A randomized clinical trial using research diagnostic criteria for temporomandibular disorders-axis II to target clinic cases for a tailored self-care TMD treatment program
| Autor: | Samuel F, Dworkin, Kimberly H, Huggins, Leanne, Wilson, Lloyd, Mancl, Judith, Turner, Donna, Massoth, Linda, LeResche, Edmond, Truelove |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Analysis of Variance Cognitive Behavioral Therapy Depression Occlusal Splints Relaxation Therapy Temporomandibular Joint Dysfunction Syndrome Self Care Facial Pain Patient Satisfaction Masticatory Muscles Educational Status Health Education Dental Humans Female Dental Hygienists Range of Motion Articular Somatoform Disorders Physical Therapy Modalities Pain Measurement |
| Zdroj: | Journal of orofacial pain. 16(1) |
| ISSN: | 1064-6655 |
| Popis: | To carry out a randomized clinical trial (RCT) contrasting usual conservative treatment of TMD by clinical TMD specialists with a structured self-care intervention, targeted to clinic cases independent of TMD physical diagnosis, who were reporting minimal levels of psychosocial dysfunction; the intervention was delivered by dental hygienists in lieu of usual treatment.The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) was used to target subjects who exhibited minimal TMD-related psychosocial interference. Criteria for study inclusion were: (1) self-report of facial and/or masticatory muscle pain discomfort for which usual care was prescribed by the clinic TMD specialist; (2) RDC/TMD Axis II graded scale of chronic pain (GCP) score of 0, I, or II-Low. (3) Age 18 to 70 years.On 1-year follow-up, while both groups showed improvement in all clinical and self-report categories measured, patients in the tailored self-care treatment program compared to usual TMD treatment showed significantly; (a) decreased TMD pain, (b) decreased pain-related interference in activity; (c) reduced number of masticatory muscles painful; (d) fewer additional visits for TMD treatment. Groups were comparable with regard to measures of vertical range of motion. The self-care program was associated with consistent, but non-statistically significant, trends towards lower levels of depression and somatization. Ability to cope with TMD, knowledge concerning TMD and patient satisfaction was significantly enhanced for the self-care group. No participating patients experienced physical or personal adverse effects during the 1-year post-treatment follow-up period.Use of RDC/TMD psychosocial assessment criteria can contribute to successful clinical decision-making for the management of TMD. |
| Databáze: | OpenAIRE |
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