Osteopathic manual therapy versus conventional conservative therapy in the treatment of temporomandibular disorders: A randomized controlled trial

Cuccia, Antonino Marco; Caradonna, Carola; Annunziata, V.; Caradonna, D

doi:10.1016/j.jbmt.2009.08.002

Cited by 68 publications

(89 citation statements)

References 16 publications

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“…Similar to our study, osteopathy and conventional treatment for TMD patients have shown that both were effective to relieve pain, increase maximum mouth opening amplitude and lateral head movement around its axis, being that such effects have remained after a 2-months follow-up period, considering the positive effects in the short and mediumterm. Values of visual analog scale, mouth movement amplitude and head rotation movements got worse for the osteopathy group during the 2-months follow-up period, as compared to re-evaluation immediately after treatment 16 . A different study with 70 volunteers, has compared one group receiving just self-care guidance with TMD symptoms improvement in 57% of patients, to a group combining physical therapy (home exercises) and self-care guidance, with 77% improvement.…”

Section: Discussionmentioning

confidence: 82%

“…Self-care exercises have proven benefits 19 and it is considered that, together with patients' education, they are relevant factors to maintain treatment and therapeutic continuity 20 . Also, they are not expensive and perpetuate physical therapy effects, the effect of which has durability, but its decrease is observed after two months 15,16 . Our study had limitations, such as sample size and lack of investigators' blindness.…”

Section: Discussionmentioning

confidence: 99%

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Stability of physical therapy effects on temporomandibular disorder

Priebe¹,

Antunes²,

Corrêa³

2015

Revista Dor

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BACKGROUND AND OBJECTIVES: Physical therapy contributes to mitigate temporomandibular disorder symptoms because, in addition to stimulating proprioception and the production of joint synovial fluid, it improves adhered muscle fibers elasticity. This study aimed at evaluating the stability of therapeutic results in a follow-up period post-physical therapy in temporomandibular disorder patients. METHODS: Participated in the study 25 individuals of both genders, with temporomandibular disorder diagnosis. After a multimodal physical therapy program during 10 weeks, which included self-care guidance and home exercises, participants were re-evaluated by the Research Diagnostic Criteria for Temporomandibular Disorders and algometry. Results obtained immediately after treatment were compared to results of the evaluation carried out after two months of follow-up. RESULTS: From 25 participants, with mean age of 31.6 years, 76% had no temporomandibular disorder diagnosis immediately after treatment and from these, 68% have maintained this result in the two-month follow-up period. With regard to joint noises, 60% of participants have remained with no noises and pressure pain threshold values had no statistically significant differences between evaluations. CONCLUSION: Multimodal physical therapy intervention, combined with self-care guidance and home exercises has produced, in this study, positive and long-lasting effects on temporomandibular disorder symptoms, maintaining results for two months after treatment completion.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Stability of physical therapy effects on temporomandibular disorder

Priebe¹,

Antunes²,

Corrêa³

2015

Revista Dor

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“…It promotes an improvement in jaw functions, having a low cost, being non-invasive, and causing the minimum discomfort possible to the patient (1). It is important that dentists and physiotherapists/osteopaths work cooperatively in the management of disorders of TMJ and musculoskeletal structures (9).…”

Section: Discussionmentioning

confidence: 99%

“…The MI measures pain associated to intra and extra-oral bilateral digital palpation of masticatory muscles in 20 points. The AI assesses pain caused by the digital palpation of two points (lateral pole and posterior ligament) and the occurrence of noises in each TMJ (7,9). Disorders (RDC/TMD) distinguish.…”

Section: Methodsmentioning

confidence: 99%

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Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity

et al. 2014

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Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity [I] Abordagem fi sioterapêutica multimodal: efeitos sobre o diagnóstico e a gravidade da disfunção temporomandibular [A] Ariane Bôlla Freire [a] , Angélica Trevisan De Nardi [b] , Jalusa Boufleur [c] , Laís Chiodelli [d] , Fernanda Pasinato [e] , Eliane Castilhos Rodrigues Corrêa [f] [a] Undergraduate Student, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS -Brazil, e-mail:aribfreire@hotmail.com [b] Undergraduate Student, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS -Brazil, e-mail:angelica_denardi@hotmail.com [c] Abstract Introduction: The temporomandibular disorder (TMD) consists of a set of signs and symptoms that affect the masticatory structures, which may cause joint and/or muscular pain. The physiotherapy approach aims at the pain relief and the functional recovery by means of several modalities. Objective: To investigate the effects, short and medium-term, of a multimodal physiotherapeutic approach on TMD diagnosis and severity. Methodology: Individuals with diagnosis of TMD, confirmed by the Axis I of the RDC/TMD, took part in the study. From this evaluation, the Temporomandibular Index (TMI) and its sub-indices were calculated. The participants were treated during ten sessions of physiotherapy, which included therapeutic ultrasound, thermotherapy, manual therapy, stretching and neuromuscular exercises, as well as self-care and home exercises instructions. Assessments were carried out before treatment (AV1), immediately after treatmentFisioter Mov. 2014 abr/jun;27(2):219-27Freire AB, De Nardi AT, Boufleur J, Chiodelli L, Pasinato F, Corrêa ECR. 220 (AV2) and two months after the end of the treatment (AV3). The values of indices and the diagnosis prevalence were compared between the different periods by the t paired test (p < 0.05). Results: The number of diagnoses reduced in all the subgroups and 41.7% of the 24 participants presented no diagnosis after the treatment. A significant decrease in the TMI was observed between AV1 and AV2 (p = 0.000). There was no difference between AV2 and AV3 (p = 0.204) in 13 participants assessed two months after the end of the treatment. Conclusion: The multimodal physiotherapeutic approach resulted in positive effects, short and medium-term, on the symptoms and clinical signs, with deletion of the dysfunction or reduction of its severity in treated patients.[

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