Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with <scp>TMD</scp>. A randomised, controlled trial

Calixtre, Letícia Bojikian; Oliveira, Ana Beatriz; Rosa, Lianna Ramalho de Sena; Armijo‐Olivo, Susan; Visscher, Corine M.; Alburquerque‐Sendín, Francisco

doi:10.1111/joor.12733

Cited by 45 publications

(59 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There are some studies which evaluated the functional relationship between the craniofacial and the neck regions during head movements, during chewing or teeth clenching [29][30][31]. In some studies the therapy was focused solely on the orofacial region [32,33], or on both-the neck and TMJ areas [6,34,35]. Even if the therapy was applied only to the neck, the study included patients with TMJ pain [7,34].…”

Section: Discussionmentioning

confidence: 99%

The influence of cervical spine rehabilitation on bioelectrical activity (sEMG) of cervical and masticatory system muscles

et al. 2021

View full text Add to dashboard Cite

Background Coexistence of temporomandibular joint discomfort along with cervical spine disorders is quite common, and is associated with many limitations and adverse symptoms for the patient. Both diagnostics and treatment of these ailments are difficult, and in many cases, the effects of therapy are not satisfactory. This study assessed the impact of a 3-week neck-only rehabilitation programme without direct intervention in the craniofacial area on the bioelectric activity of both the cervical spine and muscles in the craniofacial area among patients with idiopathic neck pain who do not report TMJ pain. Design A parallel group trial with follow-up; Setting: Rehabilitation Clinic. Methods Twenty five patients experiencing idiopathic neck pain underwent the 3-week rehabilitation programme. Thirty five age-matched subjects with no cervical spine and temporomandibular joint (TMJ) dysfunctions were control group. At baseline and after 3 weeks the cervical and craniofacial area muscles’ bioelectrical activity (sEMG) was evaluated. Results In the experimental group during cervical flexion, a significant decrease of sEMG amplitude was noted in the right (mean 25.1 μV; 95% CI: 21.5–28.6 vs mean 16.8 μV; 95% CI: 13.8–19.7) and left (mean 25.9 μV; 95% CI: 21.7–30.0 vs mean 17.2 μV; 95% CI: 13.6–20.7) Sternocleidomastoid as well as a significant increase in sEMG amplitude of the right (mean 11.1 μV; 95% CI: 7.9–14.2 vs mean 15.7 μV; 95% CI: 12.1–19.2) and left (mean 15.3 μV; 95% CI: 11.9–18.6 vs mean 20.2 μV; 95% CI: 15.7–24.2) Upper Trapezius muscles. In the experimental group, after therapy right and left Sternocleidomastoid, Temporalis Anterior and Masseter muscles presented lower fatigue levels. Conclusions Three weeks of rehabilitation without any therapeutic intervention in temporomandibular joint significantly decreased the bioelectrical activity of the neck and craniofacial muscles while improving the muscle pattern of coactivation in participants with idiopathic neck pain who do not report temporomandibular joint pain. These observations could be helpful in the physiotherapeutic treatment of neck and craniofacial area dysfunctions. Trial registration ID ISRCTN14511735—retrospectively registered.

show abstract

Section: Discussionmentioning

confidence: 99%

The influence of cervical spine rehabilitation on bioelectrical activity (sEMG) of cervical and masticatory system muscles

et al. 2021

View full text Add to dashboard Cite

show abstract

“…To date, some authors have reported the effectiveness of the rehabilitation in subjects with TMJ pain alone [ 18 , 23 , 24 ] or in those reporting pain in both areas [ 26 ]. There is a lack of studies, which included patients with neck pain alone without concurrent TMJ pain.…”

Section: Discussionmentioning

confidence: 99%

Impact of Cervical Spine Rehabilitation on Temporomandibular Joint Functioning in Patients with Idiopathic Neck Pain

