Temporomandibular Disorder, Manual Therapy
Conditions
Brief summary
The objective of this study was to compare the short- and medium-term effects in pain and temporomandibular joint (TMJ) and function of implementing a manual therapy (MT) intervention treatment combined with a therapeutic exercise (TE) program, versus an isolated TE program and a non-intervention in patients with disc displacement with reduction (DDCR) with pain.
Detailed description
Study Design: The study adopted a single-blind, randomized, controlled clinical trial approach. Adults with disc displacement with reduction clinical diagnosis, pain and loss of function were eligible for inclusion. Intervention: Patients in the study were randomized into three groups, 25 subjects to the manual therapy and therapeutic exercise group, 25 to the therapeutic exercise group and 25 to the no intervention group. Subjects were excluded if there was presence of surgical history, dentistry treatment and use of medication. The dependent variables were the presence of clicking, TMJ function, cervical disability, pain, and range of motion of the TMJ. Subjects in every group were assessed after four weeks of intervention and after eight weeks.
Interventions
OTHERTherapeutic exercise
Intervention with therapeutic exercise: coordination, relaxation and disc recapture exercises.
Intervention with orthopedic manual therapy: traction, ventral sliding and massage.
Sponsors
Fisioterapia Manual Ortopedica
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The assessing physiotherapist did not know to which group the patient belongs
Intervention model description
A randomized single blind clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Disc displacement with reduction diagnosis according to the Research Diagnostic Criteria for Temporomandibular Disorders; in the last 30 days, any TMJ noise present during the exam or clicking detected with palpation during at least one of three repetitions of jaw opening, closing, protrusion, or laterotrusion movements. * equal or greater than 30 mm on the VAS scale * Age is greater than or equal to18 years.
Exclusion criteria
* Participants were excluded if they had received interventions of TMJ surgery or TMJ steroid injections in the previous month, a rheumatoid diagnosis, neurological or psychiatric diseases, or pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effects on pain when implementing an orthopedic manual therapy intervention compared to an exercise program intervention in patients with painful disc displacement with reduction | 3 months | Pain prevalence within patients with disc displacement, evaluated using Visual Analogue Scale (VAS). |
| Effects on function when implementing an orthopedic manual therapy intervention compared to an exercise program intervention in patients with painful disc displacement with reduction | 3 months | Prevalence of jaw disfunction in patients with disc displacement, assessed using Jaw Functional Limitation Scale-20. |
Countries
Mexico
Outcome results
None listed