Long-Term Outcome After Treatment of Temporomandibular Joint Osteoarthritis with Exercise and Manual Therapy

Nicolakis, Peter; Erdogmus, Celal B.; Kollmitzer, Josef; Kerschan‐Schindl, Katharina; Sengstbratl, Michaela; Nuhr, Martin; Crevenna, Richard; Fialka‐Moser, Veronika

doi:10.1080/08869634.2002.11746186

Cited by 20 publications

(11 citation statements)

References 14 publications

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“…In patients with anterior disc displacement with reduction the application of therapeutic exercises significantly reduced joint clicking (36). Even in long-term outcome of TMD an effective treatment of osteoarthrosis using exercise therapy was reported (37). Comparison of the cited studies is difficult, as different criteria of inclusion were used, researchers and physiotherapists were not calibrated and various methods of physical therapy were applied.…”

Section: P H Y S I C a L T H E R A P Y C O M P A R E D T O S P L I N mentioning

confidence: 99%

Short‐term efficacy of physical therapy compared to splint therapy in treatment of arthrogenous TMD

Ismail

Demling

Hessling

et al. 2007

J of Oral Rehabilitation

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A prospective randomized study was carried out to evaluate the efficacy of physical therapy in addition to splint therapy on treatment outcome in patients with temporomandibular disorders (TMD) with respect to objective and subjective parameters. Twenty-six patients suffering from an arthrogenic TMD and exhibiting a painfully restricted jaw opening were randomized in two groups. Thirteen patients were treated solely with Michigan splint (group I), 13 patients received supplementary physical therapy (group II). Before treatment a clinical examination and electronic recording of jaw movements were performed and subjective pain level was evaluated by visual analogue scales. After 3 months of therapy maintenance of improvement was evaluated. Within treatment groups comparison of data before and after treatment was analysed using Wilcoxon test. Groups were compared by Mann-Withney-U test. A P-value < 0.05 was considered significant. Compared with the baseline, in both groups mandibular movement capacity increased significantly after treatment, whereas subjective pain decreased significantly (P < 0.05). Active jaw opening increased from 28.6 +/- 5.8 to 35.9 +/- 4.8 mm in group I and from 30.1 +/- 5.4 to 40.8 +/- 4.1 mm in group II. After therapy the difference of active jaw opening between groups was significant (P < 0.05). Physical therapy also gave a supplementary improvement of protrusive mandibular movement capacity during electronic registration and subjective pain level. For none of these parameters this difference between groups was significant. Physical therapy seems to have a positive effect on treatment outcome of patients with TMD.

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Section: P H Y S I C a L T H E R A P Y C O M P A R E D T O S P L I N mentioning

confidence: 99%

Short‐term efficacy of physical therapy compared to splint therapy in treatment of arthrogenous TMD

Ismail

Demling

Hessling

et al. 2007

J of Oral Rehabilitation

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“…Literature data suggest that TMD-related pain has a relevant psychosocial impact as well 14,21,22,62,72 . Many conservative approaches to the treatment of both articular and muscular TMD have been proposed over the years, including occlusal splint therapy 4,63 , physiotherapy 42,43 , complimentary medicine 5,12 , pharmacotherapy 7,24 and occlusal treatments 18 . In some cases a surgical approach to the TMJ is needed to treat intra-articular disorders not responding to traditional conservative therapies 6,15,16,44,45,64 , but the mechanicistic concepts on which classic gnathology is based, combined with the view of surgery as the definitive treatment option for many supposedly abnormal TMJ conditions (i.e.…”

mentioning

confidence: 99%

Temporomandibular joint total replacement prosthesis: current knowledge and considerations for the future

Guarda-Nardini

Manfredini

Ferronato

2008

International Journal of Oral and Maxillofacial Surgery

117

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“…Treating arthrogenous TMD patients with passive and active exercises, manual therapy, postural correction and relaxation techniques has resulted in statistically significant improvements in pain, impairment and range of motion within the treatment group (Nicolakis et al, 2001). Long-term follow-up studies demonstrated continued success (Nicolakis et al, 2002). Another study showed significant subjective and objective improvement in symptoms and function in 81% of patients treated with physical therapy (Suvinen et al, 1997), though this study lacked a control group.…”

Section: Soft Tissue Treatments and Exercisementioning

confidence: 94%

Manual therapy for temporomandibular disorders: A review of the literature

Kalamir

Pollard

Vitiello

et al. 2007

Journal of Bodywork and Movement Therapies

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Long-Term Outcome After Treatment of Temporomandibular Joint Osteoarthritis with Exercise and Manual Therapy

Cited by 20 publications

References 14 publications

Short‐term efficacy of physical therapy compared to splint therapy in treatment of arthrogenous TMD

Short‐term efficacy of physical therapy compared to splint therapy in treatment of arthrogenous TMD

Temporomandibular joint total replacement prosthesis: current knowledge and considerations for the future

Manual therapy for temporomandibular disorders: A review of the literature

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