Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis

Martins, Wagner Rodrigues; Blasczyk, Juscelino Castro; Oliveira, Micaele Aparecida Furlan de; Gonçalves, Karina Ferreira Lagôa; Bonini-Rocha, Ana Clara; Dugailly, Pierre-Michel; Oliveira, Ricardo Jacó de

doi:10.1016/j.math.2015.06.009

“…Shaffer S. et al (13), indicaron que los mecanismos principales mediante los cuales la movilización conjunta facilita la mejora de la TTM, son la inhibición del dolor, mejoramiento de rango de movimiento, y la inhibición de los espasmos musculares. Además, la evidencia reciente demuestra que la movilización conjunta puede disminuir la excitabilidad espinal de las vías nociceptivas, indicando una baja modulación del centro de sensibilización, aumentando el mejoramiento del rango de movimiento o la generación de los síntomas a través de la aplicación de movilización conjunta, demostrando así que el clínico puede proporcionar beneficios en el paciente, mejorar la función, y promover la confianza de éste.…”

Section: Discussionunclassified

“…La terapia física es preferida por los pacientes que padecen TTM, ya que es conservadora (13). Se sugiere tener un seguimiento durante e inmediatamente después de realizar una sesión de ejercicios y de las sesiones de seguimiento.…”

Section: Introductionunclassified

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Mendiburu

¹

,

Peñalosa

²

,

Mendiburu

³

et al. 2016

Odovtos - Int J Dent Sc

0

View full text Add to dashboard Cite

The temporomandibular joint (TMJ) may be affected in patients with rheumatoid arthritis and osteoarthritis, especially in elderly and senile adult patients. The objective of this study was to evaluate the signs and / or symptoms of TMJ in elderly subjects retired from a medical institution in Merida, Yucatan, Mexico, previously diagnosed with arthritis, the onset of physical therapy and one month after applying it. July-August 2015. A longitudinal, comparative and analytical study was conducted in 25 subjects ages 60 and older, both sex: men and women. The subjects who agreed to participated signed voluntary consent letter. Also, a medical research card was made, which consisted of: 1) demographic and medical data; 2) a directed interview based on Rodriguez-Osores and modified by Mendiburu-Zavala in 2015 that included 33 dichotomous questions related to signs and / or symptoms of TMJ disorders; 3) the clinical examination was carried out carefully; 4) Finally, a manual prepared by Mendiburu-Zavala exercise based on Rocabado-Seaton and Lawson´s manual. The exercises for relaxation of the jaw and face, posture and managing TMJ noises were taught and explained individually, offering to teach them the times they needed to exercise at home. The questionnaire and clinical examination was applied a month later. The McNemar test was used. It was considered significant if P <0.05. A 28 % of the studied subject were men and 72 % women, with an average age of 65.4 ± 4.8, with a 44 % with osteoarthritis and a 56 % with rheumatoid arthritis. The effect of physiotherapy per month being applied, had a significantly favorable responses of " NO" for variables : blocked, jammed or dislocated jaw (P = 0.0156); Crackles ( P = 0.0195 ) and Snap ( P = 0.0001 ). The application of physiotherapy in this age group with arthritis was favorable.

show abstract

“…It contains an articular disk covered by a fibrous capsule and interposed anteriorly into the lateral pterygoid muscle and posteriorly into the fat pad. The muscles of mastication are responsible for movement in this joint 1,2 . The anatomical relationship between the TMJ and the ear begins with embryonic development of the first pharyngeal arch, and the innervation of some structures by the trigeminal nerve can generate pain throughout the facial region 3 .…”

Section: Introductionmentioning

confidence: 99%

“…An assessment of the anatomical and mechanical characteristics associated with the TMJ can serve as the basis for understanding an individual's clinical condition 3,4 . The main incapacitating symptoms are muscle and/or joint pain, restricted or deviated joint movement, joint noises, headaches, neck pain, earache and tinnitus 1,5 . Tinnitus is the term for hearing sounds in the inner ear that are not from an external source and can be mild, characterized by occasional ringing of varying intensities, or severe, in the form of constant loud noise that is untreatable 6 .…”

