Efficacy of different combinations of physiotherapy techniques compared to exercise and patient education in temporomandibular disorders: A randomized controlled study.

Autor: Tanhan A; Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey., Ozer AY; Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey., Polat MG; Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Cranio : the journal of craniomandibular practice [Cranio] 2023 Jul; Vol. 41 (4), pp. 389-401. Date of Electronic Publication: 2021 Apr 05.
DOI: 10.1080/08869634.2021.1909454
Abstrakt: Objective: This study aims to investigate the efficacy of different types of physiotherapy approaches in individuals with cervical myofascial painful temporomandibular disorders (TMDs).
Methods: Seventy-five participants with myofascial pain of jaw muscles and cervical myofascial pain were randomized into three groups: exercise group (E), low-level laser therapy group (LLLT), and manual pressure release group (MPR). All patients were assessed before treatment and after 12 sessions of treatment.
Results: Significant improvement was seen in all groups' pressure pain threshold (PPT) values ( p < 0.01). Some masticatory and neck muscles' PPT changes in MRP and LLLT groups were significantly higher than the exercise group ( p < 0.05).
Conclusion: Exercise therapy is an effective approach for treatment of TMDs. Additionally, LLLT combined with exercise and MPR combined with exercise have better effects than only exercise therapy. Multimodal treatment approaches should include exercise to achieve better results in clinical practice.
Databáze: MEDLINE