The effect of cervical spine manual therapy on normal mouth opening in asymptomatic subjects

George, James W.; Fennema, Jason; Maddox, Adam; Nessler, Martha; Skaggs, Clayton D.

doi:10.1016/j.jcme.2007.08.001

Cited by 17 publications

(11 citation statements)

References 12 publications

(11 reference statements)

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“…19,20 Many studies have investigated the effects of SMT on lower cervical pain, [14][15][16]21 but there is no randomizedcontrolled trial in which SMT is used to diminish craniofacial pain. George et al 22 compared cervical manipulation with a soft tissue technique at the cervical-cranial junction to improve mouth opening in healthy controls, but no significant results were obtained. Another study examined a manual therapy and therapeutic exercise protocol applied at the cervical spine, to treat craniofacial pain of myofascial origin in a cohort intervention study, which resulted in an increase in the PPT in the masticatory muscles and increased mouth opening.…”

mentioning

confidence: 99%

Does Mobilization of the Upper Cervical Spine Affect Pain Sensitivity and Autonomic Nervous System Function in Patients With Cervico-craniofacial Pain?

Touche

Paris‐Alemany²,

Mannheimer

et al. 2013

The Clinical Journal of Pain

132

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This study provided preliminary evidence of a short-term hypoalgesic effect of APUCM on craniofacial and cervical regions of patients with cervico-craniofacial pain of myofascial origin, suggesting that APUCM may cause an immediate nociceptive modulation in the trigeminocervical complex. We also observed a sympathoexcitatory response, which could be related to the hypoalgesic effect induced by the technique, but this aspect should be confirmed in future studies.

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mentioning

confidence: 99%

Does Mobilization of the Upper Cervical Spine Affect Pain Sensitivity and Autonomic Nervous System Function in Patients With Cervico-craniofacial Pain?

Touche

Paris‐Alemany²,

Mannheimer

et al. 2013

The Clinical Journal of Pain

132

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“…[32][33][34] Functional status: Jaw Range of Motion Scale: a validated and reliable device for measuring jaw range of motion. 35,36 Cervical Range of Motion Device: a validated and reliable device for measuring degree of neck movement. 37 Goniometry: a validated and reliable instrument for measuring active and passive shoulder range of motion.…”

Section: Lef Evaluationmentioning

confidence: 99%

Self-Care for Head and Neck Cancer Survivors with Lymphedema and Fibrosis: Study Protocol for a Randomized Controlled Trial

Deng

Dietrich

Murphy

2019

Preprint

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Background : Head and neck cancer (HNC) patients are at high risk for developing lymphedema and fibrosis (LEF) following cancer treatment. Once HNC patients develop LEF, they need to conduct life-long self-care to slow LEF progression and reduce associated symptom burden and functional deficits. Data demonstrate that inadequate LEF self-care may be a potentially remediable issue. The objective of this study is to explore the feasibility and preliminary efficacy of an Information-Motivation-Behavioral (IMB) Skills model driven self-care program (SCP) to improve LEF management and reduce LEF-related symptom burden and functional impairments. Methods/Design : This is a three-arm, prospective, randomized controlled clinical trial to compare: Group 1-Usual Care, Group 2-Usual Care Plus LEF-SCP, and Group 3 - Usual Care Plus LEF-SCP Plus Follow-Up. Participants will be HNC survivors aged > 18 years of age, who meet predefined inclusion and exclusion criteria. A sample size of 75 participants is targeted. Interventions will be provided by trained staff. The study assessments for all groups will take place at five points: study entry then 3-, 6-, 9-, and 12-month post-enrollment. Outcome measures include: 1) feasibility (barriers to implementation, safety, and satisfaction) of the proposed intervention; 2) self-efficacy and adherence to self-care; and 3) preliminary efficacy (LEF progression, symptom burden, and functional status) of the proposed intervention. Discussion : This will be the first study to evaluate the feasibility of a LEF-SCP in the HNC population and its impact on self-efficacy and adherence. Furthermore, it will evaluate the potential benefit of routine follow-up on adherence and fidelity to the self-care protocol. We expect that the trial will provide evidence supporting the feasibility of a LEF self-care program. In addition, we anticipate that preliminary data will support improved outcomes including increased adherence and fidelity, and decreased LEF associated symptoms. Trial registration : This study was registered on January 22, 2017 at Clinical Trial.gov, a service of the US National Institute of Health (NCT 03030859). The URL of the trail registry record: https://clinicaltrials.gov/ct2/show/NCT03030859?term=lymphedema+and+fibrosis&cond=Head+and+Neck+Cancer&cntry=US&rank=1 Keywords : Head and neck cancer, lymphedema, fibrosis, self-care, self-management, survivorship

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“…The pelvis was adjusted to correct pelvic unleveling; and the thoracic spine was adjusted along with the cervical spine to address the point tenderness in the neck and shoulder region, as well as to help with any altered head position and to increase the MMO. 15 Because the positions of the jaw and head and neck are intricately linked, 16 manual therapy was performed on the left TMJ. This was done by placing the thumb on the left lower molars intraorally and the index finger hooking on to the inferior aspect of the mandible on that side.…”

Section: Case Reportmentioning

confidence: 99%

A Collaborative Approach Between Chiropractic and Dentistry to Address Temporomandibular Dysfunction: A Case Report

Rubis¹,

Rubis²,

Winchester³

2014

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the chiropractic and dental comanagement of a patient with temporomandibular dysfunction, headaches, and myalgia. Clinical features: A 38-year-old black female patient presented for chiropractic care with a chief concern of jaw pain, tinnitus, headaches, and neck and shoulder soreness of 8 months' duration. The patient rated the pain a 6/10. The patient had a maximum mouth opening of 42 mm, graphed evidence of disk displacement, loss of translation on opening of the right temporomandibular joint viewed on the lateral radiograph, and numerous areas of point tenderness on the Kinnie-Funt Chief Complaint Visual Index. She had decreased lateral cervical flexion. Intervention and outcome: Dental treatment consisted of an anterior repositioning splint. Chiropractic care consisted of Activator treatment to the pelvis and the thoracic and cervical spine. Manual manipulation of the temporomandibular joint was performed along with a soft tissue technique intraorally on the lateral pterygoid. Postisometric relaxation in the head and neck region was also done. The patient was treated 6 times over 3 weeks. At the end of treatment, the patient had a pain rating of 0/10, maximum mouth opening of 49 mm, no tender points on the follow-up Kinnie-Funt, and increased cervical range of motion. Conclusion: The patient demonstrated increased mouth opening, decreased pain rating, improved Kinnie-Funt visual index, and an increased cervical lateral flexion range of motion after 3 weeks of a combination of chiropractic and dental care.

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The effect of cervical spine manual therapy on normal mouth opening in asymptomatic subjects

Cited by 17 publications

References 12 publications

Does Mobilization of the Upper Cervical Spine Affect Pain Sensitivity and Autonomic Nervous System Function in Patients With Cervico-craniofacial Pain?

Does Mobilization of the Upper Cervical Spine Affect Pain Sensitivity and Autonomic Nervous System Function in Patients With Cervico-craniofacial Pain?

Self-Care for Head and Neck Cancer Survivors with Lymphedema and Fibrosis: Study Protocol for a Randomized Controlled Trial

A Collaborative Approach Between Chiropractic and Dentistry to Address Temporomandibular Dysfunction: A Case Report

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