Effects of therapeutic exercise and aerobic exercise programmes on pain, anxiety and oral health‐related quality of life in patients with temporomandibular disorders

Autor: Raul Oliveira, Paula Moleirinho-Alves, Pedro Luís Camecelha de Pezarat-Correia, André Almeida, Fernado Gustavo Exposto
Rok vydání: 2021
Předmět:
Zdroj: Moleirinho-Alves, P M M, de Almeida, A M C S, Exposto, F, Oliveira, R A N D S & de Pezarat-Correia, P L C 2021, ' Effects of therapeutic exercise and aerobic exercise programmes on pain, anxiety and oral health-related quality of life in patients with temporomandibular disorders ', Journal of Oral Rehabilitation, vol. 48, no. 11, pp. 1201-1209 . https://doi.org/10.1111/joor.13239
ISSN: 1365-2842
0305-182X
DOI: 10.1111/joor.13239
Popis: BACKGROUND: Pain and anxiety contribute to decreasing quality of life related to oral health in patients with temporomandibular disorders (TMD). Evidence-based practice has shown that therapeutic and aerobic exercise programs are adequate strategies for modifying these factors.OBJECTIVE: Assess the effects of aerobic exercise on pain, anxiety and quality of life related to oral health in patients with TMD.METHODS: Forty-five patients diagnosed with TMD were divided into three groups of 15 participants: a therapeutic exercise program (G1, mean 26.9±5.5 years), a therapeutic and aerobic exercise program (G2, mean 26±4.4 years) and an aerobic exercise program (G3, mean 24.9±3.4 years). Pain intensity was assessed using a numerical rating scale (NRS), anxiety level and quality of life related to oral health through GAD-7 and OHIP-14, respectively. These parameters were evaluated twice at baseline (T0a/T0b), ending 8-week intervention period (T1), and 8-12 weeks after ending intervention (T2).RESULTS: NRS significantly decreased in G1 (mean difference T0a/T1=5.2, p˂0.001), G2 (mean difference T0a/T1=6.0, p˂0.001) and G3 (mean difference T0a/T1=2.2, p=0.001). OHIP-14 significantly decreased in G1 (mean difference T0a/T1=13.5, p˂0.001) and G2 (mean difference T0a/T1=15.8, p ˂ 0.001) but not in G3 (mean difference T0a/T1=1.2, p=0.55). There were no significant differences between groups regarding GAD-7. Between T1 and T2 there were no significant differences in variables.CONCLUSION: Therapeutic exercises and therapeutic excercises combined with aerobic exercise groups had a significant decrease in pain and oral health related quality of life at 8 and 12 weeks. These decreases were not seen for the aerobic exercise group.
Databáze: OpenAIRE
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