Physical therapist guided active intervention of chronic temporomandibular disorder presenting as ear pain: A case report

Autor: Murugavel Manivasagam, Sudarshan Anandkumar
Rok vydání: 2021
Předmět:
Zdroj: Physiotherapy Theory and Practice. 38:3146-3158
ISSN: 1532-5040
0959-3985
DOI: 10.1080/09593985.2021.1938307
Popis: This case report describes the successful physical therapy management of a 40-year-old female who presented with left ear pain referred from the temporomandibular joint. Diagnosis was primarily based on clinical examination findings and ruling out of red flags. Guidance was given on active self-care approaches consisting of pain neuroscience education designed with individualized pain curriculum, exercise therapy, manual therapy, and breathing exercises for a period of sixweeks. Clinically meaningful improvements were obtained in the outcome measures of Numeric Pain Rating Scale (NPRS), Patient-Specific Functional Scale (PSFS), and Global Rating of Change (GROC) scale and progress in Pain-Self Efficacy Questionnaire (PSEQ) and Tampa Scale for Kinesiophobia (TSK) scores. Positive changes were achieved with functional activities (chewing, eating, yawing, brushing teeth and physical intimacy), and the patient was pain-free on discharge, which was maintained at a six-month follow-up.
Databáze: OpenAIRE