilization of the Joints. Vol. II. The Spine, 4th ed. Oslo: Olaf Norlis Bokhandel; 2003:255-325.
• Gross AR, Kay T, Hondras M, et al. Manual therapy for mechanical neck disorders: a systematic review. Man Ther. 2002;7:131-149.
• Kalamir A, Pollard H, Vitiello AL, Bonello R. Manual therapy for temporomandibular disorders: A review of the literature. J Body Mov Ther. 2007;11:84-90.
• Von Piekartz H, Ludke K. Effect of treatment of temporomandibular disorders in patients with cervicogenic headache: A single-blind, randomized controlled study. J Craniomandib Pract. 2011;29:1- 14.
• Yoda T, Sakamoto I, Imai H, et al. A Randomized Controlled Trial of therapeutic exercise for clicking due to disk anterior displacement with reduction in the TMJ. Cranio. 2003;21:10-16.
• Carmeli E, Sheklow SL, Bloomenfeld I. Comparative study of repositioning splint therapy and passive manual range of motion techniques for anterior displaced temporomandibular disc with unstable excursive reduction. Physiotherapy. 2001;87:26-36.
• Michelotti A, Iodice G, Vollaro S, et al. Evaluation of the short-term effectiveness of education versus an occlusal splint for the treatment of myofascial pain of the jaw muscles. J Am Dent Assoc. 2012;143:47-53.
• Gam AN, Warming S, Larsen LH, et al. Treatment of myofascial trigger-points with ultrasound combined with massage and exercise. Pain. 1998;77:73-79.
• Raphael KG, Klausner JJ, Nayak S, et al. Complementary and alternative therapy use by patients disorders. J Orofac Pain. 2003;17:36-41. temporomandibular
• Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6:301-355.
• Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8(12):1153-1157.
• Yip CHT, Chiu TTW, Poon ATK. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008;13:148-154.
• Raine S, Twomey LT. Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phy Med Rehabil. 1997;78:1215-1223.
• Pedroni CR, De Oliveira AS, Guaratini MI. Prevalence study of sign and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003;30:283-289.
• Lee WY, Okeson JP, Lindroth J. The relationship between temporomandibular disorders. J Orofac Pain. 1995;9:161-167. head posture and
• Wright EF, Demenech MA, Fischer JR. Usefulness of temporomandibular disorders. J Am Dent Assoc. 2000;131:202-210. for patients with
• Komiyama O, Cora M, Aria M, et al. Posture correction as part of behavioral therapy in treatment of myofascial pain with limited opening. J Oral Rehab. 1999;26:428-435.
• Nicolakis P, Erdogmus B, Kopf A, et al. Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint. J Oral Rehabil. 2001;28:1158-1164.
• List, T, Axelsson S. Management of TMD: evidence from systematic reviews and meta-analyses. J Oral Rehabil. 2010;37:430-451.
• Feine JS, Lund JP. An assessment of the efficacy of physical therapy and physical modalities for the control of chronic musculoskeletal pain. Pain. 1997;71:5-23.
• Gross AR, Aker PD, Quartly C. Manual therapy in the treatment of neck pain. Rheum Dis Clin North Am. 1996;22:579-598.
• Furto ES, Cleland JA, Whitman JM, Olson KA. Manual physical therapy interventions and exercise for patients with temporomandibular disorders. Cranio. 2006;24:283-291.
• Chan D, Can F. Patients' adherence/compliance to physical therapy home exercises. Fizyoter Rehabil. 2010;21:132-139.