Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial

Ram, Hardik K; Shah, Darshana

doi:10.4103/jips.jips_332_21

Cited by 10 publications

(13 citation statements)

References 45 publications

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“…12 studies [30, 31, 33, 34, 37-41, 46, 51, 52] compared comprehensive home-based programs (i.e., self-exercise plus education with or without nonsteroidal anti-inflammatory drugs) and the splints. 11 trials [32,35,36,[42][43][44][45][46][48][49][50] compared comprehensive home-based programs with home-based programs plus manual therapy; three trials [39][40][41] with electrical nerve stimulation (TENS) or low-level laser therapy (LLLT). The home rehabilitation programs for TMD based on self-care and exercise differed considerably in duration (range: 1 to 12 months), frequency (1 to 5 sessions per week), and session length (20 minutes to 45 minutes per session).…”

Section: Results Of the Searchmentioning

confidence: 99%

Home-based rehabilitation versus centre-based programs in patients with temporomandibular disorders—a systematic review and meta-analysis

2024

Journal of Oral &Amp; Facial Pain and Headache

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To compare the effects of home-based rehabilitation and occlusal splints or centre-based rehabilitation in patients with temporomandibular joint disorders (TMD). A systematic review and meta-analysis. PubMed, Embase, Cochrane Library, Web of Science and ClinicalTrials.gov electronic databases were consulted from inception to August 2023, searching for randomized controlled trials (RCTs) that compared home-based rehabilitation for TMD with splints or centre-based rehabilitation. The risk of bias was assessed using the Cochrane risk of bias tool. 23 RCTs (1402 participants, three comparator interventions) were identified. Very low-certainty evidence suggested there are no clinically difference between home-based rehabilitation and splints in pain intensity (mean difference (MD) 7.75, 95% confidence interval (CI): 2.17 to 13.32), maximal mouth opening (MMO) (MD 1.83, 95% CI: −0.27 to 3.93) at short and long-term follow-up, in sleep quality (MD: 1.67, 95% CI: −2.04 to 3.56) and quality of life (psychological: MD 0.94, 95% CI: −4.43 to 6.31; general: MD −1.18, 95% CI: −5.72 to 5.37) at short-term follow-up. Low-certainty evidence suggested that home-based rehabilitation plus manual therapy is more effective for TMD treatment compared to home-based rehabilitation at short-term follow-up (pain intensity: MD: 14.93, 95% CI: 7.72 to 21.93; MMO: MD −2.93, 95% CI: −5.3 to −0.54; sleep quality: MD 1.4, 95%CI: 0.09 to 2.71). Compared with home-based rehabilitation, Transcutaneous Electrical Nerve Stimulation (TENS) and Low-Level Laser Therapy (LLLT) was superior in pain relief at short-term follow-up. Low and very low-certainty evidence suggests home-based rehabilitation could be considered a low-cost, beneficial therapy alternative for TMD patients to relieve symptoms.

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Section: Results Of the Searchmentioning

confidence: 99%

Home-based rehabilitation versus centre-based programs in patients with temporomandibular disorders—a systematic review and meta-analysis

2024

Journal of Oral &Amp; Facial Pain and Headache

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“…These findings were consistent with earlier research on the effects of MET and an orthotic splint. According to MCID, the study findings were statistically significant for all four groups, the MET (post-isometric) group had the greater impact on pain reduction and maximum mouth opening (3 months of treatment) [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…The term “temporomandibular disorders” (TMDs) refers to a variety of pathological conditions that affect the masticatory muscles, temporomandibular joint, and related structures. These conditions are characterized by pain in the temporomandibular joint (TMJ), pain in the muscles of mastication, a restriction or deviation in the range of motion of the mandible, and TMJ noises like clicking, popping, and crepitus when the mandible is functioning [ 1 , 2 ]. The second most frequent cause of pain in the mouth and face is temporomandibular disorders (TMDs).…”

Section: Introductionmentioning

confidence: 99%

Comparative effects of post isometric relaxation technique and Bowen’s therapy on pain, range of motion and function in patients with temporomandibular joint disorder

