The Use of an Oral Exercise Device in the Treatment of Muscular TMD

Eg, Grace; Sarlani, Eleni; Reid, Brian Holden

doi:10.1080/08869634.2002.11746212

Cited by 30 publications

(31 citation statements)

References 5 publications

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“…All studies reported that the combined treatments were effective, but no difference was found between groups with or without the exercise program. Grace et al [25] studied a muscle strengthening device (Bite Assist Exerciser, Facial Concepts, Inc., Blue Bell, PA) versus splint therapy combined with exercise, self-care, and over-the-counter medications alone, or in combination with the device and found no additional benefi t of the device.…”

Section: Resultsmentioning

confidence: 98%

“…Three other RCT studies, Magnusson and Syren [24], Grace et al [25], and Michelotti et al [26], studied the addition of a therapeutic exercise program to other interventions for headache and TMD muscle pain, including patient education, splints, massage, heat, and other physical therapy modalities. All studies reported that the combined treatments were effective, but no difference was found between groups with or without the exercise program.…”

Section: Resultsmentioning

confidence: 99%

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Does exercise therapy improve headache? A systematic review with meta-analysis

Fricton

Velly²,

Ouyang³

et al. 2009

Current Science Inc

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Therapeutic exercise is one of the most common physical medicine treatments and is recommended by many clinicians for a variety of musculoskeletal conditions. Many forms of therapeutic exercise have been evaluated and described in the scientifi c literature, including range of motion, isometric, postural, relaxation, strengthening, and aerobic. They are designed to stretch, relax, and improve posture and strength of the muscles, with the goal of improving tenderness, pain, function, and health [1][2][3][4][5][6][7]. However, the use of exercise to manage headaches is low, perhaps because of the lack of understanding of the effectiveness and mechanism of exercise for headache disorders such as tension-type headache (TTH). Yet, a number of studies have examined exercise to improve both TTH and temporomandibular disorder (TMD) muscle pain, which can provide us some answers. This commentary presents the results of a systematic review of randomized controlled trials (RCTs) that help shed light on whether exercise will improve headache and TMD muscle pain. Methods for Systematic ReviewAny RCT that evaluated the effectiveness of therapeutic exercise for headache was eligible for inclusion in this review. Studies that included both adults and children who had pain related to TTH and TMD muscle pain and were treated with therapeutic exercises were eligible for inclusion. TTH is the most common type of primary headache, with a lifetime prevalence in the general population ranging from 30% to 78%. At the same time, it is the least studied of the primary headache disorders, despite the fact that it has the highest socioeconomic impact. For these searches, the inclusion criteria involved several terms to identify the published TTH and TMD pain literature relevant to the systematic review, which are listed in Fricton et al. [8]. In addition to the TTH diagnoses, TMD muscle pain was also included as a target population because TMDs often result in headache, and the diagnosis of masticatory muscle pain involving the temporalis (as defi ned by the American Academy of Orofacial Pain classifi cation) has signs and symptoms that overlap with TTHs (as defi ned by the International Headache Society) [8,9].This review was limited to published RCTs for the assessment of the effectiveness of interventions and used the QUOROM (Quality of Reporting of Meta-analyses) guidelines [10]. However, it is acknowledged that nonrandomized controlled trials and observational cohort studies provide important information and may be the design of choice to test some types of interventions. They were not included in this search strategy because of their potential for introducing selection bias and dissimilar comparison groups. Outcomes assessedPain severity, as an outcome, was selected as the measure to determine the relative benefi t of the study interventions because pain is the major symptom of headache, is the reason most patients seek treatment, and usually refl ects the severity of headache [9,11]. Methods for pain measurement were not strictly sta...