Section: Introductionmentioning

confidence: 99%

Prognosis of conservative treatment in individuals with temporomandibular disorders and tinnitus: a systematic review

Feitoza

¹

,

Menezes²

2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Introduction: There are reports in the literature of improved tinnitus after treatment for temporomandibular disorders (TMDs), however there's the lack of standardization of these interventions. The aim was analyzed the results of conservative treatment in individuals with TMDs in terms of tinnitus. The target outcome of the studies was subjective perception of improvement in tinnitus before and after conservative treatment. Methods: A systematic review was performed, according to Cochrane's recommendations, registered on Prospero (CRD42017063832). In the universe of 1052 titles, 211 abstracts were read and 10 full articles were selected and divided into groups: group 1 -Individuals with TMD/tinnitus treated with a myorelaxant splint and group 2 -Individuals with TMD/tinnitus treated with a myorelaxant splint and associated therapies such as: physiotherapy, acupuncture among others. Results: The two groups showed promising results in terms of tinnitus improvement and remission, with a statistically significant different in group 2, which exhibited a higher percentage of improvement or remission, suggesting that the combination of a myorelaxant splint and other conservative therapies is the best approach. Conclusion: TMD treatment showed good results for improvement in tinnitus, particularly in those who complained of muscle pain. Level of evidence: II a.

show abstract

“…Por la razón anterior, Rodrigues Martins W., et al (12), menciona a Romero-Reyes M, Uyanik J, en donde sugiere tratamientos para los trastornos de ATM incluyendo la educación del paciente, programas de atención a domicilio, terapia física, manual musculoesquelético, farmacoterapia, fármacos antiinflamatorios no esteroideos, anestésicos locales, inyección intracapsular de corticosteroides, relajantes musculares, antidepresivos, terapia con aparatología oclusal, ajuste oclusal y la atención quirúrgica (sólo se indica cuando la terapia no quirúrgica ha sido ineficaz (12). La terapia física es preferida por los pacientes que padecen TTM, ya que es conservadora (13). Se sugiere tener un seguimiento durante e inmediatamente después de realizar una sesión de ejercicios y de las sesiones de seguimiento.…”

Section: Introductionunclassified

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Dds

¹

,

Peñalosa

²

,

Mendiburu

³

et al. 2016

Odovtos - Int J Dent Sc

0

View full text Add to dashboard Cite

The temporomandibular joint (TMJ) may be affected in patients with rheumatoid arthritis and osteoarthritis, especially in elderly and senile adult patients. The objective of this study was to evaluate the signs and / or symptoms of TMJ in elderly subjects retired from a medical institution in Merida, Yucatan, Mexico, previously diagnosed with arthritis, the onset of physical therapy and one month after applying it. July-August 2015. A longitudinal, comparative and analytical study was conducted in 25 subjects ages 60 and older, both sex: men and women. The subjects who agreed to participated signed voluntary consent letter. Also, a medical research card was made, which consisted of: 1) demographic and medical data; 2) a directed interview based on Rodriguez-Osores and modified by Mendiburu-Zavala in 2015 that included 33 dichotomous questions related to signs and / or symptoms of TMJ disorders; 3) the clinical examination was carried out carefully; 4) Finally, a manual prepared by Mendiburu-Zavala exercise based on Rocabado-Seaton and Lawson´s manual. The exercises for relaxation of the jaw and face, posture and managing TMJ noises were taught and explained individually, offering to teach them the times they needed to exercise at home. The questionnaire and clinical examination was applied a month later. The McNemar test was used. It was considered significant if P <0.05. A 28 % of the studied subject were men and 72 % women, with an average age of 65.4 ± 4.8, with a 44 % with osteoarthritis and a 56 % with rheumatoid arthritis. The effect of physiotherapy per month being applied, had a significantly favorable responses of " NO" for variables : blocked, jammed or dislocated jaw (P = 0.0156); Crackles ( P = 0.0195 ) and Snap ( P = 0.0001 ). The application of physiotherapy in this age group with arthritis was favorable.

show abstract

Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis

Cited by 96 publications

References 28 publications

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Prognosis of conservative treatment in individuals with temporomandibular disorders and tinnitus: a systematic review

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Contact Info

Product

Resources

About