Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial

Kalamir, Allan; Graham, Petra L.; Vitiello, Andrew; Bonello, Rod; Pollard, Henry

doi:10.1186/2045-709x-21-17

Cited by 51 publications

(86 citation statements)

References 40 publications

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“…Finally, regarding myofascial release (D‐3), although a positive effect in reduction of pain intensity and improvement of jaw mobility, compared to a control group without any treatments has been reported, in the long term, muscle strengthening exercises (B) showed significantly greater improvement than myofascial release (D‐3). A higher degree of improvement in pain reduction after muscle strengthening exercises (B) was also shown, compared to myofascial release (D‐3) …”

Section: Focused Outcome Parametersmentioning

confidence: 86%

Effects of exercise therapy on painful temporomandibular disorders

Shimada

Ishigaki

Matsuka

et al. 2019

J of Oral Rehabilitation

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Summary Temporomandibular disorders (TMD) are common chronic musculoskeletal pain conditions among orofacial pain. Painful TMD condition such as myalgia and arthralgia can be managed by exercise therapy. However, as it is hard to access actual effect of each modality that is included in an exercise therapy programme due to multiple choice of the management modality, their efficacy remains controversial. Therefore, this review focused on the effects of exercise therapy for the management of painful TMD. The aims of this review were to summarise the effects of exercise therapy for major symptoms of painful TMD and to establish a guideline for the management of painful TMD, resulting in higher quality and reliability of dental treatment. In this review, exercise modalities are clearly defined as follows: mobilisation exercise, muscle strengthening exercise (resistance training), coordination exercise and postural exercise. Furthermore, pain intensity and range of movements were focused as outcome parameters in this review. Mobilisation exercise including manual therapy, passive jaw mobilisation with oral appliances and voluntary jaw exercise appeared to be a promising option for painful TMD conditions such as myalgia and arthralgia. This review addressed not only the effects of exercise therapy on various clinical conditions of painful TMD shown in the past, but also an urgent need for consensus among dentists and clinicians in terms of the management of each condition, as well as terminology.

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Section: Focused Outcome Parametersmentioning

confidence: 86%

Effects of exercise therapy on painful temporomandibular disorders

Shimada

Ishigaki

Matsuka

et al. 2019

J of Oral Rehabilitation

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“…According to the findings of the included studies, both self‐exercise and occlusal splints can reduce pain symptoms and increase maximum mouth opening (MMO), range of motion (ROM) and mouth opening endurance. 17 out of 18 studies tested for pain symptoms, and all, except three, found that self‐exercise with or without occlusal splints caused a significant reduction in pain. Of the four studies testing for MMO, all four found self‐exercise or occlusal splints to cause a significant increase in MMO.…”

Section: Discussionmentioning

confidence: 99%

“…The National Board of Health and Welfare in Sweden also ranks the different treatments from 1 to 10, based on level of evidence, cost vs effect and probability for success. Many of the treatments prescribed by general practitioners today are labelled as self‐care, implicating that the patients themselves are responsible for performing the prescribed treatment . These reversible and low‐cost treatments entail little risk for patient injury, but one would still expect the treatments to be supported by scientific evidence.…”

Section: Introductionmentioning

confidence: 99%

Self‐exercise programmes and occlusal splints in the treatment of TMD‐related myalgia—Evidence‐based medicine?

Eliassen

Hjortsjö

Olsen‐Bergem

et al. 2019

J of Oral Rehabilitation

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Myalgia is a subdivision of temporomandibular dysfunction (TMD), which in turn comprises disorders of the temporomandibular joint and surrounding musculature. Schiffman et al 1 defined myalgia as pain of muscle origin that is affected by jaw movement, function or parafunction, and replication of this pain occurs with provocation testing of the masticatory muscles. The low-cost, and reversible treatments concerning disorders of the masticatory muscles represent a vast array of regimens. Common treatments include information, 2 stretching exercises, 2 manual therapy, 3 acrylic splints 4 and cognitive behavioural therapy. 5 In addition, Norwegian national recommendations include, acupuncture, sleep, posture correction, diaphragmatic breathing and NSAIDs. 30 The National Board of Health and Welfare in Sweden also ranks the different treatments from 1 to 10, based on level of evidence, cost vs effect and probability for success. Many of the treatments prescribed by general practitioners today are labelled as self-care, implicating that the patients themselves are responsible for performing the prescribed treatment. 2,4,6-13 These reversible and low-cost treatments entail little risk for patient injury, but one would still expect the treatments to be supported by scientific evidence.While, the prevalence of TMD in Scandinavia is reported to be as This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Abstract Background: The low-cost and reversible treatments concerning disorders of the masticatory muscles represent a vast array of regimens. Common treatments include information, stretching exercises, manual therapy, acrylic splints and cognitive behavioural therapy.Objective: The aim of this study was to evaluate the evidence behind the use of self-exercising programmes and occlusal splints in the treatment of myofascial pain. Methods:We conducted a thorough search of five databases, using four cardinal search terms in combination with twelve supporting terms. We also assessed the evidence quality, using GRADEpro software. Results:The search resulted in 4967 individual studies. 18 studies met the inclusion criteria and were re-evaluated. Conclusion:The selected studies were in favour of a self-care or an occlusal splint treatment of myalgia. However, a GRADE assessment showed that 14 of the 18 selected studies had low or very low evidence quality. Studies also showed weaknesses with regard to nomenclature and reproducibility. Hence, it is our professional opinion that the evidence level for prescribing self-exercises and occlusal splints in the treatment of myalgia is low. K E Y W O R D Sevidence-based medicine, myalgia, myofascial pain, self-care, temporomandibular dysfunction How to cite this article: Eliassen M, Hjortsjö C, Olsen-Bergem H, Bjørnland T. Self-exercise programmes and occlusal ...

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“…21,25,48,49 The participants were given two thermal gel packs and instructed to apply them warm and wrapped in a piece of cloth over the painful areas for 20 minutes once per day.…”

Section: Study Samplementioning

confidence: 99%

“…10,20,21 Low-cost therapeutic modalities based on counselling [22][23][24] and selfcare are beneficial and contribute to controlling the signs and symptoms by improving the psychological domains and eliminating deleterious behaviors. 19,22,23,25,26 One of the methods used to assess the effectiveness of any treatment for muscular TMD is to measure the pain that remains post-treatment, and such measurements are usually performed according to visual analogue scales (VAS) or verbal numeric scales. 27 However, these measurements are unidimensional, M A N U S C R I P T…”

Section: Introductionmentioning

confidence: 99%