Javed,

Bashir,

Mehmood

et al. 2024

BMC Oral Health

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Background The most common cause of mouth and facial pain is a temporomandibular joint disorder, which affects the patient’s quality of life and interferes with their ability to perform daily tasks. Objective The purpose was to compare the effects of the Post-Isometric Relaxation Technique and Bowen’s Therapy on pain, range of motion and functional activity in patients with temporomandibular joint disorders. Methods This study was a randomized clinical trial. A total of 24 participants were randomly allocated into two groups using the lottery method. Baseline treatment was the same (ultrasound and tapping) in both groups. Group 1 (12 participants) was treated with a post-isometric relaxation technique, and Group 2 (12 participants) with Bowen’s therapy for two sessions per week (total duration of 4 weeks). Outcome measures were the Numeric Pain Rating Scale, Maximal mouth opening inter-incisal rural and jaw functional limitation scale-20. SPSS version 25 was used for statistical analysis. Results A significant improvement in pain, range of motions and functional activities in the post-isometric group showed significant results (p < 0.05) as compared to Bowen’s group (independent t-test). However, within-group comparison (paired t-test), both groups showed significant results (p < 0.05). Conclusion This study concluded that post-isometric relaxation was more effective in terms of pain, range of motions for mouth opening, lateral deviations and functional activity of temporomandibular joint disorder patients. However, both groups showed clinical results according to minimal clinical difference values. Trial registry number The trial is registered under ClinicalTrials.govt with reference no. ID: NCT05392049 registered on 26/05/2022.

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“…Dentre as opções de tratamento disponibilizas, podem ser citadas a acupuntura, fisioterapia, terapias comportamentais, fotobiomodulação, uso de fármacos (Sobral et al, 2021), placa oclusal, osteopatia (Ram, & Shah, 2021), injeções articulares de ácido hialurônico, injeções musculares de toxina botulínica (Kuć et al, 2021) e cirurgias. Contudo, intervenções invasivas devem ser usadas apenas quando as medidas conservadoras falharem, considerando que, na maioria das vezes, o tratamento conservador consegue amenizar os sintomas (Sung et al, 2021).…”

Section: Manejo Do Paciente Com Dtmunclassified

Assistência ao paciente com disfunção temporomandibular na atenção primária à saúde brasileira: lacunas, desafios e possibilidades

Silva

Batista

Galdino

et al. 2023

RSD

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Disfunção temporomandibular (DTM) é um termo coletivo que abrange um grupo de alterações que acometem a articulação temporomandibular (ATM), músculos mastigatórios e estruturas associadas. Esta pesquisa, executada entre janeiro e julho de 2022, realizou uma revisão integrativa objetivando sintetizar os principais achados a respeito da assistência prestada aos indivíduos com DTM, no âmbito da Atenção Primária brasileira. Metodologia: Realizou-se uma busca nas bases de dados IBECS, LILACS, MEDLINE, SciELO e Google Scholar. Resultados: Observou-se que, apesar desse ambiente ser a porta de entrada para os cuidados com a saúde da população, há uma escassez de estudos acerca do tema, que possui importante relevância para saúde pública, devido aos prejuízos (psicológicos, funcionais e sociais) relacionados. Portanto, apresentam-se informações pertinentes sobre a DTM e as possibilidades de manejo clínico nos cuidados primários, os quais devem contemplar uma adequada identificação do problema, triagem, diagnóstico e tratamento que, a princípio, deverá ser conservador e realizado por equipe interdisciplinar. Já na abordagem inicial, poderá lançar mão de estratégias como o acolhimento e escuta qualificada, enquanto a terapêutica pode incluir intervenções de educação em saúde, técnicas de autocuidado, fisioterapia, terapias comportamentais, uso de fármacos, Práticas Integrativas e Complementares, dentre outras. Considerações finais: Este estudo chama atenção para necessidade de que essa temática seja mais abordada no meio científico, considerando que possivelmente exista uma demanda reprimida de indivíduos necessitando de cuidados, porém que esteja sendo inadequadamente conduzida nas unidades de saúde que devem ser resolutivas, garantir o acesso, a longitudinalidade, integralidade e coordenação do cuidado.

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Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial

Cited by 10 publications

References 45 publications

Home-based rehabilitation versus centre-based programs in patients with temporomandibular disorders—a systematic review and meta-analysis

Home-based rehabilitation versus centre-based programs in patients with temporomandibular disorders—a systematic review and meta-analysis

Comparative effects of post isometric relaxation technique and Bowen’s therapy on pain, range of motion and function in patients with temporomandibular joint disorder

Assistência ao paciente com disfunção temporomandibular na atenção primária à saúde brasileira: lacunas, desafios e possibilidades

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