Myofascial pain dysfunction syndrome—how effective is biofeedback assisted relaxation training?

Brooke, Ralph I.; Stenn, Peter

doi:10.1016/0304-3959(81)90417-6

Cited by 8 publications

(9 citation statements)

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“…Although several methodologic problems may make these results equivocal, the hypothesis that stress-related muscular hyperactivity is responsible for TMPDS pain has led to the development of relaxation-based psychologic treatment programs. Both electromyographic (EMGj biofeedback and progressive muscular relaxation training have successfully led to decrements in pain and dysfunction (6,8,(13)(14)(15).…”

mentioning

confidence: 99%

The Effects of a Cognitive-Behavioral Treatment Program on Temporo-Mandibular Pain and Dysfunction Syndrome

Stam

McGrath

Brooke

1984

Psychosomatic Medicine

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Sixty-one patients clearly diagnosed as suffering from Temporo-Mandibular Pain and Dysfunction Syndrome (TMPDS) were randomly assigned to one of three groups, 1) hypnosis and cognitive coping skills, 2) relaxation and cognitive coping skills, or 3) a no-treatment control group. All patients were evaluated with a standard hypnotic susceptibility scale before treatment. The two treatment groups received four weekly sessions of their respective treatments. Patients in the hypnosis and relaxation groups reported equivalent decrements in pain, abnormal sounds in the temporomandibular joint, and limitations of jaw mobility. Hypnotic susceptibility was significantly correlated with reductions in reported pain for the treatment groups. Patients' age and the duration of pain before treatment were not related to treatment outcome. Patients who dropped out of treatment had fewer limitations in jaw movement but did not differ in any other variable from patients who remained in treatment. These findings are discussed in relation to the hypothesis that Temporo-Mandibular Pain and Dysfunction Syndrome is stress-related muscular pain and dysfunction.

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confidence: 99%

The Effects of a Cognitive-Behavioral Treatment Program on Temporo-Mandibular Pain and Dysfunction Syndrome

Stam

McGrath

Brooke

1984

Psychosomatic Medicine

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“…One of the two RCTs in this category (Brooke & Stenn, 1983) found BART to be superior to a plausible alternative intervention for clinical ratings of global improvement. The second study (Gardea et al, 2001) found BART to be superior to no treatment for pain.…”

Section: Biofeedback-assisted Relaxation Training: Probably Efficaciousmentioning

confidence: 95%

“…Although BART is an efficacious intervention for TMD, relaxation training alone is also an effective treatment (Brooke & Stenn, 1983;Funch & Gale, 1984). Whether or not biofeedback monitoring enhances the effects of relaxation training can be determined by studies contrasting BART with relaxation training alone.…”

Section: Outcome Research Recommendationsmentioning

confidence: 99%

“…At followup, the BFB + CBT intervention did not differ from intraoral splinting for pain reduction but was more effective in reducing depression. Brooke and Stenn (1983). The study sample consisted of 190 patients selected from a facial pain clinic with a diagnosis of myofascial pain dysfunction syndrome of at least 2 month's duration.…”

Section: Semg Biofeedback Training With Adjunctive Cognitive-behaviormentioning

confidence: 99%

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Efficacy of Biofeedback-Based Treatments for Temporomandibular Disorders

Crider

Glaros

Gevirtz

2005

Appl Psychophysiol Biofeedback

114

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Bibliographic searches identified 14 controlled and uncontrolled outcome evaluations of biofeedback-based treatments for temporomandibular disorders published since 1978. This literature includes two randomized controlled trials (RCTs) of each of three types of biofeedback treatment: (1) surface electromyographic (SEMG) training of the masticatory muscles, (2) SEMG training combined with adjunctive cognitive-behavioral therapy (CBT) techniques, and (3) biofeedback-assisted relaxation training (BART). A detailed review of these six RCTs, supplemented with information from non-RCT findings, was conducted to determine the extent to which each type of intervention met treatment efficacy criteria promulgated by the Association for Applied Psychophysiology and Biofeedback (AAPB). We conclude that SEMG training with adjunctive CBT is an efficacious treatment for temporomandibular disorders and that both SEMG training as the sole intervention and BART are probably efficacious treatments. We discuss guidelines for designing and reporting research in this area and suggest possible directions for future studies.

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“…Relaxation training, however, has been shown to be equally effective as a conventional dental occlusal splint therapy 22 and benefits may be longer-lasting. 23 With regard to joint and muscle problems, the benefit of antiinflammatory painkillers has not been clinically investigated, and, whilst jaw exercises and occlusal splints are also simple and cheap therapies, the equivalence of efficacy 24 with, for example, biofeedback relaxation 3 and acupuncture, 4 suggests that modes of action are non-specific, or, to resort to a much over-and ab-used term, 'placebo' .…”

Section: Initiation and Maintenancementioning

confidence: 99%