Does physical activity level have an impact on long-term treatment response in temporomandibular disorders: protocol for a prospective study

Chun, Youngwoo; Jo, Janghyun; Park, Ji Woon

doi:10.1186/s12903-022-02428-3

Cited by 3 publications

(3 citation statements)

References 67 publications

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“…The reasons for not referring patients to physiotherapists, as noted in the survey, such as lack of collaboration and the perceived absence of a need for a physical therapist, also reflect the concerns raised in the published study. It highlights an ongoing challenge in the interdisciplinary collaboration between dentistry and physiotherapy [47].…”

Section: Discussionmentioning

confidence: 99%

Dental practitioners’ knowledge, management practices, and attitudes toward collaboration in the treatment of temporomandibular joint disorders: a mixed-methods study

Taqi,

Zaidi,

Siddiqui

et al. 2024

BMC Prim. Care

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Background Temporomandibular joint disorders (TMDs) are a variety of conditions that affect different parts of the temporomandibular joints (TMJ) and can cause orofacial pain and functional impairment. This study aims to investigate dental practitioners’ knowledge and management of Temporomandibular Joint Disorders (TMDs), particularly their knowledge of the role physical therapy plays in TMD treatment. Methods A mixed-methods approach was adopted to provide a comprehensive view of current knowledge, management practices, and attitudes toward collaboration among dental practitioners in treating TMD. Data were collected from a convenience sample of 335 dentists in Karachi using a detailed questionnaire to assess their knowledge of the role of physical therapy in the treatment of TMD. Twenty dentists were chosen for face-to-face, in-depth interviews to explore their experiences and challenges in managing TMDs based on their responses to the administered questionnaire. Results The cumulative quantitative and qualitative findings of the study revealed a landscape marked by individualized approaches to referral practices and significant gaps in interdisciplinary collaboration. Most practitioners holding a bachelor’s degree predominantly used medication (65.2%) and cause-specific treatment (65.3%) for TMD treatment. Thematic analysis of clinical efficacy and practitioner challenges in managing TMD revealed significant issues faced by dental professionals. Conclusions The study successfully validated a questionnaire to understand dental practitioners’ knowledge regarding physical therapy in TMD treatment. The study identified significant gaps in knowledge and a lack of collaboration between dentists and physiotherapists. The limited referral practices highlighted in the study, along with insights from dentist interviews, emphasize the need for improved interdisciplinary approaches to managing TMDs within dental practice.

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Section: Discussionmentioning

confidence: 99%

Dental practitioners’ knowledge, management practices, and attitudes toward collaboration in the treatment of temporomandibular joint disorders: a mixed-methods study

Taqi,

Zaidi,

Siddiqui

et al. 2024

BMC Prim. Care

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“…The protocol of this cross-sectional study can be found in a previous paper [ 16 ]. Those who visited the Orofacial Pain Clinic of Seoul National University Dental Hospital with the chief complaint of discomfort of the TMJ area were recruited from May, 2021 to February 2022.…”

Section: Methodsmentioning

confidence: 99%

Effects of physical activity levels on characteristic pain in temporomandibular dysfunctions: a cross-sectional study

