Efficacy Of Different Types Of Physiotherapy Approaches In Temporomandibular Disorders

Browse trials for

• Temporomandibular Joint Disorders 609
• Temporomandibular Joint Dysfunction Syndrome 416

Keywords

• Temporomandibular disorders
• Exercise
• Low-level laser therapy

Temporomandibular Joint Disorders

609 studies on the registry are indexed under Temporomandibular Joint Disorders; 160 are open to participants now.

This study's enrollment of 59 is above the median of 46 across 434 interventional studies indexed under Temporomandibular Joint Disorders.

Lead sponsor

Bitlis Eren University is the lead sponsor of 48 studies on the registry; 16 are open to participants now.

Study arms

• Experimental
  Exercise Program

  This group received therapeutic exercises and patient education. For patients to encounter fewer problems and to reduce their problems, some recommendations were made that should be taken into consideration in daily life. These suggestions were given in writing. The exercise program included muscle stretching, massage of painful muscles, guided opening and closing movements, gentle isometric tension exercises against resistance, correction of body posture and relaxation techniques. All exercises were done in 6 repetitions a set, 3 sets a day, 3 days a week, treatment program lasted 4 weeks.

  Other: Exercise · Other: Patient Education

• Experimental
  Low Level Laser Therapy Program

  This group received LLLT, therapeutic exercises and patient education in the therapy programs. LLLT (max output power: 1200mW, wavelength: 808 nm, dosage: 10j/ cm2 Electronica Pagani Laser Tower Light, Italy) 2.5-4j/TrP dosage was applied to MTrP or sensitive points. The application was applied to MTrP or sensitive points in the mastication and cervical muscles.LLLT program was done in 3 days a week, the treatment program lasted 4 weeks.

  Other: Exercise · Other: Low Level Laser Therapy · Other: Patient Education

• Experimental
  Manual Pressure Release Program

  ThisThis group received manual pressure release (MPR), therapeutic exercises and patient education in the therapy programs. MPR technique is a noninvasive method based on pressure on the trigger point in accordance with the patient's tolerance and technique applies supine position relax as much as possible, MTrPs in the mastication and neck muscle. Applied pressure gradually with finger over the MTrPs until the subject reported a 'moderate but easily tolerable' pain value of 7 out of 10. When the pain value decreased to at least 3 or 4 therapist increased pressure again until discomfort and/or pain appeared again. This process was repeated until there was no MTrP tension/tenderness or 60 s had elapsed. MPR program was done in 3 days a week, the treatment program lasted 4 weeks.

  Other: Exercise · Other: Manuel Pressure Release · Other: Patient Education

Interventions

• OtherExercise

  Exercise therapy intended in reducing muscle spasm, improving coordination of the mastication muscles and alter the jaw closure pattern.

• OtherLow Level Laser Therapy

  LLLT (max output power: 1200mW, wavelength: 808 nm, dosage: 10j/ cm2 Electronica Pagani Laser Tower Light, Italy) 2.5-4j/TrP dosage was applied to MTrP or sensitive points.

• OtherManuel Pressure Release

  MPR technique is a noninvasive method based on pressure on the trigger point in accordance with the patient's tolerance and technique applies supine position relax as much as possible, manuel pressure applied trigger point in neck and mactication muscles

• OtherPatient Education

  Some suggestions were made to TMD people who should pay attention to in daily life. These suggestions were given in writing.

Primary outcomes

1. Pressure Pain Threshold Assessment

   Pressure Pain Threshold (PPT) of an individual's mastication and cervical muscle was measured with an algometer (JTECH Medical Industries, CommanderTMAlgometer), and the applied pressure was increased to 1 cm2/ kg per second. PPT measurements were repeated three times and the average was used for analysis in every participant.

   Time frame: Change from baseline pressure pain threshold score in neck and mastication muscles at week 4.

2. Pain Severity Assessment

   To evaluate the general pain severity of the patients, the Visual Analog Scale (VAS), which is the Visual Pain Scale of Turkish, was used. Patients were asked to mark their general pain separately on a 10 cm scale. According to this, "0" indicates that there is no pain, and "10" indicates the most severe pain. The distance between the marked point and the beginning of the line was recorded in centimeters

   Time frame: Change from baseline TMJ pain and intensity of head pain, TMJ noise and jaw locking score at week 4.

3. Jaw Movements Assessment

   Maximum mouth opening (MMO) and lateral deviation were measured with a caliper.

   Time frame: Change from baseline MMO and lateral deviation score at week 4.

4. Neck Movements Assessment

   Cervical rotations and the craniovertebral angle between C7 and tragus were measured by a goniometer.

   Time frame: Change from baseline cervical rotations and craniovertebral angle score at week 4.

5. Temporomandibular Disorder Severity

   The TMD severity in participation is defined by the Craniomandibular Index (CMI) which was developed to provide a standardized measure to the severity of problems in mandibular movement, muscle, and joint tenderness and TMJ noise for use in epidemiological and clinical outcome studies. The instrument was designed to have clearly defined objective criteria, simple clinical methods, and ease in scoring; it is divided into the Palpation Index (PI) and the Dysfunction Index (DI). The means of the subscales were averaged to produce a CMI score ranging from 0 (best) to 1 (worst)

   Time frame: Change from baseline temporomandibular disorder severity score at week 4

6. Quality of Life Assesment

   Short Form-36 questionnaire contains the physical and mental component, which is evaluated, is close to 100, indicating an increase in health-related quality of life. The means SF-36 score ranging from 0 (worst) to 100 (best).

   Time frame: Change from baseline quality of life score at week 4

Secondary outcomes

1. Neck Disability Assesment

   Northwick Park Neck Pain Questionnaire; Neck pain severity, neck pain and sleep, numbness and tingling in the arms at night, duration of symptoms and complaints, weight-bearing, reading and watching television, work and housework, social activities and driving includes 9 items. Each item consists of 5 options, the level of disability increases as you approach 36 points. The means northwick park neck pain questionnaire score ranging from 0 (best) to 36 (worst).

   Time frame: Change from baseline neck disability score at week 4.

2. Psychological Status Assesment

   Beck depression index which is a two-factor scale, emotion and somatic, has 21 questions, the lowest score is 0 and the highest score is 3 in each question. The means Beck depression index score ranging from 0 (best) to 63 (worst).

   Time frame: Change from baseline psychological status score at week 4.