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Does exercise therapy improve headache? A systematic review with meta-analysis

Fricton

Velly²,

Ouyang³

et al. 2009

Current Science Inc

View full text Add to dashboard Cite

show abstract

“…Increased load on the cervical spine muscles and joints caused by FHP is a major cause of work-related musculoskeletal pain and disease [15]. FHP is associated with pain, fatigue, and limited movement of the cervical vertebrae in relation to muscle imbalance [16].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the effects of muscle stretching exercises and cupping therapy on pain thresholds, cervical range of motion and angle: a cross-over study

Yim

Park

Kim

et al. 2017

PTRS

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Objective: Computers and smartphones have become a necessity for modern people, and the use of these things in an inappropriate position has increased the number of people who complain about neck problems. The purpose of this study was to compare the changes of cervical angle, range of motion (ROM) and pain threshold according to the McKenzie stretching and dry cupping therapy. Design: Cross-over design. Methods: We included 12 male and 6 female college students in their twenties, and conducted a pre-and post-test to evaluate the changes of each variable after the application of the McKenzie stretching and dry cupping therapy. Results: Neither the cervical spine angle nor the turtle neck angle showed any change in both the McKenzie stretching and the dry cupping treatment. In the McKenzie stretching, the pain threshold decreased, and the ROM of the cervical spine increased in all directions but there was no significant difference. The pain threshold was increased in the dry cupping treatment, and the ROM of the cervical spine was significantly increased in all directions (p<0.05). Comparisons of the McKenzie stretching and cupping treatment showed that the cupping treatment produced significantly greater pain thresholds and improvements in ROM of the cervical spine than the McKenzie stretching technique (p<0.05). Conclusions: Cupping treatment is more effective in improving ROM of the cervical spine and pain thresholds than the McKenzie stretching technique. In the future, cupping treatment will be one of the treatment options for pain and ROM impairments of the cervical spine.

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“…The less time it takes for a subject to perform the TUG indicates that the subject has good balance. The FRT has the subject stand right beside the wall until one's shoulder touches the wall and has to raise the right shoulder to 90 degrees and after leaning forward as possible as can distance from baseline is measured at the third metacarpal bone [15]. The FRT is precise, stable, is associated with the center of pressure excursion and is reported to have a reliability of r=0.71-0.81 [16].…”

Section: Balance Measurementsmentioning

confidence: 99%

The effect of single trial transcutaneous electrical nerve stimulation on balance and gait function in elderly people with dementia: a pilot study

Jung

Hahm

et al. 2017

PTRS

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Objective: Elderly people with dementia experience not only cognitive dysfunction but also motor function deficits, such as balance and gait impairments. Recently, transcutaneous electrical nerve stimulation (TENS) has been used to reduce pain as well as to control muscle spasm, spasticity and motor performance in various types of subjects. The purpose of this study determined the effect of a single trial TENS on balance and gait function in elderly people with dementia. Design: A randomized controlled trial. Methods: Twenty-two subjects with dementia were assigned to the TENS group (n=12) and ten subjects were assigned to the control group (n=10) randomly. Subjects were classified into two groups: the TENS group (n=12) and the placebo-TENS group (n=10). The TENS group had electrical stimulation applied on the calf muscle for 15 minutes, while the placebo-TENS group had not received real electrical stimulation. The timed up and go test (TUG) and functional reach test (FRT) were used to measure the balance function, and the 10 meters walk test (MWT) and 6MWT were used to assess gait ability. All tests were performed before and after intervention under a single-blinded condition. Results: After intervention, there were significant improvements in TUG, FRT, 10MWT, and 6MWT results in the TENS group (p<0.05), while the placebo-TENS group did not show significant changes in all outcome measurements. There were also differences in all tests between the two groups at post-measurements (p<0.05). Conclusions: This study demonstrated that a single trial TENS application on the calf may be used to improve balance and gait function in elderly people with dementia.

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The Use of an Oral Exercise Device in the Treatment of Muscular TMD

Cited by 30 publications

References 5 publications

Does exercise therapy improve headache? A systematic review with meta-analysis

Does exercise therapy improve headache? A systematic review with meta-analysis

Comparison of the effects of muscle stretching exercises and cupping therapy on pain thresholds, cervical range of motion and angle: a cross-over study

The effect of single trial transcutaneous electrical nerve stimulation on balance and gait function in elderly people with dementia: a pilot study

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