Chun,

Jo,

Park

2024

Head Face Med

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Background Physical activity is known to influence the symptoms of a variety of pain disorders including fibromyalgia and osteoarthritis although the underlying mechanism is not fully understood. In spite of the high prevalence of temporomandibular disorders (TMD), no previous study has objectively evaluated the relationship between TMD and general physical activity. This study aims to investigate the influence of physical activity on pain and disability from TMD, considering various confounders including sleep, systemic inflammation, psychosocial disturbances, and widespread pain. Methods This observational cross-sectional study is based on consecutive samples of 100 TMD patients (22 with high pain disability and 78 with low pain disability level). Physical activity levels were assessed with actigraph. Level of pain and disability were evaluated using the Graded Chronic Pain Scale. Hematologic examinations including inflammatory biomarkers were assessed and comorbidities were investigated with validated questionnaires. Differences were analyzed according to disability level. Results Patients with high disability level spent significantly more time doing both moderate (p = 0.033) and vigorous (p = 0.039) level physical activity. Light physical activity, on the other hand, was associated with low disability but the difference did not reach statistical significance. Time spent in light physical activity was significantly associated with high levels of pain and disability (p = 0.026, β = −0.001) and time spent in vigorous physical activity had significant predictive power (cutoff value 2.5 min per week, AUC 0.643, p = 0.041). Scores of the Jaw Function Limitation Score-20 (p = 0.001), present McGill Pain Score (p = 0.010), and number of people potentially diagnosed with fibromyalgia (p = 0.033) were significantly higher in the high disability group. Conclusions Moderate or vigorous physical activity is associated with worse TMD symptoms while light physical activity may be beneficial. Further research related to the amount and frequency of physical activity is necessary to establish clinical guidelines for TMD. Trial registration clinical trial registration of the Clinical Research Information Service of Republic of Korea (number KCT0007107).

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“…Musculoskeletal pain was also reported common in patients with dizziness, being pain associated with increasingly worse dizziness and reduced physical health (Gustavsen et al., 2021). As TMD is one of the most prevalent musculoskeletal conditions (Abbafati et al., 2020), research investigating associations between the level of physical activity and TMD is limited and therefore needed (Cho et al., 2020; Chun et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Quality of life and level of physical activity of individuals with temporomandibular disorders with and without otological symptoms: Secondary analysis of a cross‐sectional study

Tavares,

Gadotti,

Melo

et al. 2024

Physiotherapy Res Intl

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Background and purposeOtological symptoms (OS) are highly prevalent in individuals with temporomandibular disorders (TMD). Individuals with TMD and OS have more neck disability and decreased deep neck muscles endurance when compared to individuals without OS. However, no studies have evaluated whether OS is associated with lower Quality of Life (QoL) and worse levels of physical activity. This study aimed to evaluate the QoL and level of physical activity of individuals with TMD with and without OS.MethodsIn this cross‐sectional study, 62 individuals with TMD were allocated into 2 groups: TMD with OS (n = 36) or TMD without OS (n = 26). Self‐reported complaints of dizziness, vertigo, tinnitus, earache, ear fullness, or hypoacusis were considered as OS. QoL was assessed with the WHOQOL‐Bref and physical activity with the IPAQ‐SF. Independent t‐test and chi‐squared test were used for analysis between‐groups. Effect sizes were reported using Cohen's d. A Pearson correlation was used to compare the number of OS and QoL scores. A significance level of p < 0.05% and 95% confidence intervals were considered statistically significant.ResultsThe total generic scores for QoL were not different between‐groups (p = 0.076), but individuals with TMD with OS had lower satisfaction (p = 0.015; d: 0.63) and physical domain (p = 0.015; d: 0.64) scores with a moderate effect size. In TMD with OS, 69.4% of individuals were irregularly active and 50% for the TMD without OS, with no statistical significance (p > 0.05). The number of OSs was inversely and weakly associated with the QoL total score.ConclusionIndividuals with TMD and OS are associated with worsened QoL (physical domain and satisfaction) when compared to individuals with TMD without OS. The higher the number of OS, the worse the QoL score. Individuals with TMD with and without OS had similar levels of physical activity, but a high prevalence of irregularly active and sedentary individuals within TMD diagnosed population was found.

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Does physical activity level have an impact on long-term treatment response in temporomandibular disorders: protocol for a prospective study

Cited by 3 publications

References 67 publications

Dental practitioners’ knowledge, management practices, and attitudes toward collaboration in the treatment of temporomandibular joint disorders: a mixed-methods study

Dental practitioners’ knowledge, management practices, and attitudes toward collaboration in the treatment of temporomandibular joint disorders: a mixed-methods study

Effects of physical activity levels on characteristic pain in temporomandibular dysfunctions: a cross-sectional study

Quality of life and level of physical activity of individuals with temporomandibular disorders with and without otological symptoms: Secondary analysis of a cross‐sectional study

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