Isokinetic exercise management of temporomandibular joint clicking in young adults

Au, Anthony R.; Klineberg, Iven

doi:10.1016/0022-3913(93)90034-l

Cited by 36 publications

(23 citation statements)

References 34 publications

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“…Au et al suggested that a physiotherapeutic exercise regimen could be used for treatment of TMJ clicking in young adults, thus confirming a neuromuscular cause for many joint disorders characterized by abnormal sounds (28). In our present study, reduction of joint clicking in the physical therapy group appeared to support the theory of Au et al, whereas the better results in the two other groups, in terms of total improvement, could have been related to adaptive changes in the joint structures.…”

Section: Discussioncontrasting

confidence: 54%

Comparison of three treatment options for painful temporomandibular joint clicking

Madani

Mirmortazavi

2011

J Oral Sci

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A randomized clinical trial wasperformed to evaluate the efficacy of three treatment options, including anterior positioning splint therapy, physical therapy, and physical therapy in addition to splint therapy, in terms of treatment outcome, in patients with painful temporomandibular joint clicking. Sixty patients suffering from acute pain and dysfunction were divided randomly into three treatment groups. Twenty patients underwent anterior positioning splint therapy (group I), 20 patients received solely physical therapy (group II), and 20 subjects received physical treatment in addition to splinting (group III). All patients were examined before and after the treatment using a visual analogue scale (VAS) and digital palpation of joint sounds. The data were analyzed using the Kruskal-Wallis, one-way ANOVA and Tukey tests at a significance level of P < 0.05. In comparison with the baseline, subjective pain was decreased significantly (P < 0.05) in all three groups. A significant difference was observed between groups I and II (P <0.05), whereas no significant difference was detected between groups II and III. Six patients in group III did not continue the treatment after physical therapy. The numbers of pain-free patients were 12 in group I, 5 in group II and 9 in group III. We observed a reduction in the frequency of joint sounds across the entire sample (P < 0.05). Anterior positioning splint therapy appears to be the best treatment method for reduction of pain and joint sounds in patients with TMD, compared with the other two methods studied. (J Oral Sci 53, 349-354, 2011)

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Section: Discussioncontrasting

confidence: 54%

Comparison of three treatment options for painful temporomandibular joint clicking

Madani

Mirmortazavi

2011

J Oral Sci

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“…Reduction of muscular tension as well as correction of the postural imbalance by an appropriate exercise regimen might play an important role in the management of TMD. Tegelberg (25) has found significant improvement in the temporomandibular mobility after physical training, while Au (26) has observed that joint clicks in most of the patients have disappeared after an isokinetic exercise protocol. However, exercise therapy has not shown to be equally effective in improvement of symptoms such as pain and locking.…”

Section: Discussionmentioning

confidence: 97%

Effectiveness of low‐level laser therapy in temporomandibular disorder

Külekçioğlu¹,

Sivrioğlu

Özcan³

et al. 2003

Scandinavian Journal of Rheumatology

159

121

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“…19,26,[29][30][31] Exercise therapy has also been long indicated for the treatment of TMD 32,33 in combination with other therapeutic modalities such as an occlusal splint, 17,34 or alone. [35][36][37][38][39][40][41] Exercise therapy usually consists of passive and active movements of the mandible, 37 correction of body posture, and relaxation techniques, [39][40][41] as well as patient education. 34,42 The objectives of OMT also include the promotion of proprioception, tonicity and mobility, working with the facial and cervical musculature, as well as with stomatognathic functions, respiration, mastication, deglutition and speech, and OMT has been suggested for patients with TMD.…”

Section: Discussionmentioning

confidence: 99%

Clinical Validity of the Protocol for Multi-Professional Centers for the Determination of Signs and Symptoms of Temporomandibular Disorders. Part II

2009

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The aims of this study were to analyze the criterion and construct validity of Part II of the protocol for multi-professional centers for the determination of signs and symptoms of temporomandibular disorders (ProTMDMulti) as a measure of TMD severity. The study was conducted on eight asymptomatic subjects (CG) and 30 subjects with articular TMD (TMDG), according to the Research Diagnostic Criteria for TMD (RDC/TMD). The ProTMDMulti-Part II was validated using the Helkimo Clinical Dysfunction Index (Di). The construct validity was tested using the analysis of the ability of ProTMDMulti-part II to differentiate the CG from the TMDG and to measure the changes that occurred in the TMDG between the period before and after TMD treatment. Correlations between the Di and the ProTMDMulti-Part II scores were calculated using the Spearman test. Inter- and intragroup comparisons were made (p<0.05). There was a statistically significant correlation between the Helkimo Clinical Dysfunction Index (Di) and the severity scores of the ProTMDMulti-Part II. There was a significant difference between TMDG and CG regarding the severity of signs and symptoms. The present study provides statistical evidence of the clinical validity of the ProTMDmulti-Part II as a measure of the severity of TMD symptoms.

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Isokinetic exercise management of temporomandibular joint clicking in young adults

Cited by 36 publications

References 34 publications

Comparison of three treatment options for painful temporomandibular joint clicking

Comparison of three treatment options for painful temporomandibular joint clicking

Effectiveness of low‐level laser therapy in temporomandibular disorder

Clinical Validity of the Protocol for Multi-Professional Centers for the Determination of Signs and Symptoms of Temporomandibular Disorders. Part II

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