The role of soft tissue mobilization in reducing orofacial and general complaints in a patient with Kimmerle anomaly and temporomandibular joint disorder: A case report

Kuć, Joanna; Szarejko, Krzysztof Dariusz; Aleksandrowicz, Krzysztof; Gołębiewska, Maria

doi:10.1080/08869634.2018.1560616

Cited by 8 publications

(7 citation statements)

References 39 publications

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“…Therefore, individuals with prolonged suboccipital muscle tension are likely to suffer irritation of the first cervical nerve (C1), which induces the stimulation of associated sympathetic fibers. This irritation of the C1 spinal nerve is manifested by referred pain in the TMJ area and the neck [39], and vice versa; that is, stimulation of trigeminal-innervated structures evokes painful sensations in the neck [40]. Therefore, it is possible that the suboccipital techniques that were applied in our study activated segmental inhibitory pathways [41] via the trigeminal nucleus caudalis; thus, causing positive effects on pain.…”

Section: Discussionmentioning

confidence: 98%

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Espí-López

Arnal‐Gómez

Pino

et al. 2020

JCM

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Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conducted to ascertain whether a combined program of MT techniques, including intraoral treatment, plus traditional ST improves pain and clinical dysfunction in subjects with TMD. Methods: A preliminary trial was conducted. 16 participants were assigned to either the MT plus ST-Experimental Group (EG, n = 8) or the ST alone—Control Group (CG, n = 8). Forty-five minute sessions of combined MT techniques were performed, once a week for four weeks. Three evaluations were conducted: baseline, post-treatment, and one-month follow-up. Outcome measures were pain perception, pain pressure threshold (PPT), TMD dysfunction, and perception of change after treatment. Results: EG showed significant reduction on pain, higher PPT, significant improvement of dysfunction and significantly positive perception of change after treatment (p < 0.05 all). Additionally, such positive effects were maintained at follow-up with a high treatment effect (R2 explaining 26.6–33.2% of all variables). Conclusion: MT plus ST showed reduction on perceived pain (3 points decrease), higher PPT (of at least 1.0 kg/cm2), improvement of disability caused by pain (4.4 points decrease), and positive perception of change (EG: 50% felt “much improvement”), compared to ST alone.

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Section: Discussionmentioning

confidence: 98%

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Espí-López

Arnal‐Gómez

Pino

et al. 2020

JCM

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“…The overall accuracy (repeatability, reproducibility) of the subsequent measurements involves factor 2.77. In the case of the maximum total force measured, the error amounts to 1%, reliability is 2.8%, and accuracy reaches 2% [ 57 , 58 ].…”

Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Occlusion before and after Soft Tissue Mobilization in Patients with Temporomandibular Disorder—Myofascial Pain with Referral

Kuć

Szarejko²,

Gołębiewska

2021

IJERPH

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The aim of the study was to evaluate occlusal parameters in patients with myofascial pain with referral before and after soft tissue mobilization. The study group consisted of 50 people (37 females and 13 males, average age 23.36 ± 2.14 years) diagnosed with myofascial pain with referral. All patients underwent triplicate soft tissue mobilization. Occlusal parameters were evaluated six times, before and after each treatment, using T-scan III. A decreasing tendency of the occlusion time was observed after the first, second, and third therapy. After the third treatment, the mean occlusion time in the entire study group was 0.119 s. The 1st soft tissue mobilization shortened both right and left disclusion times to 0.181 s and 0.185 s, respectively. After the third treatment, these parameters amounted to 0.159 s and 0.165 s, respectively. The Friedman test for the entire study group indicated that soft tissue mobilization altered the occlusion time and both disclusion times (p < 0.05). In conclusion, soft tissue mobilization affects biotensegrity of the masticatory system, thus modifying occlusal parameters. The occlusion time and both disclusion times cannot be considered as cofactors of the existing temporomandibular disorders—myofascial pain with referral.

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“…Bearing this in mind, it is recommended that the treatment should focus on muscle relaxation and unloading of joint structures with parallel action of pain relievers and anti-inflammatory drugs. Nowadays, physiotherapy plays an important role, as do dry needle techniques [ 36 , 37 ]. The currently accepted method of TMJ pain treatment in cases of internal dysfunctions is intraarticular injection of hyaluronic acid and platelet-rich plasma (PRP) for regeneration and revascularization [ 38 , 39 ].…”

Section: Introductionmentioning

confidence: 99%

TMD in Females with Menstrual Disorders

Jedynak

Jaworska-Zaremba

Grzechocińska

et al. 2021

IJERPH

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Background: Temporomandibular disorders (TMD) are a common reason for patients to present at dental offices. The majority of people with TMD are women between the age of 20 and 40 years. The purpose of this study was to assess the types and prevalence of temporomandibular disorders in female patients of reproductive age with menstrual disorders. Materials and methods: The study involved 65 females of reproductive age (18–40 years, an average of 28.00 ± 6.27 years). The women who qualified for the study were patients of the University Center for Maternal and Newborn’s Health hospitalized because of infertility or menstrual cycle disorders. Women with confirmed estrogen metabolism disorders participated in a clinical study with the use of Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Results: In the studied female patients with menstrual disorders, temporomandibular disorders (92.3%) were frequent occurrences. The most common type was intra-articular joint disorders (68%). Other reported complaints included masticatory muscle pain (44.62%), and degenerative joint diseases (12.3%). Conclusions: 1. In women with menstrual disorders, TMD may exist. 2. In women with TMD symptoms, their medical history should be extended to include the diagnosis of female hormone disorders.

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The role of soft tissue mobilization in reducing orofacial and general complaints in a patient with Kimmerle anomaly and temporomandibular joint disorder: A case report

Cited by 8 publications

References 39 publications

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

Comparative Evaluation of Occlusion before and after Soft Tissue Mobilization in Patients with Temporomandibular Disorder—Myofascial Pain with Referral

TMD in Females with Menstrual Disorders

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