Effects of a program consisting of strain/counterstrain technique, phonophoresis, heat therapy, and stretching in patients with temporomandibular joint dysfunction: A pilot study.

Autor:	Azam I; Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Haryana, India., Chahal A; Department of Physiotherapy, School of Medical and Allied Health Science, Galgotias University, Greater Noida, Uttar Pradesh, India., Kapoor G; Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Haryana, India., Chaudhuri P; USTM University, Meghalaya, India., Alghadir AH; Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia., Khan M; Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia., Kashoo FZ; Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, AL Majmaah, Saudi Arabia., Esht V; Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia., Alshehri MM; Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia., Shaphe MA; Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia., Khan AR; Department of Physiotherapy, Integral University, Lucknow, India., Singh G; Department of Physiotherapy, UIAHS, Chandigarh University, Mohali, Punjab, India.
Jazyk:	angličtina
Zdroj:	Medicine [Medicine (Baltimore)] 2023 Aug 11; Vol. 102 (32), pp. e34569.
DOI:	10.1097/MD.0000000000034569
Abstrakt:	Background: The present study was conceptualized as a pilot study to examine the effects of a 3-week program consisting of strain/counterstrain technique (SCST), phonophoresis, heat therapy, and stretching exercises on pain and functions in patients with temporomandibular dysfunction (TMD). Methods: Seven participants (mean age 25.85 years) diagnosed with TMD having pain in the temporomandibular joint (TMJ) area with decreased jaw opening were recruited for the study. Treatment interventions consisting of SCST, phonophoresis (ultrasound gel mixed with diclofenac gel), heat therapy, and stretching (mouth-opening) exercises were performed 3 days a week for 3 weeks. SCST was performed on the masseter, medial, and lateral pterygoid muscles. No control group was present in the study. Results: Paired samples t test revealed a significant difference in numerical pain rating scale (NPRS) (decreased by 50%, P < .001) and jaw functional limitation scale (JFLS) (reduced by 59.58%, P < .001) scores after 3 weeks of intervention. A large effect size (Cohen d = -3.00 for NPRS and -3.16 for JFLS) was observed for both variables. No correlation (R = 0) was found between the baseline values of NPRS and JFLS. Conclusion: A 3-week program consisting of SCST, phonophoresis, heat therapy, and stretching exercises was effective in reducing the pain and improving the functions related to TMJ in patients suffering from TMD. However, a randomized controlled trial is needed to reach a definite conclusion. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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