Background
Bruxism is significantly associated with craniofacial pain, feeling of stiffness or fatigue of the jaw and neck pain. Various physiotherapeutic strategies are used in the treatment of bruxism; however, it is not clear which method leads to greater decrease in pain.
Objective
The aim of this study is to compare the effects of two physiotherapy methods (manual therapy [MT] and Kinesio taping with manual therapy [KTMT]) in patients with bruxism.
Methods
Patients were randomised into MT or KTMT groups. Evaluations were performed at baseline and following 4 weeks of physiotherapy. Muscle thickness and stiffness were assessed via shear wave elastography; pain thresholds were evaluated using algometer. Sleep quality was assessed using Pittsburgh Sleep Quality Index, and quality of life was assessed with Likert scales regarding the associated symptoms.
Results
Significant decreases were found in muscle stiffness, pain threshold, sleep quality and quality of life (P < .05) in both MT and KTMT groups. Pain in bilateral temporalis and right occipital region of the trapezius muscle decreased more in the KTMT group compared with the MT group (P < .05). No significant differences in muscle thickness (P > .05) were found in either of the groups.
Conclusion
Both MT and KTMT methods were effective in the treatment of bruxism. Kinesio Tape used in conjunction with MT has additionally decreased jaw pain and temporal region pain compared with MT intervention only. Therefore, if jaw pain is the primary complaint of a patient, our results recommend including Kinesio Tape application in the physiotherapeutic treatment program.
Background: Neurodevelopmental disorders (NDDs) are developmental deficiencies that arise due to the damage of the central nervous system in the prenatal, natal, or postnatal period. Objectives: The aim of this study was to evaluate the motor performance and activities of daily living (ADL) and examine their relationship in children with NDDs who do not have physical disabilities. Methods: A total of 107 children who were diagnosed with NDDs, without physical disabilities, and 36 healthy peers between the ages of 4.5 years to 14.5 were included in this study. The subjects' fine and gross motor skills were assessed with Bruininks-Oseretsky test of Motor Performance and ADL with WeeFIM (Functional Independence Measure). Results: Motor performance and ADL were found to be affected in children with NDDs compared to their healthy peers even though they did not have a physical disability. Moderate or low correlations were found amongst 12 of 14 sub-tests of motor performance assessing various activities such as running, balance, coordination, and dexterity, as well as all parameters of WeeFIM in children with NDDs. Children with NDDs with better motor performance had less problems in ADL, were more independent, and had better social cognition and communication skills. Conclusions: Impairments found in motor performance and ADL show that even though children with NDDs, without physical disabilities, seem to be physically unaffected, it can be clearly seen that these children may have problems in coordination, motor control, and balance affecting their daily lives. Consequently, by improving motor performance, independence in ADL may be improved. In the light of these assessments, subjects with NDD's must be included in physiotherapy and rehabilitation and occupational therapy programs in order to address the problems in motor performance and insufficiencies in ADL.
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