Oleksy

Kielnar

Mika

et al. 2021

BioMed Research International

View full text Add to dashboard Cite

Objective. The aim of this study was to assess the effectiveness of a 3-week rehabilitation programme focusing only on the cervical region, pain intensity, range of motion in the cervical spine, head posture, and temporomandibular joint (TMJ) functioning in subjects with idiopathic neck pain who did not report TMJ pain. Design. A parallel group trial with follow-up. Methods. The study included 60 participants divided into 2 groups: experimental: n = 25 , 27-57 years old, experiencing idiopathic neck pain and who underwent a 3-week rehabilitation programme, and the control, n = 35 , 27-47 years, who were cervical pain-free. At baseline and after 3 weeks of treatment in the experimental group and with a 3-week time interval in the control group, pain intensity, head posture in the sagittal plane, range of motion in the cervical spine, and TMJ functioning were evaluated. Results. After 3 weeks of rehabilitation, there was a significant decrease in pain intensity, improved range of motion of the cervical spine and head posture, and improved clinical condition of TMJ in participants with idiopathic neck pain who did not report TMJ pain. Conclusion. The study suggested that idiopathic neck pain is associated with limited range of motion in the cervical spine, incorrect head posture, and TMJ dysfunction. Our data suggests that therapy focusing only on the cervical region may improve the clinical condition of the TMJ in subjects with idiopathic neck pain who do not report TMJ pain. These observations could be helpful in physiotherapeutic treatment of neck and craniofacial area dysfunctions. This trial is registered with ISRCTN Registry ISRCTN14511735.

show abstract

“…A recent Delphi study of international expert TMD physical therapists recognized that manually screening the cervical spine and testing neck muscle function in addition to examining masticatory muscles and jaw movements may improve clinical evaluation of pain and dysfunction in individuals with TMD (33). A randomized controlled trial in women with TMD found that treatment aimed at improving upper cervical spine mobility improved orofacial pain and headache after 5 weeks of treatment (34). Moving forward, appropriately screening for contributing or concomitant cervical involvement should be included in examination of individuals with TMD in order to fully understand the impairments that may contribute to or perpetuate TMD symptoms.…”

Section: Cervical Spine and Tmdmentioning

confidence: 99%

Physical therapy for temporomandibular disorders: evidence-based improvements and enhancements for diagnosis and management

Prodoehl¹,

Kahnert²

2022

Front Oral Maxillofac Med

View full text Add to dashboard Cite

The most common oral and maxillofacial disorders treated by physical therapists are temporomandibular disorders (TMD), and rehabilitation strategies continue to evolve with advancements in research and technology. While physical therapy is an evidence-supported approach to the management of TMD, difficulties with referral to and access to appropriately trained physical therapists can create disparity in care for patients. Lack of interdisciplinary collaboration and practice is an ongoing issue, particularly among dentists and physical therapists and this can translate to less than optimal care for individuals with TMD. While dentists and physical therapists may utilize similar diagnostic criteria, implementation gaps in use of consistent diagnostic criteria still exist across both professions. Additionally, possibilities exist for the future expansion of such criteria to recognize the contribution of structures and comorbidities outside of the masticatory system such as the cervical spine and central nervous system changes that can promote the persistence of pain in some individuals with TMD. Pain neuroscience education, epigenetics, and other rehabilitation tools such as virtual reality may allow physical therapists to address the central nervous system changes associated with pain persistence and a fear of movement seen in some individuals with TMD.Applying biomechanical knowledge gained from real-time ultrasound muscle imaging and musculoskeletal modeling will enhance diagnostic management and post-surgical rehabilitation approaches. The purpose of this review paper is to describe novel evidence-based rehabilitative tools or concepts that can be used to improve the diagnosis and management of individuals with TMD. Continued growth and development in research and clinical practice related to TMD will ultimately lead to improved care for individuals with TMD, both conservatively and post-surgically.

show abstract

Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial

Cited by 45 publications

References 47 publications

The influence of cervical spine rehabilitation on bioelectrical activity (sEMG) of cervical and masticatory system muscles

The influence of cervical spine rehabilitation on bioelectrical activity (sEMG) of cervical and masticatory system muscles

Impact of Cervical Spine Rehabilitation on Temporomandibular Joint Functioning in Patients with Idiopathic Neck Pain

Physical therapy for temporomandibular disorders: evidence-based improvements and enhancements for diagnosis and management

Contact Info

Product

Resources

About